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Step 2 CK > Musculoskeletal > Flashcards

Musculoskeletal Flashcards

(89 cards)

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1
Q

Nerve damage leads to claw hand

A

ulnar nerve

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2
Q

Nerve damage leads to ape hand

A

median nerve

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3
Q

Nerve damage leads to wrist drop

A

radial

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4
Q

Nerve damage leads to scapular winging

A

long thoracic

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5
Q

Nerve damage leads to unable to wipe bottom

A

thoracodorsal

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6
Q

Nerve damage leads to loss of forearm pronation

A

median

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7
Q

Nerve damage leads to cannot abduct or adduct fingers

A

ulnar

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8
Q

Nerve damage leads to loss of shoulder abduction

A

axillary

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9
Q

Nerve damage leads to weak external rotation of arm

A

suprascapular, axillary

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10
Q

Nerve damage leads to loss of elbow flexion and forearm supination

A

musculocutaneous

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11
Q

Nerve damage leads to loss of wrist extension

A

radial

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12
Q

Nerve damage leads to trouble initiating shoulder abduction

A

suprascapular nerve

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13
Q

Nerve damage leads to unable to abduct arm beyond 10 degrees

A

axillary

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14
Q

Nerve damage leads to unable to raise arm above horizontal

A

long thoracic, spinal access

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15
Q

Nerve damage from fracture of shaft of humerus

A

radial nerve

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16
Q

Nerve damage from fracture of surgical neck of humerus

A

axillary nerve

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17
Q

Nerve damage from supracondylar humerus fracture

A

median

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18
Q

Nerve damage from fracture of medial epicondyle

A

ulnar

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19
Q

Nerve damage from anterior shoulder dislocation

A

axillary

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20
Q

Nerve damage from injury to the carpal tunnel

A

median

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21
Q

class symptoms of carpal tunnel syndrome

A

hand numbness/ tingling, can wake up from sleep, can radiate up arm, wrist pain

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22
Q

Difference between monteggia and galeazzi?

A

monteggia: radial head dislocation, ulnar diaphyseal fracture
galeazzi: distal radial ulnar joint dislocation, radial head fx

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23
Q

complication from fall on outstretched arm, snuffbox tenderness

A

avascular necrosis

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24
Q

complication from anterior shoulder dislocation

A

axillary

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25
complication from fracture of 5th metacarpal neck
tendon involvement
26
complication from humerus fracture
radial/axillary
27
complication from hip fracture
avascular necrosis
28
complication from femur fracture
fat embolus
29
complication from tibial fracture
compartment
30
complication from pelvic fracture
blood loss
31
how is compartment symndrome diagnosed?
compartment pressures > 30
32
Signs of compartment syndrome?
6 p's ``` pain pallor poikilothermia pulselessness paresthesia paralysis ```
33
tx for compartment syndrome
emergency fasciotomy
34
Cause of low back pain where pain increases with passive SLR
degen disc dx
35
Cause of low back pain where pain lessens with flexion at the hips
spinal stenosis
36
Cause of low back pain where elderly, wt loss, pain constant but worse when supine
cancer
37
Cause of low back pain where acute urinary retention
cauda equina
38
Cause of low back pain where pain made worse by walking and standing
spinal stenosis
39
Cause of low back pain where loss of foot dorsiflexion and pain on crossed SLR
degen disc dx
40
Cause of low back pain where pain limited to paraspinal region
muscle strain
41
medication used for treatment of acute gout
NSAID, steroids, colchicine
42
medication used for treatment of pseudogout
NSAID, colchicine
43
Disease where knee xray reveals calcification of menisci
psuedogout
44
disease where needleshaped negatively birefringent cyrstals
gout
45
disease where child with low trauma fractures
OI
46
disease where narrowing of the marrow cavity results in low H&H
osteopetrosis
47
disease where 55 year old woman trips and sustains distal radius fracture
osteoporosis
48
Most sensitive imaging for paget disease diagnosis?
radionuclide bone scan
49
3 studies used to make diagnosis of osteomyelitis
CT scan, bone scan, tagged WBC scan
50
tx for lyme disease?
doxy, amox, cefuroxime
51
tx for rocky mountain spotted fever
doxy, chloramphenical
52
tx for septic arthritis
surgical I&D, IV vanc, IV cef
53
most common causes of bony metastasis?
BLT with Kosher Pickles ``` breast lung thyroid kidney prostate ```
54
radiological appearance of osteosarcoma
sunburst, codman triangle
55
radiological appearance of ewing sarcoma
onion skinning
56
patient presetns with bone tenderness and is found to have elevated WBC count, CRP, and ESR. Most likely diagnosis?
osteomyelitis
57
Most common organism in osteomyelitis overall?
s aureus
58
organism causing osteomyelitis in sickle cell patients
salmonella
59
organism causing osteomyelitis in IV drug users
pseudomonas
60
Disease associated with arthropathy of DIP and PIP?
OA
61
Disease associated with arthropathy of PIP and MCP
RA
62
what disease is associated with anti histone antibodies
drug induced lupus
63
what disease is associated with rheumatoid factor
RA
64
what disease is associated with anti ds DNA antibodies
SLE
65
what disease is associated with anti sm antibodies
SLE
66
what disease is associated with HLA-DR4
RA
67
skin findings diagnostic of SLE?
malar rash discoid rash photosensitivity painless oral ulcers
68
65 year old AA woman has weakness. Patient has been an active person but now has weakness in her lower extremities. On exam, both are equally weak. She also has a rash on the chest. What labs would be helpful to order initially?
CK, LDH, ALT, AST then: ANA, anti jo, BMP, CBC
69
67 year old woman with pain in her extremities in shoulders and hips. Hard for her to get out of bed. ESR is elevated. Tx?
steroids
70
serious disease must you look out for in patients with polymyalgia rheumatica?
temporal arteritis
71
Rheumatologic disease associated with proximal muscle weakness and facial rash
dermatomyositis
72
Rheumatologic disease associated with pain and stiffness in hips and shoulders
polymyalgia
73
Rheumatologic disease associated with muscle pain and tenderness in multiple distinct locations
fibromyalgia
74
Rheumatologic disease associated with man in his 20s with low back pain that improves with exercise
ankylosing
75
Rheumatologic disease associated with jaw claudicationa nd pain with standing for a chair
polymyalgia
76
Rheumatologic disease associated with pencil in cup deformities of the DIP and PIP joints
psoriatic
77
Rheumatologic disease associated with bamboo spine on xray
ankylosing
78
Rheumatologic disease associated with arthritis, oral ulcers, proteinuria
SLE
79
HLA B27 positive seronegative spondyloarthropathies
PEAR psoriatic arthritis enteropathic ankylosing spondylitis reactive arthritis
80
treatment for developmental dysplasia of the hip in children younger than 6 months of age?
pavlik harness
81
treatment for SCFE
rest, non weight bearing, surgical pinning
82
treatment for osgood-schlatter disease
rest, ice, elevation, NSAIDs
83
Disease with painful limp and xray reveals femoral head sclerosis
legg calve perthes
84
Disease with painful limp and xray reveals ice cream scoop falling off cone
SCFE
85
Disease with painful limp and obese male adolescent with dull hip pain and inability to bear weight
SCFE
86
Disease with painful limp and acute onset of tibial pain, fever, malaise, elevated ESR, no joint pain
osteomyelitis
87
Disease with painful limp and acute onset of knee pain, fever, elevated ESR, leukocytosis
septic arhtritis
88
Disease with painful limp and 7 year old with growth delay and inner thigh pain
legg calve perthes
89
Disease with painful limp and 13 year old boy with pain and swelling at tibial tuberosity
osgood schlatter

Step 2 CK (16 decks)

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