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5 Cards in this Set
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Hx:31yo professional bodybuilder c/o R shoulder pain w/ X-body add, point tend @ the AC jnt. xray Fig A, which treatment to provide the most successful result? 1-glenohumeral jnt injection; 2-periscapular mus strengthening; 3-labral repair; 4-SAS resection of the distal clavicle, 5-capsular release
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Osteolysis of the distal clavicle is one cause of shoulder pain p/acute injury or repetitive microtrauma. MC in wt-lifters. SAS resection of the distal clavicle =to provide pain relief, return to function comparable to open techniques, the advantages of decr morbidity, w/ < postop restrictions on motion, earlier return to nl activity, improved cosmesis.Ans4
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Which of the following portals is generally not used during elbow arthroscopy? 1-Antero-lateral; 2-Antero-medial; 3-Postero-lateral; 4-Postero-medial 5-Direct posterior
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A posterior medial portal is not often used as it would lie very close to, or directly over the ulnar nerve.
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EKG for routine pre-participation screening of youth athletes is not presently SoC in the US. W/respect to this observation, all of the following are correct EXCEPT: 1-Echo is used to confirm hypertrophic subaortic cardiomyopathy; 2- H & P exam are considered> cost-effective than EKG for screening; 3- Athletes w/ a fam hx of sudden cardiac death should receive additional testing; 4-ElectroKardioGraphy will result in a large number of false-(+) results; 5-ElectroKardioGraphy cannot detect potential causes for sudden cardiac death
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(EKG) is not used for routine pre-participation screening in US high school athletes, but it is NOT because it cannot detect some of the potential causes for sudden cardiac death- it can, major causes of sudden death in a young competitive athlete include hypertrophic cardiomyopathy, myocarditis, coronary abnormalities, and conduction abnormalities, Noninvasive testing = (EKG), (Echo), and stress tests can be used to detect some potential causes for sudden cardiac death. However, it is not recommended as a routine screening procedure in young athletes from a cost-benefit standpoint.
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Hx:football'er is dx'd as having a "stinger" by the athletic trainer. Which of the following acute transient findings are consistent w/ that diagnosis? 1-B/l UE sensory sx; 2-B/l UE weakness; 3-Unilateral UE & LE sensory and motor sx; 4-Unilateral UE & LE weakness only; 5-Unilateral UE pain & weakness
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stingers (burners) have unilateral symptoms exclusive to the upper extremity. Any evidence of bilateral upper extremity or lower extremity symptoms should be evaluated for spinal cord injury->MRI.Ans4
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Hx:37yo severe asthmatic has been taking daily corticosteroids for 20 yrs, now c/o 4 mths of worsening L shoulder pain, unable to complete a full day of work 2^to the pain. xray Fig A. Which of the following describes the pathogenesis behind this disease process? 1-Cell-mediated immune response inciting synovial hypertrophy & mononuclear destruction of cartilage; 2-Humoral immune response following a systemic infection in an HLA-B27 positive individual; 3-Hyperuricemia induced crystalline deposition w/in the synovial fluid; 4- Cellular death of the subchondral bone p/ an interruption in the vascular supply; 5-Bacterial seeding of the joint inducing PMN cell destruction of the cartilage
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radiograph demonstrates AVN of the humeral head and early collapse of the articular surface, 65 shoulders with AVN of the humeral head reporting mixed results with 35 shoulders requiring arthroplasty after failure of conservative therapies. Surgical drilling and decompression did not alter the progression of disease.Ans4
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