click below
click below
Normal Size Small Size show me how
MSK 1 (orthopedics)
Step-2
Question | Answer |
---|---|
An elderly woman with a history of cholethiasis presents with a 5 day history of vague recurrent ab pain and vomiting. What diagnosis do you immediately suspect? | Gallstone illeus |
A 60 y/o woman leaks urine when laughing or coughing. What are her nonsurgical options? | stress incontinence. Tx= kegel exercises, estrogen(cream), and pessary |
What is the late, life-threatening complication of CML? | blast crisis |
Describe the arm postion in a patient with anterior shoulder dislocation. | external rotation and slight abduction |
Describe the arm position in a patient with posterior shoulder dislocation. | internal rotation and adduction, and unable to externally rotate |
Which artery and nerve is at risk in anterior shoulder dislocation? | axillary |
Patient presents with should dislocation. He obtains a blow to abducted, externally rotated, extended arm while blocking a basketball shot. Which type of dislocation is this? | anterior shoulder dislocation |
Which type of shoulder dislocation commonly occurs with seizures and electrocution? | posterior should dislocaiton |
__________Anterior/posterior should dislocation will have a prominent acromion and loss of shoulder roundness. | Anterior |
What is the tx for an acute anterior shoulder dislocation presenting to the ER? | pain control, reduction techniques, immobilization with a sling and ortho f/u in 1 week |
What are the classic sx of carpal tunnel syndrome? | wrist pain that can radiate up the arm, worsens with hand flexion and grasping. Decreased hand strength. Numbness in thumb, index and middle fingers. Thenar muscle atrophy |
When are wrist splints most effective in treating carpal tunnel syndrome? | at night |
Which nerve is damaged in the follwoing: claw hand | ulnar n |
Which nerve is damaged in the follwoing: ape hand | median n |
Which nerve is damaged in the follwoing: wrist drop | radial n |
Which nerve is damaged in the follwoing: scapular winging | long thoracic n |
Which nerve is damaged in the follwoing: unable to wipe your butt | thoracodorsal n |
Which nerve is damaged in the follwoing: loss of forearm pronation | median n |
Which nerve is damaged in the follwoing: cannot abduct or adduct fingers | ulnar n |
Which nerve is damaged in the follwoing: loss of shoulder abduction | axillary n |
Which nerve is damaged in the follwoing: weak external rotation of arm | suprascapular and axillary n |
Which nerve is damaged in the follwoing: loss of elbow and wrist flexion. | musculocutaneous n |
Which nerve is damaged in the follwoing: loss of wrist extension | radial n |
Which nerve is damaged in the follwoing: trouble initiating shoulder abduction | suprascapular n |
Which nerve is damaged in the follwoing: unable to abduct arm beyond 10 degrees | axillary n |
Which nerve is damaged in the follwoing: unable to raise arm above horizontal | long thoracic & spinal accessory n |
What nerve is most at risk of injury with the following type of fracture/injury: shaft of the humerus | radial n |
What nerve is most at risk of injury with the following type of fracture/injury: surgical neck of the humerus | axillary n |
What nerve is most at risk of injury with the following type of fracture/injury: supracondylar of the humerus | median n |
What nerve is most at risk of injury with the following type of fracture/injury: medial epicondyle | ulnar n |
What nerve is most at risk of injury with the following type of fracture/injury: anterior shoulder dislocation | axillary n |
What nerve is most at risk of injury with the following type of fracture/injury: injury to the carpal tunnel | median n |
Which types of fractures would prompt you to search for a ruptured thoracic aorta? | Rib fractures (particularly 1st and 2nd rib fractures), scapular fractures, and sternal fractures. |
What is a Monteggia fracture? | proximal ulnar fracture with anterior dislocation of the radial head. |
What is a Galeazzi fracture? | Radial fracture with dislocation of distal ulnar-radial joint. |
What complications should you look for with the following fracture/injury: fall on outstretched arm, with snuffbox tenderness | avascular necrosis (this is scaffoid fracture) |
What complications should you look for with the following fracture/injury: anterior shoulder dislocation | axillary n injury |
What complications should you look for with the following fracture/injury: fracture of the 5th metacarpal neck | (boxers fracture) Abscess from bite wound |
What complications should you look for with the following fracture/injury: humerus fracture | radial n injury |
What complications should you look for with the following fracture/injury: hip fracture | DVT (short term) and avascular necrosis(long term) |
What complications should you look for with the following fracture/injury: femur fracture | severe blood loss and fat embolus |
What complications should you look for with the following fracture/injury: tibial fracture | compartment syndrome |
What complications should you look for with the following fracture/injury: pelvic fracture | hypovolemic shock (from blood loss) |
Carpal tunnel syndrome occurs in _____F/M most commonly, between the ages of ______. | Females age 30-55 |
_________can be used in addition to nerve conduction studies to evaluate nerve compromise in carpal tunnel | EMG |
What is the unhappy triad? | medial meniscus tear, medial collateral ligament tear and ACL tear. |
What is the tx for compartment syndrome? | emergent fasciotomy for pressures >30mmhg or for pressures within 20mmhg of diastolic pressure. |
__________fracture occurs commonly in osteoporotic patients who fall on an outstretched hand. The fracture resembles a dinner fork | Colles |