MSK - Liam Flashcards by Priyanka Bhandari

I band

Zone of filament that is not superimposed by thick filament

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A band

Contains entire length of single thick filament

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H zone

Zone of thick filament not superimposed by thin filament

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Titin

Connects Z line to thick filament

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First line for raynauds phenomenon

Calcium channel blockers - nifedipine

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Tendons involved in De Quervains tenosynovitis

Extensor pollicis brevis and abductor pollicis longus

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Joints in RA

3+ joints

Symettrical

Spares distal IPJ

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Pulled elbow in children cause

Subluxation of radial head

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Osler nodes

Painful red raised lesions on hands and feet, due to deposition of immune complexes

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Bouchards nodes

Hard bony outgrowths on PIPJ

Sign of IA

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Heberdens nodes

Chronic swelling of affected joints, leaving permanent bony outgrowths

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Ganglion

Swelling in association with tendon sheath near a joint

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Blood test for SLE

Antinuclear antibodys (ANA) positive 99% time

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What syndrome is associated with gout

Lesch-Nyhan syndrome

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Common joints in gout

70 % with MTP joint

Ankle

Wrist

Knee

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Signs of hip fracture

Pain

Shortened and externally roated leg

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Garden system for hip fracture

1 - stable fracture with impaction in valgus

2 - complete fracture but not displaced

3 - displaced fracture but still has bony contact

4 - complete bony disruption

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Target for pANCA

Myeloperoxidase (MPO)

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Barlows test

For development dysplasia hip

Attempts to dislocated articulated femoral head

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Ortolani test

Test for developmental dysplasia of hip

Attemps to reclocated a disloated femoral head

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Typical joints affected by RA

MCP, PIP

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Typical joints affected by OA

Large weight bearing joints

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Lift off test

Internal roation - subscapularis

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Scarf test

Examines acromioclavicular joint

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Empty can test

Supraspinatus

Hawkins test

Subacromial impingement

Neers test

Acromial impingement

Marfans syndrome due to problem with what

Fibrillin-1

Ehler-Danlos syndrome has increased risk of what serious pathology

Subarachnoid haemorrhage

Most common fingers affected by Dupuytrens contracture

Ring and little fingers

Smiths fracture

Fracrture of distal radius with anterior displacement of distal fragment

Colles fracture

Fracture of distal radius with posterior displacement of distal fragment

Monteggia fracture

Fracture of proximal third of ulnar with dislocation of proximal head of radius

Galeazzi fracture

Fracture of distal third of radius with dislocation of distal radioulnar joint

What ligament usually sprained in inversion injuries of ankle

Anterior talofibular ligament

What position is leg in with posterior hip dislocation

Internally rotated

What position is leg in with anterior hip dislocation

Externally rotated

Antibody in Sjorens syndrome

Anti-La

Antibody in x-associated vasculitis disease

ANCA

Unhappy triad injury

Medial collateral ligament Medial meniscus Anterior cruciate ligament

Microbiology of osteomyelitis

Staph aureus

Antibiotic for osteomylitis

Flucloxacillin

Froments sign

Assesses for ulnar nerve palsy

Damange to ulnar nerve

Claw appearance of hand

Damage to median nerve

Inability to abduct and oppose thumb

Damage to axillary nerve

Deltoid muscle dysfunction, affecting arm abduction

Damage to musculocutaneous nerve

Impaired bicep brachi muscle, affecting arm flexion

Damage to radial nerve

Paralsysis of extensor muscles, leading to wrist drop

Dermatomyositis is associated with what antibody

Anti-Jo-1 antibody

Toddlers fracture

Oblique tibial fracture in infants

Plastic deformity

Stress on bone resulting in deformity without cortical disruption

Greenstick fracture

Unilateral cortical breach only

Bucky fracture

Incomplete cortical disruption resulting in periosteal haematoma only

Salter-Harris system

1 - thought physis only 2 - physis and metaphysis 3 - physis and epiphysis to include the joint 4 - physis, metaphysis and epiphysis 5 - crush injury

WHat is used to assess risk oif osteoporosis

FRAX (estimates 10 year risk) QFracture (estimates 10 year risk)

Osteogenesis imperfecta is abnormality in what

Type 1 collagen

Main treatment for vasculitides

Immunosuppresion

Which of Herberdens and Bouchards is distal and proximal

PIP - Bouchards nodes DIP - Heberdens nodes

What antibodyt in JIA

Antinuclear antibody position oligoarthritis

What serological marker is more specific for rheumatoid arthritis

Anti-CCP antibodies

FIrst line for SLE

Hydroxychloroquine

Gustilo classification system

For open fractures 1 - \<1cm 2 - \>1cm, moderate soft tissue damage 3A - extensive soft tissue damage, adaquate periosteal coverage 3B - tissue loss requiring tissue coverage procedure 3C - vascular injury requireing surgery