MSK

Question 1

Which bone CA starts off in childrens pelvis or spine?

Answer 1

ewing’s sarcoma

Question 2

Osteosarcoma starts in what age?

Answer 2

second decade-20s

Question 3

Patient is 22yo with worsening bone pain at night, starburst on xray?

Answer 3

osteosarcoma

Question 4

What bone CA is common in >50yo?

Answer 4

chondrosarcoma

Question 5

What type of fracture increases risk for fat embolism?

Answer 5

long bone

Question 6

What is pathognomic for fat embolism?

Answer 6

petechial rash after long bone fx

Question 7

What does positive mcmurrays test mean?

Answer 7

menisceal tear

Question 8

What does positive lachman test mean?

Answer 8

ACL tear

Question 9

Best imaging test for congenital hip dysplasia?

Answer 9

US

Question 10

Best imaging test for avascular necrosis?

Answer 10

MRI

Question 11

Persistent hip pain after trauma, pain starts at groin and radiates to thigh?

Answer 11

avascular necrosis

Question 12

How to tell diff between claudication and pseudoclaudication?

Answer 12

claudication has PAD invovled; pseudoclaudication has nerve compression causing sx of claudicaiton

Question 13

What can be related to ankloysing spondylitis?

Answer 13

uvitis, cardiac abnormalitis, interstitial lung disease, IgA neph

Question 14

Oblique view of spine shows scottie dog with collar?

Answer 14

spondlylosis

Question 15

Back pain with positive leg raise?

Answer 15

herniated lumbar nucleus disk

Question 16

Vertebral body slips anteriorly?

Answer 16

spondylolithesis

Question 17

Nerve root that tests for ankle reflex?

Answer 17

S1

Question 18

Motor root for the big toe?

Answer 18

L5

Question 19

Clay shovler’s fx stable or unstable?

Answer 19

stable

Question 20

Fractures in anterior and posterior arches of C1?

Answer 20

jefferson’s fracture

Question 21

What type of trauma is associated with hangman fx?

Answer 21

hyperextension and compression of cervical

Question 22

What type of fracture occurs with fractures of the pedicles of C2 and anterior slip of C2 on C3?

Answer 22

hangman’s

Question 23

Preferred tx for dupuytren contracture?

Answer 23

surgery

Question 24

What tx is recommend for scaphoid fx?

Answer 24

thumb spica

Question 25

What bone does both colles and smiths fx have?

Answer 25

distal radial

Question 26

What type of fx is likely with blow to the back of the wrist?

Answer 26

colle

Question 27

Numbness in 4th and 5th fingers?

Answer 27

cubital tunnel sx

Question 28

What metabolic dz are linked with carpal tunnel sx?

Answer 28

DM, TSH, pregnancy, ETOH

Question 29

What does fat pad sign on elbow xray indicate?

Answer 29

elbow fx

Question 30

Baseball pitcher with medial elbow pain d/t repetitive valgus stress?

Answer 30

medial collateral ligament strain

Question 31

What are the 4types of humerus fx?

Answer 31

proximal, distal, supracondylar, shaft

Question 32

Xray shows glenohumeral joint narrowing with spurring and flattening of the humeral head?

Answer 32

gleno-humeral joint osteoarthritis

Question 33

Pain at groove of humerus and worse with arm movements?

Answer 33

bicep tendonitis

Question 34

What are the 4 muscles involved in RTC?

Answer 34

supraspinatus, infraspinatus, teres minor, subscapularis

Question 35

20yo with hip pain worse at night, xray shows codmans triangle?

Answer 35

osteosarcoma

Question 36

17yo male with palpable mass on spine with hx of chemo and radiation, likely dx?

Answer 36

ewing sarcoma

Question 37

67yo diabetic male with discoloration of his toenails and kertinaous growth, how to confirm dx?

Answer 37

KOH prep

Question 38

Patient is on terbinafine for onychomycosis, what lab to keep an eye on?

Answer 38

LFT: AST and ALT

Question 39

DM patient has elevated WBC and fever, 3cm x 2cm ulcer on foot, what is suspected?

Answer 39

osteomylitis

Question 40

How to differentiate between PE and fat embolism?

Answer 40

fat embolism has petechial rash and altered mental status

Question 41

What grade level is for complete tearing of the ankle ligaments?

Answer 41

level 3

Question 42

Which ankle fracture is semi-emergent surgerical condition and tenous blood supply?

Answer 42

talus fx

Question 43

What is the knee injury if the knee locks, knee effusion, and positive mcmurray test?

Answer 43

meniscal tear

Question 44

Loud pop in knee with immediate swelling?

Answer 44

ACL injury

Question 45

Which of the knee ligaments rarely need surgical treatment?

Answer 45

PCL

Question 46

Patient complains of "glass in knee" when kneeling, xray shows egg shaped swelling over patella?

Answer 46

pre patellar bursitis

Question 47

What abx is recommended for patient with pre patellar bursitis with cellulitis on knee?

Answer 47

clindamycin

Question 48

What type of hip fracture has higher risk for avascular necrosis?

Answer 48

femoral neck fractures

Question 49

PE for hip fracture?

Answer 49

external rotation and leg shortening

Question 50

2yo has positive ortolani and barlows test, how to treat?

Answer 50

open reduction with internal fixation, cast

Question 51

Avacular necorsis in children called?

Answer 51

legg-calve

Question 52

Patients with spinal stenosis and PAD can have claudication but which one will not have pain with riding a bike?

Answer 52

spinal stenosis

Question 53

What is the most common extra pulmonary site for manifestation with TB?

Answer 53

kyphosis

Question 54

Where is pain and temp lost in brown sequard sx?

Answer 54

pain and temp is lost on opposite side; vibration, sensation, is on the same side

Question 55

How to test for spondylosis?

Answer 55

stork test

Question 56

58yo male has lower back pain when he sneezes and better when he leans?

Answer 56

slipped disk

Question 57

What xray view is recommended with suspected neck fracture to see bilateral offset of C1 and C2?

Answer 57

open mouth odontoid view

Question 58

45yo male presents with decreased sensation, weakness, and positive spurling test?

Answer 58

herniated disk

Question 59

Anterior sublux of C1 and C2 from hyperextension can cause what fracture?

Answer 59

dens fracture

Question 60

Abscess at the tip of finger is at high risk for what complication?

Answer 60

osteomylitis

Question 61

Dupuytrens contracture is associated with what fingers?

Answer 61

4 and 5

Question 62

What is peyronie disease associated with in the hand?

Answer 62

dupuytren contracture

Question 63

Patient with de quervain tenosynovitis has swelling and tenderness over tendon, pain with passive extension, what to suspect?

Answer 63

infxn

Question 64

18yo has a wrist pain, xray show 'garden spade' deformity?

Answer 64

smith fracture

Question 65

Diabetic patient has tender, swollen, warm shoulder, what to do next?

Answer 65

aspiration and fluid analysis

Question 66

Snowboarder comes to ED and has a elevated distal clavicle, what to suspect?

Answer 66

AC joint seperation

Question 67

55yo female s/p shoulder fx cannot perform apleys test and decreased ROM, what to suspect?

Answer 67

adhesive capsulitis

Question 68

How to tx patient with dry eyes form sjogren sx?

Answer 68

cyclosporine

Question 69

What dz is associated with raynuad sx?

Answer 69

scleroderma

Question 70

Anti-Ro (SSA) and anti-la (SSB) AB?

Answer 70

sjogren sx

Question 71

What dz dose schirmers test help dx?

Answer 71

sjogren sx

Question 72

Anticentromere AB?

Answer 72

scleroderma

Question 73

20yo female with pericarditis and rash?

Answer 73

SLE

Question 74

Anti-smith AB?

Answer 74

SLE

Question 75

Causes of Reiter sx?

Answer 75

chlymadia, salmonella, C diff, camplylobacter jejuni

Question 76

What dz is associated with polymyalgia rheumatica?

Answer 76

giant cell

Question 77

Tx used for pseudogout?

Answer 77

aspiration and steroids

Question 78

Anti-jo1 AB?

Answer 78

polymyositis

Question 79

Where does pseudogout attack vs gout?

Answer 79

pseudogout: knee, gout: 1st MTP

Question 80

How many trigger points are required to dx fibromyalgia?

Answer 80

11/18

Question 81

Tx for fibromyalgia?

Answer 81

tricyclics

Question 82

Swan deformity and ulnar deviation?

Answer 82

RA

Question 83

Boutonniere deformity?

Answer 83

RA

Question 84

Bouchard nodules?

Answer 84

osteoarthritis on DIP

Question 85

Heberdens nodules?

Answer 85

osteoarthritis on PIP

Question 86

Two common complication of sjgrens sx?

Answer 86

non hodgkin lymphoma and primary biliary cirrohosis

Question 87

How to tx sjogren sx?

Answer 87

hydroxychloroquine

Question 88

Scleroderma patient has difficulty swallow liquid, solid, both?

Answer 88

both

Question 89

How to tx SLE?

Answer 89

corticosteroids and immune modulators

Question 90

What is the diagnostic test for dermatomyositis?

Answer 90

muscle bx

Question 91

50yo male has a purple mottled skin on torso, muscle pain, extermity weakness, HTN?

Answer 91

polyarteritis nodosa

Question 92

What is the age onset for psoaritic arthritis?

Answer 92

30-50yo

Question 93

What is the age cut off for juvenile arthritis?

Answer 93

16

Question 94

What HTN meds can cause gout attacks?

Answer 94

hydrochlorothiazide

Question 95

Positive C ANCA?

Answer 95

wegners

Question 96

Positive P ANCA?

Answer 96

churg strauss and ulcertive colitis

Question 97

Anti-CCP is accurate for what dx?

Answer 97

RA

Question 98

Positive ASCA?

Answer 98

crohn

Question 99

Positive anti-basement membrane?

Answer 99

good pasture