Ortho 1

Question 1

stress fxs are an example of

Answer 1

an overuse injury

Question 2

do stress fractures show up on x ray

Answer 2

not usually

Question 3

most common contributor to plantar fasciitis is

Answer 3

pes planus “flat feet”

Question 4

plantar fasciitis is best examined how

Answer 4

with the great toe dorsiflexed

Question 5

what is usually always present with plantar fasciitis

Answer 5

anterior heel pain

Question 6

what is first line med for OA

Answer 6

NSAIDs

Question 7

some risk factors for OA
6

Answer 7

female gender
low body weight
smoking
asain or white
low calcium and vit D intake
early menopause

Question 8

classic complaint of meniscal tear

Answer 8

knee locks/locking

Question 9

a disruption of the pads between the femora condyles and tibial plateaus

Answer 9

meniscal tear

Question 10

what is usually used to make dx of meniscal tear

Answer 10

clinical exam and MRI

Question 11

what test for meniscal tear

Answer 11

mcmurray test - positive if there is a painful click during extension of pain along joint line during maneuver

Question 12

+ mcmurray test

Answer 12

meniscal tear

Question 13

what is typical assessment finding with Osgood-Schlatter disease

Answer 13

pain worsens with quadriceps contraction

Question 14

pain worsens with quadriceps contraction

Answer 14

osgood-schlatter disease

Question 15

osgood-schlatter disease - unilater or bilateral

Answer 15

can be both

Question 16

osgood-schlatter disease - what is obvious on assessment

Answer 16

swelling of tibial tubercle and pain with palpation

Question 17

pain worsens with squatting or crouching

Answer 17

osgood-schlatter disease

Question 18

hip pain with trochanteric tenderness is most commonly what

Answer 18

trochanteric bursitis

Question 19

first line med for OA pain

Answer 19

NSAID - ibuprofen

Question 20

prevention that is evidenced by early detection of disease in a patient

Answer 20

secondary

Question 21

example of an action intended to prevent a disease or condition before it starts

Answer 21

primary prevention

Question 22

wine and gout

Answer 22

of all alcohols, wine contributes the least to development of gout

Question 23

multiple myeloma

Answer 23

neoplastic proliferation in the bone marrow that results in skeletal destruction; more common in older adults

Question 24

multiple myeloma common findings
5

Answer 24

pain in long bones
pain in trunk and back
anemia (usually normocytic, normochromic)
hypercalcemia
renal insufficiency

Question 25

pain in trunk, older age, elevated calcium, anemia

Answer 25

think multiple myeloma

Question 26

screening for women for osteoporosis starts at what age

Answer 26

65

Question 27

high purine food sources
2

Answer 27

meat - liver, heart, kidneys
fish - anchovies, crab, fish roes

Question 28

what two food types are associated with lower risks of developing gout

Answer 28

dairy products
coffee

Question 29

clinical clues to suspect RA
7

Answer 29

symmetrical peripheral polyarthritis
morning stiffness lasting >60 mins
rheumatoid nodules
bone erosions on x ray
+ sed rate
+ rheumatoid antigen
+ ANA

Question 30

mild tenderness and edema, able to bear weight

Answer 30

grade I sprain

Question 31

avulsion fracture

Answer 31

bone fragment separates from the rest of the bone