MSK- questions and answers, 2022 update, Accurate answers.

MSK- questions and answers, 2022 update, Accurate answers. Which of the following regimens is acceptable in the treatment of osteomyelitis caused by Staphylococcus aureus ? - ✔✔Six weeks of IV antibiotics followed b ...

MSK- questions and answers, 2022 update, Accurate answers. Which of the following regimens is acceptable in the treatment of osteomyelitis caused by Staphylococcus aureus ? - ✔✔Six weeks of IV antibiotics followed by 1-2 weeks of outpatient oral antibiotics metaphyseal lesion, occurring often at or near the attachment sites of tendons. It presents as a sessile or pedunculated osseous mass, typically growing away from the adjacent joint. - ✔✔osteochondroma Used to determine anterior instability of the shoulder, and though sometimes dislocation may lead to a SLAP injury, - ✔✔apprehension test used in evaluation of biccipital tendonitis, and is pain in the biccipital groove with resisted supination. - ✔✔yergason's test produces pain when the arm is adducted across the chest with the thumb pointed inferiorly, but no pain with the thumb pointed superiorly. (If pain with both movements suspect an AC joint injury). - ✔✔o'brien's test: SLAP injury(superior labrum anterior to posterior tera) most sensitive screening test for ankylosing spondylitis? - ✔✔HLA-B27 A 10 year old child is brought to the emergency department after sustaining a fall onto his outstretched hand. He is complaining of left elbow pain, and is holding the arm tight against his torso and reluctant to move it. Physical exam reveals diffuse elbow tenderness and increased swelling. Which of the following radiographic findings would you expect to find in this patient? - ✔✔supraondylar fracture most common elbow fracture in peds patients? - ✔✔supracondylar fracture A 10 year old male is brought into the primary care clinic by his mother. He has been complaining of anterior right knee pain for the last week. He denies history of trauma, fever, or limp. On physical exam you note tenderness to palpation over the tibial tuberosity, which seems to be slightly enlarged when compared to the left. Which of the following is the most likely diagnosis in this patient? - ✔✔osgood schlatter syndrome A 12 year old overweight male is brought to your office complaining of pain in his hips for the past two weeks. Mom states that during the last few days he has walking with a slight limp. Physical exam reveals limitation of internal rotation of the hips bilaterally, but greater on the right than the left. Which of the following is the most likely diagnosis? - ✔✔slipped capital femoral epiphysis Non-tender bony protuberances in an adolescent male, - ✔✔osteochondroma A 14 year old boy presents to your clinic complaining of 'bumps' on his legs. Physical exam reveals non-tender bony protuberances on the distal femur and proximal tibia. Which of the following is the most likely diagnosis? - ✔✔osteochondroma performed by stabilizing the knee and pushing the patella laterally. - ✔✔apprehension test best for dislocation of the patella most sensitive test for detecting ACL? - ✔✔lachman's test test to evaluate for fluid in joint space- You slide your hand down the distal thigh to displace fluid from the suprapatellar area, and then push the patella toward the joint to assess its mobility. - ✔✔ballottement of the patella also used to detect fluid shifting within the joint capsule and is performed by sweeping the hand over the lateral or medial sides of the knee. - ✔✔bulge sign test used to detect lateral instability of knee joint - ✔✔varus stress test most commonly affected locations in osteomyelitis? - ✔✔hip, spine Patellar dislocation most commonly occurs in which direction? - ✔✔laterally Which of the following sets of physical exam tests, if normal, will help determine if a patient with an arm injury is neurologically intact? - ✔✔Wrist extension, thumb-index finger pinch, abduction of index and little fingers; first dorsal webspace, volar distal index finger pad and volar distal little finger pad sensation Legg-Calve-Perthes disease test of choice to dx? - ✔✔bilateral hip xrays Joint fluid analysis revealing negatively birefringent crystals - ✔✔gout Joint fluid analysis revealing positively birefringent crystals - ✔✔pseudogout Which of the following is the most common side effect of methotrexate? - ✔✔stomatitis who is methotrexate contraindicated in? - ✔✔chronic hepatitis Asymmetric joint space narrowing, with or without the presence of osteophytes, is the most consistent finding seen in - ✔✔OA lytic lesions - ✔✔multiple myeloma moth-eaten bone destruction - ✔✔osteomyelitis RA - ✔✔subchondral cysts most sensitive in ACL? - ✔✔lachman's test Applying anteriorly directed force from behind the knee as it is held in 30 degrees of flexion. - ✔✔lachman's test With the patient lying supine on the exam table, applying posteriorly directed force to the proximal tibia as the foot is held stationary on the exam table - ✔✔posterior drawer test With the patient lying supine on the exam table, applying anteriorly directed force to the proximal tibia as the foot is held stationary on the exam table - ✔✔anterior drawer test Toddler's fracture - ✔✔Nondisplaced spiral tibial fracture of a 3 year old step off of the acrominoclavicular joint - ✔✔AC joint seperation positive drop arm test - ✔✔rotator cuff tear A 28 year old female presents complaining that her knee gave out on her. She states that she was walking down the stairs when her knee failed to support her, and she stumbled down the last few steps without injury. She denies pain, fever, or history of trauma. This is the first time that anything like this has happened to her. On physical exam she is neurovascularly intact distally, knee stability is intact, and there is no excess fluid noted in the joint via the ballottement test. The apprehension test is positive. Which of the following is the next best step in the treatment of this patient? - ✔✔patellar dislocation-- maintain reduction in brace for 2-3 weeks number one RF for osteoarthritis? - ✔✔age distal radius fracture, but it has volar displacement - ✔✔smiths fracture distal radius w/ dorsal displacement - ✔✔colle's fracture Which nerve abnormality may be associated with medial epicondylitis? - ✔✔ulnar nerve paresthesias pes anserinus - ✔✔Sartorius, gracilis, and semi-tendinosus Which of the following conditions is caused by rupture of the extensor tendon as it inserts into the base of the distal phalanx? - ✔✔mallet finger Which of the following structures is most important for stability of the knee? - ✔✔ACL A 32 year old African American female, who is being treated successfully for Systemic lupus erythematosus, presents after having a miscarriage. Which of the following tests should be ordered to assess this patients risk for further miscarriage or blood clots? - ✔✔serum anti-phospholipid antibodies Which of the following is the most specific test used for detecting Sjogren's syndrome? - ✔✔anti-LA dx of scleroderma - ✔✔anti-centromere highly specific for SLE? - ✔✔anti-double stranded DNA A 32 year old overweight female presents to your office complaining of knee pain that is exacerbated by going up and down stairs, and sitting for long periods of time. Which of the following is the most likely diagnosis? - ✔✔patellofemoral syndrome most common knee complaint in primary care, - ✔✔patellofemoral syndrome Unhappy triad' or the 'Triad of O'Donohue' - ✔✔ACL, MCL, medial meniscal injury A 16 year old male, who plays on his school's football team, is brought to the urgent care with right knee pain. He states that he was playing in the game last night, and while running was tackled from the right side at the level of his knee. He experienced immediate knee pain and swelling, neither of which have significantly decreased overnight, or with conservative measures. On physical exam, you note swelling around the right knee, and pain with range of motion, as well as positive Lachman's and McMurray's tests. You suspect ACL, and medial meniscus damage. What other structure may have been injured in this injury? - ✔✔MCL where is clay shoveler fracture MC? - ✔✔C6-7 flexion teardrop fracture - ✔✔unstable cervical spine injury inflammation at the patellar tendon due to repetitive stressors or trauma that most commonly occurs in athletes ages 16-40. - ✔✔patellar tendonitis Jefferson's fracture involves which of the following bones? - ✔✔first cervical vertebrae hangmans fracture is a fracture of - ✔✔C2 fifth metacrapl involves what bone - ✔✔boxer's fracture What non-orthopedic condition is sometimes associated with ankylosing spondylitis? - ✔✔uveitis What is the most worrisome complication associated with hip dislocation? - ✔✔acetabular artery injury A 36-year old male presents with right upper arm pain. The patient is told to adduct his elbow while flexing to 90 degrees. With the practitioner holding the patient's hand in a handshake, the patient attempts to supinate his forearm against active resistance (supplied by the practitioner). Eliciting pain with this movement is indicative of what condition? - ✔✔yergasons test- bicipital tendonitis A patient who has recently begun treatment for systemic lupus erythematosus with hydroxychloroquine returns to your clinic because she is experiencing side effects from the medication. Which of the following is most likely her complaint? - ✔✔impaired night vision What is the hallmark sign or symptom of herniated disc disease? - ✔✔lumbosacral radiculopathy first txn in dequervain's? - ✔✔RICE Then: thumb spica splint The most common mechanism causing meninscus injury? - ✔✔axial loading w/ rotation Which of the following clinical interventions is indicated in the treatment of Legg-Calve-Perthes disease? - ✔✔abduction splinting MC site for OA? - ✔✔knee A 23 year old male, who is an avid skier, presents after sustaining an injury while skiing earlier this week. He reports that he fell while bracing himself with his ski poles, and thinks that he may have hyperextended his thumb joint. You elicit tenderness to the ulnar aspect of the right metacarpophalangeal (MCP) joint with MCP joint laxity under valgus stress. Xray of the hand is negative. Which of the following is the treatment of choice for this patient? - ✔✔thumb spica splint and urgent referral to specialist A 26 year old male presents to your urgent care clinic complaining of left shoulder pain which started during a friendly game of football with his friends. He was tackled and fell onto the tip of his left shoulder with his arm tucked, holding the ball. Now he complains of severe pain with any range of motion, especially overhead movements, and downward traction on the arm. Which of the following is the most likely diagnosis? - ✔✔aromioclavicular jiont seperation A distal radius fracture with associated disruption of the distal radioulnar joint - ✔✔galleazzi fx