MSK Pastest Flashcards

1
Q

What muscle tear is associated with a positive bell press test & lift-off test?

A

Subscapularis Tear

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2
Q

What’s the management of cervical spondylosis?

A

Physiotherapy

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3
Q

What is the investigation of a suspected Scaphoid Fracture?

A

X-ray of the wrist in PA, Lateral, PA W/ ulnar deviation, and oblique views.

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4
Q

What is the management of an acute presentation of gout?

A

Joint Aspiration

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5
Q

Fractures above the level T4 are indicative of what type of underlying disease?

A

Cancer

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6
Q

What is a Galeazzi Fracture?

A

This is a fracture of the distal 1/3rd of the radius, with subluxation/dislocation of the distal radioulnar joint.

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7
Q

What is a Hill-Sachs lesion?

A

This is associated with anterior shoulder dislocation, and it is a cortical depression in the posterolateral head of the humerus.

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8
Q

What is Barton’s Fracture?

A

This is an intra-articular distal radial fracture, with joint involvement and radiocarpal dislocation

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9
Q

What is Colles Fracture?

A

This is an extra-articular distal radial fracture with dorsal angulation. (fall onto the outstretched hand)

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10
Q

What muscle damage leads to a winged scapula?

A

Serratus Anterior (Damage to itself or long thoracic nerve)

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11
Q

What is the most commonly dislocated carpal bone?

A

Lunate, will dislocate anteriorly and compress the median nerve. (Carpal Tunnel Syndrom Symptoms)

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12
Q

What is the drug of choice in a patient with a high T Score?

A

Biphosphonate

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13
Q

With a torn distal biceps tendon, what movements are abolished?

A

Flexion at the elbow, supination of the forearm

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14
Q

What nerve may be affected in a neck of fibula fracture?

A

Common peroneal nerve

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15
Q

What is the biggest risk factor for Dupuytren’s?

A

Alcohol Excess

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16
Q

What is a Monteggia Fracture?

A

This is a fracture of the ulnar shaft, associated with dislocation of the proximal radioulnar joint.

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17
Q

Features of Paget’s Disease?

A

Bone Pain
Apparent Joint Pain
Deformities
Nerve Compression
Elevated Bone Blood Flow (cardiac failure)
Weakness of abnormal bone leading to pathological fractures.
X-ray changes (enlargement/ expansion of bone)

18
Q

What is the first-line treatment of Paget’s disease?

A

Bisphosphonates

19
Q

What are some side effects of bisphosphonates?

A

Gastritis, Osteonecrosis of the Jaw, Fevers, Myalgia, and arthralgias

20
Q

What vertebral level is the spine of the scapula?

A

T3

21
Q

What is a common sign of RA on X-Ray?

A

Peri-articular Ostepenia

22
Q

Regimental Badge Area is associated with what condition?

A

Shoulder Dislocation with axillary nerve involvement

23
Q

Swinging kids by the arms lead to what condition?

A

Radial Head Subluxation

24
Q

Is uphill or downhill walking more painful in spinal stenosis?

A

Downhill is more painful as the back is less flexed.

25
Q

Is uphill or downhill walking more painful vascular claudication?

A

Uphill is more painful.

26
Q

What is a Boxer’s Fracture?

A

Fracture of the neck of the fifth metacarpal.

27
Q

Gold Standard Investigation of Spondolytic Cervical Myelopathy?

A

MRI of Cervical Spine

28
Q

How does teriparatide act?

A

It has a direct anabolic effect on bone.

29
Q

What muscle is associated with Tennis Elbow?

A

Extensor Carpi Radialis Brevis

30
Q

What is the Triad of Features for Felty’s Syndrome?

A

RA, Neutropenia, Splenomegaly

31
Q

What type of disease is polymyalgia rheumatica?

A

Inflammatory disease

32
Q

What blood test is seen in polymyositis?

A

Increased Aldolase

33
Q

Signs of SLE

A

Fever & Joint Pain
Rash on Both Cheeks
Immunoglobulin, C3, Fibrinogen Deposits
Anti-dsDNA antibody

34
Q

Classic Triad of Reactive Arthritis

A

Arthropathy
Conjunctivitis
Urethritis

35
Q

Features of Polymyalgia Rheumatica

A

Worse in the Morning
High ESR
Bilateral Joint Pain/Stiffness
Fatigue/Low-Grade/Fever/Anemia

36
Q

In a patient with RA and up for surgery what must you check?

A

Cervical Spine X-Rays

37
Q

What are the blood tests seen with Paget’s?

A

High ALP, normal Ca & Phosphate

38
Q

What drug is used for procedural sedation in children?

A

Midazolam

39
Q

What structure is most likely to be damaged with an injury to the anatomical snuffbox?

A

Radial Artery

40
Q

What pulmonary condition is associated with rheumatoid arthritis?

A

Bronchiectasis

41
Q

What is the finding in osteoporosis?

A

Decreased Cortical & Trabecular bone with normal Bone mineralization.

42
Q

What muscles are affected in Dequervain’s Tenosynovitis?

A

Extensor Pollicis Brevis

Abductor Pollicis Longus