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1
Q

which are poly articular

A

RA and lupus

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2
Q

examples of mono and oligo articular

A

septic, OA, gout, trauma, spondylo-…

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3
Q

are non inflammatory worse or better with activity

A

OA is worse with activity

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4
Q

inflmattory arthritis worse or better w activity

A

worse in morning and with inactivity

i.e gout, RA< infection, lupus, spondylo-

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5
Q

intrarticular vs periarticular vs tendonitis or bursitis effects on ROM

A

intraarticular: restricted AROM and PROm

periarticular: restricted AROM

tendonitis/bursitis: pain on PROM

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6
Q

4 Ds of epiglottitis

A

drooling
dysphagia
dysphonia
distress

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7
Q

peritonsillar abscess 2 key point

A

unilateral sore throat

uvular deviation to contralateral side

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8
Q

acute epiglottis vs peritonsillar abscess vs retropharyngel abseccess age

A

epiglottis- 2-6

peritosinalr= 20-40

retropharyngeal 3-5years

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9
Q

retropharyngela abseccess key findings

A

neck stiff, stridor, 4 Ds,

pre vertebral soft tissue thickening

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10
Q

GABHS what has a high LR+

A

tonsillar exudates

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11
Q

modified Centro store

A

age <15
tonsillar exudates
ferver> 38
no cough
anterior cerveical adenopathy

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12
Q

infectious mononucleosis high LR+

A

posterior cervical lymphs and palatine petichae

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13
Q

what is the mono spot test for

A

heterophil antibody agglutination

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14
Q

what causes mono

A

EBV

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15
Q

age for mono vs strep

A

mono: 5-25
strep:5-15

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16
Q

influenza scale

A

fever plus cough (+2)
myalgia (+2)
duration <48 hours (+1)
chills or sweats (+1)

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17
Q

conductive hearing loss (middle or outer)

A

lateralize to affected ear and BC>AC

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18
Q

sensorineural (inner ear)

A

lateralize to unaffected ear

AC> BC (aka normal)

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19
Q

otitis externa bacterial casues

A

pseudomonas species or staphyloccosu auresus

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20
Q

AOM bacterials

A

s pneumonia, h influenza, m catarrhalis

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21
Q

AOM age

A

6-24 months w developing eustachian tube

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22
Q

AOM tympanic membrane

A

BULGING,,,, cloudy, inflamed, erythema, immobile

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23
Q

<1cm:

A

papule
macule
petichae
vesicle

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24
Q

> 1cm

A

nodule
bullae
patch
plauqe

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25
other skin lesion
wheal pustule purpura
26
atopic dermatitis
increase IgE; epidermal barrier dysfunction
27
contact dermatitis 2 types
irritant or allergic
28
sebhorreic dermatitis
androgens, malssezia yeast, zinc deficient, cold/dry weather
29
dyshidrosis (acute palmoplantar eczema)
aquaporins and filaggrin delayed hypersensitivity rxn vesicles-->bull on palms and soles symmetrical
30
septic arthritis cause
non goncococal bacteria --> staphylococcus aureus
31
periarticualar restricted which ROM
periarticular is soft tissue around the joints therefore AROM is affected because active ROM involves use of muscles PROM not effected bc when doctor moves patients it takes out the muscles
32
mono or oligo or poly and joint effected??? septic gout RA OA
septic: mono, large joint gout: mono, 1st MTP RA: poly, wrist MCP, PIPm MTP OA: mono/oligo; hands, knees, hips, feet, spine
33
high LR+ for osteoarthritis
bony enlargement and knee pain with osteophytes
34
high LR+ blood marker for rheumatoid arthritis
Anti citrillinated protein antibodies
35
acute vs chronic LBP
<12 weeks > 3 months
36
lumbago
back pain from quadrates lumborum or paraspinal muscles
37
cauda equina which nerve roots and what is the main causes
l3-l5 nerve roots, usually from disc herniation
38
most common metastases for spinal malignancy
breast, lung, prostate
39
main cause of vertebral fracture and which spinal area
osteoporosis T11-L2
40
xray vs mri
for X-ray want to see fractures and bone and malignancy MRI could be m ore for soft tissue, tendons, cartilage?
41
osteomyltitis
vertebral infection from staphylococcus aureus
42
which radiculopaty is most commo
L5
43
which nerve roots are most susceptible to injury
l4-l5 (l5 nerve root) l5-s1 (s1 nerve root)
44
what makes pain better in radiculopahty
lumbar extension and recumbent position (ball)
45
what makes pain worse for radiculopathy
forward flexion nd increase in pressure
46
which disc herniation has the best prognosis
sequestration
47
which disc herniation has the worst prognosis
bulging
48
diagnosis of disc herniation
straight leg raise and Hancock rule
49
L4: reflex, motor and sensory
patellar ankle dorsiflex medial malleolus
50
L5: reflex, motor and sensory
asymmetric hamstring big toe dorsiflex dorsal 3rd MTP
51
S1: reflex, motor and sensory
achilles reflex ankel plantar flexion lateral heel
52
4 stages of disc herniation
1. bulging disc (not herniated) 2. disc herniation- protrusion (prolapse) 3. DH- extrusion 4. DH- sequestration
53
spondylosis
degeneration of spinal column
54
spinal stenosis
narrowing of spinal canal --> compress nerve roots
55
spondylolysis
weak or fracture to pars interarticularis
56
spondylolithesis
vertebral body slippage
57
spinal stenosis high LR+
wide based gait
58
spinal stenosis better vs worse
bette with forward flexion worse with lumbar extension
59
sponylolysis diagnosis
increased lumbar lordosis, tight hamstrings, tender, decrease ROM
60
sponylolistheis pain w__
flexion and extension
61
dysthymia aka
persistent depressive disorder
62
bipolar
manic or hypomanic episodes
63
schizo
psychotic symptoms (delusion and hallucinations)
64

CMS150 midterm (8 decks)

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