ROSH MSK UPDATED ACTUAL Questions and CORRECT Answers
1. narrowing of the spinal canal and neural foramina is Spinal Stenosis
called?
2. Dx of spinal stenosis is made with? MRI
3. Spinal stenosis pain is decreased with? Flexion
and increased with?
Extension
4. First line therapy for spinal stenosis? Weight loss, NSAIDs,
5. Pain out of proportion, pain with passive range of Compartment syndrome
motion is usually indicative of?
6. Formula to calculate compartment pressure? DBP - direct pressure
When is fasciotomy indicated? >30 mmHg
7. Compartment syndrome is most commonly caused Tibia fractures
by?
8. Pain in the plantar region of the foot that is worse Plantar fasciitis
when initiating walking is?
9. Hypertensive medications associated with gout? Loop and thiazide diuret-
ics
10. Gout crystals? Needle-like, negative
birefringent and uric acid
,11. Treatment of acute gout? Acute: NSAIDs, steroids,
colchicine
Treatment of chronic gout?
Chronic: allopurinol
(first line), febuxostat,
probenecid
12. Which condition is associated with positively birefrin- Pseudogout
gent crystals under polarized light microscopy?
13. Which nerve root is affected in a patient with loss of S1
the ankle jerk reflex?
L4
Which nerve root is affected in a patient with loss of
the patellar jerk reflex?
14. Which nerve root is affected in a patient with loss of C7
the triceps reflex?
C5/6
Which nerve root is affected in a patient with loss of
the biceps reflex? C6
Which nerve root is affected in a patient with loss of
the brachioradialis reflex?
15. This medication and its class is recommended for TNF-blocker Infliximab
ankylosing spondylitis are NSAIDs are found to be
ineffective?
16. What class of pharmacologic agents have been shown NSAIDs
to reduce radiographic progression of ankylosing
spondylitis?
, 17. Diseases associated with HLA-B27 Psoriatic arthritis
Ankylosing spondylitis
Inflammatory bowel dis-
ease
Reactive arthritis
Mnemonic: PAIR
18. Flexor tenosynovitis is an infection of the ... flexor tendon sheath of
the finger
The most causative organisms are ...
Staph. aureus and strep-
tococci
19. The four cardinal signs of acute flexor tenosynovitis 1) Tenderness along the
are course of the flexor ten-
don
2) Fusiform or symmetri-
cal swelling of the finger
3) Pain with passive exten-
sion
4) A flexed posture of the
finger
20. What antibiotic class is associated with spontaneous Fluroquinolones
tendon rupture?
21. Lack of plantar flexion with calf squeeze is what spe- Thompson test
cific test?
1. narrowing of the spinal canal and neural foramina is Spinal Stenosis
called?
2. Dx of spinal stenosis is made with? MRI
3. Spinal stenosis pain is decreased with? Flexion
and increased with?
Extension
4. First line therapy for spinal stenosis? Weight loss, NSAIDs,
5. Pain out of proportion, pain with passive range of Compartment syndrome
motion is usually indicative of?
6. Formula to calculate compartment pressure? DBP - direct pressure
When is fasciotomy indicated? >30 mmHg
7. Compartment syndrome is most commonly caused Tibia fractures
by?
8. Pain in the plantar region of the foot that is worse Plantar fasciitis
when initiating walking is?
9. Hypertensive medications associated with gout? Loop and thiazide diuret-
ics
10. Gout crystals? Needle-like, negative
birefringent and uric acid
,11. Treatment of acute gout? Acute: NSAIDs, steroids,
colchicine
Treatment of chronic gout?
Chronic: allopurinol
(first line), febuxostat,
probenecid
12. Which condition is associated with positively birefrin- Pseudogout
gent crystals under polarized light microscopy?
13. Which nerve root is affected in a patient with loss of S1
the ankle jerk reflex?
L4
Which nerve root is affected in a patient with loss of
the patellar jerk reflex?
14. Which nerve root is affected in a patient with loss of C7
the triceps reflex?
C5/6
Which nerve root is affected in a patient with loss of
the biceps reflex? C6
Which nerve root is affected in a patient with loss of
the brachioradialis reflex?
15. This medication and its class is recommended for TNF-blocker Infliximab
ankylosing spondylitis are NSAIDs are found to be
ineffective?
16. What class of pharmacologic agents have been shown NSAIDs
to reduce radiographic progression of ankylosing
spondylitis?
, 17. Diseases associated with HLA-B27 Psoriatic arthritis
Ankylosing spondylitis
Inflammatory bowel dis-
ease
Reactive arthritis
Mnemonic: PAIR
18. Flexor tenosynovitis is an infection of the ... flexor tendon sheath of
the finger
The most causative organisms are ...
Staph. aureus and strep-
tococci
19. The four cardinal signs of acute flexor tenosynovitis 1) Tenderness along the
are course of the flexor ten-
don
2) Fusiform or symmetri-
cal swelling of the finger
3) Pain with passive exten-
sion
4) A flexed posture of the
finger
20. What antibiotic class is associated with spontaneous Fluroquinolones
tendon rupture?
21. Lack of plantar flexion with calf squeeze is what spe- Thompson test
cific test?
