Boards Msk

Front 1

Back pain malignancy Sx

Back 1

– not relieved by lying down
– older than 50
– worsen’s at night
– more than 1 month

Front 2

Spinal Stenosis

Back 2

– leg cramping is worse at rest and with standing and walking
– if you suspect it, skip w-ray and get MRI
– improves w/ hip flexion
– can give epidural steroids or lamectomy if really bad

Front 3

Anklysoing Spondylitis

Back 3

– apophyseal joint arthritis
– Schober test is decreased flexion
– 3rd degree heart block
– only exercise can reverse it
– can try TNF-a inhibitors

Front 4

Reiter’s syndrome causes

Back 4

– Camp, Shigella, Salmonella
– Ureaplasma, Chlamydia

Front 5

Dystrophen in DMD and BMD

Back 5

– Absent vs. Abnormal protein

Front 6

Fibromyalgia Tx

Back 6

– antidepressants
– TENS, hydrotherapy etc.
– make sure to test of TSH and CK

Front 7

Gout findings

Back 7

– Rat bite bones
– hips and shoulders are spared

Front 8

Causes of uricemia

Back 8

– cyclosporine
– DI
– Lead
– Salicylates

Front 9

Gout Tx

Back 9

– Acute is NSAIDS and colchicines or steroids
– Maintenance is Allopurinol for overproduces or probenecid for undersecretors (do 24 hr urine level)

Front 10

The myositis Dx

Back 10

– increased Aldolase
– EMG shows fibrillations
– Bx shows fibers in varying stages of necrosis and regeneration

Front 11

Myositis Tx

Back 11

– high dose corticosteroids for 4-6 weeks, then taper
– Azathioprine or Methotrexate as adjuvant

Front 12

RA

Back 12

– HLA-DR4
– needs to be > 6 weeks
– Felty is spenomegaly and neutropenia
– fluid has decreased viscocity and increased WBC

Front 13

RA Tx

Back 13

– 1st line is methotrexate, hydroxyl or TNF a-inibitors
– 2nd line is penicillamine and cyclosporine

Front 14

JRA types

Back 14

– must last > 6 weeks
– Pauciarticular is asymectric on weight bearing w/ iriocyclitis and ANA
– Polyarticular is > 5 small joints
– Acute febrile has salmon rash and remises w/in 1 year

Front 15

JRA Tx

Back 15

– NSAIDS or steroids
– ROM and strengthening
– methotrexate is 2nd line

Front 16

Scleroderma Antibodies

Back 16

– CREST is centromere
– Scl-70 is poor prognosis

Front 17

Scleroderma Tx

Back 17

– Steroids for acute and penicillamine for skin
– CCBs for Raynauds
– ACEI’s for renal

Front 18

Neonatal SLE

Back 18

– Anti-Ro antibodies

Front 19

Drug induced SLE

Back 19

– Cyclorpromazine
– INH
– Methyldopa
– Penicillamine
– Procainamide
– Quinidine

Front 20

SLE Tx for refractory

Back 20

– Steroids
– hydroxychloroquine
– cyclophaspamide
– azathioprine

Front 21

Temproal Arteritis

Back 21

– ESR > 100
– bx shows necrosis of the media, lymphocytes, plasma cells, and giant cells
– give high dose prednisone for 1-2 months

Front 22

PMR

Back 22

– increased ESR w/ anemia
– give low dose prednisone
– no weakness on exam

Front 23

DDH signs

Back 23

– Orrolani’s is abducting from midline
– Barlow is pressure on inner aspect
– Allis or Galezzi’s is knees unequal heights

Front 24

DDH Tx

Back 24

– Less than 6 months is Pavlik harness (flexed and abducted)
– 6-15 months is Spica cast
– 15-24 months is open reduction

Front 25

What do hip fractures look like?

Back 25

– externally rotated and shortened

Front 26

Shoulder dislocation nerves

Back 26

– Anterior damages axillary
– posterior damages radial

Front 27

Monteggia’s fracture

Back 27

– Proximal ulna w/ subluxation of radial head
– ORIF of ulna and closed reduction of radial head

Front 28

Galeazzi’s fracture

Back 28

– fracture of radius w/ dislocation of distal radial/ulnar joint
– ORIF of radius and cast in supination for the joint

Front 29

Legg-Calve-Perthes

Back 29

– limited ABduction and internal rotation
– can observe if full ROM
– if not, do osteotomy
– better if less than 5 years

Front 30

SCFE

Back 30

– medial and posterior displacement
– hypothyroidism
– flexion leads to obligatory external rotation
– can’t bear weight until surgically stabilized

Front 31

Osteosarcoma Tx

Back 31

– Methotrexate
– doxorubicin
– cisplatin
– ifosfamide

Front 32

Methotrexate SE’s

Back 32

– it inhibits DFR and leads to macrocytic anemia

Front 33

Relapsing polychondrits

Back 33

– recurrent inflammation of cartilage and internal organs

Front 34

OCP’s in SLE

Back 34

– increases risk of thromboemoblism so avoid if active renal involvement

Front 35

Stepwise OA tx

Back 35

– Tylenol
– NSAIDS (or COX-2)
– weight reduction/exercise

Front 36

Systemic Sarcoidosis Tx

Back 36

– systemic steroids

Front 37

Mixed essential cyroglobulinemia

Back 37

– leukoclast vasculitis and IgM C3 deposits
– usually w/ HCV

Front 38

Suprascapular neuropathy

Back 38

– poor ADduction and external roatation

Front 39

Lupus Nephritis

Back 39

– from Anti-DsDNA Ab

Front 40

Mixed connective tissue D/O

Back 40

– anti-ribonuclear protein
– SLE/Scleroderma/myositis

Front 41

Erythema nodosum tests

Back 41

– Get CXR for sarcoid
– if bowel problems, SBFT

Front 42

Reflex sympathetic dystrophy

Back 42

– pain and swelling w/ vasomotor instability
– give prednisone

Front 43

Atheromatous syndrome

Back 43

– blue toes syndrome
– calf discomfort from small vessles
– livedo reticularis w/ mottled skin

Front 44

Abs for Sjogrens, poly, and dermatomyositis

Back 44

– SSA and SSB
– ANA
– Jo1

Front 45

De Quervian’s disease

Back 45

– tendenitis of abductor policis longus under reinacular pulley

Front 46

CPPD RF’s

Back 46

– Hyperparathyroidism
– Hemochromatosis