Msk Wrong Flashcards by lana yassin

Anti-CCP is correlated with what disease?.
Specific/sensitive?

Rheumatoid Arthritis
Specific
NOT sensitive

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How to keep track of RA disease
what the diff scores mean

DAS 28 score
<2.6 disease remission
3.2-5.1 moderate disease activity
>5.1 high disease activity

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Dmard alternative to methotraxate for pregnant lady

Sulfalazine

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Highly specific marker for sle

Anti - dsDNA
Anti- sm

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Antibody associated with diffuse systemic sclerosis (aka scleroderma)
Specificity/sensitivity?

Anti-scl-70
Specific but not sensitive

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Antibody associated with limited cutaneous systemic sclerosis
Specificty/sensitivity?

Anti-centromere
Specific not sensitive

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What is bennets fracture

Base of thumb fracture

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Livedo reticularis is a feature of…

Anti phospholipid syndrome

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Punched out lesions on x ray?

Gout

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Anti ro / anti la indicated?

sjrogens (present in 60-70% of sjrogens patients)

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What do heberdens nodes indicate?

Osteoarthritis

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What nerve does a colles fracture damage

Median

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What nerve is damaged by a distal
Humerus supracondylar fracture

Median

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Arthodesis is?

The surgical stiffening or fusion of a joint in a position of function

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What does redgimental badge numbness indicate?
What nerve is damaged?

Shoulder dislocation causing stretched nerve

Axillary nerve

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what conditions are associated with adhesive capsulitis

diabetes
hypercholesteraemia
duputryens (histologically similar)

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principle clinical sign of adhesive capsulitis

loss of external rotation

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what Glasgow coma score implies loss of airway control?
what is an important thing to do when managing the airway

8 or less
immobilising head to protect c-spine and prevent spinal cord injury

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what artery is most likely to be damaged by knee dislocation

popliteal artery

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what artery is most likely to be damaged by a paediatric supracondylar fracture

brachial artery

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which side of elbow is affected by golfers elbow

medial
(medial epicondylitis caused by inflammation of the common extensor tendon)

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what does a galezzi fracture decribe

distal radial fracture> dislocation of radioulnar joint

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either unilateral or bilateral malleolar fracture, forced foot eversion
what is the name of this type of fracture?

potts fracture

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distal radius fracture with associated radiocarpal dislocation
fall onto extended and pronated wrist

what type of fracture

bartons

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what does a monteggias fracture describe

proximal ulnar l fracture> prox. radial dislocation

Intra-articular fracture of the first carpometacarpal joint Impact on flexed metacarpal, caused by fist fights what type of fracture

Bennetts fracture

subchondral cysts feature of which disease?

Osteoarthritis

juxta-articular osteporosis is an early sign of... (seen on x-ray)

common posterior hip dislocation presentation

shortened and internally rotated leg

common neck of femur fracture presentation

shortened, externally rotated leg

discitis causative organism

staph A.

compression of S1 nerve (eg by prolaped dis) presents as... (include sensory loss, and affeed action) (remember dermatome pic)

sensory loss: posterior leg, lateral foot weak plantar flexion

L4 nerve compression presents as... (remember dermatome pic) (include sensory loss, and affeed action)

sensory loss: anterior knee, medial malleolus weak knee extension/hip adduction

L5 nerve compression presents as (remember dermatome pic) (include sensory loss, and affeed action)

sensory loss: dorsum of foot weak foot/big toe dorsiflexion

what nerves are compressed in a positive sciatic nerve stretch test

L5, S1

what nerves are compressed in a postive femoral stretch test

mid lumbar L2-L4

how does a bennets fracture show up on xray

X-ray: triangular fragment at ulnar base of metacarpal

compartment syndrome most commonly associated with what fractures?

supracondylar and tibial shaft fractures

main innervators of bicep and tricep

bicep= 5 letters = C5 tricep= 6 letters = C6

describe a salter harris fracture I (try and visualise!!)

through the physisis only

salter Harris II... (try and visualise!!)

Fracture through the physis and metaphysis

salter harris III

Fracture through the physis and epiphysis to include the joint

salter harris IV

Fracture involving the physis, metaphysis and epiphysis

salter harris V

Crush injury involving the physis (x-ray may resemble type I, and appear normal) (will be a thin break in physis)

describe a colles fracture

fall on outstretched hand. distal radial fraction with dorsal displacement of the distal fragment (back of the hand). dinner fork deformity

describe what inc risk of a hamate fracture and how it presents

frequent tennis player pain over ulnar aspect of wrist and weakened grip. pain on active flexion of fourth and fifth fingers (pull test)

buckle vs greenstick fracture

buckle: compression fracture, both sides of the bone stick out where the fracture is Greenstick: fractures only goes through some of the bone, fracture does not completley transversley affect both sides of the bone

smiths fracture, describe

fall on the dorsum of the hand volar angulation of the radius

how to help differentiate between polymyalgia rhuematica and fibromyalgia

polymyalgia: morning stiffness and inc ESR fibromyalgia: no morning stiffness and no lab findings and likely to have other conditions as well

anti histone bodies

associated with drug induced lupus

symmetrical annular (ring like) papulosquamous (raised scaly) lesions on sun exposed areas what is this a symptom of

cutaneous lupus

pseudo gout aspirate fluid is made of...

positively birefringent rhomboid shaped crystals

what is a nightsick fracture

isolated unla fracture

is methotrexate safe to use during pregnancy

what does limited cutaneous sclerosis affect

predominantly affects the face and distal limbs characterised by scleroderma

what does diffuse cutaneous systemic sclerosis predominantly affect

predominantly affects the trunk and proximal limbs

what is a subtype of limitied cutaneous systemic sclerosis

CREST Calcinosis Raynauds Eosophageal dysmotility Sclerodactyly Telangiectasia

multiple fractures, hypoxia,dyspnea, tachypnea and altered neurological status (eg confusion) ....

fat embolism syndrome (PE is a differential however woud not cause altered neurological state)

what are syndesmophytes associated with and what are they

bony outgrowths of the spinal ligaments/annulus fibrousus) associated with ankylosing spondylitis

what presents (commonly in children)with knee pain however knee function is fine but reduced internal rotation of the hip

SUFE

Msk Wrong Flashcards

(60 cards)