MSK Flashcards
1
Q
most common site of clavicular fx is:
A
middle 1/3
2
Q
de Quervain’s Tenosynovitis involves tendon’s of which muscles?
A
Extensor pollicus bravis
Abductor polilcus longus
3
Q
Which ligaments are mostly likely injured in ankle inversion.
A
Anterior talofibular and Calaneofibular
4
Q
Septic Arthritis are caused by:
A
Gonorrhea
Staph Aureus
MRSA
group B strep
5
Q
Sjogren’s Syndrome is manifested by
A
dry eyes and mouth
6
Q
wrist drop is caused by injury to what nerve?
A
radial nerve
7
Q
Spinal cords in adults ends at the level of:
A
L1-2
8
Q
most common benign bone mass is:
A
Osteoid Osteoma
9
Q
Test used to diagnose meniscal tear?
A
McMurray = Meniscus
Apley
10
Q
Arm drop test:
A
adduction of the arm
positive when: quick drop at 30 degree or more
11
Q
Scotty dog view on x-ray is used to diagnosed
A
Spondylolysis
12
Q
Retinoblastoma increases the risks of:
A
Osteosarcoma
13
Q
common location of Ewing’s Sarcoma is:
A
Diaphysis of long bones
Pelvis, ribs, flat bones
14
Q
Bleeding or edema within a limited space may cause:
A
Compartment Syndrome
15
Q
Lateral Epicondylitis is a result of what overuse injury:
A
extension and supination
16
Q
Tophi are:
A
deposition of uric acid into the skin
Tophi=Gout
17
Q
A
18
Q
Presence of DIP nodes (Bouchard’s) nodes rules out:
A
Rheumatoid Arthritis
19
Q
Schober test is used to diagnose:
A
Ankylosing Spondylitis
20
Q
A
21
Q
Scaphoid or navicular fracture
A
22
Q
most common location for Ganglion cyst is:
A
hand
feet
23
Q
typical injury that produces meniscal tear is:
A
knee twisting
24
Q
lab finding during acute Gout episode:
A
normal or low uric acid
25
Toe walking
S 1 Gastrocnemius
26
**Calcium Pyrophospate Dihydrate** is also known as:
**Pesudogout**
27
**anti Smith** is indicative of
SLE
## Footnote
**Smith SLE**
28
Most common gout location
1 MTP
29
tx for **Felon** is:
abscess drainage
30
Important risk factor for **osteoporosis** is:
**ETOH** abuse
31
Medication that may cause gout:
**Loop** Diuretics
**HCThiazide** Diuretics
32
Systemic sclerosis is also known as:
**scleroderma**
33
Pt with **sickle cell dz** are prone to develop **osteomyelitis** caused by:
**Salmonella**
34
tumor in the **pelvis, or diaaphysis** usually corresponds to:
**Ewing Sarcoma**
35
Polymyositis
36
factors that increase the occurance of **Frozen Shoulder**:
**DM I**
**Prolong Immobilization**
37
**Yergason's** test is indicative of:
**Biceps** tendonitis
38
**Plyarteritis Nodosa** is also known as
**Nectrotizing arteritis** of medium sized vessels
39
**Painful lump below kneecap**
in a 10-15 y.o pt who is active in sports
is known as:
**Osgood Schlatter Dz.**
40
typical presentation of a **hip fx** is:
**shortened leg**
**externally rotated**
**abducted**
41
Typical CBC resutls for Lupus:
Anemia
Leukopenia
Thrombocytopenia
42
Poly**M**yositis is associated with:
**M**alignancy
poly**M**yocityis=**M**alignancy
43
causitive microrganism for **Herpetic Whitlow** is:
**Herpex Simplex Virus**
44
**DIP** and **thoracolumbar** joints is usually NOT affected in which arthritis?
involvment of **DIP joint = DJD**
45
Normal exam with **multiple trigger** points suggest
**Fibromyalgia**
46
Spondylosis
47
Heel walking
L5 Anterior tibialis
48
Malignancy of **plasma cells** is known as:
**Multiople Myeloma**
49
Tx for Osgood Schlatter Dz:
NSAIDs
Knee cap
Reduced physical activity
50
Most common location for Gout:
**Metatarsophalangeal joint (big toe)**
51
positive **Finkelstein test** is indicative of:
**de Quervain's Tenosynovitis**
52
"**Dinner/Silver Fork**" reffers to:
**Colles Fx**
53
**Thickened ligamentum flavum** may cause:
Spinal Stenosis
54
Know dermatomes
55
young adult with septic arthritis is usually secondary to:
**Gonorrhoea**
56
Inability to seleep on a side
Poin tenderness at greater trochanter
suggests:
**Trochanteric Bursitis**
57
**Shopping cart signs** is seen in:
**Spinal Stenosis**
58
**Lytic bone lesions**
with **poor margins** and **sharp edges** are signs of:
**Bone malignancy**
59
**Hawkins** test is:
internal rotation of the arm
shoulder at 90
elbow at 90
60
Presentation of ACL injury:
knee instability / knee giving away
pop sound
acute hemarthrosis
61
typical presentation of **hip disslocatoin**:
**shortened leg**
**internally rotated**
62
Most common age for **Osteosarcoma** is:
b/w **10-20 y.o**
63
**Shoulder Dislocation** is also known as:
**Glenohumeral Dislocatoin**
64
**worsening ankle dorsiflexion** is known as:
**Lasegue's Sign**
65
Reactive Arthritis Conjunctivitis is often seen in conjunction with:
Reactive Arthritis
66
tx for **Herpetic Whitlow** is:
observation
67
Most common vessels affected by **Polyarteritis Nodosa**:
**Renal arteries**
| (produce HTN)
68
**Swan neck** deformity
**hyperextension at the PIP joint**
***_extended swan neck_***
69
**Anterior slippage of vertebral body** is known as:
**Spondylolisthesis**
70
71
Patellar reflex
L4
72
**calcium pyrophosphate** crystals
**Pseudogout**
73
**Repetitive gripping** usually results in:
**de Quervain's Tenosynovitis**
74
Serious side effect of **bisphosphanate** is:
**Esophagitis**
75
**Hyperflexion at DIP** is known as:
**Mallet finger**
76
most common ankle ligament to be injured is:
**Anterior talofibular**
77
most common **shoulder dislocatoins** are:
anterior
78
Medication known to cause Gout:
**Thiazide Diuretics**
**Loop Diuretics**
**Niacin**
**Aspirin**
79
Falling on **hyperflexed (inward)** hand will produce what radial head fx:
**Smith**
80
Which meniscus gets torn more common?
Medial
81
Presentation of **SCFE:**
**knee pain**
**groin pain**
**limping**
82
**morning joint stiffness** greater than hour is suggestive of
**RA**
83
most common type of scleroderma is known as:
**CREST**
84
Paronychia
85
Osgood schlatter
86
Conditions that can cause bilateral Carpal Tunnel
Pregnancy (self limiting)
Reumatoid Arthritis
Hypothyroidism
Amyloidosis
Acromegaly
87
Mechanism of most common ankle sprain:
**inversion and plantar flexion**
88
**Scheuermann's** disease is known as:
Juvenile Kyphosis
89
Pain in the joints **relieved with rest** is most likely
Osteoarthritis
90
Dexa results
T score: **\>2.5** corresponds to:
**Osteoporosis**
91
**Pars interarticularis** fx results in:
**Spondylolysis**
92
Meniscal Tear
93
prefered pain med for **Fibromyalgia** is:
**ultram/acetam**
94
**Saddle anesthesia** is synonymous with:
**Cauda Equina Syndrome**
95
**lateral curvature of the spine** is known as:
**Scoliosis**
96
Chronic **inflammation of synovial membranes** is known as:
**RA**
97
**Ankylosing Sponylitis** starts:
at **SI joints** and moves up the spine
98
**Fat pad** sign on X ray is indicative of:
**occult elbow fx**
99
**Persistent night pain** is often suggestive of:
**Osteosarcoma**
100
Nodes in DIP are known as:
**Heberden's**
**distal Heberden's**
101
**HyperUrecemia** is defined as:
**Uric Acid \> 7.5**
102
Common types of hip fx are:
**Transcervical/Subcapital**
**Intertrochanteric**
103
Most common **hip dislocation** is:
**Posterior**
104
population group suseptible to **de Quervain's Tenosynovitis** is:
**middle age female**
105
feeling of heavyness in the muscle
difficulty arising from a chair
**Polymyositis**
106
Aprihension test
107
Dry mouth and eyes
Sjogren's Syndrome
108
**Anti-Jo** antibodies are associated with:
**Polymyositis**
109
**Heliotrope rash** is indicative of:
Polymyositis
| (rash around eyes)
110
Herpetic whitlow
111
medial ligament of the ankle is known as:
**Deltoid**
112
SLE is often associateed with which cardiac condition?
Pericarditis
113
Swan neck deformity
114
**Sausage fingers** / ductilitis is associated with:
**Psoriatic Arthritis**
115
nail pitting
sasage like fingers
Psoriatic Arthritis
116
what cast is required for **Colles/Smith** fx?
**Sugar Tong Splint**
117
**Volar angulation** of the distal (factured) radial head is indicative of:
**Smith Fx:**
**Volar Smith**
118
Forceful **internal knee rotation** will injure which ligament?
ACL
119
positive Neer test is indicative of
**impingement**
120
tx for **Juvenile RA**:
NSAIDS (**Naproxen, IBprofen, Celebrex**)
methotrexate
121
**Neer** test
arm is raised forward
depress (press down) on scapula
122
Common complication fo **Transcervical Hip Fx** is:
**Avascular Necrosis**
123
what medication is a risk factor for developing osteoporosis?
**Corticosteroid**
124
Sx of spinal stenosis are relieved with:
**sitting or spine flexion/leaning forward** (shopping cart sign)
125
**Chronic condtion** that may cause **gout** is:
**CKD**
| (under excretion of uric acid)
126
Dietary changes required for Gout tx:
avoid:
## Footnote
**organ meats**
**alcohol**
127
Skin nodules seen in gout is known as:
**Tophi**
128
Most common carpal bone fx is:
**Scaphoid** Fx
129
**Septic Arthritis** in a young pt is often caused by:
**N.Gonorrhoea**
130
**Sunburst appearance** in the **metaphyseal location** of the bone corresponds to:
**Osteosarcoma**
131
**Medial calf sensosetion** is controlled by ____ nerve root:
L4
## Footnote
**medial four**
132
infection in the **finger pad** is called:
**Felon**
133
Septic Arthritis organisms:
Staph
Strep
STI
134
Injury to **ulnar collateral ligament of the thumb at MCP** is known as:
**Gamekeeper's / Skier's Thumb**
135
**Posterior fat pad** sign is indicative of
**Suprcondylar or Radial Head Fx**
136
Pts with Oligo/pauciarticular arthritis has increased risk of
uveitis
137
Most common rotator cuff muscle injured is:
**Supraspinatus**
138
Achille**s** reflex
**S1**
139
Polymalasia rhumatica
140
Most common type of **Juevenille Rheumatoid Arthritis** is:
**Oligo/pauciarticular** arthritis
involves no more than 4 joints.
141
Multiple trigger points
Fibromyalgia
142
**Medial Epicondylosis** is a result of what onveruse injury:
repeated **flexition and pronation**
143
tests used to diagnose ACL injury:
**A**nterior drawer sign
L**a**chman test
144
**Rhoboid shaped**
**+ birefringent crystals**
**Pseudogout**
145
Abx of choice for septic arthritis is:
**Ceftriaxone**
146
Fx that occurs as a result of **punching** a wall is known as:
**Boxer's fx**
147
Pain with spine extension in an athlete my be as a resutls of:
**Spondylolysis**
148
**Thompson** test is used for:
Diagnosiing **Achilles tendon rapture**
149
**Knee extension**
**L 4** quadriceps
150
151
Lachman's test
152
Anti-centromere antibody
Anti-topoisomerase antibody
Scleroderma
153
Lasegue's Sign
used in Lumbar pain
154
tx of **_acute gout_**:
**_Indomethacin (NSAIDs)_**
155
Spondylolisthesis
156
**Rheumatoid Arthritis and Osteoarthritis** (Degenerative Joint Dz) and i**nflammatory vs. non inflammatory**
RA = inflammatory
DJD = non inflammatory (wear and tear)
157
**Elbow flexition test** is used to diagnose:
**Cubital tunnel syndrome**
158
Spinal Stenosis
159
nodes in the PIP joints are
**Bouchard's**
**Proximal Bouchards**
160
_Dexa results_
T score: **1-2.5** corresponds to:
**Osteopenia**
161
Pt with **Juvenile Rheumatoid Arthritis** are at increased risk of:
**Iridocyclitis/anterior uveitis**
eye exam required every 6 m.
162
Rheumatoid Arthritis spares which joints?
**DIP**
163
Osteoarthritis is inflamatory or non inflammatory?
**Non inflammatory**
164
Most common site for **spondylolisthesis** is:
**L4/5**
**L5/S1**
165
_Classical tetrad_ corresponding to **Reactive Arthritis** is:
Arthritis
Urethritis
Conjunctivitis
Mucosal ulcers
166
ligaments injured in a typical ankel sprain:
**Anterior talofibular**
**Calcaneofibular**
**Posterior talofibular**
167
**Adhesive Capsulitis / frozen shoulder**
idiopathic loss of both active and passive motion
168
**Bankart Lesion**:
Tear of the glenoid labrum
169
Great toe dorsiflexion is controlled by:
G r e a t (5) toe
170
**Slipped Capital Femoral Epiphysis** is often seen in:
obese teenage boys
171
**Onion skin** appearance on bone X-ray is suggestive of:
**Ewing's Sarcoma**
172
**Allopurinol** MoA
**Xanthine Oxidase Inhibitor**
| (decreases the production of uric acid)
173
174
mechanism of rotator **cuff impingement**:
rotator cuff gets pinched b/w
## Footnote
**humeral head and coracoacromial arch**
175
Polymyalgia Rheumatica
176
Boutonnier Defformity is:
Injury of the central **extensor** tendon results in
## Footnote
**hyperflextion at PIP joinmt**
***_Flexition Boutonnier_***
177
clear vescile formation on the finger tip is known as:
**Herpetic Whitlow**
178
Cubital Tunnel affect what nerve?
Ulnar
179
tx for **chronic gout**:
**Allopurinol**
**Colchicin**
180
**_Rod / needle_ shaped**
**_negative birefringent_ crystal**
**Gout** - uric acid crystals
181
Impingement Syndrome
182
**Anti Nuclear Antibody** is indicate of
**SLE**
**ANA=SLE**
183
sx of Still disease (system Juvenile RA)
Fever
Rash
Hepatospleenomegaly
184
**Apophysitis of tibial tubercle** is a young active pt is known as:
**Oscgood Schlatter Dz.**
185
side effects of croticosteroids
Atheroslerosis
Osteoporosis
Avascular necrosis
186
**Snuff box** tenderness is indicative of:
**Scaphoid / Novicular fx**
187
Pain in the elbow with **extension and supination** is indicative of
**Lateral Epicondylitis**
188
**Reactive arthritis** is associated with which **diagnostic marker**:
**HLA-B27**
189
**Cobb angle** is measured to diagnosed:
**Scoliosis**
190
finger deformating often seen in
## Footnote
**RA**
**Jammed finger injury**
**Boutonniere finger**
191
**Sunburst/Sunray** appearance on bone X-ray is indicative of:
**Osteosarcoma**
192
**Humpback** should make you think of:
**Kyphosis**
193
Plantar flexion weakness
S1
194
**Lateral calf sensation** is controlled by which nerve root?
**L5**
**lateral five**
195
First line drug tx for **Osteoarthritis** is:
**Acetaminophen**
196
Foot dorsiflxion controlled by:
L4
## Footnote
**f o o t ( 4)**
197
Jone's fracture
198
Conditions that preceed **Reactive Arthritis:**
STI
Gastroenteritis
199
Falling of the **outstretched (hyperextened)** hand will produce what kind of radial fx?
**Coles**
200
tx for RA:
**NSAIDs**
Disease Modifying Anti-Rheumatic Drugs (DMARD) - **Methorexate**
201
Mallet Finger
202
fx of the **5th or 4th metacarpal** bone is known as:
**Boxer's fx**
203
Kienbock's Dz
pain/stiffness in the absence of trauma
osteonecrosis of lunate
204
fracture at the base of te 5th MT joint is known as:
Jones fx
205
**Still's Disease** is:
**Systemic Juvenille Rheumatoid Arthritis**
206
**sx of SLE**
Malar rash
Discoid rash
Serositis
Oral ulcers
Arthritis
Photosensitivity
pulmonary fibrosis
Blood disorders
Renal disease
Neurologic disease
207
Numbness and tingling in the **4th & 5th** fingers is often caused by
**Cubital tunnel syndrome** (ulnar nerve compression)
208
joint pain releives with rest vs. with walking:
osteoarthritis = releived with rest
RA= releived with walking
209
SLE tx is:
**Corticosteroids**
**hydroxychloroquine**
210
Malar Rash
Lupus
211
Most common injury to the elbow is:
Lateral Epicondylitis / Tennis Elbow
212
**HLA-B27** is a marker for
**Ankylosing spondylitis**
**Reactie Arthritis**
**Psoriatric arthritis**
213
**RA** affects more males or females?
females
214
**Advanced Carpal tunnel** is manifested by:
**Thenar atrophy**
215
**Scaphoid** bone is supplied by what artery:
**Radial**
216
Mosty sensitive **ACL** test is:
**Lachman test**
217
**Anterior knee pain** worse with running, stairs, squatting.
**Patellar femoral pain syndrome**
218
**Bilat pain in the buttock** and the **back of the thigh** is often due to:
**Ankylosing Spondylitis**
219
**Dorsal angulation** of distal (fractured) part of distal radius is known as:
Coles fx
## Footnote
**Dorsal coles**
220
**Onion skin apparance** in the **diaphysis** of the long bone or pelvis bone corresponds to:
**Ewing Sarcoma**
221
young pt with knee pain after:
kneeling activities
jumping
running
Oscood Schlatter Dz
222
Most common location of **Osteosarcoma** is:
**Metaphyis** of long bones
Near the knee
223
**Increased dorsal curvature** (**_convex_**) of the T spine is known as:
**Kyphosis**
224
CMC Joint Arthritis
225
**Ankel reflex** will be dimished when ___ nerve root is pinshed:
**S1**
226
**CREST** stands for:
Calcinosis
Raynaud's
Esophageal motility disorder
Sclerodactaly
Teleangectasisias
227
Olecranon bursisits
228
marker for **Ankylosing Spondylitis**:
**HLA-B27**
229
Bamboo spine:
Ankylosing Spondylitis
230
**Gout** most commonly affects
**great toe**
231
Sx of compartment syndrome:
Severe pain - out of praportion
paresthesia
pain with passive movement
decreased sensation / strength
232
Direct fall onto shoulder is likely to produce:
**AC injury**
233
**SLE** can be caused by which medicatioins:
**Isoniazid**
**Quinidine**
**Procainamide**
234
Tx for Fibromyalgia:
Lyrica
Cymbalta (SSNRI)
SSRI
235
Slipped capital femoral epiphysis
236
**Patellofemoral grinding test** is used to diagnose:
**patellofemoral Pain Syndrome**
237
**White/sclerotic** margins around bone mass seen on X ray is indicative of:
**Benign lesion**
238
**Mallet** finger results from
**trauma to extensor at DIP**
239
**Sail sign** is also known as:
**Anterior fat pad**
indicative of elbow fx
240
Most common fractures to cause **compartment syndomre** is
**Tibial shaft fx**
241
Narrow Joint Space
Osteophytes
are signs of:
**Osteoarthritis**
242
most common fx in children is:
**clavicle fx**
243
side effect of **Methorexate**:
**liver toxicity** ( check AST)
supresses bone marrow resulting in **macrycytic anemia** (check CBC)
244
Dupuytren Dz is associated with
Diabetes
245
**Bankart Lesion**
**Hill-Sachs Lesion**
are seen in
**Shoulder Dislocatons**
246
**Bamboo spine** is a sign of:
**Alkyllosing Spondylitis**
247
inability of **dorsiflex** **great toe** is due to the pinching of ___ nerve root
**L5**
248
diagnostic study of choice for **avascular necrosis** is:
**MRI**
249
Loss of **both active and passive motion** of the shoulder is known as:
**Adhesive Capsulitis / Frozen Shoulder**
250
Felon infection
251
**Deltoid weakness and lateral arm numbness** is a pt with **anterior shoulder disslocation** is a sign of what nerve damage?
**Axillary Nerve**
252
Polyarteritis Nodosa is associated with:
**Hep B**
253
most common sx of **Avascular/Aseptic Necrosis** is
**aching groin pain**
254
Reactive Arthritis / Reiter's
Arthritis secondary to STD
255
**Butterfly/malar facial rash** that spears **nasolabial folds** is indicative of:
SLE
256
Positive **crossover test** is indicative of
**Acromioclavicular (AC) Injury**
257
Paesthesias in the 4th and 5th fingers is indicative of:
**Cubital tunnel** syndreme
ulnar nerve
258
persisten bone **pain releived with NSAID / Aspirin** is suggestive of:
**Osteoid Osteoma**
259
**Osteomyelitis** is most commonly caused by:
**Staph Aureus**
260
Bone cancer in the **metaphysial** part of the bone is:
**Osteosarcoma**
261
**Cauda Equine Syndrome** is caused by sudden compression of:
**L2-S5**
262
HTN crisis due to renal failure in scleraderma pt. requires what medication?
**ACE-I**
263
Which **rotator cuff muscle** is most often damaged?
**Supraspinatus**
264
Osteoporosis tx:
Ca+ and vit D intake
stop Smoling and ETOH
**Bisphosphanates**
265
**Knee jerk / patellar reflex** will be diminished when which nerve root is pinched?
**L 4**
266
Most common primary malignant bone lesion:
**Multiple Myeloma 1st**
**Osteosarcoma 2nd**
267
**audible snap** with extending a finger is known as:
**Trigger finger**
268
**P**ositive birefringent crystals
**P**yrophoshate Calcium
**P**rism/rhomboid crystals
**P**seudoGout
269
Swelling around finger nail is called:
**Paronychia**
270
sx of meniscal tear:
join line pain
effusion
locking and clicking
271
mechanics of **Osgood Schlatter Dz** is:
**pulling of audriceps on apophysis of the tibial tubercle**
272
in RA **fingers and wrist** are deviated towards:
**ulnar deviation**
273
Positive **Tinel's and Phalen's** test are indicative of:
**Carpal Tunnel** Syndrome
274
defect at DIP results in:
defect at PIOP results in:
**Mallet** - unable to extend
**Boutonniere** or **Swan Neck** deformity
275
Avascular necrosis
276
**Symmetrical Progressive Proximal Muscle _Weakness_** of the upper and lower extermities is suggestive of:
**P**olymyositis
277
**Empty Can** test seperates which rotator cuff muscle?
**Supraspinatus**
278
Most common knee legament to be injured is:
ACL
279
McMurry's test
280
most common treatment for **clavicular fx** is:
**8 sling**
281
most specific marker for RA is:
**anti CCP**
282
**Pseudogout** most commonly affects
**Writst joint**
283
**Shawl** sign corresponds to:
Polymyocitis
| (rash over the shoulders)
284
nerves that can be damaged in a **prox humerus fx**:
axillary
radial
ulnar
median
285
**anti CCP** is a marker for:
RA
## Footnote
**артрит советского союза**
286
Tx for compartment syndrome:
Urgent Fasciotomy
287
inflammation of mucus membrane is known as:
**Sjogren's** syndrome
288
repeated **flexition and pronation** will cause
**Medial Epicondylitis / Golfer's elbow**
289
Nodule that flactuates in size depending on the time of day most likely is:
Ganglion cyst
290
**crescent sign** on x ray is indicative of:
Avascular Hip Necrosis
