Musculoskeletal Supplemental Review Questions Flashcards by Vanessa Olds

T or F Gastric Ulcers are commonly cb increased acid production?

False Gastric Ulcers are cb H. Pylori 70 percent of the time. Pts usually have Low to Nml acid secretion.

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M.S.

Vitamin C deficiency causes

Poor wound healing, Petechiae, Bleeding gums, Loose teeth

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M.S.

Vitamin C deficiency causes

Poor wound healing, Petechiae, Bleeding gums, Loose teeth

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Bamboo Sign

Ankylosing Spondylitis

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M.S.

Campylobacter jejuni infections are linked to what syndrome with worrisome sequelae?

Guillain-Barre Syndrome

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M.S.

Campylobacter jejuni infections are linked to what syndrome with worrisome sequelae?

Guillain-Barre Syndrome

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mc Nerve Roots affected by Herniated Discs

L4 L5 S1

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M.S.

m/c cause of viral gastroenteritis in child under 2 years?

Rotavirus. Infxn typically lasts less than a week.

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M.S.

m/c cause of viral gastroenteritis in child under 2 years?

Rotavirus. Infxn typically lasts less than a week.

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M.S.

Rash associated with Celiac disease?

Dermatitis Herpetiformis

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M.S.

Rash associated with Celiac disease?

Dermatitis Herpetiformis

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M.S.

Best initial study for suspected Inguinal Hernia?

Scrotal Ultrasound

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M.S.

Best initial study for suspected Inguinal Hernia?

Scrotal Ultrasound

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M.S.

What is the Phren’s test?

Diagnostic indicator of testicular pain presentation between Acute Epididymitis and Testicular Torsion. Relief of pain by elevating the scrotum more indicative of acute epididymitis.

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M.S.

What is the Phren’s test?

Diagnostic indicator of testicular pain presentation between Acute Epididymitis and Testicular Torsion. Relief of pain by elevating the scrotum more indicative of acute epididymitis.

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M.S.

83yo man to ER co ABD pain and blood in his stool. Has been nauseated with 1 episode of vomitting. He has a low grade fever. Is diaphoretic and tachycardic. PE reveals pain has localized to LLQ. Suspected Diagnosis? Preferred Imaging?

You should be thinking Diverticulitis. A CT scan with contrast is the preferred method of imaging.

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M.S.

You should be thinking Diverticulitis. A CT scan with contrast is the preferred method of imaging.

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M.S.

Carcinogenic embryonic antigen

CEA is a tumor marker for Colon Cancer

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M.S.

Carcinogenic embryonic antigen

CEA is a tumor marker for Colon Cancer

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M.S.

Most likely fracture in an infant.

Clavicle. Suspect child abuse less than 2 yo

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M.S.

Most likely fracture in an infant.

Clavicle. Suspect child abuse less than 2 yo

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M.S.

NSAID most likely to cause PUD

Naproxen

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M.S.

NSAID most likely to cause PUD

Naproxen

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M.S.

What type of inguinal hernia is most likely to herniate into the scrotal sac?

INguinal INto INdirect

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# M.S. What type of inguinal hernia is most likely to herniate into the scrotal sac?

INguinal INto INdirect

# M.S. cyclobenzaprine

muscle relaxer can be used to tx LBP

# M.S. cyclobenzaprine

muscle relaxer can be used to tx LBP

# M.S. True or False A suspected disc herniation in a young healthy athlete can be diagnosed clinically and tx conservatively.

False. Suspected herniated disc needs to be diagnosed with MRI

# M.S. True or False A suspected disc herniation in a young healthy athlete can be diagnosed clinically and tx conservatively.

False. Suspected herniated disc needs to be diagnosed with MRI

# M.S. Inability to maintain plantar flexion of the foot, and an asymetrical ankle jerk indicates damage to what n. root?

L5-S1

# M.S. Inability to maintain plantar flexion of the foot, and an asymetrical ankle jerk indicates damage to what n. root?

L5-S1

# M.S. Describe a "classic" AC Joint Separation Scenario.

Acute injury. Falling onto tip of the shoulder with the arm tucked in.

# M.S. Describe a "classic" AC Joint Separation Scenario.

Acute injury. Falling onto tip of the shoulder with the arm tucked in.

# M.S. Describe AC Joint Separation findings and pain complaint.

Severe pain with any ROM, esp overhead movements, and downward traction on the arm.

# M.S. Describe AC Joint Separation findings and pain complaint.

Severe pain with any ROM, esp overhead movements, and downward traction on the arm.

# M.S. Describe how to perform Yergason's Test and what dx a pos result indicates

Pts arm is flexed at 90 degr and pt resists when PA attempts to SUPINATE the forearm causing pain. Indicative of Biccipital Tendonitis.

# M.S. Describe how to perform Yergason's Test and what dx a pos result indicates

Pts arm is flexed at 90 degr and pt resists when PA attempts to SUPINATE the forearm causing pain. Indicative of Biccipital Tendonitis.

# M.S. Positive Drop Arm test or weakness w/ external rotation is indicative of what? Describe the Drop test.

RC Tear Pt is unable to hold arm at 90 degrees of abduction?.straight out. It is specific to a supraspinatus tear.

# M.S. Positive Drop Arm test or weakness w/ external rotation is indicative of what? Describe the Drop test.

RC Tear Pt is unable to hold arm at 90 degrees of abduction?.straight out. It is specific to a supraspinatus tear.

# M.S. Stiffened Glenohumeral joint should make you think of what dx?

Adhesive capsulitis

# M.S. Stiffened Glenohumeral joint should make you think of what dx?

Adhesive capsulitis

# M.S. What is CPPD?

Calcium Pyrophosphate Dihydrate Deposition Disease aka PSEUDOGOUT

# M.S. What is CPPD?

Calcium Pyrophosphate Dihydrate Deposition Disease aka PSEUDOGOUT

# M.S. What is Adhesive Capsulitis?

Painful condtn w/ severe decr in ROM. d/o of the shoulder capsule, glenohumeral joint and CT are inflammed and stiff causing chronic pain. May follow inj or have insidious onset.

# M.S. What is Adhesive Capsulitis?

Painful condtn w/ severe decr in ROM. d/o of the shoulder capsule, glenohumeral joint and CT are inflammed and stiff causing chronic pain. May follow inj or have insidious onset.

# M.S. Gold standard for CTS? Carpal tunnel.

Nerve Conduction Velocity (NCV) slowed conduction to <3.5ms are the hallmark of diagnosis.

# M.S. Gold standard for CTS? Carpal tunnel.

Nerve Conduction Velocity (NCV) slowed conduction to <3.5ms are the hallmark of diagnosis.

# M.S. Describe a Baseball Finger Injury

Rupture of the extensor tendon as it inserts into the base of the distal phalanx

# M.S. Describe a Baseball Finger Injury

Rupture of the extensor tendon as it inserts into the base of the distal phalanx

# M.S. Pseudogout can be hereditary, True or False.

True. Autosomal dominant trait

# M.S. Pseudogout can be hereditary, True or False.

True. Autosomal dominant trait

# M.S. Mallet Finger

aka Baseball Finger. dx xray, but only finding may be drooping of the finger. Tx is to put in finger splint. Keep it in extension.

# M.S. Mallet Finger

aka Baseball Finger. dx xray, but only finding may be drooping of the finger. Tx is to put in finger splint. Keep it in extension.

# M.S. Lift off Test

RC Injury

# M.S. Lift off Test

RC Injury

# M.S. Jobe's Test

RC Injury

# M.S. Jobe's Test

RC Injury

# M.S. Unhappy Triad of structures damaged in knee injury common in footbal from the foot being planted in slight flexion w/ lateral impact.

ACL MCL and Medial Meniscus damage

# M.S. Unhappy Triad of structures damaged in knee injury common in footbal from the foot being planted in slight flexion w/ lateral impact.

ACL MCL and Medial Meniscus damage

# M.S. Osgood-Schlatter is most common in who?

Young males between 8-15yo

# M.S. Osgood-Schlatter is most common in who?

Young males between 8-15yo

# M.S. What is Osgood-Schlatter Syndrome? MOA Dx Tx

Anterior knee pain over TIBial TUBErosity (TIB TUBE) d/t repetetive stress on growing skeleton. Lat xray shows a prominent TIB TUBE. Kids respond well to conservative tx. No braces or wraps necessary?.Its all good.

# M.S. What is Osgood-Schlatter Syndrome? MOA Dx Tx

# M.S. knee suddenly gave out and a (+) pos apprehension test is consistent of what dx? What should treatment be?

First episode of Patellar Dislocation, Maintain reduction in a brace for 2-3 weeks

# M.S. knee suddenly gave out and a (+) pos apprehension test is consistent of what dx? What should treatment be?

First episode of Patellar Dislocation, Maintain reduction in a brace for 2-3 weeks

# M.S. What are the negative findings on PE of first episode of patellar dislocation?

No pain, or fever, no prior history of knee trauma. Distally Neurovascularly intact, Knee stability is intact and there is no excess joint fluid noted by (-) neg balottment.

# M.S. What are the negative findings on PE of first episode of patellar dislocation?

No pain, or fever, no prior history of knee trauma. Distally Neurovascularly intact, Knee stability is intact and there is no excess joint fluid noted by (-) neg balottment.

# M.S. On dorsal wrist, a firm, round, smooth lump without pain, redness or itching that transiluminates makes you suspicious of what dx?

Ganglion cyst

# M.S. On dorsal wrist, a firm, round, smooth lump without pain, redness or itching that transiluminates makes you suspicious of what dx?

Ganglion cyst

# M.S. Steadily Increasing pain between 3rd and 4th digits of the foot (forefoot) should make you think of what diagnosis?

Morton's Neuroma

# M.S. Steadily Increasing pain between 3rd and 4th digits of the foot (forefoot) should make you think of what diagnosis?

Morton's Neuroma

# M.S. 3yo boy has been developmentally normal until now, has trouble rising off the floor. PE shows hip girdle weakness, atrophy of proximal thigh muscles w/ enlgmt of distal leg m.m. What is the most likely dx and what serum abnormality would you find?

Duchenne's Muscular Dystrophy (DMD) is most classically in a toddler. Serum CK Creatinine Kinase would be elevated.

# M.S. What do you think of when you hear Spiral Fracture in a child? What is suspicious and what is normally innocent?

Spiral fx in kids should make you think of child abuse (also an fx in kids under 2yo) a Spiral fx of the Tibial is the exception and is commonly called the Toddler's Fracture

# M.S. What do you think of when you hear Spiral Fracture in a child? What is suspicious and what is normally innocent?

Spiral fx in kids should make you think of child abuse (also an fx in kids under 2yo) a Spiral fx of the Tibial is the exception and is commonly called the Toddler's Fracture

Musculoskeletal Supplemental Review Questions Flashcards

(75 cards)