Key Questions!!
TX FOR
CHRONIC
ACHILLES
TENDINOPATHY correct answers ECCENTRIC STRENGTHENING EXERCISES
wrong ans
NSAID= not effective for long term tx
tow
knee pain
TTP OVER MEDIAL AND LATERAL ASPECT OF KNEE
PAIN WORSE WITH ACTIVITY
=
SQUATTING, RUNNING, STAIRS, EXTENDED SITTING
PE:
ISOLATED TENDERNESS AT MEDIAL+LATERAL ASPECT OF KNEE
GRIND TEST POSITIVE correct answers PATELLOFEMORAL PAIN SYNDROME
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WRONG ANS=
OSGOOD SCHLATTER DISEASE
=
TTP NEAR BOTTOM OF KNEE CLOSE TO TIBIAL TUBERCLE OR DISTAL
PATELLAR TENDON
TX OF STRESS FRACTURE correct answers NON WEIGHTBEARING WITH
IMMOBILIZATION OF JOINT
=
WALKER BOOT
REST/DECREASE ACTIVITY
==
WRONG ANS:
NSAID
PT
PT WHO IS A RUNNER
HAS ANTERIOR TIBIA PAIN ON RIGHT LEG
, XRAY= FAINT LUCENCY AT THIS LOCATION
TOW?
TX? correct answers STRESS FRACTURE
TX= WALKER BOOT
ELDERLY PATIENT
DEXA- OSTEOPENIA NOT OSTEOPROSIS
SO SHE IS ONLY ON CA, VIT D
NOW HAS FALL AND HIP FRACTURE
HOW SHOULD HER BONE correct answers REGARDLESS OF DEXA SCAN RESULTS,
SINCE OSTEOPENIA PT NOW HAS FRACTURE/FALL
=
GIVE BISPHOSPHONATE
=
ALENDRONATE 70MG WEEKLY
USE OF BISPHOSPHATE IS ASSOCIATED WITH
INCREASE RISK OF WHAT correct answers FEMORAL SHAFT FRACURES
ALSO
OSTEONECROSIS OF JAW
ESOPHAGITIS
LATERAL UPPER THIGH NUMBNESS
TOW correct answers MERALGIA PARESTHETICA
=
IMPINGEMENT OF LATERAL FEMORAL
CUTANEOUS NERVE
=
ASSOC WITH
OBESITY
TIGHT CLOTHING IN WAIST/GROIN
OBESE KID WITH PAIN IN KNEE
TOW correct answers SLIPPED CAPITAL FEMORAL EPIPHYSIS
COMMON- PAIN IN ANTERIOR THIGH/ HIP/GROIN
BUT ALSO CAUSES
REFERRED PAIN IN KNEE
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occurs in teens and pre-teens
=