Test 1 Flashcards
What hereditary component do AS, reactive arthritis, and psoriatic arthritis all have in common?
HLA B27
what joint does spondyloarthropies typically involve?
SI
Pars Interarticulars breaks in which back injury? Leading to a slippage called what?
Spondylolysis
Spondylisthesis
Where is the injury in Erb Palsy?
Upper trunk - C5 and 6 roots
A person comes into the clinic with their arm hung by their side, arm medially rotated/pronated. What do you suspect their condition to be?
Erb palsy/waiter’s tip
Damage to the lower trunk leads to which condition?
Claw hand/Klumpke palsy
Damage to the posterior cord leads to which condition?
Wrist drop
Damage to the axillary nerve leads to paralysis of which muscle?
Deltoid
Damage to the radial nerve leads to what condition?
Saturday night palsy (wrist drop)
A patient has difficulty flexing elbow with variable sensory loss. What nerve is damaged?
Musculocutaneous
A patient’s 4th and 5th fingers are flexed at rest. What do we call this?
Ulnar palsy since distal ulnar nerve is damaged
Can’t see, can’t pee, can’t bend my knee.
Reactive arthritis
What joints does osteoarthritis usually attack?
DIP and PIP
A patient with inflammation in PIP and DIP (bouchard and heberden nodes) gets lab work done of the synovial join. What do you expect?
transparent color, WBC <2000, <25% PMNs
What are common findings for a patient wtih RA?
subluxation, fingers with ulnar deviation, swan neck, boutonniere.
What joints involved in RA?
MCP, PIP
A patient with enlargement of PIP but not DIP joints of both hands is expected to have what synovial lab findings?
translucent clarity, <75,000 WBC, and 25-50$ PMNs
You examine the hands of someone complaining of hand pain and notice that their DIP is extended but PIP remains flexed. What is this?
Boutonniere deformity in RA
What is the function of the anterior arm and what n innervates?
FLEX shoulder, elbow, and forearm sup
musculocutaneous
What is the posterior arm function and which n supplies?
EXTEND shoulder and elbow
radial
What is the anterior forearm function and which n supplies?
FLEX elbow, wrist, PIP and DIP
Median (some ulnar to FCU and ulnar 1/2 FDP)
What is the posterior forearm function and which n supplies?
FLEX elbow, wrist, digits.
radial
Nerve to supraspinatus and infraspinatus?
suprascapular
Nerve to deltoid and teres minor?
axillary