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MSK > To know > Flashcards

To know Flashcards

1
Q

joint swelling in a kid with a high ESR is?

A

Juvenile RA, worse in AM

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2
Q

What triggers a JRA attack?

A

URI

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3
Q

JRA biomarker is?

A

Antinuclear antibody

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4
Q

HLA-B27 is associated with?

A

Ankylosing Spond or Sjorgens

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5
Q

Septic Arthritis has WBC aspirations above what?

A

50,000

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6
Q

What is the biomarker to screen for SLE is?

A

ANA

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7
Q

Antihistone antibodies are assocated with?

A

Procanimide, IHN, Hydralazine SLE

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8
Q

Confirmatory testing for SLE is?

A

Anti Smith and 2xDNA

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9
Q

How do you treat CRPS?

A

sympathetic nerve block

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10
Q

Do you do an artherocentesis or IV antibiotics?

A

Artherocentesis

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11
Q

Osteogenesis imperfecta is a deranged?

A

Collage, hence sclerea blue-grey

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12
Q

Artherocentises are hard to gram stain?

A

Yes, only 60%. Use WBC

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13
Q

flexing digits 2 and 3 is due to what nerve?

A

Medial

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14
Q

Thumb adduction is due to what nerve?

A

deep of ulnar nerve

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15
Q

Are scaphoids fx notorious for not showing up on xrays?

A

Yes

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16
Q

Purines flare gout, what is a purine?

A

Nucleic Acid

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17
Q

First line for RA is?

A

DMARDS, MXT, Sulfa, Leflu

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18
Q

Unhappy triad is

A

ACL, MCL, Medial meniscus

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19
Q

SLE in pregnancy has a high rate of?

A

Spontanous abortions

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20
Q

Pathologic fx are seen with?

A

minimal exertion, like lifting groceries.

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21
Q

Is somatic sensory maintained in Cauda Equina?

A

Yes

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22
Q

What artery feeds the anterior horns and controls pain and temp? and bladder control.

A

Anterior spinal artery

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23
Q

An Anterior cerebral occlusion will present with?

A

leg weakness and no sensory loss.

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24
Q

The most specific diag test for SLE is?

A

Anti double DNA

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25
Q

most Lateral metacarpal is the?

A

Lunate

26
Q

What nerve stabalizes the scapula and allows the arm to abduction90-180 degrees? And serratus anterior.

A

Long thoracic

27
Q

What nerve allows for 180 degrees and more?

A

deltoid by axillary

28
Q

Abduction and lateral rotation are controlled by the

A

suprascapular and suprascapular nerve

29
Q

Adduction and medial rotation are controlled by the

A

teres minor - lower scapular

30
Q

shorter leg with internal rotation is?

A

posterior hip dislocation

31
Q

What medicaiton shrinks gout nodules and is used in chronic control?

A

Allopurinol - inhibits xanthine oxidase

32
Q

Gout is exacerbating meds?

A

thiazide and asa

33
Q

Acute gout is treated with

A

Indo and colchicine

34
Q

A shorter femur that is laterally rotated is due to a?

A

Fx femoral neck

35
Q

HLA DR1 & HLA DR4 are in?

A

RA

36
Q

What are RAs biomarkers?

A

RF & antiCCP

37
Q

How do you treat RA?

A

MXT, Hydroxychloroquine, Sulfasalazine,& Leflu

38
Q

what is MXT MOA

A

Methotrexate inhibits the enzyme dihydrofolate reductase.

39
Q

What is ASA MOA

A

inhibit cox, which inhibits prostaglandins

40
Q

What is MXT CI besides pregnancy?

A

Methotrexate is contraindicated in patients with chronic hepatitis.

41
Q

is a benign tumor in children age 5 to 20, presents with increasing pain, worse at night and relieved by aspirin/Ibuprofen.

A

Osteoid osteoma

42
Q

..affects proprioception (position sense) and vibration sense.

A

Posterior/dorsal column

43
Q

In adults and intravenous drug abusers, which of the following bones is most commonly affected with acute osteomyelitis?

A

vertebrea

44
Q

hyaluronic acid injections treats what disease?

A

osteoarthritis

45
Q

How do you treat a simple buckle/torus fx?

A

Ace wrap or anterior splinting

46
Q

what does calcitonin do in acute compression fx?

A

Calcitonin has the ability to cause analgesia when used for acute compression fracture of the vertebral body

47
Q

Polymyalgia rheumatic presents with?

A

Stiff/pain of neck and shoudlers, but no weakness.

48
Q

What is the Tx of polymyalgia rheumatica?

A

ICS

49
Q

What is prevented in polymyalgia rheum patients if they take ICS?

A

temporal arteritis and blindness

50
Q

herniation of the L5-S1 disk leads to?

A

achilles reflex, gastroc and soles muscles, and gluteal muscles.

51
Q

Intermittent bone pain in kids that radiates, with xray lesion on the met and diaphasis with poor margins is?

A

Ewings sarcoma

52
Q

idiopathic avascular necrosis. Children present with limp, pain, and reduced range of motion. X-rays show a small femoral epiphysis, sclerosis of the femoral head and collapse

A

Legg-Calve-Perthes disease

53
Q

Rotator cuff injuries are first treat in Geris with?

A

PT

54
Q

1200 mg of calcium and 800 IU vitamin D daily is used for what?

A

prevent Osteoporosis as well as exercising

55
Q

P-Anca is with? C-Anca is with?

A 
P-Anca = UC & Polyarteritis nodosum (Angiogram or Biopsy)
C-Anca = Weneger's
56
Q

Inversion ankle ligament is the?

A

Anterior talofibular

57
Q

PAIR hla-B27 is?

A

psoriasis, ankylosis, ibd, reactive arth

58
Q

Anti-DNA is?

A

SLE

59
Q

Heberden’s and bouchards are seen in?

A

OA

60
Q

Insidious AM onset with morning stiffness and symetric joints is?

A

RA

MSK (8 decks)

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