Ortho

Question 1

-d/t traction fo interdigit nerve against ligament–>degeneration of nerve -S/S: pain at webspace, often with palpable mass. Squeezing of foot reproduces pain; pain/numbness with standing walking and relieved with rest Tx: pads, wide shoes, steroid inj.

Answer 1

Morton Neuroma

Question 2

-d/t Trauma or overuse -Tx: prevention of precipitating factors, rest, NSAIDS, steroid injections

Answer 2

Bursitis

Question 3

-Cyst of synovial fluid within tendon or joint sheath -Usually self limiting

Answer 3

Ganglion Cyst

Question 4

-Stenosing tenosynovitis of abductor Pollicis longs and extensor polices -MC women >30 and diabetics -S/S: Pain/tenderness at wrist and base of thumb -Reproduction of pain with finklestein -Tx: NSAIDS, thumb spica, OT/PT

Answer 4

de Quervain Dz

Question 5

-d/t microscopic tears in plantar fascia -Pain w/ 1st steps in the morning. Heel pain. Tx: STretching

Answer 5

Plantar Fasciitis

Question 6

-Inflammation at tendonous insertion -Pain on lifting objects, MC when pronated -Tx: Stop agrevating activty for at least 6wks, braces, OT/PT, NSAID

Answer 6

Lateral Epicondylitis (tennis elbow

Question 7

-Deposits in peripheral joints (usually of LE) of calcium phosphate -MC joints=knee, wrist, elbow -Tx: NSAIDS, cholchine, joint inj.

Answer 7

Psuedogout

Question 8

-MC presenting symptom acute big toe joint pain (erythema, tenderness too) -Systemic dx of altered purine metabolism–>sodium urate crystal precipitation -Tx cholchicine. Allopurinal not during attack, but to prevent

Answer 8

Gout

Question 9

-Flexion contracture d/t sclerosis of palmar fascia -Surgical release

Answer 9

Dupuytren Contracture

Question 10

85% of sprains d/t ankle inversion Crutches first 48hrs; RICE

Answer 10

Ankle Sprain/Strain

Question 11

-d/t lateral deviation of proximal phalanx Tight pointed shoes Tx: different shoes/surgery

Answer 11

Hallux Valgus (bunion)

Question 12

MC etiology prolapsed disc and straing MSK causes can be localized to point tenderness Tx: rest (max 2 days), NSAIDS, rehab,

Answer 12

Back Pain

Question 13

Hx of repetitive stress Pain reproduced with resistance to pronation of wrist Tx: stop aggrevating activity for at least 6 weeks, braces, OT/PT, NSAIDS

Answer 13

Medial Epicondylitis (Golfer’s elbow)

Question 14

S/S: night pain, numbness, parastheias (not in little finger) Tinel sign=tingling with tapping Phallen test=full minute reproduces sxs Tx: Activity modification, splint, NSAIDS

Answer 14

Carpal Tunnel

Question 15

Drugs that predispose to gout

Answer 15

1) Loop & thiazide diuretics 2) Low does ASA 3) Immunosuppresants 4) Niacin

Question 16

Back Pain Red Flags

Answer 16

Weight loss, fever, saddle anesthesia, loss of bowel/bladder, major motor weakness

Question 17

Flexeril

Answer 17

Centrally acting. Decreases tonic somatic motor activity

Question 18

-D/t overuse and systemic Dz -Pain w/ mov’t, swelling, impaired function -Tx: Rest, ice, stretching, peritendion injections

Answer 18

Tendonitis/tenosynovitis

Question 19

Distention of bursa–> excessive synovial fluid 2/2 trauma or synovitis -Self-limiting

Answer 19

Baker Cyst

Question 20

-d/t excessive rotation force of femur on tibia -S/S joint line pain on side of injury; inability to fully extend the knee; joint instability; difficulty with stairs/squatting, McMurrary and Apley tests -Tx: Rest, NSAIDS, quad strengthening, time

Answer 20

Meniscle injury

Question 21

-S/S Pivoting motion–>“Pop”–>knee instability -ACL>PCL; female>male -Tx: bracing to surgery

Answer 21

Cruciate Ligament Injury

Question 22

-Progressive loss of articular cartilage w reactive bone changes=pain/joint destruction -Tx: Acetaminophen

Answer 22

Osteoarthritis