MSK

Question 1

Tennis elbow tx?

Answer 1

NSAID, RICE, but ideally get them doing physio/ active release, and can get a brace, put nub over painful area.

Cortico injection - point of max tenderness, and around, lots of lidocaine.

Question 2

Plantar Fasciitis tx?

Answer 2

Stretches - calf and foot, decreasing physical activity temporarily, good shoes not barefoot.

Can do injections and short course of NSAIDs, worse first few steps, better with use and then worse throughout the end of the day

Question 3

Ankle strain Tx

Answer 3

Can always do alphabet exercises to tolerance, RICE, walking boot if severe

High ankle sprain is pain the mortis and positive ankle drawer tests - damage to the sydesmosis

Question 4

Painful arc shoulder

Answer 4

Some sort of impingement

Question 5

RF for adhesive capsulitis

Answer 5

Diabetes, hypothyroidism

Question 6

Useful shoulder tests

Answer 6

Speeds, Hawkings, empty can, painful arc, lift off

Question 7

Grades of ankle sprain

Answer 7

Grade 1 - minimal stretching, no tearing
Grade 2 - partial tear
Grade 3 - full tear

Question 8

Sprain vs Strain

Answer 8

Strain - tendons
Sprain -ligaments

Both are treated the same way if mild

Question 9

Is the pain intra-articular vs extra-articular

Answer 9

Articular joint pain is usually associated with a painful ROM and crepitus

Question 10

Adhesive capsulitis sx

Answer 10

Decreased ROM in ALL 3 planes

Question 11

Terrible triad - knee injury?

Answer 11

Lateral force on a flexed knee - ACL, MCL and medial meniscus tear

Question 12

Rotator cuff tear is very likely if?

Answer 12

Supraspinatus weakness (empty can)
External rotation weakness (external lag) 
Positive impingement sign(s) ( neers/ Hawkins )

Question 13

Snapping hip syndrome?

Answer 13

IT band too tight, stop crossing legs

Question 14

Red flags for back pain?

Answer 14

AAA (pulses to feet, ripping pain, hx - age/HTN), Infection (drug use, immunosuppressed, HIV) , Compression (Cauda equina sx - do a neuro assessment/ gait), Fracture (trauma?), Cancer (hx/ BSx)

If red flags X-ray or CT.

Tx - Naproxen, cyclobenzaprine do not sit around.

Question 15

Test for scaphoid (3)

Answer 15

Palpate the anatomical snuff box, palpate the base of the thenar eminence, axial load the thumb

Question 16

Proximal ulnar fracture with radial dislocation?

Answer 16

Monteggia fracture

Question 17

Looking at a hand x-ray? Look for?

Answer 17

2 arcs of the carpals in the straight on view, follow the lines, any fracture of the scaphiod, widening or displacement of the carpals
Oblique view, cup in bone, view of the capitate and the lunate.