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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 |
Created by:
pcelvfrdm
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