PANCE MSK Rheum round 2 8/13 Flashcards

1
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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2
Q

proximal ulnar shaft fx with radial read dislocation is called

A

monteggia fx

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3
Q

mid radius fx with dislocation of the DRUJ

A

galeazzi fx

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4
Q

X ray for colles fx

A

proximal interior

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5
Q

what tendon for dequarivains

A

APL and EPB

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6
Q

what is the SLE triad

A

fever
rash
joint pain

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7
Q

what are the 2 ways to dx a supracondylar fx

A

abnormal anterior humoral line

posterior fat pad sign

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8
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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9
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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10
Q

what is the location of a march or stress fx

A

3 metatarsal MC

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11
Q

what pathology is charcots joint associated with

A

DM

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12
Q

what location for mortans neuroma

A

3rd metatarsal head

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13
Q

what levels do you brace scolios

A

20-40

> 40 surgical

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14
Q

what two abx for osteomyelitis

A

naffcillin

vanco

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15
Q

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

A
  • staph epidermis
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16
Q

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

A

staph aureus

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17
Q

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

A

neisseria gonorrhea

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18
Q

what PSI is dx for compartment syndrome

A

> 35

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19
Q

where does osteosarcoma MET to

A

lungs

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20
Q

what is a benign bone tumor

A

osteocondroma

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21
Q

what antibodies are specific for SLE

A

anti smith

anti double stranded DNA

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22
Q

what are the three main tx for lupus

A
  • sun exposure
  • hydroxychloraqiun
  • NSAIDS
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23
Q

what pathology

  • tight skin
  • anti centromere
A

scleroderma

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24
Q

scleroderma tx

A

DMARDS

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25
Q

what medication is used for fibromyalgia 2

A

pregablin

TCA

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26
Q

polymyalgia rheumatica tx

A

steroids

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27
Q

polymyalgia rheumatica lab

A

Inc ESR

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28
Q

how do you tx dermatomyocitis

A

steroids

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29
Q

what pathology is associated with high uric acid

A

gout

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30
Q

what meds for gout prevention 2

A
  • colchiicine

- allopurinol

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31
Q

how do you tx psudo gout

A

steroids

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32
Q

what are the two tx for rhabdo

A
  • IV hydration

- mannitol

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33
Q

what is the primary tx for OA

A

acetaminophen

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34
Q

what may be looked at as a progression of polymyalgia rheumatica

A

giant cell arteritis

35
Q

what pathology

  • HA
  • jaw claudication
  • vision changes
  • fever
A

giant cell arteritis

36
Q

what is a complication of giant cell arteritis

A

blindness

37
Q

bechets syndrome tx

A

steroids

38
Q

kawasaki syndrome tx 2

A

IVIG

- high dose aspirin

39
Q

what abx for gram neg rods

A

ceftriaxone

40
Q

hair on end or sun burst ray what type of cancer

A

osteosarcoma

41
Q

where does osteosarcoma met to

A

lungs

42
Q

lytic lesions “onion skin” on X ray

A

ewing sarcoma

43
Q

what bone tumor is pudunulated

A

osteochondroma

44
Q

what labs for pagets disease

A

high alk phos

45
Q

what is the management of pagets diseases

A

bisphosphenates

46
Q

what is the main medication for lupus

A

hydroxychloraquin

47
Q

what test for scleroderma

A

anti centromere AB

48
Q

how do you you tx scleroderma

A

DMARDS

49
Q

how do you tx sjogrens

A

pilocarpine

50
Q

people with sjogrens have a higher incidence of what

A

non hodgkins lymphoma

51
Q

what are psudo gout crystals made of

A

calcium

  • rhomboid shape
  • tx: steroids
52
Q

most specific for RA

A

anti cyclic

53
Q

best initial RA test

A

RH fctor

54
Q

HA
jaw pain
visual chnages

A

giant cell arteritis

  • high dose steroids
  • Inc ESR
55
Q

tx of osteomyelitis in sickle cell 2+

A

ceftriaxone + cipro

56
Q

cause of osteomyelitis in puncture wound

A

psudomonas

57
Q

tx of osteomyelitis in puncture wound

A

cipro

58
Q

MCC septic arthritis

A
  • S aureus

- sexucally active (n, gonorrhea)

59
Q

tx septic arthritis 2 +

A

Nafcillin + Vanco

60
Q

what is the gold standard for osteomyelitis

A

bone aspiration

61
Q

what side to do you rotate for adsons

A

towards TOS

62
Q

what area do you check for peroneal nerve injuries

also what action

A

1st web space

foot drop

63
Q

what toe is march

A

3rd that’s because it’s the third month

64
Q

what toe for mortans

A

3rd

65
Q

facuture of the base of the 5th

A

psudo jones

66
Q

what is the PSI for compartment syndrom

A

> 30

67
Q

SLE triad

A

joint pain
fever
rash

68
Q

anticentromere AB

A

scleroderma

69
Q

scleroderma tx

A

DMARDS

70
Q

antiRO - anti LA

A

sjogrens

71
Q

anti JO

A

polymyocytis

72
Q

what is the 1dt line tx for psudo gout

A

steroids

73
Q

dinurinal ever

salmon coloed rash

A

JRA: stills

74
Q

JRA TX

A
  • NSAIDS

- Steroids

75
Q

best RA tx 2

A

DMARDS

NSAIDS

76
Q

bechets disease tx 1

A

steroids

77
Q

what vasculitis affects
large vessles
asian females

A

takayasu

78
Q

what is the tx for the vasculitis

A

steroids

79
Q

how do you tx kawasaki 2

A

IVIG

asprin

80
Q

sterile pruria

A

kawasaki

81
Q

what pathology has
Glomerulonephritis
pulomary hemmorage

A

Good pastures

82
Q

what antibody is good pastures

A

Ig-G

83
Q

what antibody is henoch schonlein purpura

A

IG- A