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PANCE > MSK > Flashcards

MSK Flashcards

1
Q

Kehr’s sign?

A

Referred L shoulder pain from splenic rupture

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2
Q

Cullen sign?

A

Periumbilical ecchymosis from pancreatitis

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3
Q

Grey Turner’s sign

A

Ecchymosis of the flank from pancreatitis

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4
Q

Lisker’s Sign

A

Tibial bone tenderness from DVT

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5
Q

Blumberg’s sign

A

Abdominal rebound tenderness from peritonitis

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6
Q

Cartilage like cells in bone biopsy

A

Chondrosarcoma

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7
Q

Define osteomalacia

A

failure to calcify bone matrix

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8
Q

well-calcified erratically shaped bony spicules with grouped cement lines, which form a mosaic pattern

A

Paget’s Disease

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9
Q

Most common pediatric bone tumor?

A

Osteosarcoma

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10
Q

Most common site of metastasis of osteosarcoma?

A

The lungs

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11
Q

Initial tx for Ankylosing spondylitis

A

NSAID’s

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12
Q

Why not to give NSAID’s to patients with renal compromise?

A

non-steroidal medications block prostaglandin-mediated vascular relaxation, effectively vasoconstricting and decreasing glomerular filtration rate and renal function

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13
Q

Russell bodies?

A

Accumulations of Immunoglobulin (protein) in cells

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14
Q

Autoantibodies to Double Stranded DNA

A

Diagnostic for SLE

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15
Q

Oligoclonal antibodies

A

Diagnostic for MS (80-90%)

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16
Q

Antineuronal antibodies

A

Diagnostic for paraneoplastic syndromes

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17
Q

Serum marker for RA?

A

IgM for Rheumatoid Factor

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18
Q

Hypogammaglobinemia

A

Scleroderma

19
Q

CREST syndrome

A 
Calcinosis
Raynaud's Phenomenon
Esophageal Dysmotility
Sclerodactyly
Telangiectasia
20
Q

Elevated Calcium Phosphokinase levels

A

Duchene Muscular Dystrophy

21
Q

Brown Sequard’s Syndrome

A

Spinal lesion with 3 biggies (MVP)

  1. Motor deficit ipsilateral side
  2. Vibratory loss ipsilateral side
  3. Pain and temperature deficit contralateral side
22
Q

proximal muscle weakness

A

Polymyalgia rheumatica

23
Q

Diagnostic study for septic arthritis?

A

Fluid with WBC > 50,000 predominantly neutrophils

24
Q

Raynaud’s disease vs phenomenon

A

Disease, <30 years old, primary condition

Phenomenon >30 years old, secondary to other condition

25
Q

Pes anserine bursitis

A

Inflammation of the bursa inferior to the knee.

26
Q

most common elbow fx ages 2-12

A

subcondylar fracture

27
Q

Pott Disease?

A

TB of the spine

28
Q

Pain and swelling of the DIP’s and SI joints. Also “sausage fingers”

A

Psoriatic arthritis

29
Q

Medial rotation ONLY of the humerus

A

Subscapularis

30
Q

Sunburst appearance on radiograph of bone lesion

A

Osteosarcoma

31
Q

most common sites for osteosarcoma?

A
  1. Distal femur
  2. Proximal tibia
  3. Proximal humerus
32
Q

Labs for suspected osteosarcoma?

A

LDH - High LDH without mets have poorer outcomes

Alk Phos - Elevated level indicates risk of lung mets

33
Q

Simple cyst of bone

A

Most common in children, proximal femur and proximal humerus

  • Usually present with pathologic fracture
  • Mostly fibrous, thin walled with occasional giant cells
34
Q

Treatment of simple cyst of the bone?

A
  • Aspiration and injection of methylpredisone

- If failed surgery

35
Q

Initial finding of osteoarthritis in regard to cartilage?

A

Thickening of the cartilage

36
Q

Gamekeeper’s thumb

A

Ulnar collateral ligament, laxity on Abduction

37
Q

Risk factors for AVN?

A

CAT ASS

  • Coagulopathies
  • Alcoholism
  • Trauma
  • Autoimmune disease (SLE, RA)
  • Sickle Cell Disease
  • Steroid use
38
Q

Duration of ABX for osteomyelitis?

A

4-6 weeks

39
Q

Findings for Kawasaki Disease

A

Mucocutaneous lymph node syndrome includes

  • Fever
  • Conjuncitval and oral erythema
  • Edema of hands and feet
  • Erythema on palms and soles
  • Skin rash often (desquamation)
  • Cervical lymphadenopathy
40
Q

Expected recovery time for adhesive capsulitis

A

1-2 years, PT may help

41
Q

Sarcopenia?

A

Normal muscle atrophy of aging

42
Q

The reason estrogen protects against bone wasting

A

Estrogen inhibits osteoblast apoptosis and stimulates osteoclast apoptosis

43
Q

Gower’s Sign

A

Having to climb up on oneself to stand. Indicates Duchene Muscular Dystrophy

PANCE (9 decks)

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