Ortho 3 Flashcards

1
Q

what causes a “lightbulb sign” of shoulder on X ray

A

POSTERIOR shoulder dislocation

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2
Q

how is a posterior shoulder dislocation held

A

in internal rotation and adducted position

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3
Q

do you need to take Biphosphonates before or after food ?

A

BEFORE _ on an empty stomach

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4
Q

which test confirms injury to the supraspinatus

A

the empty can test

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5
Q

how do you manage a tendinopathy

A

NSAID for three days

then PRN

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6
Q

what antibiotic is associated with achilles tendinopathy and tendon rupture

A

CIPROFLOXACIN

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7
Q

what causes hip pain in children after a recent infection

A

transient synovitis of the hip

self resolves

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8
Q

what is the gold standard for confirming rotator cuff tears

A

MRI

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9
Q

how does Beurger’s disease appear on duplex

A

CORKSCREW collateral vessels

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10
Q

what ABPI are compression stockings CI for

A

if ABPI <0.8 > risk of precipitating limb ischaemia

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11
Q

how does radial tunnel syndrome present

A

similar to lat epicondylitis

pain 4-5 cm distal to lat epicondyle

due to compresson of the posterior interosseuss branch of the radial nerve

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12
Q

how does cubital tunnel syndrome present

A

compression of the ulnar nerve
so parasthesia of 4th and 5th fingers
worse on elbow flexion

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13
Q

how does de quervains tenosinovitis present

A

tenderness over radial syloid ad radial side of wrist
painful abduction of the thumb
Finkelstein’s positive: pulling the thumb in longitudinal traction is painful

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14
Q

how does meralgia parasthetica present

A

parasthesia / anasthesia in distribution of lateral femoral cutaneous nerve (L2 and L3)

SO upper lateral thigh burning, tingling but NO MOTOR WEAKNESS

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15
Q

how does plantar fascitiss present

A

pain of heel and sole of foot

worse after inactiviyt (e.g. sleeping), better with exercise

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16
Q

side effects biphosphonates

A
  • oesophageal reactions: oesophagitis, oesophageal ulcers (especially alendronate)
  • osteonecrosis of the jaw
  • atypical stress fractures of the proximal femoral shaft