Rheum/Ortho Flashcards

1
Q

classic sx associated with spinal stenosis

A
  • neurogenic claudication= LE pain with extension of the spine
    • prolonged walking, standing, walking downhill
  • relieved by: spinal flexion
    • leaning forward, walking uphill
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

pt older than 60 years old has pain in back and LEs, with weakness and sensory deficits as well. what is the best diagnostic test?

A

MRI confirms narrowing of the spinal canal in spinal stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

side effect of methotrexate (DMARD in RA)?

A

macrocytic anemia (decreased folate) and hepatotoxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are some risk factors for gout?

A
  • alcohol use, surgery/trauma, dehydration, certain medications (diuretics)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how is gout diagnosed?

A

needle-shaped, negatively birefringent urate crystals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does gout present?

A

acute monoarticular arthritis; commonly 1st MTP, knee, or ankle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what type of lesions show up on metastatic prostate cancer? what are the lab values?

A

osteoblastic (hyperdense areas of bony sclerosis)

hypocalcemia, increased alk phos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what type of lesions show up in paget disease of bone?

A

osteolytic or mixed osteolytic/osteoblastic

increased alk phos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

positive neer and hawkins impingement tests are indicative of what injury?

A

rotator cuff tendinopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

genetics of marfan syndrome

A

autosomal dominant mutation in fibrillin-1 gene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

first line treatment for fibromyalgia?

A

amitriptyline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is a type I ankle sprain?

A

injury to the anterior talofibular ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is a type II ankle sprain?

A

involves the anterior talofibular ligament and the fibulocalcaneal ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is a type III ankle sprain?

A

involves the anterior talofibular ligament, fibulocalcaneal ligament, and the posterior talofibular ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is CREST syndrome? what is the most common extracutaneous manifestation of CREST syndrome?

A
  • Calcinosis cutis
  • Raynauds
  • Esophageal dysmotility
  • Ssclerodactyly
  • Telangiecasias

most common extracutaneous manifestation of CREST syndrome is pulmonary hypertension

17
Q

defective Type I collagen synthesis

A

osteogenesis imperfecta

18
Q

defective fibrillin-1 protein

A

Marfan syndrome

19
Q

after fixing a hip dislocation, which imagin study do you follow up with?

A

x-ray–> reduce hip–> CT scan

20
Q

pt with a hx of cancer presents with back pain, hyperreflexia, loss of sensation, loss of strength, and bowel/bladder incontinence. what is this?

A

cord compression due to metastatic cancer

initial step in treatment=corticosteroids