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MSK > 13 > Flashcards

13 Flashcards

1
Q

management steps RA

A

NSAIDs
DMARDs
Biologics
corticosteroids

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2
Q

how is a type 1 osteochondral lesion defined

A

cartilage intact

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3
Q

management patella dislocation

A
  • repair medial ligament
  • mobilise
  • VMO exercises
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4
Q

what does VMO exercises stand for

A

vastus médiales oblique exercises

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5
Q

management physeal injury

A

cast immobilise
percutaneous fix
open reduction and internal fixation

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6
Q

epidemiology pauciarticular (<4) JIA type 3

A
  • any childhood age

- FH psoriasis (40%)

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7
Q

classification of JIA with HLA B27 and back involvement

A

juvenile ankylosing spondylitis

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8
Q

order of medications for JIA

A

methotrexate
anti-TNF
IL-1 antagonist
IL-6 antagonist

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9
Q

RA - what does and OAS >5.1 indicate

A

eligibility for biologic therapy

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10
Q

signs of neurogenic shock

A

hypotension
bradycardia
hypothermia

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11
Q

signs spinal shock

A

hypotension
flacid paralysis
last several hours/ days
arreflexia

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12
Q

describe Brown-Sequard syndrome

A

lesion in spinal cord causing hemiparaplegia on one side, and hemianaesthesia on the other

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13
Q

describe anterior cord syndrome

A

ischaemia of anterior spinal artery, resulting in loss of function of anterior 2/3 of spinal cord

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14
Q

common causes central cord syndrome

A

older patients with arthritic neck

hyperextension injury

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15
Q

presentation slipped upper femoral epiphysis

A
  • pain hip/ knee
  • externally rotated posture and gait
  • reduced internal rotation
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16
Q

presentation of bone tumour

A

dull ache, especially at night
limp
pathological fracture

17
Q

overproduction causes of uricaemia

A

malignancy
severe exfoliatiative psoriasis
drugs
HGPRT deficiency e.g.Lesch–Nyhan syndrome

18
Q

what is chondrocalcinosis

A

condition in which calcium forms crystals that build up in cartilage of joints

19
Q

traditional management plantar fasciitis

A
  • rest/ change training
  • stretching
  • NSAIDs
  • physio
  • weight loss
  • steroid injections (make it worse in the long term)
  • night splinting
20
Q

non-operative management ankle arthritis

A
  • weight loss
  • activity modification
  • analgesia
  • physio
  • steroid injections
21
Q

is cam or pincer femeroacetabular impingement more common in young athletic females

A

pincer

22
Q

is cam or pincer femeroacetabular impingement more common in young athletic males

A

cam

MSK (26 decks)

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