Msra > Msk > Flashcards

Msk Flashcards

(50 cards)

Study These Flashcards
1
Q

Osteomalacia lab findings
Tx

A

Ca, PO4 low
ALP High
Tx vit D

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

Osteomalacia presentation, xray

A

Bone pain muscke weakness
Xray: translucent bands ( looser’s zones or pseudo#s

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

Intracapsular hip fracture management

A

Total hip replacement or hemiarthroplasty

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

Extracapsular hip fracture management, if stable inter-trocanteric fracture

A

Dynamic hip screw

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

If reverse oblique or unstable extracapulsar hip fracture, management

A

Intramedullary device

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

RA particular xray findings

A

Juxta articulatar osteoepenia/osteoporosis( appears early)
Soft tissue swelling, peri articular erosions, subluxation, loss of joint space

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

OA Xray findings

A

Subchondral sclerosis ( more common in OA than RA)
Osteophyte(specific)
Subchondral cysts
Loss of joint space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lateral epicodylitis

A

Aka tennis elbow, worse on wrist extension/supination while elbow extended

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

Medial epicondylitis

A

Golfers elbow, pain during wrist flexion and pronation

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

Dupuytren’s contracture

A

affects ring and little finger
RFs:
positive family history
DM
Phenytoin
Manual labour
Hand trauma
alcoholic Liver disease

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

Contact dermatitis Ix

A

Patch test ( gold standard)

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

Antibody highly specific for RA

A

Anti CCP antibody,detected upto 10 year prior to diagnosis

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

Long term steroid Tx in > 65, bone protection?

A

Bisphosphonate, caclium vit D replete

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

carpel tunnel syndrome

A

involves median nerve at wrist, numbness and tingling of thumb, index and middle finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

cubital tunnel sundrome

A

involves half ring finger and little finger, entrapment of ulnar nerve at wrist

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

Low ankle sprain

A

occur due to inversion injury
most commonly affect anterior talo fibular ligament
able to weight bear

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

high ankle sprain

A

due to external rotation of foot
damage to syndesmosis
unable to weight bear
Hopkins squeeze test- pain when tibia and fibula arfe squeezed together mid calf

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

Housemaids knee

A

Pre patellar bursitis ass with upright kneeling

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

Clergy mens knee

A

infra patellar bursitis

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

meniscus injury knee

A

knee lokcing and giving way, tender over tendon

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

Reflexes nerve supply

Study These Flashcards
A

S1,2-ankle reflex
L3,4-knee
C5,6- biceps
C7,8- Triceps

21
Q

Pain numbness and tingling involving entire arm and hand esp fduring over head activities

Study These Flashcards
A

thoracic outlet syndrome
I( compression of subclavian artery, Brachial plexus)

22
Q

external rotaion ( on both active and passive movement is restricetd in)

Study These Flashcards
A

adhesive capsulitis

23
Q

most common cause of revision of THR

Study These Flashcards
A

THR- total hip replacement
most common cause of revision- aseptic losseing ( radiolucent on Xray)

24
ottawa rule for ankle xray
unable to walk four weight bearing steps immediately or in ed bony tenderness fromm the tip of medial malleolus to 6cm of post border of tibia bony tenderness from tip of lateral malleolus to the lower 6cm of posterior border of fibula
25
chondrocalcinosis
seen i pseudo gout ass with wilsons, haemochromatosis, hypotyroidism Positively birefringent crystal of calcium pyrophosphate
26
GBS
ass with areflexia, opthalmoplegia, ataxia
27
MS
associated with brisk tenson reflexes
28
pain worse at medial calcaneal tuberosity
plantar fascitis, exacerbated by walking on tiptoe
29
L3
supplies senosry to anterior thigh positive femoral nerve strecth test weak hip adduction, knee extension and hip flexion reduced knee reflex
30
L4
supplies medial malleolus and and anterior knee positive femoral stretch test reduced knee reflex weak hip adduction and knee extension
31
L5
supplies dorsum of foot weakness of dorsiflexion and and big toe dorsiflexion positive sciatic nerve strecth test reflexes intact
32
S1
supplies lateral part of foot and posterolateral leg weak planterflexion reduced ankle reflex Positive sciatic nerve stretch test
33
MX of ankylosing spondylitis
NSAIDs
34
obturator nerve
thigh adduction, sesnory nerve supply to medial thigh, can be inured due to ant hip disloaction
35
Femoral nerve
supplies ant and medial part of thigh an leg ( sensory) motor- knee extension thigh flexio
36
common peroneal nerve
injury can cause foot drop causes dorsiflexion of dorsum of foot and eversion
37
tibial nerve
causes planterflexion and inversion sensory sole of foot < not commomly injured is deep and well protected
38
Other associated aocnidtions with Ankylosing spondylitis
Apical fibrosis Achilles tenodnitis AV block anterior uveitis aortic regurg amyloidosis Cauda equina
39
Hip disolocation
occurs in RTA Posterior: More common than anterior, leg internally roateted , adducted and shortened Anterior- Abudcted and externally rotated needs to be corrected within 4 hours
40
Gout Acute Mx
NSAIDS Colchicine ( can cause diaarhea)
41
URate loweing therapy
offered to all patients after first attack 2 weeks after acute attack 1) allopurinol 2) febuxostat ( xanthine oxidase inhibitor) 2) uricase# 3)
42
SITS muscles
Subscaopularis- placed ant on chest. helps with internal rotation of shoulder supraspinatus_ positioned on top of your shoulder, helps with initial abductiom Infraspinaturs-helps in external rotation Teres inor-ext rotation
43
Meralgia parasthetica
burning in anterolateral aspect of thigh due to compression of lateral cutaneous nerve of thigh
44
after 5 years of oral bisphosphonates or 3 years of IV zoledronate, reassess
high risk age >75 On gluco-corticoid Tx Vertebral fracture/ hip fracture high risk on FRAX scoring T score <-2.5 after treatment if no high risk, stop Bisphosphonates and reassess in 2 year or if another frcture occurs
45
PTH, ALP
osteoporisis- PTH ,ALP, Calcium, PO4 all normal Osteomalacia- Ca, PO4 Decreased, ALP raised, PTH raised Primary PTH- Ca, PTH, ALP raised, PO4 decreased Sec Hyper PTH ( eg CKD)- Ca decreased, ALP, PO4, PTH raised Pagets disease- Ca, PO4 , PTH normal, ALP raised
46
Nerve supplies
47
MEniscal injury
caused by twisting potion, Positive mc murray test
48
ACL knee injury
caused by twisting motion as well, Ant draw test +ve
49
Msra
flashcards
Decks in class (17)
# Cards
Brainscape helps you reach your goals faster, through stronger study habits.
© 2026 Bold Learning Solutions. Terms and Conditions