Bates Ch 16 Musculoskeletal Pt 1 Flashcards

(53 cards)

1
Q

shoulder is what type of synovial joint

A

spheroidal

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2
Q

interphalangeal joints and elbows are what type of synovial joint

A

hinge

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3
Q

knees are what type of synovial joint

A

condylar

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4
Q

knee is what type of joint articulation

A

synovial

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5
Q

vertebrae is what type of joint articulation

A

cartilaginous

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6
Q

skull is what type of joint articulation

A

fibrous

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7
Q

leading cause of disability

A

arthritis

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8
Q

both AROM and PROM affected in what type of disease

A

articular disease

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9
Q

about 85% of patients have

A

idiopathic low back pain

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10
Q

radicular gluteal and posterior leg pain in the S1 distribution that increases with cough or Valsalva

A

sciatica

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11
Q

Leg pain that resolves with rest and/or lumbar forward flexion occurs in

A

spinal stenosis

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12
Q

bowel or bladder dysfunction (usually urinary retention with overflow incontinence), especially if there is saddle anesthesia or perineal numbness

A

cauda equina syndrome

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13
Q

radicular pain of neck is caused by spinal nerve compression, most likely at what level

A

C7

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14
Q

radicular pain in neck vs low back

A

neck: caused by foraminal impingement from degenerative joint changes
back: disc herniation

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15
Q

Lateral hip pain near the greater trochanter suggests

A

trochanteric bursitis

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16
Q

pain in one joint suggests

A

injury
monoarticular arthritis
bursitis
tendinitis

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17
Q

migratory joint pain suggests

A

rheumatic fever

gonococcal arthritis

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18
Q

progressive additive joint pain with symmetric involvement suggests

A

rheumatoid arthritis

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19
Q

extra articular pain from

A

tendonitis
bursitis
tenosynovitis (tendon sheaths)
sprains (tearing ligaments)

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20
Q

severe pain of rapid onset suggests

A

acute septic arthritis

gout

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21
Q

severe pain of rapid onset in children suggests

A

osteomyelitis in bone contiguous to a joint

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22
Q

fever, chills, warmth, redness in

A

septic arthritis

gout

rheumatic fever

23
Q

pain, swelling, loss of AROM and PROM, locking

A

articular joint pain

24
Q

loss of AROM but not PROM and tenderness outside joint in

A

nonarticular pain

25
stiffness for a few minutes in
degenerative joint disease
26
stiffness for over 30 minutes
rheumatoid arthritis
27
generalized stiffness
fibromyalgia polymyalgia rheumatica (PMR)
28
cancer-related joint pain
leukemia (infilatrates synovium) chemotherapy
29
joint pain + butterfly rash on cheeks
systemic lupus erythematous
30
joint pain + scaly rash and pitted nails
psoriatic arthritis
31
joint pain + a few papules, pustules, vesicles on reddened bases, located on distal extremities
Gonococcal arthritis
32
joint pain + expanding erythematous patch early in an illness
Lyme disease
33
joint pain + hives
serum sickness, drug reaction
34
joint pain + erosions or scaling on penis and crusted, scaling papules on soles and palms
Reiter's syndrome (arthritis, urethritis, uveitis)
35
joint pain + maculopapular rash
arthritis of rubella
36
joint pain + clubbing of fingernails
hypertrophic osteoarthropathy
37
rjoint pain + ed burning and itchy eyes
Reiter's syndrome Behcet's syndrome
38
joint pain + preceding sore throat
acute rheumatic fever gonococcal arthritis
39
joint pain + diarrhea, abdominal pain, cramping
arthritis with ulcerative colitis regional enteritis scleroderma
40
joint pain + urethritis
Reiter's syndrome gonococcal arthritis
41
joint pain + mental status change, facial or other weakness, stiff neck
lyme disease w/ CNS involvement
42
what is used to assess fracture risk
FRAX calculator
43
how to determine if you need bone density screening
if have 10 year fracture risk of 9.3% or more for osteoporotic fractures
44
how do we measure bone density
DXA or DEXA scan of femoral neck
45
10% drop in bone density is a what % increase in risk for fracture
20%
46
peak bone mass reached at what age
30
47
osteoporosis common in people with what diseases
hepatic and renal disease
48
osteoporosis vs osteopenia
osteoporosis: at least 2.5 SD below mean osteopenia: 1 to 2.5 SD below mean
49
recommended calcium and vitamin D
calcium: 1000 mg/day vit D: 600 IU/day
50
why are anabolic agents such as PTH not 1st line for osteoporosis
injected subcutaneously must monitor for hypercalcemia
51
why are bisphosphonates controversial (even though they're 1st line)
osteonecrosis of the jaw atypical femur fractures
52
once injured, articular cartilage is replaced by
less resilient fibrocartilage (increases risk of pain and osteoarthritis)
53
rates of ACL tears are higher in
women (increased ligament laxity related to estrogen cycling or diff anatomy and neuromuscular control)