MSK Flashcards

1
Q

most common site of clavicular fx is:

A

middle 1/3

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2
Q

de Quervain’s Tenosynovitis involves tendon’s of which muscles?

A

Extensor pollicus bravis

Abductor polilcus longus

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3
Q

Which ligaments are mostly likely injured in ankle inversion.

A

Anterior talofibular and Calaneofibular

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4
Q

Septic Arthritis are caused by:

A

Gonorrhea

Staph Aureus

MRSA

group B strep

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5
Q

Sjogren’s Syndrome is manifested by

A

dry eyes and mouth

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6
Q

wrist drop is caused by injury to what nerve?

A

radial nerve

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7
Q

Spinal cords in adults ends at the level of:

A

L1-2

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8
Q

most common benign bone mass is:

A

Osteoid Osteoma

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9
Q

Test used to diagnose meniscal tear?

A

McMurray = Meniscus

Apley

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10
Q

Arm drop test:

A

adduction of the arm

positive when: quick drop at 30 degree or more

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11
Q

Scotty dog view on x-ray is used to diagnosed

A

Spondylolysis

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12
Q

Retinoblastoma increases the risks of:

A

Osteosarcoma

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13
Q

common location of Ewing’s Sarcoma is:

A

Diaphysis of long bones

Pelvis, ribs, flat bones

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14
Q

Bleeding or edema within a limited space may cause:

A

Compartment Syndrome

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15
Q

Lateral Epicondylitis is a result of what overuse injury:

A

extension and supination

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16
Q

Tophi are:

A

deposition of uric acid into the skin

Tophi=Gout

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17
Q
A
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18
Q

Presence of DIP nodes (Bouchard’s) nodes rules out:

A

Rheumatoid Arthritis

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19
Q

Schober test is used to diagnose:

A

Ankylosing Spondylitis

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20
Q
A
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21
Q

Scaphoid or navicular fracture

A
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22
Q

most common location for Ganglion cyst is:

A

hand

feet

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23
Q

typical injury that produces meniscal tear is:

A

knee twisting

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24
Q

lab finding during acute Gout episode:

A

normal or low uric acid

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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