PEAC internal Medicine Modules Flashcards
Young female, that has back and heel pain, the pain improves with activity, worsens with rest, what back pain problem do I have?
Spondyloarthritis
If a patient has point tenderness, no neurological symptoms, what should they get?
If a patient has point tenderness and neurological symptoms, what should they get?
X-ray
MRI
50 year old male, nighttime back pain, symptoms improve when he gets up, no infection, recent procedures, no fever, what could he have?
Vertebral Metastases
The contralateral straight leg test is positive when raising the asymptomatic leg provokes sciatic symptoms in the symptomatic leg. True or False
True
Heal walk test is what nerve root?
Toe walk test is what nerve root?
L4-L5
L5-S1
Elderly woman with back pain, with potential acute trauma, what is the next best test?
X-ray
Recent procedure, back pain, and fever, 10 days ago, what is the most concerning diagnosis, what is the next best test?
Soft Tissue Infection
MRI of Lumbar Spine
Proximal stiff joints that improve with exercise, no fever, elderly man, no shopping cart sign, what am I?
Polymyalgia Rheumatica
A patient has a spinal fusion back history, fender bender car accident, no neurological deficit, no fever, negative x-ray, but pain, what is the next step?
CT scan
Cortisone injections can help decrease short term pain but do not make an impact on surgery necessity. True or False
True
Spondylolisthesis means what?
Anterior Displacement of vertebrae
What are the two most common cancers that metastasize to the bone?
Breast and Lung Cancer can go to bone
Prostate and Myeloma
When a patient has back pain, what is the best course of pain medications?
NSAIDS is better than oxycodone and muscle relaxants, fewer side effects
What muscle is L5-S1?
Gastrocnemius
What nerve root is the great toe?
L4-L5
