MSK random factoids Flashcards

1
Q

SLE antibody

A

anti-DNA binding antibody

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2
Q

gottron’s papules are seen in what

A

dermatositis

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3
Q

what is uric acid seen as

A

negatively bifrefringement needle crystals

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4
Q

is sunfalazine safe in pregnancy

A

yes

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5
Q

what should be avoided when on DMARDS/

A

live attenuated vaccines

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6
Q

which muscle is weak in a positive tredndellenegr test?

A

gluteus medius

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7
Q

transverse fracture

A

bending force causing horizontal break

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8
Q

oblique

A

shearing force causing diagonal break

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9
Q

spiral

A

torsional force causing diagnoal + circular break

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10
Q

comminuted

A

has 3 or more fragments

usually due to high energy injury

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11
Q

segmental

A

bone fractures in 2 seperate places

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12
Q

what is compartment syndrome?

A

when increased pressure (inflammatory exudate, bleeding) compresses the venous system, causing congestion within muscle compartments and ischaemia since arterial blood cant get through

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13
Q

which surgery is performed for compartment syndrome?

A

faciectomy

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14
Q

what is volkmans contracture?

A

fibrotic contracture that can develop from necrotised muscle in compartmenet syndrome

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15
Q

which type of collagen is produced by duputryens disease?

A

type 3

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16
Q

definition of greenstick fracture

A

occurs in childrens bones with the crotex on the tension side of the frcature failing but the cortex on compression side of frcature remaining intact

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17
Q

is thrombocytosis a feature of anti-phospholipid syndorme?

A

no

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18
Q

what are the 3 types of CP and which is the commonest?

A

spastic - motor cortex problem
ataxic - affects cerobellum + reduced coordination + balance
athetoid - sudden changes in tone + uncontrolled speech

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19
Q

what are the blood findings for fibromyalgia?

A

none - normal

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20
Q

when is arthrodesis used?

A

end stage ankle arthritis, wrist arthritis + arthirits of first MTP joint of foot (hallux ridigus)

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21
Q

is perthes disease seen in tall or short stature?

A

short

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22
Q

which is the most common bering surface combination for hip arthroplasty?

A

metal on polyethlene

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23
Q

how much of SUFE is bilateral

A

1/3

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24
Q

do boys or girls get tapes equinovarus more ?

A

boys

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25
Q

is acute osteomyeliitis without surgeyr more common in adults or children

A

children

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26
Q

which movement is lost in frozen shoudler

A

external rotation

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27
Q

what is it called when there is muscle formation in a bone after trauma eg soft > hard lump?

A

myositis ossificans

28
Q

describe bouchards nodes

A

PIPS

29
Q

describe herbendes nodes

A

DIPs

30
Q

age of temporal arteritis

A

> 50

31
Q

sympoms of temporal arteritis

A

jaw claudication
unilateral headahce
visual disturbances
scalp tenderness

32
Q

most common place for child OM

A

metaphysis of femur

33
Q

xray ankle rules

A

ottawa ankle

  • inability to weight bear both immediateyl and at the time of assessment
  • presence of tenderness over posterior aspect of medial / lateral malleolus, navicular bone or base of 5th MT
34
Q

age of polymyalgia rheumatic

A

> 50

35
Q

how to aspirate knee

A

in extened position

36
Q

antibodies for dermatomyosiis

A

antiJo

37
Q

investigation for dermatomyositi and polymyosiists

A

muscle biopsy

38
Q

treatment for poly / dermatomyositis

A

40mg prednisolone

39
Q

which nerve damaged in broken fibula

A

common peroneal nerve

40
Q

fibromyalgia symptoms

A

widespread pain above + below waist for > 3 months

41
Q

signs of brachial artery damae

A

supracondylar humeral fracture
cold fingers
reduction / stabilisation of fracture

42
Q

most commonly dislocated wrirst bone

A

lunate

43
Q

NF sigs on xray

A

subcutaneous gas on xray after surgery

44
Q

OM treatment

A

surgical debridement + IV antibiotics

45
Q

RA treatment pyramid

A

NSAIDS
steroids 2 DMARDS
infliximab

46
Q

SE of HCQ

A

retinophaty / corneal deposits

47
Q

apical fibrosis

A

ank spondy

48
Q

primary supply to femoral neck

A

medial circumflex artery

49
Q

investigation for rotator cuff tear

A

US

50
Q

problem swinging child by arm

A

subluxation of radial head / nursemaids elbow

closed reduction of raidal head subluxation

51
Q

symptoms of pagets

A

hearing loss + movement problems

52
Q

symptoms of takayasus

A

pulseless

younger women < 40

53
Q

feltys syndrome

A

splenomegaly, neutropenia in RA

54
Q

skiers thumb

A

rupture of ulnar collateral ligament + - volar plate, weakness of pincer grip

55
Q

humerous fracture compromises which nerve

A

radial

56
Q

polyarterities nodosa associated with which system

A

renal system

57
Q

which joints are spared in RA

A

DIP

58
Q

feature of psoriatic arthritis

A

nail involvement

59
Q

Xray features of OA

A

reduced joint space
subchondral sclerosis
bone cycts
osteophytes

60
Q

what differes polymyalgia rheumatic from polymyositis

A

pain and increased ERS + >50

61
Q

who gets SLE

A

afro carribean women 20-40 years

62
Q

features of pulmonary fibroriss

A

SOB, dry cough, bilateral fine inspiratory crackles

63
Q

which condition is pulmonary fibrosis assoc with

A

RA

64
Q

investigation for Pe / anti-phospholipid syndrome

A

CTPA

65
Q

biochem of pagets

A

normal Ca and phosphate

increased ALK PHOS