Musculoskeletal #2 Flashcards Preview

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Flashcards in Musculoskeletal #2 Deck (45):
1

Name for bow legs?

Genu VARUM

2

Name for knocked knees?

Genu VALGUM

3

What does ankylosis mean?

Boy fixation

4

What is the apply's scratch test and what does it suggest (x2)?

1. Getting scapula from above and below
2. Rotator cuff disorder or adhesive capsulitis

5

What is Neer's impingement sign and what does it suggest?

1. Press down on scapula and raise patient's arm
2. Posibble rotator cuff tear or inflammation

6

What is Hawkin's impingement sign and what does it suggest?

1. Flex patient's elbow and abduct shoulder
2. Suggests rotator cuff tear

7

What is a Colle's fracture and what is the assessment?

Tenderness over distal radius from fall/fracture

8

Tenderness over snuff box suggests fracture of which bone?

Scaphoid fracture

9

What is spondylolisthesis?

Step off of vertebrae

10

What is halgus valgus?

Deviation of the great toe and enlargement of the head of the first metatarsal

11

Most common affected bursa for bursitis?

Subdeltoid, olecranon, ischial, trochanter, and prepatellar

12

What is first line treatment for perpatellar bursitis?

Aspiration of joint

13

What is medial epicondylitis associated with?

Golfer's elbow

14

What is lateral epicondylitis associated with?

Tennis elbow

15

What motion is affected with lateral epicondylitis?

Wrist extension

16

What motion is affected with medial epicondylitis?

Wrist flexion

17

Pseudogout is caused by what kind of crystals?

Calcium pyrophosphate dihydrate

18

Risk factors for gout?

Obesity, diabetes, and family history, thiazide diuretics, niacin, aspirin, cyclosporine, alcohol

19

How often does septic arthritis occur compared to gout?

100 times more common

20

When is appropriate intraarticular injection of steroids for gout appropriate?

When NSAIDs and steroids should not be used

21

What is pseudo gout associated with?

Hypothyroidism and hyperparathyroidism

22

When is stiffness usually apparent in arthritis?

At the end of the day

23

What is the associated risk with chondroitin and glucosamine?

Glucosamine= bronchospasm
Chondroitin= bleeding- antiplatelet

24

What type of injections does the American Academy for Orthopedic Surgery recommend for arthritis?

Don't recommend any

25

When should DMARDs be started for RA?

As soon as possible

26

What role to NSAIDs play in RA?

Major role to control pain and inflammation

27

What test is important for minuscule tear?

McMurray Test

28

Will miscal tears show up on XR?

No, because they do not contain calcium

29

When should there be surgical intervention for miniscal tear?

From 4-6 weeks if there is is no improvement.

30

What other diseases beside hypothyroidism and pregnancy can carpel tunnel syndrome be associated with?

Systemic disease such as RA and sarcoidosis

31

What is sarcoidosis?

Inflammatory disease that causes noncaseating granulomas in various sites including lungs, lymph nodes, eyes, and skin

32

What electrolyte is likely to be off with patients with sarcoidosis?

Hypercalcemia and hypercalceuria

33

Straight leg tests evaluates what nerve roots?

L5 and S1

34

What is the most common site for a clerical disk lesion?

C6-C7

35

What findings are associated with reiter's syndrome?

Assymetrical oligoarthritis (lower extremity), sausage shaped finger, toe or heal pain, cervicitis, prostatitis, or acute diarrhea within one month of onset, conjunctivitis and genetial ulceration or urethritis

36

What is a still murmur?

-Associated with hypertrophic cardiomyopathy
-low, vibratory hum

37

What size does the aortic valve before it becomes symptomatic in aortic stenosis?

.8cm squared

38

How is osteoporosis defined with scores?

Density less than 2.5 deviations

39

Recommended Calcium intake for men and women?

1000 mg/d for men
1200 mg/d for women

40

What is the IV medication to treat osteoporosis?

Zoledronic acid

41

What is calcitonin use associated with?

increased risk for malignancy

42

What's the recommended dose for vitamin D

400 iu/day

43

What is the cause of tendonitis?

A microscopic tear

44

What lab do you test for vitamin D?

25-hydroxyvitamin D

45

Normal range for Vitamin D, and what level do you want it to be above?

Normal=20-100
Should be= 40-45