Ortho/Rad

Question 1

Anterior Shoulder Dislocation

Answer 1

Abd + Ext Rot

Axillary nerve affected

Question 2

Posterior Shoulder Dislocation

Answer 2

Add + Int Rot

From seizure or electrical/lightning injury

Question 3

Rotator Cuff Tear

Answer 3

Empty can test

Question 4

Mid-Shaft Humerus Fx

Answer 4

Wrist drop d/t radial nerve

Question 5

Clavicle Fx

Answer 5

Middle third most commonly affected

Tx - sling

Question 6

Supracondylar Fx

Answer 6

PEDS
Median nerve + brachial artery affected
Ant sail and post fat-pad sign
Gun-stock deformity
Volkmann's contracture

Question 7

Elbow Dislocation

Answer 7

Usually post

Question 8

Scaphoid Fx

Answer 8

d/t FOOSH
Snuffbox tenderness
Tx - thumb spica splint

Question 9

Carpal Tunnel

Answer 9

Median nerve affected
Phalen & Tinel signs
Compression test
Thenar eminence atrophy

Question 10

Boxer Fx

Answer 10

5th metacarpal Fx

Tx - ulnar gutter splint

Question 11

Dequervain Tenosynovitis

Answer 11

Preg!

Finklestein test

Question 12

Ankylosing Spondylitis

Answer 12

Young male, HLA B27

Bamboo sign

Question 13

Cauda Equina Injury

Answer 13

Bowel/bladder incontinence

Saddle paresthesia

Question 14

Spinal Stenosis

Answer 14

Shopping cart sign (pain relieved c forward bend)

Question 15

Avascular Necrosis

Answer 15

Femoral neck Fx - get frog/lat XR

Limp

Question 16

Legg-Calve-Perthes

Answer 16

Avascular necrosis of HIP.

Sx of knee pain though

Question 17

SCFE

Answer 17

Often in obese peds

XR - Post displacement of femoral epiphysis “Ice cream off cone”

Question 18

Developmental Hip Dysplasia

Answer 18

Palpable ‘clunk’
+ Ortalani and Barlow test
Tx: Pavlick harness

Question 19

Hip Fx

Answer 19

Ext Rot + Shortening

Question 20

ACL Tear

Answer 20

Deceleration, hyperext injury
Pop/swelling
+ Lachman or Ant Drawer test

Question 21

Meniscus Tear

Answer 21

Mechanical Sx
Baker cyst
+ McMurry & Apley test

Question 22

Osgood-Schaltter Disease

Answer 22

PEDS
Knee pain that worsens c exercise
Tenderness over tibial tuberosity

Question 23

Achilles Tear

Answer 23

+ Thompson test

Question 24

Osteomyelitis

Answer 24

S. aureus

Question 25

Ewing Sarcoma

Answer 25

Moth-eaten and onion-peel

Question 26

OA

Answer 26

Often of knee or hand PIP - Bouchard nodes DIP - Heberdens nodes

Question 27

Osteoporosis

Answer 27

Risk - smoking, corticosteroids, amenorrhea

Question 28

Osteosarcoma

Answer 28

Sunburst pattern

Question 29

Compartment Syndrome

Answer 29

``` P! Pain out of Proportion Pressure Paresthesia Pulselessness Pallor Paralysis ```

Question 30

RA

Answer 30

Bilat, symmetric, progressive Boutonniere/Swan-neck deformities Felty Syndrome = RA + Splenomegaly + Neutropenia

Question 31

Fibromyalgia

Answer 31

Usually women c depression and pain

Question 32

Pseudogout

Answer 32

Ca2+PPi | + Birefringent rhomboid-shaped crystals

Question 33

Juvenile RA

Answer 33

Polyarthritis Spiking fevers Salmon-colored rash Risk of uveitis!

Question 34

Polyarteritis Nodosa

Answer 34

Cause - HepB Livedo reticularis Mononeuritis multiplex

Question 35

Polymyositis

Answer 35

Progressive proximal muscle weakness | Dysphagia

Question 36

Dermatomyositis

Answer 36

``` Heliotrope rash Guttron papules Shawl sign Anti-jo1 & mi-2 AB Risk of CA ```

Question 37

Polymyalgia Rheumatica

Answer 37

>50yo | Giant Cell Arteritis

Question 38

Reactive Arthritis

Answer 38

GI/GU infec Urethritis Conjunctivitis

Question 39

SLE

Answer 39

+ANA dsDNA & anti-Smith ABs Malar rash Discoid rash

Question 40

Scleroderma

Answer 40

``` Fibrosis Calcinosis Telangiectasis Reynaud's GERD Sclerodactyly Anticentromere & SCL-70 ABs ```

Question 41

Sjogren

Answer 41

Dry eyes + Shirmer test + Anti-ro(SSA) & anti-1a (SSB) ABs Associations c oral thrush & non-Hodgkin lymphoma

Question 42

Gout

Answer 42

Monoarticular Podagra Needle-shaped, negatively birefringent crystals under polarized light