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MSK 1 (orthopedics)

Step-2

QuestionAnswer
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
Created by: shelybel