MSK CIS Case

Question 1

First line of tx for OA

Answer 1

-acetaminophen

Question 2

symp for upper extremity

Answer 2

-T2-8

Question 3

parasymp for upper extremity

Answer 3

-OA/AA

Question 4

Where are nodes in RA and OA

Answer 4

• RA has the proximal ones

- remember the anti CCP things

Question 5

What lab findings are elevated in RA but not really in OA?

Answer 5

• Rh factor
• CCP antibody
• ESR and CRP

Question 6

Is tx of RA aimed to maintain tight control of the disease or to control the symptoms only?

Answer 6

• tight control of disease

- use DMARD’s

Question 7

adduction rom

Answer 7

• 30-40

- ulnar abduction

Question 8

Abduction rom for wrist

Answer 8

• 20-30

- ulnar adduction

Question 9

the “ok” sign tests what nerve?

Answer 9

-Anterior interosseous nerve

Question 10

What is inflammed with dequervain’s tenosynovitis?

Answer 10

• abductor pollicis longus
• extensor pollicis brevis
• … so thumb things

Question 11

if there is a “foosh” what will there be a fracture of?

Answer 11

• the scaphoid
• pain in anatomical snuffbox
• watch out for avascular ncrosis

Question 12

What is Colle’s fracture?

Answer 12

-fracture of the distal radius in the forearm with dorsal and radial displacement of the wrist and hand