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PANRE Review > Orthopedics/Rheumatology > Flashcards

Orthopedics/Rheumatology Flashcards

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1
Q

Tests that assess shoulder impigmengement (subscapular nerve, supraspinatus)

A

Hawkins, Drop Arm, Neer

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2
Q

Most common fracture in children?

A

Clavice (middle 1/3rd)

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3
Q

What must you be concerned about with parasthesias of ulnar aspect of hand, forearm, arm

A

Thoracic outlet syndrome

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4
Q

Child falls, onto arm, complains of elbow pain. X-ray shows anterior humeral line or anterior fat pad. Diagnosis?

A

Supracondylar fracture

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5
Q

Mid-distal radial shaft fracture with dislocation of distal radio ulnar joint

A

Galeazzi fracture

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6
Q

High rate of non-union on outstretched hand, anatatomical snuffbox tenderness

A

Scaphoid fracture

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7
Q

Complication with Colles fracture

A

EPL rupture

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8
Q

Garden slade deformity on x-ray

A

Smiths fracture

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9
Q

Lunate fracture

A

Most serious carpal fracture, piece of pie sign, emergent (AVN- Kienbocks dz))

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10
Q

Boutonniere deformity

A

Flexion at PIP, Extension at DIP

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11
Q

Intraarticular fracture of base of 1st MC

A

Bennetts fracture (comminuted= Rolands)

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12
Q

Women presents with hip pain, shortened leg, internally rotated and adducted with hip/knee flexed. Dx?

A

Hip dislocation

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13
Q

Women presents with hip pain, shortened leg, externally rotated and abducted. Dx?

A

Hip fracture

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14
Q

4 year old presents with painless limping for weeks on right side. X-ray reveals crescent sign. Dx?

A

Legg-Calve-Perthes Dz (idiopathic AVN)

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15
Q

10 year old obese male presents with hip and thigh pain with limp, externally rotated right leg. Dx? Tx?

A

SCFE; ORIF

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16
Q

Greenstick fracture

A

Bowing (convex side)

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17
Q

Torus (buckle) Fracture

A

Wrinkling or bump

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18
Q

Which ligament is associated with valgus stress?

A

MCL

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19
Q

Which ligament is associated with varus stress?

A

LCL

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20
Q

Tests for ACL tear?

A

Lachmans**, anterior drawer

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21
Q

Dashboard injury associated with?

A

PCL tear; pivot shift test

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22
Q

Test for MCL injury

A

McMurrays

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23
Q

Best view for patellar fracture

A

Sunrise view

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24
Q

Popliteal artery rupture associated with which dislocation

A

Knee (Tibial/femoral); emergency!

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25
Positive Obers tests seen in?
IT band syndrome
26
Most common injured ligament in ankle sprain?
ATF
27
Spiral fibular fracture d/t rupture distal talofib syndesmosis
Maisonneuve Fracture
28
numbness/pain medial malleolus, heel that worsens throughout the day
tarsal tunnel syndrome
29
Transverse fracture of diaphysis 5th Metatarsal
Jones fracture
30
Transverse avulsion fracture at base of 5th Metatarsal
Pseudojones fracture
31
Fracture at base of 2nd metatarsal
Lisfranc fracture (Fleck sign)
32
Posterior leg/calf, plantar surface of foot; loss of plantar flexion, ankle jerk. Which nerve is affected?
S1
33
Back pain worse with extension
Spinal stenosis
34
Most sensitive test for assessing scoliosis?
Adams forward bending test
35
Most common form of back pain in children/adoloscents
Spondylolysis (defect in pars interarticularis)
36
Most common cause of osteomyelitis in sickle cell patients?Tx?
Salmonella; 3rd gen Cef or FQ
37
28 y/o sexually active patient with suspected septic arthritis has arthrocentesis. Likely gram stain and tx?
G - Cocci (gonorrhea); ceftriaxone
38
Fracture of femur; persistent deep burning, tense extremities. Pain with passive stretching. Dx?
Compartment syndrome
39
17 year old with persistent bone pain of leg. X-ray shows sunburst appearance, periosteal reaction. Likely Dx?
Osteosarcoma
40
5 year old with femur pain. X-ray reaveals layeared periosteal reaction (onion peel). Dx?
Ewings sarcoma
41
Matrix punctate or ring/arc appearance on x-ray
chondrosarcoma
42
17 year old with knee pain. X-ray reveals pedunculated lesion, growing away from growth plate. Dx?
Osteochondroma
43
Increased osteoclast bone resorption, abnormal trabecular bone formation, large and weak compact bones. Elevated ALP. Treatment?
Bisphosphonates and calcitonin (Pagets Dz)
44
Meds that can cause lupus like reaction?
procainamide, hydralazine, INH, quinidine (anti-histone bodies)
45
Best test to confirm SLE?
anti DS DNA, anti-smith ab
46
Anticardiolipin ab is associated with which disease?
Antiphospholipid ab syndrome
47
Anti-centromere Ab is associated with which disease?
Scleroderma (specfically CREST syndrome)
48
Anti SS Ab, Anti SS B and HLADR52 associated with which disease?
Sjogrens Syndrome
49
Treatment for sjogrens syndrome?
Pilocarpine, cevimeline (cholinergics)
50
Bilateral proximal joint pain/stiffness; elevated ESR, anemia
PMR
51
Progressive symmetric muscle weakness of proximal limbs, neck, pharynx
Polymyositis
52
Which disease is associated wth anti-Jo1 ab, anti-SRP ab?
Polymyositis
53
Heliotrope and gottron papules associated with?
Dermatomyositis
54
Negative birefringent crystals on arthrocentesis; Acute Tx?
Gout; NSAIDs
55
Positive birefringent crystals on arthrocentesis; Acute Tx?
Pseudogout; Steroids
56
Morning stiffness in wrists, PIP, MCP that gets better throughout the day
RA
57
Pain that worsens throughout the day in DIP, Thumb
OA
58
Anti-CCP is specific for which disease?
RA
59
Feltys Syndrome
RA + splenomegaly + leukopenia
60
Lab findings in rhabdomyolysis
Elevated CPK, LDH, ALT, K Decrease in Ca Myoglobinuria (Heme)
61
Asymmetric joint pain, conjunctivitis, urethritis in 27 year old. Cause?
Chlamydia (Reactive arthritis)
62
Chronic low back pain and morning stiffness in 25 year old with positive HLAB27
Ankylosing spondylitis
63
Papable purpura, arthritis, abdominal pain, hematuria in a child makes you think of? Dx?
Henoch-Scholein Purpura; kidney biopsy showing igA deposition
64
URI symtoms with dyspnea, glomerulonephritis, positive C-ANCA
Wegeners granulomatosis
65
Treatment for Kawasaki's disease
IVIG + high dose ASA
66
Takayasu arteritis affects which vessels?
Aorta, aortic arch, pulmonary artery (large vessels); diagnosed with angiography
67
Eosinophilia with allergies, asthma, significant purpuric rash on legs
Churg-strauss
68
Which vasculitis is assocaited with capillaries, glomerulonephritis and P-ANCA?
microscopic polyangiitis
69
Vasculitis assocaited with Hepatitis B and C, renovascular HTN, livedo reticularis?
Polyarteritis nodosa

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