MSK Flashcards

(81 cards)

1
Q

arm abducted, ext rotated

A

ant shoulder disloc

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2
Q

arm adducted, int rotated

A

post shoulder disloc

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3
Q

Hill Sachs

A

Humeral Head groove

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4
Q

Bankhart lesion

A

glenoid fx

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5
Q

Tx AC disloc

A

BRIEF sling immobilization

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6
Q

pain with arm abduction >90degrees

A

tendonitis shoulder

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7
Q

wrist drop

A

radial n.

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8
Q

ulnar side of hand paresthesias

A

thoracic outlet syndrome

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9
Q

loss radial pulse with head rotated to affected side

A

thoracic outlet syndrome

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10
Q

thoracic outlet syndrome Tx

A

PT

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11
Q

amaurosis fugax

A

giant cell arteritis

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12
Q

MC Fx in kids

A

clavicle (mid 1/3)

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13
Q

pos anterior fat pad: adults, kids

A

adults: radial head fx
kids: supracondylar fx

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14
Q

nightstick fx

A

isolated ulnar shaft fx

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15
Q

monteggia fx, galeazzi fx

Tx

A

monteggia: prox ulnar
galeazzi: mid-distal radial

Tx ORIF

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16
Q

wrist drop

A

radial n. injury

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17
Q

Tx nursemaid’s

A

supination and flexion

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18
Q

muscles: lateral epicondylitis, medial epicondylitis

A

lateral: extensor carpi radialis brevis
medial: flexor carpi radialis, pronator teres

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19
Q

Colles fx Tx

A

sugar tong splint

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20
Q

Terry Thomas sign

A

scapholunate dissociation

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21
Q

spilled teacup sign

A

lunate dislocation

Tx ORIF

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22
Q

lunate fx Tx

A

thumb spica splint

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23
Q

Gamekeeper’s thumb: anatomy, Tx

A

ulnar collateral ligament

Tx thumb spica

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24
Q

Boxer’s fx Tx

A

ulnar gutter splint

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25
Bennett and Rolando fx: Tx
bennett: 1st metacarpal base fx rolando: comminuted Tx ORIF
26
DeQuervain's: anatomy
APL, EPB Tx thumb spica
27
CTS Tx
volar splint
28
leg shortened, internally rotated
hip dislocation
29
leg shortened, externally rotated
hip fx
30
painless limping, young boy
Legg Calve Perthes dz AVN femoral head Tx observe, brace if bad
31
SCFE Tx
ORIF
32
Segond fx assoc with what?
ACL avulsion of lateral tibial condyle
33
McMurray's sign
meniscal tear
34
Apley test
meniscal tear
35
knee dislocation...think of?
popliteal A. injury | do arteriography
36
foot drop
peroneal nerve injuries, 1st web space | femoral, tibial plateau fx
37
knee pain worsened with prolonged sitting
chondromalacia
38
Ober test
IT band syndr pain to leg adduction
39
Maisonneuve fx
spiral prox fibular fx + distal medial malleolar fx +- deltoid ligament rupture
40
jones fx
5th metatarsal diaphysis Tx NWB
41
pseudojones fx
avulsion fx of 5th metatarsal base Tx walking cast
42
Lisfranc injury
2nd metatarsal base Fx Tx ORIF
43
L4
ant thigh, dorsiflexion, knee jerk
44
L5
lat thigh/leg, dorsum foot (b/t 1st and 2nd toes)
45
S1
plantar flexion, ankle jerk
46
back pain relieved with flexion
spinal stenosis Tx epidural steroid injection
47
gymnast, low back pain
spondylolysis Tx symptomatic
48
spondylolisthesis
forward slipping
49
osteomyelitis: most sensitive test early dz, gold std
most sensitive: MRI | gold std: bone aspiration
50
MCC septic arthritis
S aureus
51
Osteosarcoma
adolescents mets to lungs sunray, burst, sclerotic
52
MC bone CA
osteosarcoma
53
Ewing's sarcoma
children onion peel, lytic femur, pelvic MC
54
MC benign bone CA
osteochondroma
55
osteochondroma
pedunculated, grows away from growth plate
56
Paget's sx
bone pain soft bones, fx, skull- deafness INCR ALP NORMAL Ca Skull: cotton wool
57
Paget's Tx
bisphosphonates
58
Tx SLE
sun protection, hydroxychloroquine, NSAIDs
59
SLE labs
ANA (initial) | anti DS-DNA, anti Smith Ab (100% specific)
60
anti-centromere Ab
limited scleroderma
61
anti-SCL 70 Ab
diffuse scleroderma
62
scleroderma sx
``` CREST (limited): distal Calcinosis cutis Raynaud's Esophageal motility d/o Sclerodactyly Telangectasia ``` diffuse: proximal, trunk
63
Tx Sjrogen's syndr
pilocarpine
64
Sjrogen's syndr Dx (specific test)
Shirmer test (decr tear production) ANA, +RF
65
Tx Fibromyalgia
Pregabalin (only FDA approved) | TCA
66
polymyalgia rheumatica related to...
giant cell arteritis
67
incr aldolase
polymyositis, dermatomyositis
68
meds causing gout
diuretics (thiazides, loop), ASA
69
Tx gout: acute, chronic
acute: NSAIDs (indomethacin), 2nd colchicine chronic: allopurinol (decr uric acid prod)
70
Tx pseudogout
steroids
71
morning stiffness >30 min
RA
72
symm/asymm joint narrowing
RA: symmetric OA: asymmetric
73
Tx rhabdo
IVF, mannitol, bicarb
74
Kawasaki sx, complications
warm CREAM Conjunctivitis, Rash, Erythema (palms, soles), Adenopathy cervical, Mucous membr (strawberry tongue) Tx IVIG, high dose ASA complication: coronary A. aneurysm, myocarditis DO ECHO
75
C-ANCA
Wegener's
76
HSP sx
palpable purpura abdom pain, arthritis, hematuria bleeding b/c vasculitis (not coags)
77
HSP Dx
Kidney Bx: IgA, normal coags, normal PLTs
78
Goodpasture's
hemoptysis, glomerulonephritis IgG
79
bamboo spine
ankylosing spondylitis Tx NSAIDs
80
sausage digits, pitting nails
psoriatic arthritis Tx NSAIDs
81
HLA-B27
seroneg spondyloarthropathies reactive arthritis, ankylosing spondylitis, psoriatic arthritis