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PANCE Prep > Things I Dpnt Remember 3 > Flashcards

Things I Dpnt Remember 3 Flashcards

1
Q

What is a Jefferson fx?
Hangmans?
Clay shovelers fx?

A

Compression C1
C2 Pedicles bilaterally
Avulsion of C7>c6>T1

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2
Q 
Cervical Nerves
Sensory, Motor, Reflex:
C5?
C6?
C7?
C8?
A
  1. Lateral upper arm, Deltoid abduction, biceps
  2. Thumb and radial aspect of the forearm, biceps/wrist extensor, brachiosaurus-radialis
  3. Dorsum of the forearm extending to 2-3rd digits, Triceps, triceps
  4. Ulnar aspect of forearm to digits 4-5, finger flexor and interosseous muscles, none
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3
Q

Which type of shoulder dislocations are most common?

TX?

A

Anterior

Reduction and sling

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4
Q

Treatment for adhesive capsule tips?

A

NSAIDS and ROM exercises

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5
Q

Which fx do we worry about radial nerve injury the most?

A

Numeral head fx

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6
Q

PE with biceps tendinitis?

A

Pain over the anterior shoulder due to biceps inflammation. Crepitis

Yergason’s test

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7
Q

What is the most common overuse injury of the elbow?

TX?

A

Lateral epicondylitis

NICER

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8
Q

Medial epicondylitis has pain when?

Wha nerve is often affected?

A

With resisted pronation or flexion of the wrist

Ulnar

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9
Q

What are we looking at on X-ray for radial head fracture?

A

Fat pads

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10
Q

What is nursemaids elbow and how do we treat?

A

Subluxation of the radial head

Out and up

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11
Q

Treatment of carpel tunnel?

A

Collar wrist splint

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12
Q

TX of scaphoid or navicular fx?

A

Thumb spica cast

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13
Q

TX of boxer’s fx?

A

Gutter splint or casting for at least 4 weeks

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14
Q

Colles fx?

A

Distal radius fracture with dorsal angulation

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15
Q

What is gamekeeper’s thumb?
Sx?
TX?

A

Sprain or tear of the ulnar collateral ligament
Increased laxity with instability and weak pincer grasp
Thumb spica

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16
Q

Dequervians TX?

A

Thumb spica splint for one month

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17
Q

Trigger finger?

A

Can’t extend the digit due to fibrous thickening

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18
Q

Mallet finger?

A

Unable to extend distal phalanx

Immobilize for 8 weeks in mild extension

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19
Q

What kind of brace for kyphosis?

A

Milwaukee brace

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20
Q

What PE test for scoliosis?
When to refer?
When for surgery?

A

Adams test
Over 20 degrees
Over 45 degrees

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21
Q 
Lumbar/Sacral nerves
Sensory, motor, tendon reflex?
L4?
L5?
S1?
A
  1. From GT oblique to the medial foot, Tibialis anterior = dorsiflexion of the foot (heel walking) and foot inversion, patellar
  2. Slightly distal to the GT to dorsal foot, foot dorsiflexion (lift big toe) and ankle extension (heel walking). None
  3. Posterior aspect of the lower extremity to the lateral aspect of the foot, peroneus longus and brevus muscles- plantar flexion of the foot, toe walking and tip toe, achilles
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22
Q

What does the Scotty dog defect mean?

A

Spondylolysis, defect in pars interarticularis

23
Q

What is spondylolisthesis?

Where does it occur most commonly?

A

Slippage or step off

Most common L5/S1

24
Q

Where does a herniated nucleus pulposis happen most often?

A

L4-L5, L5-S1

25
Q

Where does Claudia equine syndrome happen most often?

A

L4-L5

26
Q

What is the most common hip dislocation?

A

Posterior

27
Q

What is the most frequent meniscus injury?

Pain is worse with?

A

Medial

Inability to extend knee, worse with squatting and stairs

28
Q

What is the more commonly torn collateral ligament?

A

Medial

29
Q

Patellofemoral syndrome aka?

X-ray?

A

Chondromalacia

Sunrise view

30
Q

What is the most common injury in ankle sprains?

A

Inversion injury of the anterior talofibular ligament

31
Q

Bunions aka?
Sx?
X-ray?

A

Hallux Valgus, deformity of the MTP, lateral deviation
Metatarsal head pain
>15 degrees of angulation

32
Q

What is mortons neuroma?

A

Traction of the interdigital nerve against the transverse metatarsal ligament causes degeneration of the nerve

Pain in web space

Conservative

33
Q

What is a march fx?
Jones fx?
Lisfranc fx?

A
  1. Stress fx on the metatarsals, usually the 3rd mid shaft
  2. Fracture at the base of the 5th metatarsal
  3. Tarsometatarsal fracture dislocation at the proximal 1st and 2nd MT
34
Q

What is the most common primary bone cancer?

A

MM

35
Q

What is the most common primary bone sarcoma?

A

Osteosarcoma Age 10-20

36
Q

Ewing sarcoma in what ages?

A

5-25

37
Q

Most common cancers that mets to bone?

A

PbKTL

Prostate, breast, kidney, thyroid, lung
Most commonly mets to spine

38
Q

Most common bug in osteomyelitis?

TX?

A

Staph aureus
Sickle cell - salmonella

6-8 weeks of FQ and possible surgical debridement.

39
Q

Number one route of entrance for septic arthritis?

Sx?

A

Hematongenous
Passive ROM tenderness
Abx with aspiration

40
Q

Most common bug in septic arthritis?

A

Staph - Pen G

N Gonorrhea- Ceftriaxone

41
Q

How long does the pain have to be there for a dx of fibromyalgia?

A

3 months

TCA TX

42
Q

Gout serum Uris acid at wat level?

A

7

43
Q

Most common joint of RA?

Usually spares?

A

MCP

DIP

44
Q

What is felty syndrome?

A

RA
Splenomegaly
Neutropenia

45
Q

Juvinaile Arthritis has to begin before what age?

A

16

Koebners phenomenon present

46
Q

What PE test is positive for ankylosing spondylitis?

A

Shober test

47
Q

Classic triad for reactive arthritis?

A

Urethritis
Conjunctivitis
Arthritis

48
Q

Which antibodies are positive in CREST?

A

Anticentromere anti

49
Q

Anitbodies in Sjogrens?

Higher risk for?

A

Ro and La, ANA

Lymphoma

50
Q

What sign is positive in polymyositis?

A

Gottrons papules/sign

51
Q

Wegener’s granulomatosa is associated with what tes?

A

ANCA

52
Q

What is most common in polyarteritis nodosa?

TX?

A

Renal involvement with HTN and Proteinuria

Skin lesions- livedo reticularis

Steroids

53
Q

Wegener’s ANCA?

A

C-ANcA

PANCE Prep (6 decks)

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