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NMSI Final Exam
final exam for NMS I
Question | Answer |
---|---|
ASO titer indicates | rheumatic fever (will be elevated) |
Antinuclear antibody (ANA) in what ds: | SLE (lupus) |
HLA-B27 commonly elevated in what: | AS |
bacteria in rheumatic fever: | streptococcus |
Reiter's syndrome triad: | urethritis, conctivitis, arthritis |
What is acute hematogenous osteomyelitis? | blood-borne bacteria inf of the bone and its marrow in children |
tx for chronic hematogenous osteomyelitis: | surgical removal of sequestrum, antibiotic therapy |
what ds has Brodie's abscess: | chronic hematogenous osteomeylitis |
What is acute septic arthritis (pyogenic arthritis)? | destruction of the synovial jt, which leads to jt problems |
where is acute septic arthritis most commonly at? | hip and elbow |
What ds has cold absess? | TB (in psoas) |
What is Pott's ds? | TB osteomyelitis of the spine, 2nd to UT TB, carried via Batson's Plexus |
What do tests show for tuberculosis arthritis? | inc ESR, positive skin test |
ratio m/f in rheumatoid arth? | 3 female:1 male |
in what age grp is rheumatoid arthritis most common? | 20-40 |
percent positive for rheumatoid factor test in rheum. arthritis? | 70% |
T/F juvenile rheum. arth. is a chronic synovial infl. of unknown cause. | T |
Are there many jts involved in juvenile rheum arth? | no |
AS is seronegative or seropositive? | seronegative |
Primary sign of AS? | bamboo spine |
what is enthesopathy? | AS affecting the insertion of tendons, ligaments, jt capsules w/ progressive fibrosis and ossification |
What is Ricker back? | progressive flex of back (w/AS) |
Lab finding for AS? | inc ESR, positive HLA-B27 |
ratio m/f for lupus: | 8 female:1 male |
How is Reiter's transmitted? | sexually |
Lab for Reiter's: | positive HLA-B27 in 75% |
What is psoriatic arthritis? | chronic skin infl; MC at DIP and spondylitis |
MC findings for rheumatic fever: | inc ASOT; 13-14 yrs of age |
ratio m/f for gout | 20:1 |
mc age for gout | after 40 |
what is podagra? | acute gout |
What is Christmas ds? | hemophiliac arthritis (chronic bleeding into the jt) |
Signs of DJD: | cartilage hyertrophy of subchondral bone; infl of synovial membrane (secondary); heberden's node ( |
Signs of DJD: | cartilage hypertrophy of subchondral bone; infl of synovial membrane (secondary); heberden's node (DIP), Haygarth's node (MCP-soft tissues, swelling around the jts assoc with RA) |
Primary type of DJD mc in: | female, middle age |
pathogenesis of DJD | loss of proteoglycans and H2O |
etiology of neuropathic jt ds (Charcot's jt) | diabetes, syringomyelia, steroid |
myofascial px syndrome= | traumatic induced infl/fibromyoglia |
site of degenerative tendon and capsule ds periarticular ds: | shoulder |
tenovaginits stenosans: | dequervains (wrist) |
How is dequervain's (wrist) tested clinically? | finkelsteins (reactive finkelstein's test) |
What is friction bursitis: | bunion |
4 phases of osteochondrosis (in order) | early phase of necrosis; phase of revascularization; phase of bone healing; phase of residual deformity (infl, necrosis, replacement, residuum) |
5 S's in Chandler's ds: | sterno, steroids, scuba divers, sickle cell anemia, SLE |
Freiberg's | metatarsal head |
Kohler's | tarsal navicular |
Kienbock's | lunate |
Panner's | capitellum |
Osgood Schlatter | tibial tubercle |
Scheuemann's | ant vertebral body height |
Van necks | ischiopubic osteochondrosis |
Sever's ds | calcaneus |
CNII | retina |
CN III | sup and inf rectus and inf obilique |
CN IV | sup oblique mm. |
Rhomber's test | dorsal column/cerebellum |