AND DETAILED VERIFIED SOLUTIONS|GRADED A+|NEWEST
Give DEXA score for osteopenia? Osteoporosis? - ANSWER Osteopenia = 1 to 2.4
standard deviations, osteoporosis = 2.5 standard deviations or greater.
At what age should you order DEXA scans for male? Female? - ANSWER 70 for males
65 for females
What fracture is #1 cause of compartment syndrome? - ANSWER Tibial shaft fracture
A patient's lab work shows positive smith Ab and positive double strand DNA ab. Most likely
diagnosis is? - ANSWER Lupus
What will XRAY show in acute osteomyelitis? - ANSWER Nothing: bone destruction in
chronic osteomyelitis
Where are Bouchard's nodes found? - ANSWER PIP
[B = Before]
A 22 year old male patient presents with what is
clearly a septic knee. You also notice lesions on his
hands and feet. What is the most likely pathogen? - ANSWER Neisseria gonorrhoeae
Best imaging to dx osteomyelitis? - ANSWER Bone scan or MRI will provide diagnosis
What would you expect the WBC count to be in the
1
,joint fluid of an infected knee? - ANSWER >50,000 at a minimum and probably
much higher.
A patient presents with a painless mass in her right
wrist. What is the most likely diagnosis? - ANSWER Ganglion cyst
What is the age range for osteosarcoma? Where
are they most typically found in the body? - ANSWER Osteosarcoma (cancerous) usually
occur in
15-25 year old males and are most
commonly found around the knee.
You think a patient may have an osteoid osteoma
due to his complaints of severe night pain. You
set him up for an x-ray, but in the meantime what
medication do you start him on? - ANSWER If it is truly an osteoid osteoma (benign)
ibuprofen will resolve his pain.
Clicking or locking of the knee indicates what
diagnosis? - ANSWER Meniscal tear
What uric acid level helps to confirm dx of gout? - ANSWER >7.5
(Normal = 3ish to 7ish?)
A 65 year old presents complaining of severe pain
in his great toe that began when he woke up this
morning. It is swollen, red and very tender. What is
2
,the most likely diagnosis? - ANSWER 1. Gout
2. Infection
Pathology shows positive birefringent crystals. Most likely dx? - ANSWER Pseudogout
What is the medical treatment for gout? - ANSWER Allopurinol, colchicine
Patient with hx of HBV presents with bilateral knee pain, fever, weight loss. Most likely
diagnosis? - ANSWER Polyarteritis nodosa
On physical exam you notice ulnar deviations and swan neck deformities. What is the most
likely diagnosis? - ANSWER Rheumatoid arthritis
You suspect a pt has polyarteritis nodosa. What is the test for a definitive diagnosis and what
is treatment? - ANSWER Biopsy, high dose steroids
List three meds that may cause lupus - ANSWER Procainamide, isoniazid, quinidine
Positive Neer's test indicate what diagnosis? - ANSWER Rotator cuff impingement
What test do you do for Sjogren's syndrome? - ANSWER Schirmer test
[Sjogren's syndrome] = dry mouth, dry eyes, autoimmune)
A patient with rheumatoid arthritis is heading to OR for ORIF of ankle. What x-rays should
you get? - ANSWER Ankle films
C-spine
Anesthesia will want them d/t concerns about instability of C1+C2
3
, What med is used for patient with lupus? - ANSWER Systemic steroids
What carpal bone has high rate of nonunion and occult fracture? - ANSWER Scaphoid
[Occult = hidden]
Scleroderma limited version has five main characteristics (CREST) - ANSWER Calcinosis
Raynaud's
Esophageal mobility
Sclerodactyly
Telangiectasia
There is a sunbusrt appearance on XRAY. What is most likely diagnosis? - ANSWER
osteosarcoma
Anatomically where are 80% of clavicle fractures located? - ANSWER Middle third
Four muscles of rotator cuff? - ANSWER SITS
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
A pathology report comes back with negative birefringent crystals. What is most likely
diagnosis? - ANSWER Gout
Describe characteristics of lytic lesion on xray - ANSWER Spiculated, elevated periosteum,
bone destruction (think bad, very bad)
4
Give DEXA score for osteopenia? Osteoporosis? - ANSWER Osteopenia = 1 to 2.4
standard deviations, osteoporosis = 2.5 standard deviations or greater.
At what age should you order DEXA scans for male? Female? - ANSWER 70 for males
65 for females
What fracture is #1 cause of compartment syndrome? - ANSWER Tibial shaft fracture
A patient's lab work shows positive smith Ab and positive double strand DNA ab. Most likely
diagnosis is? - ANSWER Lupus
What will XRAY show in acute osteomyelitis? - ANSWER Nothing: bone destruction in
chronic osteomyelitis
Where are Bouchard's nodes found? - ANSWER PIP
[B = Before]
A 22 year old male patient presents with what is
clearly a septic knee. You also notice lesions on his
hands and feet. What is the most likely pathogen? - ANSWER Neisseria gonorrhoeae
Best imaging to dx osteomyelitis? - ANSWER Bone scan or MRI will provide diagnosis
What would you expect the WBC count to be in the
1
,joint fluid of an infected knee? - ANSWER >50,000 at a minimum and probably
much higher.
A patient presents with a painless mass in her right
wrist. What is the most likely diagnosis? - ANSWER Ganglion cyst
What is the age range for osteosarcoma? Where
are they most typically found in the body? - ANSWER Osteosarcoma (cancerous) usually
occur in
15-25 year old males and are most
commonly found around the knee.
You think a patient may have an osteoid osteoma
due to his complaints of severe night pain. You
set him up for an x-ray, but in the meantime what
medication do you start him on? - ANSWER If it is truly an osteoid osteoma (benign)
ibuprofen will resolve his pain.
Clicking or locking of the knee indicates what
diagnosis? - ANSWER Meniscal tear
What uric acid level helps to confirm dx of gout? - ANSWER >7.5
(Normal = 3ish to 7ish?)
A 65 year old presents complaining of severe pain
in his great toe that began when he woke up this
morning. It is swollen, red and very tender. What is
2
,the most likely diagnosis? - ANSWER 1. Gout
2. Infection
Pathology shows positive birefringent crystals. Most likely dx? - ANSWER Pseudogout
What is the medical treatment for gout? - ANSWER Allopurinol, colchicine
Patient with hx of HBV presents with bilateral knee pain, fever, weight loss. Most likely
diagnosis? - ANSWER Polyarteritis nodosa
On physical exam you notice ulnar deviations and swan neck deformities. What is the most
likely diagnosis? - ANSWER Rheumatoid arthritis
You suspect a pt has polyarteritis nodosa. What is the test for a definitive diagnosis and what
is treatment? - ANSWER Biopsy, high dose steroids
List three meds that may cause lupus - ANSWER Procainamide, isoniazid, quinidine
Positive Neer's test indicate what diagnosis? - ANSWER Rotator cuff impingement
What test do you do for Sjogren's syndrome? - ANSWER Schirmer test
[Sjogren's syndrome] = dry mouth, dry eyes, autoimmune)
A patient with rheumatoid arthritis is heading to OR for ORIF of ankle. What x-rays should
you get? - ANSWER Ankle films
C-spine
Anesthesia will want them d/t concerns about instability of C1+C2
3
, What med is used for patient with lupus? - ANSWER Systemic steroids
What carpal bone has high rate of nonunion and occult fracture? - ANSWER Scaphoid
[Occult = hidden]
Scleroderma limited version has five main characteristics (CREST) - ANSWER Calcinosis
Raynaud's
Esophageal mobility
Sclerodactyly
Telangiectasia
There is a sunbusrt appearance on XRAY. What is most likely diagnosis? - ANSWER
osteosarcoma
Anatomically where are 80% of clavicle fractures located? - ANSWER Middle third
Four muscles of rotator cuff? - ANSWER SITS
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
A pathology report comes back with negative birefringent crystals. What is most likely
diagnosis? - ANSWER Gout
Describe characteristics of lytic lesion on xray - ANSWER Spiculated, elevated periosteum,
bone destruction (think bad, very bad)
4
