Lesson 2

Question 1

Most common reason for the metacarpal neck fracture.

Answer 1

Direct blow with closed fist

Question 2

Gottron papules and a shawl face rash are associated with which condition?

Answer 2

Dermatomyositis

Question 3

what are some common systemic manifestation associated with osteoarthritis?

Answer 3

There are no systematic findings

Question 4

3 structures most likely to be injured when laterally directed blow to the knee with a planted foot occurs

Answer 4

ACH, MCL, Lateral Meniscus

Question 5

Prolongation of which lab value can be caused by presence of the lupus anticoagulant

Answer 5

Ptt

Question 6

Test used to confirm a diagnosis of developmental hip dysplasia

Answer 6

Ultrasound

Question 7

Popliteal Cyst is a collection of fluid in which bursa?

Answer 7

the gastrocnemius semi- membranous bursa

Question 8

Libman Sacks Endocarditis is associated with Viruqua thrombi usually on which vowels

Answer 8

mitral or aortic

Question 9

Which vascular inflammatory disorder is most commonly associated polymyalgia rheumatica?

Answer 9

Giant Cell Arteritis

Question 10

Describe what a positive Finkelstein test looks like

Answer 10

Pain at the radial styloid with active or passive stretching of the thumb tendons

Question 11

Which test is used to diagnose Osteoporosis and what is confirmatory?

Answer 11

The dexa scan showing a t-score of less than or equal to negative 2.5 or the presence of a fragility fracture

Question 12

Which Joints are most affected in osteoarthritis?

Answer 12

The weight beaming Joints

Question 12

Name as many of the common findings associated with fibromyalgia as you can

Answer 12

widespread pain, stiffness, tender points, paresthesias, poor sleep, fatigue, cognitive disturbances

Question 12

Iliotibial Band Syndrome is the result of function of the it bond against which bony structure?

Answer 12

The lateral femoral epicondyle

Question 12

Name the 5 P’s of limb compartment syndrome

Answer 12

pain, palllor, paresthesia, pulselessness paralysis

Question 12

Describe the crystal shape and birefringence and calcium pyrophosphate deposition disease

Answer 12

Rhomoid shape and weekly birefringent under polarized light

Question 12

What are the common manifestation associated with systemic juvenile idiopathic arthritis

Answer 12

daily spiking fevers, salmonpinl colored rash, arthritis in two or more joints and anterior uveitis

Question 12

Although myositis use is a benign condition, it is often mistaken for which pathology

Answer 12

sarcoma

Question 12

Describe the typical x-ray findings in a patient with rickets

Answer 12

epiphyseal widening and metaphysial cupping or fraying

Question 12

What makes the femoral head the common area for vascular nercosis?

Answer 12

it is a watershed area

Question 12

what is the consequence of keratoconjuncticitis sikka in sjogren’s syndrome?

Answer 12

corneal damage

Question 12

Under perpendicular light what color are the crystals found in gout?

Answer 12

Blue

Question 12

which type of ossification is affected in achondroplasia?

Answer 12

Endochondral ossification

Question 13

The histology of the osteoblastoma looks similar to which other benign tumor of the bone?

Answer 13

osteoid osteoma

Question 13

A mutation affecting which enzyme prevents osteoclasts from creating the right environment needed for bone resorption?

Answer 13

Carbonic anhydrase ii

Question 13

An increased level of ALP would indicate hyperactivity of which type of bone related cell?

Answer 13

Osteoblasts

Question 13

3 common pathogens implicated in septic arthritis?

Answer 13

Staph aureus, streptococcus and gonorrhea

Question 13

3 areas where gout related tophis formation is likely to be seen?

Answer 13

External ear, olecranon bursa, and achilles tendon

Question 13

The seronegative spondyloarthropathies are strongly associated with which haplotype?

Answer 13

HLA B27

Question 13

How is the diagnosis of slipped capital femoral epiphysis made?

Answer 13

via x-ray

Question 13

which type of fracture is often described in the long bones of someone with osteotis deformance?

Answer 13

a chalk stick fracture

Question 13

which type of bone cancer is associated with the onion skin periosteal reaction ?

Answer 13

ewing sarcoma

Question 13

what is the classic traid of findings seen in reactive arthritis?

Answer 13

Conjunctivitis, urethritis and arthritis

Question 13

which population and which age does the peak incidence of the osteosarcoma present?

Answer 13

males under 20 years of age

Question 13

which type of osteosarcoma primary or secondary is more responsive to treatment?

Answer 13

the primary is more responsive, the secondary has poor prognosis

Question 13

which segment of the clavicle is most likely to break?

Answer 13

the middle segment

Question 13

Athletes who perform which types of actions are most susceptible to osgood schlatter disease?

Answer 13

Running and jumping athletes

Question 13

which patient population is commonly associated with giant cell arteritis?

Answer 13

females over 50 years of age

Question 13

which small vessel disease is associated with the triad findings that include focal necrotizing vasculitis?

Answer 13

Necrotizing vasculitis, necrotizing granulomas in the lungs and upper airway and necrotizing glomerulonephritis, granulomatosis with polyangiitis

Question 14

which type of diuretic can cause someone to under excrete uric acid?

Answer 14

thiazide diuretics

Question 14

A lack of which finding helps to differentiate microscopic polyangiitis from granulomatosis with polyangiitis

Answer 14

nasopharyngeal involvement

Question 14

Describe the histologic finding in polyarteritis nodosa

Answer 14

different stages of transmural inflammation with fibrinoid necrosis

Question 14

which patient population is most likely to develop Kawasaki disease

Answer 14

Asian children under 4 years of age.

Question 14

which antibodies are associated with granulomatosis with polyangiitis

Answer 14

PR3 Anka , C Anka