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Path2CumulativeRevie

CanColl May 2012 Path 2 Cumulative Review Dec 2011

QuestionAnswer
Osteoporosis is a metabolic disorder characterized by? Reduced bone mass
In osteoporosis, the ratio of mineral matrix is (abnormal or normal)? Normal
Osteoporosis: as bones lose calcium and phosphate, they become ? Porous, brittle 'n vulnerable to frac
What factors influence bone mass and rate of bone loss in osteoporosis? Genetic, Estrogen, Age, Calcium intake, Exercise and general environment
Bone mass is greater in (blacks or whites) and in (males or females). Blacks, males
At what stage in life will the levels of estrogen change in women? post menopause
At what age does the rate of bone loss begin to exceed the rate of bone formation (in other words "net loss") Age 40
If calcium intake is low, where will the body find the necessary calcium? stored calcium found in the trabeculae of the bones
Why is exercise important in general and with regards to the onset of osteoporosis specifically? weight bearing exercise helps increase bone mass
What is one of the most significant environmental factors in the onset of reduced bone mass? Smoking decreases estrogen levels = bone loss
Compression factures of the vertebral bodies is a common complication of osteoporosis and may form what is called a __________? dowager's hump (a rounding of the thoracic vertebrae)
What treatments have been found to be successful in arresting osteoporosis? None - there is no cure. Treament is aimed at prevention of future fracs
Describe the condition: osteomyelitis. It is an inflammation of the bone and marrow
Adolescent hyperkyphosis is also known as? Scheuermann's disease
Describre Scheuermann's disease. a growth disturbance of the epiphyseal plates anteriorly in the thoracic spine which results in hyperkyphosis
At what age and demographic does Scheuermann's become apparent? puberty and mostly in boys
Scheuermann's: The child has (elevated or rounded) shoulders and (rotated or hunched) T spine. rounded and hunched forward
True or False: Scheuermann's is successfully treated with hormone replacement therapy. False - the condition is self-limiting (i.e. resolves itself)
Treatment for Scheuermann's is aimed at: preventing progressive thoracic hyperkyphosis = postural exercises and possible a brace
A partial avulsion of the tibial tubercle with subsequent avascular necrosis = Osgood-Schlatter's disease
Osgood-Schlatter's clinically presents as local pain which is aggravated by: kneeling, climbing stairs and running
True or False: Osgood-Schlatter's is successfully treated by surgery to the patellar tendon. False - Osgood-Schlatters's is self-limiting
The aim of treatment in Osgood-Schlatter's: rest (time for healing) and stretching the quadriceps mechanism
Fracs: a fracture occuring due to repetitive stresses = stress or fatique fracture
Fracs: fracture line 45' to the long axis = Oblique fracture
Fracs: a fracture that does not break the skin = Simple / Closed fracture
Fracs: tearing away of a portion of bone by forceful mm/ligament pulling = Avulsion fracture
Fracs: fracture of a diseased bone, the abnormal bone is weaker due to an underlying disease process = Pathological fracture
Fracs: one fracture segment telscopes into the other = Impacted
Stress frac of the 2nd & 3rd metatarsals due to repeated striking of the foot (as in marching) March fracture
distal fibula frac, located approx 6-7 cm above the lat maleolus - usually with disruption of distal tibiofibular lig = Pott's fracture
Fracs: a fracture that breaks the skin and communicates with the outside = Compound fracture
Bursting frac of the atlas, where ant and post arches are displaced laterally. Due to compression force applied thru top of skull = Jefferson's fracture
frac of distal radius with post angulation of the distal segment. Mechanise - fall on outstretched, extended hand = Colle's fracture
avulsion of the proximal end of the styloid process fo the 5th metatarsal = Jone's (Dance) fracture
frac of the distal radius with ant angulation of the distal segment. Mechanism - direct blow or fall with wrist in hyperflexion = Smith's fracture
Tumors: aka cancer = Malignant
Tumors: grow as expansile mass remaining localized to their site of origin = Benign
Tumors: cells that resemble the normal cells = differentiated (benign)
Tumors: tumors formed at locations distant from the primary tumor = Metastases (malignant)
Tumors: slow growing neoplasms that do not necessarily infiltrate adjacent tissues = Benign
What mechanism causes pain the MM's during exercise? mm ischemia produces build up of lactic acid in extracellular fluid = pain
Tumors: fast growing disorganized neoplasms that may infiltrate surrounding tissues = DOMS
Tumors: differentiated Benign
Tumors: lacks differentiation Malignant
Tumors: another name for "lacks differentiation" = anaplasia
Tumors: cells that resemble the normal cells = differentiated (benign)
What causes pain felt only hours after exercise = mechanical damage to mm caused by eccentric mm loading - microtearing of the mm's
What is another name for Lou Gehrig's Disease? Amyotrophic Lateral Sclerosis
ALS is a disease of the _______? Motor Neurons
ALS is characterized by a loss of motor neurons in ___? Both the cerebral cortex and the spinal cord
ALS is a disease of the (upper or lower) motor neurons? Both upper and lower
In ALS, what happens to the senory neurons? They are not affected and thus no sensory changes are noted. Coordination and intellect also remain unaffected by ALS
What is the typical initial complaint when ALS presents? weakness in one of the limbs (usually the hands)
True or False: ALS is self-limiting. False: ALS is progressive and ultimately leads to death.
Defective neuromuscular transmission of acetylcholine across the motor endplates of skeletal muscles = Myasthenia Gravis
The most common muscles affected by Myasthenia Gravis? extraocular, facial, tongue and extremity muscles
Myasthenia Gravis: Blocking of the binding of acetylcholine causes muscles to become? Weak and easily fatigued
Myasthenia Gravis is a (continuously progressive or relapsing/remitting) type of disorder. Relapsing/remitting
With myasthenia gravis, there is a marked absence of mm atrophy - unlike what other disease? ALS
A condition characterized by reactive bone formation in muscles as a result of injury? Myositis Ossificans
What is the usual cause of myositis ossificans? blunt trauma to the muscl and soft tissue
What is the best treatment for mysositis ossificans? use R.I.C.E. to reduce blood flow to area and prevent tendency of healing cells to differentiate into bone cells.
CI's for Myositis Ossificans include: massage applied too soon, active/passive stretching applies to soon, heat and active use of injured MM
Fibromyalgia: widespread aching of more than how many months duration? 3 months
Fibromyalgia: local tenderness at how many of how many tender points? 11 of 18 tender points
Fibromyalgia: Marked skinfold tenderness in what region of the body? over the upper scapular region
Fibromyalgia: diagnosis includes (normal or abnormal) lab results? normal results - eliminating any other possible causes
Fibromyalgia: disturbed sleep pattern with stiffness and fatigue in the ( evening or morning) morning
After exercise - pain that is not felt for hours after is called? Delayed Onset Muscle Soreness (DOMS)
Fracs: fracture line is 45' to the long axis Oblique fracture
Created by: Hanz Onn
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