Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

UW3 (2020) > UW3 (03 Rheum & Ortho) > Flashcards

UW3 (03 Rheum & Ortho) Flashcards

(56 cards)

Start Studying
1
Q

Shoulder pain differential
Lateral? 3
Anterior? 3
Posterior? 3

A

Rotator Cuff
Impingement
Frozen

AC
GH
Biceps

Cervical nerve impingement
Disc herniation
Spinal stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Knee injury

Common @ athlete
Effusion / Swelling

A

Cruciate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Knee injury

Rare effusion
Unstable at movement

A

Collateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Knee injury

Small effusion
Extension
Locking
Instability
Joint line tenderness
A

Meniscus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q 
Adolescent / Obese
Dull hip pain
Referred knee pain
Altered gait
Internal rotation ↓

Diagnosis?
Complication? 2
Treatment? 2

A

Slipped Capital Femoral Epiphysis

AVN
OsteoArthritis

No weight bear
Surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Fever / Malaise / Weight Loss
Pain & Stiffness
Bilateral
Torso / Neck / Shoulder / Hip / Thigh

Diagnosis?
Treatment?

A

PolyMyalgia Rheumatica

Steroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Reactive arthritis

Common cause?

MSK symptoms?
Eye symptoms?
GenitoUrinary symptoms?
Skin symptoms?

Test?
Treatment? 4

A

Common cause: Chlamydia

S/S:  onset 1-4w after infection
Arthritis:  Asymmetric & Multiple
Uveitis / Conjunctivitis
Urethritis / Cervicitis / Prostatitis
Ulcer:  Oral / Genital
Test:  Chlamydia NAAT
Treatment
Anti-biotics
NSAID
Steroids
DMARDS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Fall @ outstretched arm
Elbow pain & swelling

Diagnosis?
Test & finding?
Treatment? 2
Complications? 2

A

SupraCondylar Fracture

X-ray
Posterior fat pad displacement
Fracture line
Humerus displacement

No displacement –> Splint / Sling
Displacement –> Reduction + Pins

NeuroVascular injury
Compartment syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hip dysplasia

Cause / mechanism?
Other finding?
Gait type? 2

A

Abnormal acetabular development

Leg length discrepancy

Toe walking
Trendelenburg gait

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Scleroderma

Pathology?
What causes htn?
Treatment? 3

A

Abnormal cellulose deposit

Renal crisis

Captopril PO (ACE-I)
+ NitroPrusside IV
+ CCB IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Children
Hip: flexed, abducted, ext rotated
Non weight bearing
T > 101

Diagnosis?
Lab? 3
Management? 4

A

Septic arthritis

ESR > 40, CRP > 2, WBC ↑

Joint aspiration = WBC > 50k
US / MRI = Effusion
Vancomycin
Drainage / Debridement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Osteonecrosis

Risks? 2

A

Alcohol

Steroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Sjogren

Complication?
Lab / test? 3

A

B cell lymphoma

Anti-Ro / SSA
Anti-La / SSB
Schimer (tera) test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what happens to pain @ extension? flexion?

for:

  1. spinal stenosis
  2. disc herniation
A
  1. Spinal stenosis
    Worse @ extension
    Improve @ flexion
  2. Disc herniation
    Worse @ flexion
    Improve @ extension
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Adolescent scoliosis

When to reassure with scoliomter?
When to do x-ray with scoliometer?

At what cobb’s angle:
Reassurance?
Brace / PT?
Surgical eval?

A

Scoliometer
< 7° –> Reassurance
> 7° –> X-ray

Cobb’s Angle
< 10° –> Reassurance
> 10° –> Brace / PT
> 40° –> Surgical eval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

DermatoMyositis

Skin manifest? 2
Pulmonary? 1
GI? 1
Cardiac? 1

Disease association?
Labs? (3 elevation, 3 positive)
Diagnostic tests? 3

A

Grotton’s Papule / Heliotrope rash
Interstitial lung disease
Dysphagia
Myocarditis

Association = cancer

CPK ↑ / Aldolase ↑ / ADH ↑
Anti-RNP ⊕ / Anti Jo-1 ⊕ / Mi-2 ⊕

EMG
Biopsy (skin / muscle)
ANA ⊕ –> CXR / CT chest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Carpal tunnel

When / how long to use wrist splint?
Steroid injection complication?
Diagnostic?
Surgery indication? 3

A

mild symptom < 10m

Tendon rupture

EMG/NCS

Mod/Severe > 6m
No response
Neurologic deficit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Shoulder pain
Pain @ abd & ext rot
SubAcromial tenderness
ROM = normal

What PE to test? - 2 differential if positive?

A

Neer / hawkin

impingement
Tendinopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Shoulder Pain @ abd & ext rot
SubAcromial tenderness
ROM = normal
Weakness @ abd & ext rot

Diagnosis?

A

Rotator cuff tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Shoulder
ROM ↓
Symptom Worse at night
Stiffness ± Pain

Diagnosis?

A

Adhesive Capsulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Pain @
Ant shoulder
Lifting / Carrying
Overhead reach

Diagnosis?

A

Biceps tendon rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Gradual shoulder pain (ant / deep)

Diagnosis?

A

GH joint OA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Repetitive motion / Heavy lifting
Pain @ abduction
Active ROM ↓ + Passive ROM = N

Study These Flashcards
A

SubAcromial bursitis

24
Q

Adhesive Capsulitis (treatment)

Conservative? 2

When & what to consider further treatment?

Study These Flashcards
A

Self limit 6-18m
Shoulder rest
ROM exercise

If no improvement 2-3m
PT
Steroid injection

25
PostMenopausal OsteoPorosis Lab test? 3 Lifestyle changes? 4
BMP CBC 25-OH VitD Smoke / Alcohol Weight bearing exercise Calcium > 1.2g/d Vit-D > 800u/d
26
PostMenopausal OsteoPorosis If osteopenia? If low risk? When to start bisophonate?
10y fracture risk DEXA until 82yo High risk Hip fracture risk > 3% Combined fracture risk > 20% Osteoporosis
27
Stiffness @ shoulder / Hip Fatigue / Weight ↓ Diagnosis? Disease association? Lab? Treatment?
PolyMyalgia Rheumatica Temporal Arteritis ESR ↑ / CRP ↑ GlucoCorticoids
28
Tibial stress fracture X-ray can be negative for how long? X-ray findings? 4 Treatment? 3
X-ray ⊝ for 3-4w Sclerosis Cortical thickening Periosteal elevation Fracture lines ``` Splint Weight bear ↓ / Crutches 1-2w Gradual exercise (8-12w) ```
29
Thick palm fascia @ D3, D4, D5 Nodules @ flexor tendon (↓ extension @ digits) Diagnosis? Risk factor? 5 Treatment? 4
Dupuytren Contracture ``` Male > 50 FH DM Tobacco Alcohol ``` Hand tool modification Needle ApoNeurotomy Steroid injection Surgery
30
Compartment syndrome Symptoms? 6 Complications? 4
``` Pain out of proportion Persistent deep pain Paresthesia Tightness / Weakness Pain @ passive stretch DTR ↓ / Pulse ↓ ``` Muscle contracture Sensory deficit Infection Ulceration / Necrosis
31
New headache, fever, vision change Temporal – tender & pulse ↓ Diagnosis? Disease association? Lab? Diagnostic?
Giant Cell Temporal Arteritis PolyMyalgia Rheumatica ESR > 50 Biopsy Necrotizing artery MonoNuclear cells
32
``` Paget's Bone disease Symptoms? 4 Bone consistency? Labs? Diagnostic? Treatment? 2 ```
Hearing loss Dizziness Fracture Osteocarsoma Thick & Heterogenous Mixed (lytic + sclerotic) Ca = N / ALP ↑ / PO4 = N Radio-Nuclei bone scan Bisphosphonate Calcitonin
33
Gout Crystal? 3 1st line treatment (avoid at? 5) 2nd line treatment? (avoid at 2) When to use steroid IA vs PO
MonoSodium Urate Negative Birefringement Needle Shape NASAID (AKI, CKD, PUD, CHF, AntiCoag) Colchicine (CKD, liver dysfunction) IA steroid @ <2 joints PO steroid @ > 2 joints
34
Hemochromatosis Endocrine issues? 3 Cardiac issue? 2 Common infection organism? 3 Labs? 3 Joint aspiration crystal? Initial treatment? Does it improve arthropathy?
DM HypoThyroid HypoGonadism CardioMyopathy Conduction Abnormality Listeria Vibrio Yersenia Fe ↑ / Ferritin ↑ / Transferin ↑ Calcium PyroPhosphate Dihydrate Positive Birefringement Rhomboid Phlebotomy – Not improve arthropathy
35
Flu like symptoms Rash – Red / Reticular Arthralgia (after flu symptoms) Organism? Complication? Diagnostic? Treatment?
ParvoVirus B19 Transient Aplastic anemia B19 IgM NSAID / Support
36
Raynaud Initial treatment? Systemic or resistant - next step?
Amlodipine > Nifedipine > CCB ANA / RF / Complement
37
``` Joint pain / burning / swelling ROM ↓ Skin changes / discoloration Pain out of proportion Temp changes ``` Diagnosis? Tests? 2 Treatment? 2
Complex Regional Pain Syndrome Sympathetic / Sweat MRI Sympathetic nerve block Regional anesthesia
38
Weakness @ quadriceps Knee extension ↓ Sensory ↓ @ Anterior & Medial Corresponding nerve?
Femoral
39
Weakness @ LE + Hamstring Sensory ↓ @ LE Corresponding nerve?
Sciatic
40
Adduction --> Pain + Weakness Sensory ↓ @ distal thigh Corresponding nerve?
Obturator
41
Patellar pain (differential) Patella compression test ⊕? Pain @ inferior patella
PatelloFemoral Patellar Tendonitis
42
LBP + Stiffness < 3m Lumbar ROM ↓ Chest Expansion ↓ Diagnosis? Test? Management? 2 Life expectancy?
Ankylosing Spondylitis X-ray (repeat) NSAID / Aerobic exercise Normal life expectancy
43
Normal leg development
6m Genu Varum 2y Straight 4y Genu Valgum 7y+ Straight
44
Plantar flexed foot fixed Adducted & Int rot Diagnosis? Management?
Talipes Equinovarus / Club feet Serial casting
45
Morbid Obesity Increases what other medical condition risk? to improve? Surgery consideration? 2
OA risk ↑ (Weight ↓) BMI > 40 BMI > 35 + comorbidities
46
SLE | Bone loss prevention? 2
Calcium + Vit-D
47
Swing by arm Arm @ extension + pronation Diagnosis? Cause/Mechanism? Treatment?
Radial Head Subluxation Annular ligament displacement Forearm adjustment: Pronation or Supination + Flexion
48
DMARD side effects MethoTrexate (3) Leflunomide (2) HydroxyChloroquine (1) Sulfasalazine (3) ``` Infleximab Golimumab Etanercept Certolizumab Adalimumab (4) ```
Hepatotoxic Cytopenia Stomatitis Hepatotoxic Cytopenia Retinopathy Hepatotoxic Stomatitis Hemolytic Anemia Infection Demyelination CHF Malignancy
49
Lab test association: ``` dsDNA Ab Centromere Ab Mitochondria Ab Smith Ab Ro / SSA ```
``` SLE CREST / Scleroderma PBC SLE Sjogren ```
50
Pain = chronic + wide Fatigue Trigger point tenderness Diagnosis? Labs?
FibroMyalgia | Labs = normal
51
PolyMyositis vs PolyMyalgia Symptoms? Labs? 5 vs 2
``` PolyMyositis Pain = mild / none Weak = Prox Musc CK ↑ Aldolase ↑ AST ↑ ANA ⊕ Jo-1 ⊕ ``` PolyMyalgia Stiffness >> Pain Shoulder / Hip / Neck ESR ↑ / CRP ↑
52
Rheumatoid Arthritis Cervical spine complications? 2 2 lab test? 2 correlated with activity? X-ray findings? 3 Initial Treatment? 2
Subluxation Cord complication RF + CCP Ab Activity = ESR / CRP Soft tissue swelling Bony erosions Joint space narrowing NSAID Methotrexate + Folic Acid
53
Chikygunya | Arthralgia character
Multiple joints Bilateral Symmetric Distal
54
``` Back pain Red flags (needs imaging) 7 ```
``` Fever Chills Weight changes Age > 50 IVDU Nocturnal pain History of malignancy ```
55
Kawasaki Complications? 2 Tests? 2 Treatment?
Coronary artery aneurysm Myocardial ischemia/infarction ESR / CRP – q24h Echo: 2-6w after treatment IVIG + Aspirin Defer immunization
56
Cough / Dyspnea / Chest pain Bilateral hilar Adenopathy Reticular infiltration Diagnosis? Associated presentation? 2 Lab test? 3 Diagnostic & findings? 2
Uveitis Parotid gland edema Ca ↑ @ serum + urine ACE ↑ Hepatic = ALP ↑ + GGT ↑ Biopsy NonCaseating Granuloma Negative (fungi / AFB)

UW3 (2020) (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions