questions Flashcards
what is the most accurate clinical sign for
pain exacerbated by passive stretch
where should thorough wound debridement and external fixation of an open fracture occur?
operating theatre
name 3 typical childhood fractures
- clavicle
- distal humerus
- wrist
- buckle
methods to control displaced fractures (4)
- elastic nails
- moulded plasters
- plates
- wires
growth plate injury may result in what?
angulation
movement commonly restricted in both OA and adhesive capsulitis?
external rotation
movement to test the supraspinatus tendon & muscle?
empty can test
which patients are at increased risk of adhesive capsulitis?
Diabetics or indvx with frozen shoulder
sensation in regimental badge area & deltoid contraction
axillary nerve
only treatmentn for fibromyalgia with strong evidence supporting it
exercise
medication to avoid for treating fibromyalgia
NSAIDs
Painful arc of abduction between 60 and 120 degrees
supraspinatus injury
presentation of de quervains tensosynovitis?
caused by wrist overuse… presents with radial wrist pain & tenderness over the radial styloid
how should scaphoid fractures be managed in ED?
immobilisation using Futuro splint or standard below-elbow backslab
hip condition in:
- obese child
- painful internal rotation
SUFE
what is the most common mechanism of ankle sprain
inversion
how is phalens test carried out
patients wrist is help in maximum flexion (reverse prayer sign) for 30-60 seconds and test is positive if there is numbness in median nerve distribution
symptoms of carpal tunnel syndrome
weak thenar muscles
sensory loss to lateral 3&half digits
what is thickened & sclerotic on x ray with elevated ALP
Pagets disease
pain on palpation of the lateral aspect of the joitn line
iliotibial band syndrome
cyst arising from joint or tendon sheath
ganglion
what is the most common reason a revision operation would be needed post total hip replacement?
aseptic loosening of the implant
what presents with a shortened internally rotated leg?
left sided hip dislocation
what does a monteggia fracture involve?
fracture of proximal ulna & dislocation of proximal head of radius
significant risk factor for avascular necrosis?
previous chemotherapy
what is mortons neuroma & how does it present?
benign neuroma affecting intermetatarsal plantar nerve
forefoot pain commonly in 3rd intermetatotarsophalangeal space
(confirmed by US)
triad of symptoms in “Leriche syndrome’
1) claudication of the buttocks & thigh
2) atrophy of the musculature of the legs
3) Impotence (due to paralysis of the L1 nerve)
twisting sporting injuries followed by delayed onset of knee swelling & locking
meniscal tear
high twisting force to a flexed knee & rapid swelling
anterior cruciate ligamnet rupture
L5 sensory distribution?
lateral calf extending to dorsum of foot
arm is abducted & externally rotated & resists all movement & acromion appears prominent
shoulder dislocation
examination: shoulder contour is flattened & small bulge is felt below right clavicle
anterior shoulder disloctaion
