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MSK > Shoulder > Flashcards

Shoulder Flashcards

1
Q

radial innervation of the hand

A

dorsal thumb to middle

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2
Q

ulnar innervation of the hand

A

middle to pinky on both sides

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3
Q

medial innervation of the hand

A

palmar thumb to middle and wraps to the dip om dorsal side

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4
Q

radial nerve functon is

A

thumb ext, thumbs up

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5
Q

medial nerve function is

A

thumb touches pink

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6
Q

ulnar function test is

A

criscross finger

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7
Q

superficial peroneal sensry is?

A

lower lateral calf

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8
Q

deep peroneal nerve sensory is

A

lateral calf and webspace. Motor = dorsiflex

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9
Q

tibial nerve function is

A

planter flex

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10
Q

Inversion of the foot is

A

Tibial

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11
Q

Eversion of the foot is

A

superficial peroneal

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12
Q

salter classification with Meta/physis/epiphysis? S1-5

A 
S1= on physis
S2 = above* MC
S3 = below
S4= all three
S5 = crushing
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13
Q

impingement syndrome muscle?

A

supraspinatus, inflammation/ overhead motion+ subacromial bursitis

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14
Q

impingement syndrome pain is

A

decreased adduction and pain after 70-120 degrees, night pain

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15
Q

impingement syndrome tx

A

HK, Neers, Empty Can, rest, PT, NSAID, ICS, Steroid

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16
Q

Rotator cuff injury mech

A

overhead motion = SITS

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17
Q

Rotator cuff injury complications

A

AC DJD

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18
Q

Rotator cuff injury sxs

A

same as impingement + night pain too

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19
Q

Rotator cuff injury test?

A

drop arm test

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20
Q

Rotator cuff injury tx?

A

rest, PT, NSAID, ICS, surgery

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21
Q

AC joint tear cause

A

direct blow
1 = AC minor
2= complete tear with same position
3= AC and coricoclavicular tear +lift off

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22
Q

AC joint tx?

A

Sling, PT - surgery

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23
Q

Shoulder dislocation causes

A

Foosh, abduction (glenohumeral)

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24
Q

What do you look at with a Shoulder dislocation

A

Axillary nerve - wrap around humeral neck - sensory

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25
Q

Shoulder dislocation diagnoses?

A

Y view, AP

O’Brien test -SLAP lesion

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26
Q

Shoulder dislocation has 2 deformities…

A

Hillsach - humoral head

Bankart - labrum tear

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27
Q

Shoulder dislocation tx

A

Closed reductionand XRAY

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28
Q

Seizure, lighting, ECT and will have a

A

posterior shoulder dislocation.

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29
Q

Adhesive Capsulitis is

A

thickening and scaring = decreased range of motion

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30
Q

DM, Thyroid, prolonged immobility lead to

A

Adhesive Capsulitis

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31
Q

the cycle of pain, stiff, thawing is

A

Adhesive Capsulitis

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32
Q

Adhesive Capsulitis is treated with

A

Codman, PT, moving

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33
Q

Clavicle Fx is a FOOSH and diagnosed with? Tx

A

Xray, Figure 8 sling.

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34
Q

MCC clavicle fx section is ?

A

middle third

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35
Q

Thoracic outlet syndrome sxs?

A

decreased sensory/motor, with 1st rib encroaching/

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36
Q

Thoracic outlet syndrome tests?

A

Adson (pull are and deep breath)/Roos (open and close fists)

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37
Q

Thoracic outlet syndrome tx?

A

joint protection

38
Q

Thoracic outlet syndrome diagnoses?

A

Xray and CXR (pancoast tumor)

39
Q

MC shoulder dislocation is?

A

Anterior

40
Q

Flexor dig SF vs flexor dig Profund?

A 
FDS = PIP
FDP = DIP
41
Q

Dupuytren’s disease is associated with?

A

Nodule, band and DM

42
Q

What chronic finger deformity can result from an untreated mallet finger?

A

Swan neck deformity.

43
Q

Which of the following fractures is most commonly non-operative in adults?

A

Radial head fx

44
Q

Blue sclerea and recurrant fx is

A

osteogenesis imperfecta

45
Q

Benzo antagonist is?

A

Flumazenil

46
Q

spinal injury that affects upper extremities more than lower?

A

Central Cord Syndrome

47
Q

All function is lost except position and vibration. What cord injury is it?

A

Anterior cord Syndrome

48
Q

Rare , loss of positional and vibratory sense?

A

Posterior cord

49
Q

Ongoing burning after a crushing injury is?

A

Reflex sympathetic dystrophy

50
Q

herniated disc tx is?

A

pain killer and avoid activity

51
Q

risk factor for congenital hip dysplasia?

A

female, 1st born

52
Q

XS ICS in SLE need? why?

A

Calcium, osteopenia

53
Q

Anti-DNA topoisomera, skiny epidermis, , claw hand,

A

Scleroderma

54
Q

Kids with oligouria, rashes/petechia, diarrhea

A

Henoch-Schonlein purpura

55
Q

Gout tx?

A

NSAID, colchicine, Indo, allo

56
Q

unequal joint space or joint erosions for OA?

A

OA, RA = erosion

57
Q

Herniated dics MC position?

A

posteriolateral

58
Q

What bacteria can trigger Reactive Arthritis?

A

HLA-B27

Chlamydia

59
Q

Telangectasias, raynauds, HTN, esophageal hypomotility are associated with

A

Scleroderma

60
Q

what nerves keep the diaphram alive?

A

C3,4,5

61
Q

MC shoulder injury with epilepsy or seizures is?

A

posterior shoulder dislocation.

62
Q

Femoral head replacements from OA will have?

A

small cartilage fractures, due to mechanial trauma

63
Q

pannus formation is with?

A

RA

64
Q

pain that is bilateral and from 3-10 year old,

and relieved with rubbing?

A

Growing pains

65
Q

Long bone fractures, petechia in the brain can be caused by?

A

fat embolism

66
Q

septic embolism spares the ___ mater int he brain

A

White

67
Q

Watershed infarct is due to

A

circle of Willis ->atherosclerotic changes

68
Q

Pain with supination

A

bicep tendinopathy

69
Q

SLAP tear is

A

Bicep tendonitis (Yergason test)

70
Q

Marfan, scoliosis, SOB leads to?

A

Pectas excavatum

71
Q

Paradoxical chest segment movement

A

Flail chest

72
Q

SCM short or neuro dz. elevated shoulder on the same side

A

Torticollis

73
Q

APAP SE is?

A

Hepatotoxic

74
Q

APAP antidote

A

NAC

75
Q

Indomethocin is used in?

A

PDA, Gout

76
Q

CI of celecoxib is?

A

Sulfa allergy

77
Q

semi-reversible antocoag?

A

Celebrex

78
Q

Reyes is?

A

kids, URI, ASA

79
Q

Tinnitis, hyperpnea (resp alk) is due to

A

ASA

80
Q

SE of tramdol?

A

seizure risk

81
Q

MU agonists

A

Oxycodone, fentanyl, Morphine, Codiene

82
Q

MU agonists side effects

A

Miosis, resp depress, HoTN, Brady,

83
Q

MOA of colchicine

A

Stops immunie attack

84
Q

Allopurinol MOA

A

stops urate productoin

85
Q

Probenecid MOA

A

Pee out urate

86
Q

worsen or cause acute flair?

A

probenecid & allopurinol

87
Q

MXT MOA

A

stop folic acid

88
Q

MXT SE

A

hepatotox, pregnancy, renal disease

89
Q

Hydroxycholoquine is used in?

A

RA, malaria, SLE

90
Q

Biologic (A, E, I) are CI in

A

CHF

91
Q

Anakinra is used in?

A

RA

92
Q

What med can reactive TB

A

Rituximab

MSK (8 decks)

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