Step 2 Rheum 7

Front 1

Dx
low urine specific gravity in the presence of high serum osmolarity

Back 1

DI

Front 2

Dx test for hereditary spherocytosis

Back 2

osmotic fragility test

Front 3

which infants should be screened for developmental dysplasia of the hip

Back 3

breached females
females with family history

Front 4

Rx for slipped capital femoral epiphysis

Back 4

bedrest, crutches, wheelchair

prompt surgical pinning of the head of femur

Front 5

Rx for juvenile idiopathic arthritis

Back 5

NSAID
different NSAID
MTX/steroids

Front 6

characteristic feature of osgood schlatter disease

Back 6

ant knee pain that increases and is worse when running or jumping

signs of tibial tuberocity

Front 7

Rx for developmental dysplasia of hip in child younger than 6 months

Back 7

pavlik harness

Front 8

Rx for osgood schlatter disease

Back 8

stretch
ice
NSAIDS

Front 9

what should be done in a child born with a clavical fracture

Back 9

evaulate for brachial plexus injury

Front 10

Rx for legg salve perthes

Back 10

no weight bearing
if extensive, brace hip, hip abduction with a petrie cast or an osteotomy

Front 11

classic presentation of childhood spondylolisthesis

Back 11

anterior slip of vertabrae that is palpable step off on PE

back pain exacerbated by hyperextending

neurologic disfunction including urinary incontinence

Front 12

disease a/w with painful limp in a child and:
x ray shows femoral head sclerosis

Back 12

legg calve perthes

Front 13

disease a/w with painful limp in a child and:
x ray shows ice cream scoop falling off cone

Back 13

slipped capital femoral

Front 14

disease a/w with painful limp in a child and:
obese male adolescent with dull hip pain and inability to bear weight

Back 14

slipped capital femoral

Front 15

disease a/w with painful limp in a child and:
acute onset of tibial pain, fever, malaise, elevated ESR, no joint pain

Back 15

osteomyelitis

Front 16

disease a/w with painful limp in a child and:
acuet onset of knee pain, fever, increased ESR, leukocytosis

Back 16

septic arthritis

Front 17

disease a/w with painful limp in a child and:
7 yo with growth delay and inner thigh pain

Back 17

legg calve perthes

Front 18

disease a/w with painful limp in a child and:
13 yo boy with pain and swelling at the tibial tuberocity

Back 18

osgood schatter

Front 19

Rx for nursemaids elbow

Back 19

forced supination and flexion