PANCE MSK Rheum 6/13/20 Flashcards

1
Q

what nerve pathology must you rule out with proximal humerus fx

A

axilary and brachial plexus

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2
Q

what nerve pathology must you rule out with humeral shaft fx

A

radial nerve

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3
Q

what is one of the things you look for on supracondyer fx or radial head fx

A

fat pad sign

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4
Q

proximal ulnar shaft fx with radial read dislocation is called

A

monteggia fx

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5
Q

monteggia fx nerve injury

A

radial

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6
Q

olecranon fx what nerve

A

ulnar

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7
Q

mid radius fx with dislocation of the DRUJ

A

galeazzi fx

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8
Q

how do you rest a nursemaids dislocation

A

supination and flexion

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9
Q

fx for colles fx

A

sugar tong splint

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10
Q

what is the wrist position for colles fx mechanism

A

extened

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11
Q

wrist position for smith fx mechanism

A

flexed

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12
Q

X ray for colles fx

A

proximal interior

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13
Q

what tendon for dequarivains

A

APL and EPB

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14
Q

what position is the leg with posterior dislocation

A

internal rotation

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15
Q

what position is the fem neck fx in

A

external rotation

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16
Q

labs for osteomyelatitis

A

ESR and MRI

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17
Q

MCC of osteomyelitis

A

staph aureus

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18
Q

osteomyelitis

A

nafcillin

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19
Q

what abx treats staph

A

nafcillin

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20
Q

what abx for gram -

A

ceftrixone

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21
Q

what is the best inital test for SLE

A

ANA

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22
Q

what is teh most specific test for SLE

A

smith

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23
Q

what is the SLE triad

A

fever
rash
joint pain

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24
Q

tx for sjogrens

A

pilocarpine

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25
what test for sjogrens
schimer
26
what is the MC reason for elbow joint effution on adults
radial head fx
27
what is the MC reason for elbow joint effusion in children
supracondylar fx
28
what are the 2 ways to dx a supracondylar fx
abnormal anterior humoral line | posterior fat pad sign
29
what fat pad is always abnormal
posterior
30
what vitamin for CRPS
- vit C
31
intraarticular fx through the first MCP
Bennent fx
32
what is teh tx for a Bennent fx
ORIF because these are always unstable
33
what is one sign you may see with a pelvic fx
perineal ecchymosis
34
what are the 5 ottawa ankle rules
- pain along lateral malleouleus - pain along medial malleouleous - navicular pain - 5th met pain - unable to walk 4 steps
35
describe webber ankle fx A B C
A: below the joint B: At the joint C: above the joint
36
what is a maisonnuve fx
fx of the fibula with an ankle fx | that is why you always X ray the knee with ankle trauma
37
what is the location of a march or stress fx
3 metatarsal MC
38
what pathology is charcots joint associated with
DM
39
what location for mortans neuroma
3rd metatarsal head
40
what levels do you brace scolios
20-40 | > 40 surgical
41
what two abx ffor osteomyelitis
naffcillin | nanco
42
what is the MC cause of joint infections (septic arthritis) if they have a prosthesis
- staph epidermis
43
what is the MC cause of joint infections (septic arthritis)
staph aureus
44
what is the MC cause of joint infections (septic arthritis) young adults
neisseria gonorrhea
45
what PSI is dx for compartment syndrome
> 35
46
where does osteosarcoma MET to
lungs
47
what is a benign bone tumor
osteocondroma
48
what antibodies are specific for SLE
anti smith | anti double stranded DNA
49
what are the three main tx for lupus
- sun exposure - hydroxychloraqiun - NSAIDS
50
what pathology - tight skin - anti centromere
scleroderma
51
scleroderma tx
DMARDS
52
what medication is used for fibromyalgia
pregablin
53
polymyalgia rheumatica tx
steroids
54
polymyalgia rheumatica
Inc ESR
55
how do you tx dermatomyocitis
steroids
56
what pathology is associated with high uric acid
gout
57
what do you tx gout with 2
NSAIDS | colchiicine
58
who cant take allopurinol
hann chineese
59
what meds for gout prevention 2
- colchiicine | - allopurinol
60
what is psudo gout made of
calcium
61
how do you tx psudo gout
steroids
62
what gets psudo gout ore often
females
63
what are the two tx for rhabdo
- IV hydration | - mannitol
64
what is the primary tx for OA
acetaminophen
65
what may be looked at as a progression of polymyalgia rheumatica
giant cell arteritis
66
what pathology - HA - jaw claudication - vision changes - fever
giant cell arteritis
67
what is a complication of giant cell arteritis
blindness
68
Recurrent oral or genital ulcers
bechets syndrome
69
bechets syndrome tx
steroids
70
what is a complication of kawasaki syndrome
- coronary artery aneurysm
71
kawasaki syndrome tx 2
IVIG | - high dose aspirin
72
strawberry red tongue
kawasaki syndrome
73
what is the joint for lis frank
2nd metatarsal and medial cueneform
74
what sign is associated with lis frank fx
fleck sign
75
what is the anal sign with caudea equina
no anal wink
76
anti joe antibody
polymyocytis
77
anti Mi - 2 antobody
dermatomyociytis
78
blue eyelid and scaly knuckles
dermatomyocytis
79
what lab value for rhabdo
CPK
80
daily arthritis high fever salmon rash
stills disease
81
anti cyclic antibodies
RA