PANCE MSK Rheum 8/13/20 Flashcards
(105 cards)
1
Q
what nerve pathology must you rule out with proximal humerus fx
A
axilary and brachial plexus
2
Q
what nerve pathology must you rule out with humeral shaft fx
A
radial nerve
3
Q
what is one of the things you look for on supracondyer fx or radial head fx
A
fat pad sign
4
Q
proximal ulnar shaft fx with radial read dislocation is called
A
monteggia fx
5
Q
monteggia fx nerve injury
A
radial
6
Q
olecranon fx what nerve
A
ulnar
7
Q
mid radius fx with dislocation of the DRUJ
A
galeazzi fx
8
Q
how do you rest a nursemaids dislocation
A
supination and flexion
9
Q
tx for colles fx
A
sugar tong splint
10
Q
what is the wrist position for colles fx mechanism
A
extened
11
Q
wrist position for smith fx mechanism
A
flexed
12
Q
X ray for colles fx
A
proximal interior
13
Q
what tendon for dequarivains
A
APL and EPB
14
Q
what position is the leg with posterior dislocation
A
internal rotation
15
Q
what position is the fem neck fx in
A
external rotation
16
Q
labs and image for osteomyelatitis
A
ESR CRP
and MRI
17
Q
MCC of osteomyelitis
A
staph aureus
18
Q
osteomyelitis tx
A
nafcillin
19
Q
what abx treats staph
A
nafcillin
20
Q
what abx for gram -
A
ceftrixone
21
Q
what is the best inital test for SLE
A
ANA
22
Q
what is the most specific test for SLE
A
smith
23
Q
what is the SLE triad
A
fever
rash
joint pain
24
Q
tx for sjogrens
A
pilocarpine
25
what test for sjogrens
schimer
26
what is the MC reason for elbow joint effution on adults
radial head fx
27
what is the MC reason for elbow joint effusion in children
supracondylar fx
28
what are the 2 ways to dx a supracondylar fx
abnormal anterior humoral line
| posterior fat pad sign
29
what fat pad is always abnormal
posterior
30
what vitamin for CRPS
- vit C
31
intraarticular fx through the first MCP
Bennent fx
32
what is the tx for a Bennent fx
ORIF because these are always unstable
33
what is one sign you may see with a pelvic fx
perineal ecchymosis
34
what are the 5 ottawa ankle rules
- pain along lateral malleouleus
- pain along medial malleouleous
- navicular pain
- 5th met pain
- unable to walk 4 steps
35
describe webber ankle fx A B C
A: below the joint
B: At the joint
C: above the joint
36
what is a maisonnuve fx
fx of the fibula with an ankle fx
| that is why you always X ray the knee with ankle trauma
37
what is the location of a march or stress fx
3 metatarsal MC
38
what pathology is charcots joint associated with
DM
39
what location for mortans neuroma
3rd metatarsal head
40
what levels do you brace scolios
20-40
| > 40 surgical
41
what two abx for osteomyelitis
naffcillin
| vanco
42
what is the MC cause of joint infections (septic arthritis) if they have a prosthesis
- staph epidermis
43
what is the MC cause of joint infections (septic arthritis)
staph aureus
44
what is the MC cause of joint infections (septic arthritis) young adults
neisseria gonorrhea
45
what PSI is dx for compartment syndrome
> 35
46
where does osteosarcoma MET to
lungs
47
what is a benign bone tumor
osteocondroma
48
what antibodies are specific for SLE
anti smith
| anti double stranded DNA
49
what are the three main tx for lupus
- sun exposure
- hydroxychloraqiun
- NSAIDS
50
what pathology
- tight skin
- anti centromere
scleroderma
51
scleroderma tx
DMARDS
52
what medication is used for fibromyalgia
pregablin
53
polymyalgia rheumatica tx
steroids
54
polymyalgia rheumatica lab
Inc ESR
55
how do you tx dermatomyocitis
steroids
56
what pathology is associated with high uric acid
gout
57
what do you tx gout with 2
NSAIDS
| colchiicine
58
who cant take allopurinol
hann chineese
59
what meds for gout prevention 2
- colchiicine
| - allopurinol
60
what is psudo gout made of
calcium
61
how do you tx psudo gout
steroids
62
what gets psudo gout ore often
females
63
what are the two tx for rhabdo
- IV hydration
| - mannitol
64
what is the primary tx for OA
acetaminophen
65
what may be looked at as a progression of polymyalgia rheumatica
giant cell arteritis
66
what pathology
- HA
- jaw claudication
- vision changes
- fever
giant cell arteritis
67
what is a complication of giant cell arteritis
blindness
68
Recurrent oral or genital ulcers
bechets syndrome
69
bechets syndrome tx
steroids
70
what is a complication of kawasaki syndrome
- coronary artery aneurysm
71
kawasaki syndrome tx 2
IVIG
| - high dose aspirin
72
strawberry red tongue
kawasaki syndrome
73
painless limp hip pathology
legg calfe perthes
74
what abx for gram neg rods
ceftriaxone
75
hair on end or sun burst ray what type of cancer
osteosarcoma
76
where does osteosarcoma met to
lungs
77
lytic lesions "onion skin" on X ray
ewing sarcoma
78
what bone tumor is pudunulated
osteochondroma
79
what labs for pagets disease
high alk phos
80
what is the management of pagets diseases
bisphosphenates
81
what screen for lupus
anti nuclear ab (ANA)
82
what is the most sp for lupus 2
- antidouble stranded
| - anti smith
83
what is the main medication for lupus
hydroxychloraquin
84
what test for scleroderma
anti centromere AB
85
how do you you tx scleroderma
DMARDS
86
how do you tx sjogrens
pilocarpine
87
people with sjogrens have a higher incidence of what
non hodgkins lymphoma
88
what type of system is cholinergic?
parasympathetic
89
what rhematic condition is associated with giant cell arteritis
polymyalgia rheumatica
90
polymyalgia rheumatica tx
steroids
91
what is the first line for gout
1. NASID
| 2. colchicine
92
how do you tx chronic gout
1. allopurinaol
| 2. colchicine
93
what are gout crystals made of
monosodium urate crystals
94
what are psudo gout crystals made of
calcium
- rhomboid shape
- tx: steroids
95
most specific for RA
anti cyclic
96
best initial RA test
RH fctor
97
HA
jaw pain
visual chnages
giant cell arteritis
- high dose steroids
- Inc ESR
98
tx of osteomyelitis in adults 2 +
nafcillin + Vanco
99
cause of osteomyelitis in adults
S aureus
100
tx of osteomyelitis in sickle cell 2+
ceftriaxone + cipro
101
cause of osteomyelitis in puncture wound
psudomonas
102
tx of osteomyelitis in puncture wound
cipro
103
MCC septic arthritis
- S aureus
| - sexucally active (n, gonorrhea)
104
tx septic arthritis 2 +
Nafcillin + Vanco
105
what is the gold standard for osteomyelitis
bone aspiration
