Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
123 Cards in this Set
- Front
- Back
|
tx. of lyme disease?
|
doxycycline for local, cephalosporin or chloramphenicol for early or late disseminated
|
|
|
pain on hopping and extreme ROM?
|
femoral neck stress fx.
|
|
|
female triad?
|
amenorrhea, eating disorder, osteoporosis
|
|
|
slap cheek and boxing glove?
|
parvo B-19
|
|
|
dx. of b-19?
|
anti b-19 IgM
|
|
|
weeks of arthalgia, sore on palms, and tx.?
|
n. gonorrhea and ceftriaxone
|
|
|
compression force will cause femoral neck fx. on which side?
|
inferior side
|
|
|
conservative tx. for what kind of neck stress fx.?
|
compression (inferior side), usually younger runners
|
|
|
MC location of hamstring strain?
|
proximal myotendinous junc.
|
|
|
MC location of pelvic avulsion fx.?
|
ischial tuberosity
|
|
|
MC age of osteonecrosis?
|
30-40
|
|
|
major blood supply to femoral head?
|
lateral epiphyseal art.
|
|
|
suspicion of AVN of femoral head when?
|
normal x-ray and any risk factors
|
|
|
MC presentation of bone tumor?
|
pain, usually at night
|
|
|
possible bone tumor biopsy should be done by?
|
ortho oncologist or do a longitudinal incision
|
|
|
chemical inducer of bone resorption?
|
RANK
|
|
|
osteoporosis dx. when how many SD from ideal peak bone mass?
|
SD>2.5
|
|
|
estrogen receptors located on which cells in bones?
|
osteoblasts
|
|
|
gold standard dx. of osteoporosis?
|
DEXA
|
|
|
MC forms of calcium?
|
calcium carbonate and citrate
|
|
|
which calcium needs low pH to dissolvem, ie must be taken with food?
|
calcium carbonate
|
|
|
gas and constipation commonly seen with which calcium?
|
calcium carbonate
|
|
|
calcitonin tx. best for which bones?
|
vertebral
|
|
|
bisphosphonate MOA?
|
inhibition of osteoclasts
|
|
|
side effects of bisphosphonate?
|
diarrhea and esophagitis
|
|
|
three bone stiumlators?
|
PTH, PTHRP, and fluoride
|
|
|
ankylosing spondylitis, reiter's syndrome, and psoriatic arthritis has which anitbody common?
|
HLA-B27
|
|
|
how can you treat the pain of ankylosing spondilitis?
|
excercise
|
|
|
which joint always involved in AS?
|
sacroilliac
|
|
|
reiter's triad?
|
conjunctivitis, urethritis, arthritis
|
|
|
keratoderma blennorrhagicum?
|
rashes on soles of feet found in reiter's
|
|
|
large monocytes with ingested PMNs with inclusion bodies?
|
reiter's cells
|
|
|
anti-TNF alpha tx. for?
|
psoriasis
|
|
|
claudication of arms and raynaud's?
|
takayasu
|
|
|
which small vessel vasculitis spares lungs? doesnt spare lungs?
|
PAN spares, churg-strauss and wegners doesnt
|
|
|
associated with hep b, leukemia, and HIV?
|
PAN
|
|
|
asthma and peripheral eosinophillia?
|
churg-strauss
|
|
|
ulcerative purpura with lung, sinus, and RBC casts?
|
wegner
|
|
|
5 risk factors for OA?
|
age, hereditary, trauma, female, obesity
|
|
|
OA has reduced this that causes increase in that?
|
TIMP reduction with MMP increase
|
|
|
synovitis found in OA?
|
warmth and effusion found in OA, but it is not synovitis
|
|
|
RA associated antibody?
|
RF and HLA-DR4
|
|
|
RA, splenomegaly, neutropenia?
|
felty's syndrome?
|
|
|
most sensitive test for carpal tunnel?
|
durkin's compression test
|
|
|
origin of carpal tunnel?
|
majority have no known origin
|
|
|
finkelstein's test?
|
test for dequervian's tenosynovitis?
|
|
|
which tendons affected in dequervian's?
|
abductor pollicis longus and extensor pollicis brevis
|
|
|
Wartenberg's sx.?
|
superficial radial nerve affected
|
|
|
which nerve must not be damaged during trigger thumb surgery?
|
radial digital nerve
|
|
|
most sensitive symptom of carpal tunnel?
|
night paresthesias
|
|
|
good predictive factor for surgical tx. of carpal tunnel?
|
cortisone injections
|
|
|
which pulley affected in trigger finger?
|
A1 pulley in palm
|
|
|
little finger ulnar deviation?
|
Wartenburg's
|
|
|
unable to hold paper between thumb and hand?
|
Fromment's
|
|
|
how to differentiate between cubital tunnel and ulnar tunnel?
|
dorsum of little finger not affected in ulnar tunnel
|
|
|
most sensitive exam for cubital tunnel?
|
decreased monofilament exam
|
|
|
etiology of tennis elbow?
|
overuse of wrist extensors; tendinosis of ECRB
|
|
|
differentiate between tennis elbow and radial tunnel syndrome?
|
radial tunnel pain is 4-5cm more distal to lateral epicondyle
|
|
|
little league elbow etiology?
|
avulsion fx. of medial epicondyle physis
|
|
|
surgery when displacement of medial epichondral apophysis greater than?
|
4-5mm
|
|
|
majority of pts. benefit from surgery in this arm injury?
|
biceps tendon rupture
|
|
|
which menisci more prone to tear?
|
medial menisci
|
|
|
increaed Q angle found in what?
|
patella subluxation
|
|
|
tenderness between 2nd and 3rd toe and positive pop compression test indicate?
|
morton's neuroma-irritation of common digital nerve from flattened transverse arch
|
|
|
tarsal tunnel syndrome?
|
posterior tibial nerve inflammation
|
|
|
tx. of plantar fascitis?
|
stretching and night splinting, NO surgery or heel spur tx.
|
|
|
what is responsible for compressive strength in articular cartilage?
|
proteoglycans
|
|
|
what is responsbile for the tensile strength in articular cartilage?
|
collagen
|
|
|
pannus formation found in?
|
RA
|
|
|
tophus formatino found in?
|
gout
|
|
|
"punched out" lesion with soft tissue tophi?
|
gout
|
|
|
component of pseduogout?
|
calcium pyrophosphate
|
|
|
sausage digits in which spondyloarthropathies?
|
psoriasis
|
|
|
which dx. tool useful to evaluate for early osteonecrosis?
|
MRI
|
|
|
down sides of glucosamine and chondroitin sulfate?
|
long time to become effective and not useful for advanced disease
|
|
|
most commonly injured rotator cuff muscle?
|
supraspinatus
|
|
|
internal impingement pathology?
|
superior labrum impinging on undersurface of rotator cuff, weakness on dominant arm
|
|
|
best non-surgical tx. for internal impingement?
|
core strenghtening
|
|
|
which type of OI is lethal neonatal form?
|
type II
|
|
|
gene association with synpolydactly?
|
HOXD-13
|
|
|
osteopetrosis tx.?
|
BMT
|
|
|
virus associated with paget's?
|
paramyxovirus
|
|
|
lab findings for paget's?
|
elevated AP, urine hydroproline and phosphorus, normal calcium
|
|
|
dissecting osteitis found in?
|
hyperparathyroidism
|
|
|
creeping substitution found in?
|
osteonecrosis
|
|
|
most common site of tuberculosis osteomyelitis?
|
thoracic and lumbar region
|
|
|
which tumor grows commonly in young people and pain relived dramatically by aspirin?
|
osteoid osteoma
|
|
|
main difference between osteoid osteoma and osteoblastoma?
|
osteoblastoma pain not relieved by aspirin and are bigger, found in axial skeleton
|
|
|
nidus?
|
actual name of osteoid osteoma that is variably mineralized
|
|
|
which other tumor has strong association with osteosarcoma?
|
retinoblastoma
|
|
|
which tumor grows from metaphyseal plate like a stalk?
|
osteochondroma
|
|
|
enchondromatosis also know as?
|
ollier disease
|
|
|
enchondromatosis plus hemangiomas and other types of malignancies?
|
maffucci syndrome
|
|
|
s-100 positive chicken wire pattern of mineralization found in?
|
chondroblastoma
|
|
|
which cartilage tumor often present with atypcial cells?
|
chondromyxoid fibroma
|
|
|
conventional chondrosarcoma often metastasize to?
|
lungs, never lymph nodes
|
|
|
MC location of chondrosarcoma?
|
pelvis
|
|
|
which type of chondrosarcoma has great variability in clinical course?
|
mesenchymal chondrosarcoma
|
|
|
which chondrosarcoma behaves as low-grade malignancy?
|
clear cell chondrosarcoma
|
|
|
snow-storm splotchy appearance on x-ray indicate?
|
chondrosarcoma
|
|
|
mutation of alpha subunit of g proteins found in which bone disease?
|
fibrous dysplasia
|
|
|
proliferative, bowing, twisting of bone spicule indicate?
|
fibrous dysplasia
|
|
|
herringbone pattern indicates?
|
fibrosarcoma
|
|
|
well circumscribed, hemorrhagic, peripheral tumor?
|
giant cells, fusion of circulating monocytes
|
|
|
which tumor like lesion often found in vertebrae with insulin like growth factor?
|
anuerysmal bone cyst
|
|
|
birbeck granules in?
|
langerhan cell histiocytosis
|
|
|
cyst in long bones of young males?
|
solitary bone cyst
|
|
|
cyst often found on dorsal carpal area of hand from overuse?
|
ganglion cyst
|
|
|
which gout often found in TMJ?
|
pseudogout
|
|
|
trisomy 3 and 8 associated with which soft tissue tumor?
|
superficial fibromatosis
|
|
|
APC or B-catenin gene associated with which soft tissue tumor?
|
deep fibromatosis
|
|
|
most prevelant painful skin tumor that is often factor XIIIa positive?
|
dermatofibroma
|
|
|
differentiate between dermatofibrosarcoma protruberans and dermatofibroma?
|
CD34 positive, complex and deep
|
|
|
which soft tissue tumors are common in adults and primarily involve LE and peritonium?
|
malignant fibrous histiocytoma and liposarcoma
|
|
|
storiform, pleomorphic pattern found in?
|
malignant fibrous histiocytoma
|
|
|
neurtoectodermal differentiation found in which soft tissue tumor?
|
Ewing and PNET
|
|
|
trilineage differentiation in which soft tissue tumor?
|
desmoplastic small round cell tumor
|
|
|
located on distal portion of extremities with multinodular appearance and necrotic center?
|
epitheloid sarcoma
|
|
|
tumor often found subungual positive for muscle markers?
|
glomus tumor
|
|
|
staghorn vascular pattern found in?
|
HPC
|
|
|
verocay bodies in?
|
schwannoma
|
|
|
tumor in larnyx and trachea that is of schwann cell origin?
|
granular cell tumor
|
|
|
most common sarcoma of toes?
|
malignant melanoma of soft parts
|
