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MBBS V > Orthopaedics and neuro exam > Flashcards

Orthopaedics and neuro exam Flashcards

(49 cards)

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1
Q

What classification is this?

Mx?

A

Weber B

Isolated malleolar fracture, short leg cast 6 weeks

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2
Q

What’s this?

What nerve root are affected?

Caused by what?

A

Erb’s palsy

C5-C6 (upper brachial plexus)

Caused by excessive lateral flexion with should dystocia

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3
Q

Wirst radial and ulnar devidation nerve roots?

A

C8, T1

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4
Q

Biceps reflex nerve root?

A

C5, C6

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5
Q

Radial nerve injury:

Where can it occur?

What does it cause?

A

Mid-shaft humeral fracture

Wrist drop

Loss of sensation of thumb and 1st web space

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6
Q

Elbow extension nerve roots?

A

C7, C8

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7
Q

What is this fracture?

What nerves can get injured? What artery?

What won’t the patient be able to do?

A

Supracondylar humerus fracture

Anterior intraseous nerve (if postero-lateral displacement of the distal humerus/proximal fragment is displaced antero-medially); ‘Ok’ sign, appositon of thumb and index finger (no sensory changes)

Radial nerve (if distal humerus is displaced postero-medially/ proximal fragment will be displaced antero-laterally)

Brachial artery

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8
Q

Finger reflex nerve root?

A

C8

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9
Q

Triceps reflex nerve roots?

A

C7, C8

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10
Q

Medial winging of scapula. Injury to what muscle and nerve?

A

Serratus anterior + long thoracic

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11
Q

Wrist palmar flexion nerve roots?

A

C6, C7

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12
Q

Dx and nerve injury?

A

Perilunate dislocation

Median nerve

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13
Q

Type of fracture and classificaion?

Nerve and artery that may get injured?

A

Supraconylar fracture of the humeus

Gartland type 3 (complete displacement)

Anterior interoseous nerve (ok sign, no sensory change)

Brachial artery

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14
Q

Type of fracture and classificaion?

Nerve and artery that may get injured?

A

Supraconylar fracture of the humeus

Gartland type 2 (diplacement but posterior cortex intact)

Anterior interoseous nerve (ok sign, no sensory change)

Brachial artery

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15
Q

Brachioradialis reflex nerve root?

A

C5, C6

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16
Q

What’s this fracture?

A

Smith’s fracture (fall onto a flexed wrist)

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17
Q

How to clear C spine?

A

NSAID

N: Neurological deficit

S: Spinal midline tenderness

A: Altered mental status

I: Intoxication

D: Distracting injury

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18
Q

L4 nerve root motor? Gait abnormality?

A

L4 nerve root: foot dorsiflexion, difficulty with heel walking

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19
Q

What’s this fracture?

A

Galeazzi fracture (radial fracture with displaced radioulnar joint)

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20
Q

S1 nerve root motor? Gait abnormality?

Study These Flashcards
A

S1 nerve root: Foot eversion, plantar flexion, difficult tippy toe walking

Loss of Achilles tendon reflex

21
Q

Dx and mx?

Study These Flashcards
A

Scaphoid facture

Thumb spica cast 6 weeks

22
Q

Elbow flexion nerve roots?

23
Q

Risk factor for adhesive capsulitis?

24
Q

Finger extension nerve roots?

25
Posterior interosseous nerve: Branch of what? Injury causes what? Common injury in what?
Radial nerve Purely motor loss (no sensory), cannot extend fingers but can extend wrist Montaggia fracture (fracture of proximal of ulna and dislocation of radial head)
26
Wirst dorsiflexion (extension) nerve roots?
C7, C8
27
Inability to perform 'ok' sign is an issue with what nerve? What fracture does it get injured?
Anterior interosseous nerve (branch of medial) Motor not sensory Supraconylar humetus fracture
28
Distal radius fracture with dislocation of the distal radioulnar joint. Dx?
Galeazzi fracture.
29
Type of fracture and classificaion? Nerve and artery that may get injured?
Supraconylar fracture of the humeus Gartland type 1 (no displacement, ft pad sign) Anterior interoseous nerve (ok sign, no sensory change) Brachial artery
30
Shoulder adduction nerve roots?
C6, C7
31
What's this? What nerve root is damaged? What causes this?
Klumpske's palsy Lower brachial plexus C8-T1 Excessive shoulder abduction (pulling baby by arm, man grabs something as he falls)
32
What clasification is this? Mx?
Weber A Stable unilateral malleolar fracture: short leg walking cast for 6 weeks
33
L5 nerve root motor? Gait abnormality?
L5 nerve root: First toe dorsiflexion, foot drop gait
34
Dx? Nerve to be damaged?
Anterior shoulder dislocation Axillary nerve (deltoids, badge sensory loss)
35
What is this? How does it happen?
Posterior shoulder dislocation (lightbulb sign) Post seizure, electric shock
36
24yo F. G1P1. Had child 4 months ago and works at a computer. Presents with R hand pain over last month. Pain over dorsal aspect of R thumb, radiating to wrist. No Hx of trauma. Exacerbated by computer use/ulnar movement of hand. Lump on dorsal lateral wrist. Dx? One differential? Test?
De Quervain tenosynovitis Diff dx: ganglion Finkelstein's test
37
L4 nerve root sensation?
L4 nerve root: Medial malleolus and central knee
38
Student studying for exams starts working at new chair. Resting elbows on chair. Complains of weeks of pain/tingling in forearm/hand and weakness of hand strength.
Cubital tunnel syndrome: compression of ulnar nerve at cubital tunnel
39
Shoulder abduction nerve roots?
C5, C6
40
S1 nerve root sensation?
S1 nerve root: Lateral foot
41
L5 nerve root sensation?
L5 nerve root: Lateral knee, dorsum of foot
42
Finger flexion nerve roots?
C7, C8
43
What classificaton is this? Mx?
Weber C If neurovascular comprimise, immediate reduction under sedation Bimalleolar (at least, need lateral view for posterior tibia) with talar displacement: ORIF
44
Distal radial fracture with volar displacement and angulation. Dx?
Smith's fracture
45
If there was an L5/S1 disc prolapse. which nerve root will be impinged and what deficit produced?
Lower nerve root (S1) - plantar flexion of foot
46
NOF. What muscle causes the external rotation?
Ilioposas attach to lesser trochanter
47
Pain over the lateral epicondyle on elbow?
Tennis elbow/ Lateral epicondylitis Tendonitis of **extensor** carpi radialis longus
48
Pain over the medial epicondyle of elbow?
Golfer's elbow/ medial epicondylitis Tendonitis of the floxor-pronator muscles
49
Associated with what muscle?
ASIS avulsion fracture associated with satorius muscle.

MBBS V (6 decks)

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