MSK Flashcards

(54 cards)

1
Q

Blood supply of LL

A

Aorta > C Iliac > Int + Ext Iliac

Ext iliac > inf epigastric (prox to inguinal canal. DM, IL hernia) > C femoral > deep circumflex iliac

Int iliac (pelvis, glut & med thigh) > obturator (bladder & med thigh) > sup gluteal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lumbar puncture

A

L3/4 or L4/5

  • before epidural anesthesia, examine for increased intracranial pressure bc cerebellar tonsils may herniate through the foramen magnum.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Humerus #

surgical neck

shaft

medial epicondyle

Supracondylar

A

surgical neck: Axillary N. Post numeral circumflex artery

shaft: Radial N. Profunda brachii

medial epicondyle: Ulnar N.

Supracondylar: Median N. Brachial A.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

MC # of arm >50y/o

A

Radial

  1. Flexion # / Smith’s : ant displaced fragment
  2. Extension / Colle’s # : fall on an outstretched hand. Dinner fork deformity (wrist curved like a fork)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Scaphoid #

A

Fall onto an outstretched hand

Tenderness in snuff box 2-3 w later

Avascular necrosis, prox fragment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Boxer’s #

A

2nd n 3rd metacarpals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Rotator cuff

A

» SITS «

Supraspinatus

Infraspinatus

Teres minor

Subscapularis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Abduction of UL

A

0°-15° : initiated by the supraspinatus muscle (suprascapular nerve).

15°-110º : deltoid muscle (axillary nerve)

110°-180° : scapular rotation by action of the trapezius (accessory nerve CNXI) and serratus anterior (long thoracic nerve).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pain during opening a door / lifting a glass

A

Later epicondylitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cubital fossa

A

Lat to medial
Biceps tendon — Brachial A — Median N

IV into Median Cubital vein (cephalic + basilic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ape hand / absence of opposition

A

Median N injury // Carpal tunnel : lunate dislocation

Fixed by gaining entry into carpal bones bound by flexor retinaculum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Addicted shoulder + medically rotated arm + extended elbow + loss of sensation in the lateral aspect of arm

Lesion.

A

Waiters tip

Erb palsy
Upper Brachial root (C5-6) lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Child pulled by parent / guardian

A

Klumpke palsy

C8-T2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

MC # in elderly w osteoporosis

A

Femoral neck : avascular necrosis

Medial circumflex femoral A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Potts #

A

MC inversion/ adduction injury : ANt talofib ligament inured

Sprained ankle

Eversion/ abduction injury : medial malleolus or med lig injured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Reflexes

Knee jerk:

Ankle jerk:

A

Knee jerk: L2-4

Ankle jerk: S1-2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Weak hip extension n knee flexion after a SC injection, glut

A

Hip dislocation

Sciatica / piriformis syndrome

Foot drop, flail foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cannot climb stairs or stand from sitting

A

Inf gluteal injury

Weak hip extension, glut max

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Femoral sheath

A

Lateral to medial
NAV

Femoral N - femoral sheath (A + V) - femoral ring (site of hernia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Mass inf + lateral to pubic tubercle

A

Femoral hernia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Cannot stand on toes

A

Tibial N injury

Loss of plantar flexion
Weak inversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Foot drop

A
Peroneal N 
# fibular neck
23
Q

Pain w hip extension, flank plain, fever, pain inc w movement

A

Psoas sign

Minimize psoas stretching: hip flexion, ext rotation, lumbar lordosis

Psoas abscess d/t Diabetes mellitus, IV drug use, HIV, immunosuppression

Psoas seen : appendicitis

24
Q

MCC PCL tear

A

Force to ant tibia

25
McMurray test
- meniscus tears - Your doctor will bend your knee, then straighten and rotate it. This puts tension on a torn meniscus. If you have a meniscus tear, this movement will cause a clicking sound.
26
Wrist + 4th, 5th digit flexion
Ulnar Nerve
27
Spilled teacup sign seen in
Lunate dislocation
28
Hip flexion by
Iliopsoas
29
Muscle causing hip flexion, abduction, and external rotation.
Sartorius
30
Muscle causing hip flexion + knee extension
Rectum femoris
31
#MC injured UL nerve
Radial - largest - humoral midshaft # (penetrating) - axillary trauma/ crutches
32
Which muscles supplies extensors of UL.?
Radial
33
Major muscles of hip flexion
1. Iliopsoas 2. Sartorious 3. Rectum femoris
34
Hip abduction and medial rotation by?
Gluteus medius, minimus w Tensor fascia lata
35
Muscle that close the jaw
» TMP « Temporalis Masseter medial Pterygoid » M’s Munch « > It takes more muscles to keep your mouth shut
36
Muscles that open the jaw
Lateral pterygoid » Lateral Lowers «
37
Motor innervation of tongue
Most: CN XII Palatoglossus: CN X
38
Sensory innervation of tongue
Ant 2/3 : V3 Post 1/3 : CN IX post tongue root : CN X » 5, 9, 10 « » Taste : Seven, Sensation : Trigeminal «
39
Taste sensation of tongue
Ant 2/3 : VII Post 1/3 : IX Post tongue root + upper esoph : X » 7, 9, 10 « » Taste : Seven, Sensation : Trigeminal «
40
Muscles for smiling
Buccinator
41
Kehr sign
LUQ pain w L shoulder pain
42
Clinical reflex song
S1,2 buckle my shoe L2,4 kick the door C5,6 pick up the sticks
43
1° site of extramedullary hematopoesis
Liver + spleen N in Red bone marrow
44
#MCC post hip dislocation?
Femoral head displaced post to acetabulum 1. Head on motor vehicle collision, dashboard injury 2. Elderly 3. Prosthetic joints
45
#MCC leg shortening
1. Post hip dislocation (add + Int rotated leg) - Sciatic | 2. Intertrochanteric hip # (ext rotated leg) - Psoas + iliacus
46
#MCC impaired ankle reflexes and dorsiflexion?
Sciatic N injury Passes post to hip joint
47
#MCC Nerve injured in ant hip dislocation?
Femoral N + Artery
48
Which nerve is compressed by tight clothes?
L Femoral cutaneous - under inguinal lig and into lateral thigh
49
Lymphatic drainage of the LL
A. Superficial : along veins - drain skin + SC tissue 1. Medial : along long saphenous V - Sup inguinal LN 2. Lateral : popliteal and inguinal LN B. Deep lymphatics : along the arteries - drain deep + sup muscles
50
Structures drained by sup inguinal LN
1. LL 2. Scrotum! 3. Perineum 4. Ant Abd wall (inf to umbilicus) 5. Butt 6. Skin of penis (vs Glans penis + Penile urethra - drain into deep inguinal LN)
51
Nerve conduction studies
NCS : Demyelination vs Axonal neuropathy - Demyelination: Delayed or blocked nerve conduction velocity - Axonal injury: reduced in signal strength/ amplitude. - Myasthenia Gravis: Normal NCS, but decreased motor strength on repetitive stimuli in Muscle Conduction studies.
52
Nerve conduction studies
NCS : Demyelination vs Axonal neuropathy - Demyelination: Delayed or blocked nerve conduction velocity - Axonal injury: reduced in signal strength/ amplitude. - Myasthenia Gravis: Normal NCS, but decreased motor strength on repetitive stimuli in Muscle Conduction studies.
53
Int rotation of hip cause by which muscles?
Gluteus medius Gluteus minimus Tensor fascia lata
54
Ext rotation of hip mediated by which muscles?
Iliopsoas Gluteus maximus Piriformis Obturator