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Flashcards in Musculoskeletal, Skin and CT Deck (61):
1

McMurray test with pain on external rotation

Medial meniscus damage

2

McMurray test with pain on internal rotation

Lateral meniscus damage

3

Pudendal nerve block located

Ischial spine

4

Lumbar puncture location

Iliac crest

5

Supraspinatus action

Abducts arm initially

 

6

Most common muscle in rotator cuff injury

Supraspinatus

7

Infraspinatus action

Laterally rotates arm

8

Teres minor action

Adducts and laterally rotates arm

9

Subscapularis action

Medially rotates and adducts arm

10

All muscles of rotator cuff inervated by Suprascapular N except

Teres minor innervated by Axillary N.

11

So Long To Pinky

Here Comes The Thumb

  • Scaphoid
  • Lunate
  • Triquetrum
  • Pisiform
  • Hamate
  • Capitate
  • Trapezoid
  • Trapezium

12

Fractured surgical neck of humerus or anterior dislocation of humerus damages what N

Axillary

13

What causes an injury to Obturator N (L2-L4)

Pelvic surgery

14

What causes an injurty to Femoral N (L2-L4)

Pelvic fracture

15

Common peroneal N damage presentation

Foot drop: Inverted and plantarflexed at rest

Loss of eversion and dorsiflexion

16

What causes an injury to Superior gluteal

Posterior hip dislocation

Polio

17

Osteopetrosis is

Failure of normal bone resportion due to defective osteoclasts causing thickened, dense bones that are prone to fractures

18

Giant cell tumor location

Epiphyseal end of long bone

19

Giant cell tumor appearance

Soap-bubble

Multinucleated giant cells

20

Osteosarcoma is located

Metaphysis of long bone around knee

21

Ewing sarcoma locateion

Diaphysis of long bones, pelvis, scapula and rib

22

Ewing sarcoma appearance

Onion skin

23

Heberden nodes are

Osteophyte on DIP

24

Bouchard nodes are

Osteophyte on PIP

25

Pannus formation forms in

MCP and PIP in RA

26

Findings in Sjögren syndrome (4)

  1. Xerophthalmia
  2. Xerostomia
  3. SS-A (anti-Ro) and/or SS-B (anti-La)
  4. Bilateral parotid enlargement

27

Disorders predisposing for Gout (3)

  1. Lesch-Nyhan
  2. PRPP
  3. von Gierke

28

Acute Gout treatment (3)

  1. NSAIDs (Indomethacin)
  2. Glucocorticoids
  3. Colchicine

29

Chronic Gout treatment (2)

  1. Allopurinol
  2. Febuxostat

30

Diseases associated with pseudogout (3)

  1. Hemochromatosis
  2. Hyperparathyroidism
  3. Hypoparathyroidism

31

Pencil-in-cup deformity on x-ray seen in

Psoriatic arthritis

32

SLE and RASH OR PAIN

  • Rash
  • Arthritis
  • Soft tissues/serositis
  • Hematologic disorders
  • Oral/nasopharyngeal ulcers
  • Renal disease, Raynauld
  • Photosensitivity, Positive VDRL/RPR
  • ANA
  • Immunosuppressants
  • Neurologic disorders

33

Sarcoidosis is

Immune-mediated, widespread noncaseating granulomas with elevated serum ACE levels

34

Sarcoidosis on x-ray shows

Bilateral hilar adenopathy and/or reticular opacities

35

Polymyalagia rheumatica symptoms

Pain and stiffness in shoulders and hips with fever, malaise and weight loss

Associated with Temporal arteritis

36

Polymyositis is

Progressive symmetric proximal muscle weakness chx by endomysial inflammaiton with CD8 T-cels

37

Dermatomyositis T-cell

CD4

38

Polymyositis/Dermatomyositis findings (5)

  1. Increase CK
  2. ANA
  3. Anti-Jo-1
  4. Anti-SRP
  5. Anti-Mi-2

39

Hyperkeratosis is

Increased thickness of stratum corneum

40

Hyperkeratosis seen in

Psoriasis

Calluses

41

Parakeratosis is

Hyperkeratosis with retention of nuclei in stratum corneum

42

Parakeratosis seen in

Psoriasis

43

Spongiosis is

Epidermal accumulation of edematous fluid in intercellular spaces

44

Spongiosis is seen in

Eczematous dermatitis

45

Acantholysis seen in

Pemphigus vulgaris

46

Acantholysis is

Seperation of epidermal cells

47

Seborrheic keratosis is

Flat, greasy, pigmented squamous epithelial proliferation with keratin-filled cysts (horn cysts)

Common benign neoplasm of older person

48

Dermatitis herpetiformis is

Pruritic papules, vesicles and bullae due to IgA deposits seen in Celiac

49

Erythema multiforme associated with

  1. Infections:
    1. Mycoplasma
    2. Pneumoniae
    3. HSV
  2. Drugs:
    1. Sulfa drugs
    2. β-lacatm
    3. Phenytoin
  3. Cancer
  4. Autoimmune

50

Erythema multiforme presents with

  1. Multiple lesions:
    1. Macules
    2. Papules
    3. Vesicles
    4. Target lesions

51

Stevens-Johnson syndrome characterized by

  1. Fever
  2. Bulla
  3. necrosis
  4. Sloughing of skin
  5. High mortality

52

Premalignant lesions caused by sun exposure that increases risk of squamous cell carcinoma is

Actinic keratosis

53

Actinic keratosis presents as

Small, rough, erythematous or brownish papules and plaques

54

Erythema nodosum is

Painful inflammatory lesions of subcutaneous fat usually on anterior shin

55

Erythema nodosum associated with (7)

  1. Sarcoidosis
  2. Coccidioidomycosis
  3. Histoplasmosis
  4. TB
  5. Strep
  6. Leprosy
  7. Crohn

56

-dronates are

Bisphosphonates that inhibit oseoclast activity

57

Bisophosphonate toxicity

Corrosive esophagitis

Osteonecrosis of jaw

58

Allopurinol inhibits

Xanthine oxidase

59

Febuxostat inhibits

Xanthine oxidase

60

Probenecid inhibits

Reabsorption of uric acid in PCT

61

Colchicine mechanism of action

Binds and stabilizes tubulin to inhibit microtubule polymerization therefore impairing leukocyte chemotaxis and degranulation