JB MSK

Question 1

Acute compartment syndrome tx

Answer 1

emergent fasciotomy

Question 2

Basilar skull fx PE

Answer 2

CSF otorrhea

bruising over mastoid (battle sign)

Question 3

Basilar skull fx dx

Answer 3

GCS

CT

Question 4

Cervical spine injury

Answer 4

C1- Jefferson (burst) atlas

C2- hangman’s, axis

Question 5

Colles fx sx

Answer 5

Dinner fork deformity

distal radius fx w/ dorsal angulation

Question 6

Congenital talipes equinovarus tx

Answer 6

Clubbed feet

ponseti method of manipulation and casting

Question 7

Dermatomyositis labs

Answer 7

high creatine phosphokinase
increased ESR
+ anti mi 2 ab

Question 8

Dermatomyositis tx

Answer 8

high dose CS

Question 9

Distal radius fx tx

Answer 9

sugar tong splint

Question 10

Knee joint effusion sx

Answer 10

bulge sign
ballottement
Patellar tap tests

Question 11

Bennett fx

Answer 11

fx through base of 1st metacarpal MCP bone

Question 12

Rolando’s fx

Answer 12

comminuted Bennetts fx

Question 13

Boxers fx tx

Answer 13

ulnar gutter splint

Question 14

Galeazzi fx

Answer 14

mid distal radial shaft fx w/ dislocation of DRUJ

Question 15

Gout in synovial fluid MC?

Answer 15

sodium urate

Question 16

Ankle dislocation tx

Answer 16

closed reduction + posterior splint +/- ORIF

Question 17

Shoulder dislocation PE

Answer 17

R/o axillary nerve injury (pinprick sensation over deltoid)

Question 18

Anterior shoulder dislocation

Answer 18

blow to extended abducted externally rotated arm

MC type

Question 19

Lateral epicondylitis muscles

Answer 19

extensor carpi radialis brevis

Question 20

Legg-Calve-Perthes dz sx

Answer 20

child painless limping

Question 21

Marfan syndrome sx

Answer 21

MVP, aortic regurgitation, aortic dissection, aortic aneurisms
tall stature, precuts carinatum, ectopia lentis, myopia

Question 22

Meralgia paresthetica tx

Answer 22

Pain to lateral thigh
nerve block w/ lido and steroids
surgical decompression @ inguinal ligament

Question 23

Monteggia fx

Answer 23

proximal ulnar shaft fx with anterior radial head dislocation

Question 24

myositis tx

Answer 24

high dose CS 1st line

Question 25

OA tx

Answer 25

acetaminophen- elderly w/ bleed risk | NSAIDS more effective

Question 26

Acute/chronic osteomyelitis MCC

Answer 26

Acute: S. aureus Sickle cell dz: salmonella Chronic: S. aureus

Question 27

Osteoporosis tx

Answer 27

bisphosphonates (alendronate) | HRT, SERMs

Question 28

Peroneal nerve injury sx

Answer 28

loss of sensation to lateral leg

Question 29

Polymyalgia rhumatica labs

Answer 29

ESR very high (>50) | +/- increased plts

Question 30

polymyalgia rheumatica tx

Answer 30

high dose CS 1st line

Question 31

posterior tibial tendon dysfunction sx

Answer 31

flat feet pain and swelling medial foot and ankle flattened arch too many toes sign

Question 32

Proximal humerus fx tx

Answer 32

sling/swathe + ortho f/u in 1-2d | r/o brachial plexus or axillary nerve injuries

Question 33

Reiters syndrome tx

Answer 33

NSAID mainstay Methotrexate --> sulfasalazine, steroids anti TNF: etanercept, infliximab abx during precipitating dz

Question 34

rhabdomyolysis labs

Answer 34

CPK > 20,000 increased LDH, increased ALT hyperkalemia, hypocalcemia Dark urine: + for heme, negative for blood

Question 35

rhabdomyolysis tx

Answer 35

IV saline, hydration, mannitol, bicarbonate, calcium gluconate

Question 36

Rheumatoid arthritis sx

Answer 36

``` joint stiffness (MCP, wrist, PIP, knee, MTP, shoulder, ankle) w/ rest morning stiffness >60m and improves later in the day Boutonniere deformity Swan neck deformity ```

Question 37

Rheumatoid arthritis tx

Answer 37

methotrexate (1st line) NSAIDS: 1st line for pain CS 2nd line for pain

Question 38

Rotator cuff syndrome muscles

Answer 38

SITS (supraspinatus, infraspinatus, teres minor, subscapularis)

Question 39

Limited scleroderma

Answer 39

CREST syndrome: calcinosis cutis, raynauds, esophageal motility disorder, sclerodactyly, telangiectasia

Question 40

SCFE tx

Answer 40

non weight bearing crutches --> ORIF

Question 41

smith fx

Answer 41

distal radius fx w/ ventral angulation

Question 42

SLE tx

Answer 42

sun protection hydroxychloroquine for lesions NSAIDs/acetaminophen for arthritis

Question 43

torticollis tx

Answer 43

conservative therapy