AAAMedicine > MSK quick > Flashcards

MSK quick Flashcards

(61 cards)

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1
Q

Meniscal tear imaging

A

MRI
Arthroscopy

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2
Q

What nerve damage do you get from anterior shoulder dislocation?

A

Axllary nerve

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3
Q

Undisplaced patella vs displaced patella on fractures

A

undisplaced= hinged knee brace (6 weeks) and weight bare

displaced = operation and hinged knee brace 6 weeks

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4
Q

Most common cause of an ankle sprain?

A

Inversion of foot

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5
Q

Late sign of caudal equine?

A

Urinary incontinence

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6
Q

Pain on right side of the wrist

A

De quervain’s

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7
Q

Sulfalazine side effects

A

Reduced sperm count

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8
Q

APS signs

A

Thrombocytopenia, prolonged APTT, anticardiolipin antibodies

give them aspirin

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9
Q

OA management

A

topical NSAIds, then oral NSAIDs

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10
Q

DsDNA

A

Specific for SLE

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11
Q

Osteomyelitis treatment

A

Fluclox for 6 weeks

note: most commonly STAPH AUREUS

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12
Q

RA signs

A

Loss of joint space, juxtaarticular osteoporosis, soft tissue swelling, periarticular erosion

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13
Q

Drug induced lupus

A

Isoniazidd

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14
Q

Methotrexate what can’t you co prescribe with?

A

Trimethoprim or cotrimoxazole

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15
Q

Medical vs lateral epicondylitis

A

Medial is worse on flexion and pronation

lateral is worse on resisted wrist extension and supination while elbow is extended

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16
Q

Sjorgens gives you a risk of what?

A

Lymphoid malignancy

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17
Q

Reactive arthritis joint aspiration

A

NO FINDINGSPSue

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18
Q

pseudo gout risk factors

A

Haemochromotosis, hyperparathyroid, acromegaly, Wilsons, chonedrocalcinosis

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19
Q

RA flare

A

Corticosteroids IM

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20
Q

AS treatment?

A

Exercise adn NSAIds

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21
Q

Signs of sarcoid?

A

Athroplasty. bells palsy and bilateral hilar lymphadenopathy
Uveitis
Granulomas ( non caeating)
Serum calciuma nd ACE raised
Lupus pernicious
Intersistial fibrosis
Fever

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22
Q

Intracap vs extra cap hip fracture treatment?

A

Intra cap
non- Displaced = internal fixation or hemi if unfit
Displaced - atheroplasty, Hemi if unfit

Extra cap
Intertrochanteric - DHS
Reverse oblique/ transverse/ subtrochanteric - IM device

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23
Q

Colles fracture

A

Dorsally displaced distal radius - dinner fork

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24
Q

Carpal tunnel syndrome

A

Weakness of thumb abduction
Wasting of thenar eminence
Tinels, phalens

Electrophysiology - motor and sensory - propagation of action potential

Corticosteroid injection and wrist splint at night for 6 weeks
—> flexor recticualum division decompression D

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25
Discitis treatment
6-8w IV ABX
26
Adhesive capsulitis
Active and passive movement external rotation USS, CT, MRI show a thickened joint capsule NSaids, corticosteroids, surgery physio
27
Back pain treatment
ORAL NSAIDs
28
Symptomatic osteoporosis vertebral fracture - when to give bisphosphates
If man >50 or post menopausal women
29
Compartment syndrome related injuries
Sypracondylar fractures Tibial shaft injuries
30
Open wound fractures
Immediate wound debridement, application of spanning external fixation device
31
Before giving bisphosphonates what must you do?
Correct vitamin D and calcium deficiency
32
AC joint injury I,II, AC joint injury IV,V, VI
I and 2 - sling more = surgery
33
Total hip replacement complications
Posterior dislocation Aspetic loosening ---> revision
34
DE quervains
APL, EPB Radial side Finkelsteins and eikhoffs Rest, splints, analgesia and steroids
35
Scaphoid fracture - where's pain? treatment?
Undisplaced = cast for 6-8 weeks Displaced or proximal scaphoid pole = surgical fixation Immobilisation with future splint or standard below elbow back slab. and clinical review 7-10 days later
36
Ankle fracture treatment
Promptly reduce In young - surgical repair elderly - conservative
37
Sciatica treatmetn
L4-S3 Amityptilline and duloxetine
38
Reflexes intact?
L5
39
Positive sciatic stretch test vs positive femoral?
L3,l4 for femoral l5, S1 for sciatic
40
ILLIOPSOAS abscess investigation
CT abdo
41
Osteomalacia bloods?
2 up 2 down Ca and phos down, ALP, PTH up
42
Parathyroidrimary hyperthyroid bloods?
Down phosphate rest up
43
Z score
Adjusted for age, gender, ethnic factorsWhat
44
is the frax score for going on bisphophonates? Whats osteopenia
>2.5 1-2.5= osteopenia
45
>75 + hip fracture
Bisphosphonates
46
If egfr<30 and need bisphosphonates
Denosumab
47
Gout
Urate crystals Negative infringement, needle shaped NSAIDS, aspirin, naproxen Colchicine Steroids Prophylaxis with allopurinol
48
Psuedogoiut
Calcium pyrophosphate crystals Haemochromotosis, hyperparhtyroid, low magnesium Rhomboid crystals, positive bifringement NSAIDS, colchicine Chondrocalcinosis
49
Sjorgens
Ro and La increased risk of lymphoid malignancy Dry mucous membranes Artificial tearsSystemic
50
Psoriatic arthritis
Features unique to psoriatic arthritis : Dactylitis – sausage fingers Enthesitis DIP Seronegative! Pencil in cup NSSAID
51
Raynauds treatment
Nifedipine
52
Systemic sclerosis - diffuse vs limited,
Limited = crest, anti centromere Diffuse = + resp, cv/ Anti scl 70 antibdoies
53
PMR
Stiffness and pain in shoulder, pelvic girdle and neck Strong associated with GCA Rapid onset, achey, morning stiffness No weakness Raised CRP and ESR
54
Bechets
HLA B51 Recurrent ulcers Steroids
55
SLE
Sclerosis, oral ulcers, rash, pericarditis Anti smith and DSNA (varies with level fo disease) specific ANA - sensitive
56
Pagets
High density, low densityy Raised ALP Scingraphy - increased uptake at bone lesions
57
Polymyositis and dermatomyositis
Raised CK Jo for poly, Mi for dermato Malignancy Gottrons lesions Proximal muscle weakness Raynauds
58
Temporal arteritis
Overlap with MR jaw claudication, anterior optic neuropathy - swollen pale disc, blurred margins, may get temporary vision loss No vision loss - high dose red Vision loss - IV Methylpred
59
Rheumatoid arthritis
ANTI CCP !! RF Atlantoaxial subluxation, boggy z shaped thumb, swan neck Pulmonary fibrosis, CVD< carpal tmel periarticular erosions!!!! DMARD monotherapy +/- short course of pre -
60
Osteoarthritis
Loss of joint space Osteophytes Subcondral sclerosis Subchondral cysts Squaring of the thumb
61
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