Tintanelli

Question 1

Lhermitte sign

Answer 1

Electric shock like pain in the spine and extremities occurring with neck flexion suggesting cord compression

Question 2

Straight leg raise

Answer 2

Highly sensitive, not specific

Contralateral is highly specific but not sensitive

Question 3

Meralgia paresthetica

Answer 3

Lateral femoral cutaneous nerve compression

Nerve can be irritated by obesity, pregnancy, tight belt, etc

Question 4

Obturator nerve entrapment

Answer 4

Pain in groin and down inner thigh, athletes develop a fascist band at the distal obdurate canal or can occur after pelvic fractures

Question 5

Piriformis syndrome

Answer 5

Irritation of sciatic nerve pain in buttocks and hamstring muscles

Question 6

Pes anserine bursitis

Answer 6

Anterior medial knee

Question 7

Patellofemoral syndrome

Answer 7

Anterior knee, made worse by prolonged knee flexion

Question 8

Iliotibial band syndrome

Answer 8

Lateral knee, tender over lateral epicondyles

Question 9

How does Lyme arthritis present?

Answer 9

Monoarticular arthritis or symmetric oligoarthritis

Weeks to years after primary infection

Question 10

Gonnococcal arthritis

Answer 10

Starts as tenosynovitis prior to mono or oligoarthritis, with vesiculopustular lesions on the extremities.

Question 11

Reiter’s syndrome

Answer 11

Starts 2-6 weeks following urethritis or enteric infection, classic triad arthritis, conjunctivitis, urethritis

Question 12

Diffuse alveolar hemorrhage

Answer 12

Hemoptysis, pulmonary infiltrates, drop in hemoglobinj

Treated with high dose steroids, cyclophosphamide, embolization or plasma exchange

Question 13

Polyarteritis nodosa abdominal complications

Answer 13

Can have arterial rupture of renal or other arterial aneurysms

Question 14

What is the hand position of function

Answer 14

Wrist 15 extension
Mcp 50-90 flexion
Pip 10-15 flexion
Dip 10-15 flexion

Question 15

Thompson test

Answer 15

When you squeeze calf foot doesn’t plantar flex (Achilles tendon rupture)