Term
What is the most common etiology of gout?
Second? |
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Definition
~90% urate under excretion
Uric acid overproduction |
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Term
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Definition
Renal insuf
etoh abuse
use of diuretics
aspirin
other meds |
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Term
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Definition
Purines:
LAKSS diet
Sweetbreads
Sardines
Anchovies
Kidney
Liver |
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Term
| What will a joint aspirate rule out during acute gouty arthritis? |
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Definition
| Monoarticular septic arthritis |
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Term
This tests for what condition?
McMurray |
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Definition
| Meniscal tear-click is felt or heard at the joint line during flexion/extension of the knee-if pain then proceed to valgus/varus testing |
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Term
This tests for what condition?
Talar tilt |
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Definition
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Term
This tests for what condition?
Tinels |
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Definition
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Term
This tests for what condition?
lachman |
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Definition
| anterior cruciate ligament tear |
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Term
This tests for what condition?
straight leg raise |
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Definition
| lumbar never root compression |
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Term
This tests for what condition?
drop arm |
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Definition
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Term
This tests for what condition?
Finkelstein test |
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Definition
| De quervain tenosynovitis |
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Term
This tests for what condition?
spurling test |
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Definition
| cervical nerve root compression |
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Term
| ______is an irritation of the patellar ligament at the tibial tuberosity.[1] It is characterized by painful lumps just below the knee and is most often seen in young adolescents. |
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Definition
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Term
| Most common sites for bulged disks? |
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Definition
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Term
Name the MOTOR, REFLEX, and SENSORY AREA for neurological testing in lumbar vertebral problems:
L4 |
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Definition
Motor=foot dorsiflexion
Reflex= Knee jerk
Sensory=Medial calf |
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Term
Name the MOTOR, REFLEX, and SENSORY AREA for neurological testing in lumbar vertebral problems:
L5 |
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Definition
Motor=great toe dorsiflexion
Reflex= none
Sensory=medial foot |
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Term
Name the MOTOR, REFLEX, and SENSORY AREA for neurological testing in lumbar vertebral problems:
S1 |
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Definition
Motor=foot eversion
Reflex= ankle jerk
Sensory=lateral foot |
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Term
Name the MOTOR, REFLEX, and SENSORY AREA for neurological testing in lumbar vertebral problems:
Foot dorsiflexion
Knee jerk
Medial calf |
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Definition
|
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Term
Name the MOTOR, REFLEX, and SENSORY AREA for neurological testing in lumbar vertebral problems:
Great toe dorsiflexion
None
Medial foot |
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Definition
|
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Term
Name the MOTOR, REFLEX, and SENSORY AREA for neurological testing in lumbar vertebral problems:
Foot eversion
ankle jerk
lateral foot |
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Definition
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Term
Back pain that feels better leaning forward.. think _____>
Also bilateral, worse with walking and improves at rest |
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Definition
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Term
| What is the appropriate dose of Vit D and Calcium for treatment of osteoporosis? |
|
Definition
Rec for adults age >50.
VitD 800-1000
Calcium >1200 |
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Term
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Definition
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Term
| joint space narrowing on xray is a clinical feature of? |
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Definition
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Term
| location of heberden nodes? |
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Definition
Distal interphalangeal joints
associated with rheumatoid arthritis |
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Term
| Location of Bouchard nodes? |
|
Definition
proximal interphalangeal joints
associated with osteoarthritis |
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Term
| PE reveals heberden and bouchard nodes? where are they located and what does this indicate? |
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Definition
OA
heb=distal
bouch=proximal |
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Term
| lateral hip pain suggestive of what? |
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Definition
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Term
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Definition
| bone density of 1-2.5 SD below mean (T score -2.5 and -1.0) |
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Term
|
Definition
| bone density >2.5 SD below the mean |
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Term
| risk factors for osteoporosis |
|
Definition
postmenopausal women
>50y
wt < 70kg
family hx
hx of fracture
etoh
delayed menarche, menopause
low levels of Vit d
steroids >2m
inflammatory disorders of GI, chronic renal disease, organ transplant, anorexia |
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Term
| muscles of the axioscapular group |
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Definition
levatator scapulae
rhomboids
trapezius
pulls shoulder backward |
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Term
| SITS muscles of the rotator cuff |
|
Definition
supraspinatus
infraspinatus
teres minor
subscapularis
rotates shoulder laterally; includes rotator cuff |
|
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Term
| muscles of the axiohumeral group |
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Definition
pectoralis major and minor
latissiumus dorsi
provides internal rotation |
|
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Term
| what would a positive shoulder crossover test tell you? |
|
Definition
| inflammation/arthritis of AC joint |
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Term
| Other tests for rotator cuff tear |
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Definition
Neer's impingement- press on scapula and lift pt's arm- pain =pos finding
Hawkin's impingement- flexion of pt's elbow with palm facing down, then internally rotate- pain=pos finding |
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Term
| testing for supraspinatous strength |
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Definition
empty can test,
elevate arms to 90 deg, internally rotate arms with thumbs pointing down, downward pressure with resistance weakness= possible rotator cuff tear |
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Term
| to test for infraspinatous strength |
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Definition
arms at side, flexed with thumbs up
resistance as pt presses out
weakness= possible rotator cuff tear or bicipital tendonitis |
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Term
| common name for lateral epicondylitis |
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Definition
|
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Term
| common name for medial epicondylitis |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| a palpable fluid wave after suprapatellar compression; signifies large effusion |
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Term
| what condition would have a negative ankle jerk? |
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Definition
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Term
| Reflexes in spinal stenosis? |
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Definition
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Term
| process associated with rheumatoid arthritis |
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Definition
chronic inflammation of synovial membranes with secondary erosion of adjacent cartilage within joints
common joints: hands, feet, wrists, knees, elbows, ankles; symmetric |
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Term
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Definition
| tenderness over the plantar surface of the 3 and 4 metatarsal heads; s/s hyperesthesia, numbness, aching, burning |
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Term
| Joints most often affected by OA |
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Definition
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Term
| Most prevalent skeletal problem in the US |
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Definition
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Term
| s/s of prepatellar bursitis |
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Definition
swelling and pain to the touch of the anterior knee; no posterior symptoms
usually caused by increased activity; such as walking up lots of stairs |
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Term
Anterior or posterior?
OA pain of hip |
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Definition
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Term
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Definition
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Term
| Dermatome for rectal tone |
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Definition
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