Musculoskeletal

40 flashcardsby cathsims
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1
A bump due to the buckling of the cortex without obvious fracture line is a _____ fracture?
torus
2
incomplete fracture due to bending force?
greenstick
3
more than two bone fragments
comminuted
4
fracture fragments remain aligned
non-displaced
5
bone fragments overlap each other
overriding
6
bone fragments separated due to retraction of tendons
distracted
7
bone fragments at an angle
angulate
8
a fracture that is angulated laterally is a
varus deformity
9
a fracture that is angulated medially is
valgus deformity
10
bone fragments wedge into each other
impacted
11
facture that passes through abnormal bone (metastasis, bone tumor or bone cyst)
pathologic
12
fracture that occurs in bone with decreased strength (from osteoporosis)
insufficiency
13
fracture that occurs at a tendon or ligament insertion
avulsion
14
A bump due to the buckling of the cortex without obvious fracture line is a _____ fracture?
torus
15
What is first line imaging for neck and back pain?
radiographic films/plain films
AP and lateral
16
When would you order flexion and extension views of the spine?
if you are worried about stability of the spine
17
Do you view AP or lateral first?
lateral
18
What would you use swimmers view for?
may be required to see C7-T1 if patient is short necked
19
What do you use the odontoid view for?
r/o odontoid fracture
20
What is best viewed on the oblique view of the spine?
pedicles
neural foramina
facet joints
21
Curves for the C, T and L spine
C and L are lordotic
T is kyphotic
22
Spinal cord becomes cauda equina at what vertebral level?
L1
23
Disruption of the scotty dog indicates which disease?
spondylolysis
24
A normal sacrum has what kind of concavity and what kind of tilt?
anterior with a posterior tilt
25
What is the standard view for the pelvis?
AP
26
Which developmental anomaly is defined as an form of avascular necrosis typically in boys age 5-10; may initially see sclerotic changes in femoral capital epiphysis, femoral head flattening, bone demineralization and joint space narrowing
legg-calve-perthes disease
27
What are some s/s of cauda equina syndrome?
bowel and or bladder dysfunction
decreased anal sphincter tone
saddle anesthesia
lower extremity motor/sensory loss
decreased lower extremmity reflexes
b/l sciatic
28
What imaging is done for cauda equina syndrome?
emergent MRI
29
What are the red flags for spinal abscess?
diabetes
HIV
chemo or radiation
alcohosm
history of IVDU
history of spinal injections or sugery
local erythema or swelling
neurological change
30
osteoporosis vs osteomalacia
osteoporosis is decreased bone matrix with normal mineralization
osteomalacia is normal bone matrix with decreased mineralization
31
osteolytic tumors appear black or white on imaging?
black- they are radiolucent
32
Osteoblastic tumors appear black or white on imaging?
white
33
Osteoplastic tumors are from what kind of cancers?
prostate and breast
34
In the hand which carpals should line up with which metacarpals?
1st-trapezium
2nd- trapezoid
3rd - capitate
4th and 5th- hamate
35
Which carpal bones does the ulna articulate with?
none
36
Which carpal bones does the radius articulate with?
scaphoid and lunate
37
Which tarsal bones line up with which metatarsals?
1st metatarsal- medial cuneiform
2nd metatarsal- middle cuneiform
3rd metatarsal- lateral cuneiform
4th and 5th metatarsal- cuboid
38
Which x ray view is best to see the cuboid?
oblique
39
Which developmental anomaly is defined by hip pain in adolescence with out without trauma. Weakened physis leads to displacement of femoral head, premature arthritis
slipped femoral capital epiphysis
40
Which developmental anomaly is defined as an form of avascular necrosis typically in boys age 5-10; may initially see sclerotic changes in femoral capital epiphysis, femoral head flattening, bone demineralization and joint space narrowing
legg-calve-perthes disease
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