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PANCE PREP > PANCE MSK Rheum 8/13/20 > Flashcards

PANCE MSK Rheum 8/13/20 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

tx 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 and image for osteomyelatitis

A

ESR CRP

and MRI

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17
Q

MCC of osteomyelitis

A

staph aureus

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18
Q

osteomyelitis tx

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 the 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
Q

what test for sjogrens

A

schimer

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26
Q

what is the MC reason for elbow joint effution on adults

A

radial head fx

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27
Q

what is the MC reason for elbow joint effusion in children

A

supracondylar fx

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28
Q

what are the 2 ways to dx a supracondylar fx

A

abnormal anterior humoral line

posterior fat pad sign

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29
Q

what fat pad is always abnormal

A

posterior

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30
Q

what vitamin for CRPS

A
  • vit C
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31
Q

intraarticular fx through the first MCP

A

Bennent fx

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32
Q

what is the tx for a Bennent fx

A

ORIF because these are always unstable

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33
Q

what is one sign you may see with a pelvic fx

A

perineal ecchymosis

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34
Q

what are the 5 ottawa ankle rules

A
  • pain along lateral malleouleus
  • pain along medial malleouleous
  • navicular pain
  • 5th met pain
  • unable to walk 4 steps
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35
Q

describe webber ankle fx A B C

A

A: below the joint
B: At the joint
C: above the joint

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36
Q

what is a maisonnuve fx

A

fx of the fibula with an ankle fx

that is why you always X ray the knee with ankle trauma

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37
Q

what is the location of a march or stress fx

A

3 metatarsal MC

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38
Q

what pathology is charcots joint associated with

A

DM

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39
Q

what location for mortans neuroma

A

3rd metatarsal head

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40
Q

what levels do you brace scolios

A

20-40

> 40 surgical

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41
Q

what two abx for osteomyelitis

A

naffcillin

vanco

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42
Q

what is the MC cause of joint infections (septic arthritis) if they have a prosthesis

A
  • staph epidermis
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43
Q

what is the MC cause of joint infections (septic arthritis)

A

staph aureus

44
Q

what is the MC cause of joint infections (septic arthritis) young adults

A

neisseria gonorrhea

45
Q

what PSI is dx for compartment syndrome

A

> 35

46
Q

where does osteosarcoma MET to

A

lungs

47
Q

what is a benign bone tumor

A

osteocondroma

48
Q

what antibodies are specific for SLE

A

anti smith

anti double stranded DNA

49
Q

what are the three main tx for lupus

A
  • sun exposure
  • hydroxychloraqiun
  • NSAIDS
50
Q

what pathology

  • tight skin
  • anti centromere
A

scleroderma

51
Q

scleroderma tx

A

DMARDS

52
Q

what medication is used for fibromyalgia

A

pregablin

53
Q

polymyalgia rheumatica tx

A

steroids

54
Q

polymyalgia rheumatica lab

A

Inc ESR

55
Q

how do you tx dermatomyocitis

A

steroids

56
Q

what pathology is associated with high uric acid

A

gout

57
Q

what do you tx gout with 2

A

NSAIDS

colchiicine

58
Q

who cant take allopurinol

A

hann chineese

59
Q

what meds for gout prevention 2

A
  • colchiicine

- allopurinol

60
Q

what is psudo gout made of

A

calcium

61
Q

how do you tx psudo gout

A

steroids

62
Q

what gets psudo gout ore often

A

females

63
Q

what are the two tx for rhabdo

A
  • IV hydration

- mannitol

64
Q

what is the primary tx for OA

A

acetaminophen

65
Q

what may be looked at as a progression of polymyalgia rheumatica

A

giant cell arteritis

66
Q

what pathology

  • HA
  • jaw claudication
  • vision changes
  • fever
A

giant cell arteritis

67
Q

what is a complication of giant cell arteritis

A

blindness

68
Q

Recurrent oral or genital ulcers

A

bechets syndrome

69
Q

bechets syndrome tx

A

steroids

70
Q

what is a complication of kawasaki syndrome

A
  • coronary artery aneurysm
71
Q

kawasaki syndrome tx 2

A

IVIG

- high dose aspirin

72
Q

strawberry red tongue

A

kawasaki syndrome

73
Q

painless limp hip pathology

A

legg calfe perthes

74
Q

what abx for gram neg rods

A

ceftriaxone

75
Q

hair on end or sun burst ray what type of cancer

A

osteosarcoma

76
Q

where does osteosarcoma met to

A

lungs

77
Q

lytic lesions “onion skin” on X ray

A

ewing sarcoma

78
Q

what bone tumor is pudunulated

A

osteochondroma

79
Q

what labs for pagets disease

A

high alk phos

80
Q

what is the management of pagets diseases

A

bisphosphenates

81
Q

what screen for lupus

A

anti nuclear ab (ANA)

82
Q

what is the most sp for lupus 2

A
  • antidouble stranded

- anti smith

83
Q

what is the main medication for lupus

A

hydroxychloraquin

84
Q

what test for scleroderma

A

anti centromere AB

85
Q

how do you you tx scleroderma

A

DMARDS

86
Q

how do you tx sjogrens

A

pilocarpine

87
Q

people with sjogrens have a higher incidence of what

A

non hodgkins lymphoma

88
Q

what type of system is cholinergic?

A

parasympathetic

89
Q

what rhematic condition is associated with giant cell arteritis

A

polymyalgia rheumatica

90
Q

polymyalgia rheumatica tx

A

steroids

91
Q

what is the first line for gout

A
  1. NASID

2. colchicine

92
Q

how do you tx chronic gout

A
  1. allopurinaol

2. colchicine

93
Q

what are gout crystals made of

A

monosodium urate crystals

94
Q

what are psudo gout crystals made of

A

calcium

  • rhomboid shape
  • tx: steroids
95
Q

most specific for RA

A

anti cyclic

96
Q

best initial RA test

A

RH fctor

97
Q

HA
jaw pain
visual chnages

A

giant cell arteritis

  • high dose steroids
  • Inc ESR
98
Q

tx of osteomyelitis in adults 2 +

A

nafcillin + Vanco

99
Q

cause of osteomyelitis in adults

A

S aureus

100
Q

tx of osteomyelitis in sickle cell 2+

A

ceftriaxone + cipro

101
Q

cause of osteomyelitis in puncture wound

A

psudomonas

102
Q

tx of osteomyelitis in puncture wound

A

cipro

103
Q

MCC septic arthritis

A
  • S aureus

- sexucally active (n, gonorrhea)

104
Q

tx septic arthritis 2 +

A

Nafcillin + Vanco

105
Q

what is the gold standard for osteomyelitis

A

bone aspiration

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