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Musculoskeletal, Skin and CT Flashcards

(61 cards)

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1
Q

McMurray test with pain on external rotation

A

Medial meniscus damage

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2
Q

McMurray test with pain on internal rotation

A

Lateral meniscus damage

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3
Q

Pudendal nerve block located

A

Ischial spine

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4
Q

Lumbar puncture location

A

Iliac crest

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5
Q

Supraspinatus action

A

Abducts arm initially

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6
Q

Most common muscle in rotator cuff injury

A

Supraspinatus

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7
Q

Infraspinatus action

A

Laterally rotates arm

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8
Q

Teres minor action

A

Adducts and laterally rotates arm

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9
Q

Subscapularis action

A

Medially rotates and adducts arm

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10
Q

All muscles of rotator cuff inervated by Suprascapular N except

A

Teres minor innervated by Axillary N.

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11
Q

So Long To Pinky

Here Comes The Thumb

A
  • Scaphoid
  • Lunate
  • Triquetrum
  • Pisiform
  • Hamate
  • Capitate
  • Trapezoid
  • Trapezium
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12
Q

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

A

Axillary

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13
Q

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

A

Pelvic surgery

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14
Q

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

A

Pelvic fracture

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15
Q

Common peroneal N damage presentation

A

Foot drop: Inverted and plantarflexed at rest

Loss of eversion and dorsiflexion

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16
Q

What causes an injury to Superior gluteal

A

Posterior hip dislocation

Polio

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17
Q

Osteopetrosis is

A

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

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18
Q

Giant cell tumor location

A

Epiphyseal end of long bone

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19
Q

Giant cell tumor appearance

A

Soap-bubble

Multinucleated giant cells

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20
Q

Osteosarcoma is located

A

Metaphysis of long bone around knee

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21
Q

Ewing sarcoma locateion

A

Diaphysis of long bones, pelvis, scapula and rib

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22
Q

Ewing sarcoma appearance

A

Onion skin

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23
Q

Heberden nodes are

A

Osteophyte on DIP

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24
Q

Bouchard nodes are

A

Osteophyte on PIP

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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**
* **R**ash * **A**rthritis * **S**oft tissues/**s**erositis * **H**ematologic disorders * **O**ral/nasopharyngeal ulcers * **R**enal disease, **R**aynauld * **P**hotosensitivity, **P**ositive VDRL/RPR * **A**NA * **I**mmunosuppressants * **N**eurologic 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

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