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PANRE Review > Orthopedics/Rheumatology > Flashcards

Orthopedics/Rheumatology Flashcards

1
Q

Tests that assess shoulder impigmengement (subscapular nerve, supraspinatus)

A

Hawkins, Drop Arm, Neer

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2
Q

Most common fracture in children?

A

Clavice (middle 1/3rd)

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3
Q

What must you be concerned about with parasthesias of ulnar aspect of hand, forearm, arm

A

Thoracic outlet syndrome

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4
Q

Child falls, onto arm, complains of elbow pain. X-ray shows anterior humeral line or anterior fat pad. Diagnosis?

A

Supracondylar fracture

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5
Q

Mid-distal radial shaft fracture with dislocation of distal radio ulnar joint

A

Galeazzi fracture

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6
Q

High rate of non-union on outstretched hand, anatatomical snuffbox tenderness

A

Scaphoid fracture

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7
Q

Complication with Colles fracture

A

EPL rupture

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8
Q

Garden slade deformity on x-ray

A

Smiths fracture

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9
Q

Lunate fracture

A

Most serious carpal fracture, piece of pie sign, emergent (AVN- Kienbocks dz))

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10
Q

Boutonniere deformity

A

Flexion at PIP, Extension at DIP

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11
Q

Intraarticular fracture of base of 1st MC

A

Bennetts fracture (comminuted= Rolands)

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12
Q

Women presents with hip pain, shortened leg, internally rotated and adducted with hip/knee flexed. Dx?

A

Hip dislocation

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13
Q

Women presents with hip pain, shortened leg, externally rotated and abducted. Dx?

A

Hip fracture

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14
Q

4 year old presents with painless limping for weeks on right side. X-ray reveals crescent sign. Dx?

A

Legg-Calve-Perthes Dz (idiopathic AVN)

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15
Q

10 year old obese male presents with hip and thigh pain with limp, externally rotated right leg. Dx? Tx?

A

SCFE; ORIF

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16
Q

Greenstick fracture

A

Bowing (convex side)

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17
Q

Torus (buckle) Fracture

A

Wrinkling or bump

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18
Q

Which ligament is associated with valgus stress?

A

MCL

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19
Q

Which ligament is associated with varus stress?

A

LCL

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20
Q

Tests for ACL tear?

A

Lachmans**, anterior drawer

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21
Q

Dashboard injury associated with?

A

PCL tear; pivot shift test

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22
Q

Test for MCL injury

A

McMurrays

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23
Q

Best view for patellar fracture

A

Sunrise view

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24
Q

Popliteal artery rupture associated with which dislocation

A

Knee (Tibial/femoral); emergency!

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25
Q

Positive Obers tests seen in?

A

IT band syndrome

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26
Q

Most common injured ligament in ankle sprain?

A

ATF

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27
Q

Spiral fibular fracture d/t rupture distal talofib syndesmosis

A

Maisonneuve Fracture

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28
Q

numbness/pain medial malleolus, heel that worsens throughout the day

A

tarsal tunnel syndrome

29
Q

Transverse fracture of diaphysis 5th Metatarsal

A

Jones fracture

30
Q

Transverse avulsion fracture at base of 5th Metatarsal

A

Pseudojones fracture

31
Q

Fracture at base of 2nd metatarsal

A

Lisfranc fracture (Fleck sign)

32
Q

Posterior leg/calf, plantar surface of foot; loss of plantar flexion, ankle jerk. Which nerve is affected?

A

S1

33
Q

Back pain worse with extension

A

Spinal stenosis

34
Q

Most sensitive test for assessing scoliosis?

A

Adams forward bending test

35
Q

Most common form of back pain in children/adoloscents

A

Spondylolysis (defect in pars interarticularis)

36
Q

Most common cause of osteomyelitis in sickle cell patients?Tx?

A

Salmonella; 3rd gen Cef or FQ

37
Q

28 y/o sexually active patient with suspected septic arthritis has arthrocentesis. Likely gram stain and tx?

A

G - Cocci (gonorrhea); ceftriaxone

38
Q

Fracture of femur; persistent deep burning, tense extremities. Pain with passive stretching. Dx?

A

Compartment syndrome

39
Q

17 year old with persistent bone pain of leg. X-ray shows sunburst appearance, periosteal reaction. Likely Dx?

A

Osteosarcoma

40
Q

5 year old with femur pain. X-ray reaveals layeared periosteal reaction (onion peel). Dx?

A

Ewings sarcoma

41
Q

Matrix punctate or ring/arc appearance on x-ray

A

chondrosarcoma

42
Q

17 year old with knee pain. X-ray reveals pedunculated lesion, growing away from growth plate. Dx?

A

Osteochondroma

43
Q

Increased osteoclast bone resorption, abnormal trabecular bone formation, large and weak compact bones. Elevated ALP. Treatment?

A

Bisphosphonates and calcitonin (Pagets Dz)

44
Q

Meds that can cause lupus like reaction?

A

procainamide, hydralazine, INH, quinidine (anti-histone bodies)

45
Q

Best test to confirm SLE?

A

anti DS DNA, anti-smith ab

46
Q

Anticardiolipin ab is associated with which disease?

A

Antiphospholipid ab syndrome

47
Q

Anti-centromere Ab is associated with which disease?

A

Scleroderma (specfically CREST syndrome)

48
Q

Anti SS Ab, Anti SS B and HLADR52 associated with which disease?

A

Sjogrens Syndrome

49
Q

Treatment for sjogrens syndrome?

A

Pilocarpine, cevimeline (cholinergics)

50
Q

Bilateral proximal joint pain/stiffness; elevated ESR, anemia

A

PMR

51
Q

Progressive symmetric muscle weakness of proximal limbs, neck, pharynx

A

Polymyositis

52
Q

Which disease is associated wth anti-Jo1 ab, anti-SRP ab?

A

Polymyositis

53
Q

Heliotrope and gottron papules associated with?

A

Dermatomyositis

54
Q

Negative birefringent crystals on arthrocentesis; Acute Tx?

A

Gout; NSAIDs

55
Q

Positive birefringent crystals on arthrocentesis; Acute Tx?

A

Pseudogout; Steroids

56
Q

Morning stiffness in wrists, PIP, MCP that gets better throughout the day

A

RA

57
Q

Pain that worsens throughout the day in DIP, Thumb

A

OA

58
Q

Anti-CCP is specific for which disease?

A

RA

59
Q

Feltys Syndrome

A

RA + splenomegaly + leukopenia

60
Q

Lab findings in rhabdomyolysis

A

Elevated CPK, LDH, ALT, K
Decrease in Ca
Myoglobinuria (Heme)

61
Q

Asymmetric joint pain, conjunctivitis, urethritis in 27 year old. Cause?

A

Chlamydia (Reactive arthritis)

62
Q

Chronic low back pain and morning stiffness in 25 year old with positive HLAB27

A

Ankylosing spondylitis

63
Q

Papable purpura, arthritis, abdominal pain, hematuria in a child makes you think of? Dx?

A

Henoch-Scholein Purpura; kidney biopsy showing igA deposition

64
Q

URI symtoms with dyspnea, glomerulonephritis, positive C-ANCA

A

Wegeners granulomatosis

65
Q

Treatment for Kawasaki’s disease

A

IVIG + high dose ASA

66
Q

Takayasu arteritis affects which vessels?

A

Aorta, aortic arch, pulmonary artery (large vessels); diagnosed with angiography

67
Q

Eosinophilia with allergies, asthma, significant purpuric rash on legs

A

Churg-strauss

68
Q

Which vasculitis is assocaited with capillaries, glomerulonephritis and P-ANCA?

A

microscopic polyangiitis

69
Q

Vasculitis assocaited with Hepatitis B and C, renovascular HTN, livedo reticularis?

A

Polyarteritis nodosa

PANRE Review (5 decks)

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