Skeletal System: Readings Flashcards

1
Q

True or False:

In the wrist area, the radius and ulna are perfectly parallel

A

False, the radius rotates around the ulna

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2
Q

Which type of wrist fracture causes the “dinner fork” deformity

A

Colles fracture

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3
Q

In the ED, why are splints preferred over casts?

A

Splints don’t impede edema

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4
Q

What’s the major risk factor for wrist fractures in elders?

A

Osteoporosis

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5
Q

The most common fracture in the U.S.?

A

Distal radius

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6
Q

What’s the common cause of wrist fractures in female elders?

A

Falls from standing height

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7
Q

Most common cause for wrist fractures

A

Falling on outstretched hand

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8
Q

The pattern of wrist at Impact time is determined by

A

Degree of radial and ulnar deviation and weight

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9
Q

True or False:

Wrist fractures decrease in women at the age of 50

A

False, they increase at the age of 50

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10
Q

Which carpal bone is fractured most frequently?

A

Scaphoid

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11
Q

Hyperextension and ulnar deviation at the time of injury is the main cause of…

A

Triquetrum

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12
Q

A common wrist fracture in young people experiencing high velocity trauma

A

Smith fracture

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13
Q

Diagnosis of most DRF-associated ligament injuries require…

A

Magnetic resonance imaging

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14
Q

What is the main problem of a scaphoid fracture?

A

It often goes undiagnosed and can lead to avascular necrosis

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15
Q

What’s the purpose of placing a pneumatic tourniquet on the wrist during surgery?

A

To create a bloodless surgical field

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16
Q

The most common anesthesia for wrist surgery

A

A regional block

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17
Q

What nerve is commonly entrapped in a Colles fracture?

A

Median nerve

18
Q

What are the classifications of osteomyelitis?

A

Acute or chronic

19
Q

What group of patients are at the highest risk for osteomyelitis?

A

Patients with diabetes

20
Q

What classification system is used to describe osteomyelitis?

A

Waldvogel classification system

21
Q

What do the Waldvogel classification system divide the pathogenesis of osteomyelitis into?

A

Hematogenous
Contiguous
Vascular insufficiency

22
Q

The definitive diagnosis of chronic osteomyelitis is made by…

A

Bone biopsy

23
Q

What makes the diagnosis of osteomyelitis difficult in patients with diabetes?

A

Vascular changes and neuropathy

24
Q

What kind of joint is the wrist

A

Gliding

25
Q

What’s the cornerstone of chronic osteomyelitis treatment?

A

surgical debridement plus parental antibiotics

26
Q

What does HBO stand for and what is used for?

A

Hyperbaric oxygen is used as an adjunct to treat chronic osteomyelitis

27
Q

Whats the most definitive prevention of osteomyelitis when the patient has diabetes?

A
  • Smoking cessation
  • Blood sugar control
  • weight loss
28
Q

What is the probe-to-bone test?

A

Palpating the bone using a metal probe

29
Q

The common bacterial cause of acute osteomyelitis is…

A

Staphylococcus aureus

30
Q

What is fibromyalgia?

A

a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas

31
Q

Who does fibromyalgia affect?

A
  • any age from children to elderly

- 6% of the U.S. population

32
Q

What causes fibromyalgia?

A

Has no unknown cause but it might be stress or sleep disturbances

33
Q

Is fibromyalgia bilateral or unilateral?

A

Bilateral

34
Q

What’s needed in order to diagnose fibromyalgia?

A
  • Pain for at least three months

- Pain must be bilaterally and in all four quadrants

35
Q

Does fibromyalgia have a cure?

A

No, you can take medication to help the symptoms and pain, exercises, and education on the disease

36
Q

Where does Rheumatoid Arthritis come from(orginate)?

A

Unknown origin

37
Q

Autoimmunity

A

Misdirect immune response that occurs when the immune system attacks it’s own body

38
Q

Genetic Predisposition

A

Increased likelihood of developing a particular disease based on the patient’s genetic makeup

39
Q

Which areas of the body is affected by

Rheumatoid Arthritis?

A

Adjacent bone and articular cartilage which can erode away the cartilage and damage the joint and replacing the pannus with fibrous connective tissue to grow and immobilizing the patient

40
Q

Three things that helps with pain of Rheumatoid?

A
  • Heart Therapy- avoidance of physical and emotional stress
  • Cold Application- lessens inflammation
  • ROM- (maintaining)Range of Motion
  • Psychological Support
  • Medications-Pain killers, help with inflammation