SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
Musculoskeletal
Start Test
Study First
Subject
:
health-sciences
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. What are the lab findings in osteitis fibrosa cystica
Ulnar deviation - subluxation - bakers cysts (behind knee)
Inc Ca - dec phos - inc alk phos - inc PTH - brown tumors
Tear of the ACL
Acantholysis
2. Sarcoid TX
HI shrinks - A stays same
Steroids
Over deltoid
In psoriasis - bleeding spots when scales are scraped off
3. What are characteristic findings of gout
Pseudogout
Dec Ca - dec phos - nl alk phos - inc PTH - soft bones
Asymmetric - swollen - red - painful joint - often MTP (podagra) - tophus formation on external ear - olecranon bursa - achilles tendon
Radial nerve becomes compressed in axilla
4. mechanical wear and tear of joints leading to destruction of articular cartilage
Osteoarthritis
Upper trunk of brachial plexus
4th and 5th finger
Pityriasis rosea
5. What muscles of the shoulder form the rotator cuff
Verrucae
Supraspinatus - infraspinatus - teres minor - subscapularis - SItS
Myosin releases bound ADP and is displaced on the actin filament
Pityriasis rosea
6. Where do sebhorrheic keratosis lesions occur and in who
Head - trunk - extremities - common benign neoplasm in older persons
Radial nerve
Age - obesity and joint deformity
Ulnar
7. Associated with M. pneumonia - HSV - sulfa drugs - B lactams - phenytoin - cancers and autoimmune dz - skin disorder and description
Myosin light chain phosphotase
SERMs - calcitonin - bisphosphates or pulsatile PTH for severe cases
Inc blood flow from AV shunts can cause high output heart failure
Erythema multiforme - can be macules - papules vesicles - target lesions -
8. What does injury to the distal ulnar nerve cause
Crohns and ulcerative colitis
MCP - PIP - no DIP
Fever - fatigue - weight loss - nonbacterial verruucous (Liebman - Sacks) endocarditis - hilar adenopathy - Raynauds
Loss of medial lumbrical fxn; 4th and 5th digits are clawed - when try to open hand - pinky and ring finger stay clawed
9. What test if specific for lupus but doesn't indicate prognosis
McCune - Albright syndrome
Papule
Asymmetric - swollen - red - painful joint - often MTP (podagra) - tophus formation on external ear - olecranon bursa - achilles tendon
Anti Smith
10. What lesion causes Saturday night wrist drop
Radial nerve
Trauma
Inc alk phos - abnl bone architecture
Inc blood flow from AV shunts can cause high output heart failure
11. What nerve become injured in the incorrect use of a crutch
Vertebral crush fractures - femoral neck fractures - distal radius (Colles') fracture
Radial nerve becomes compressed in axilla
Infraspinatus - laterally rotates arm
Psoriatic arthritis - occurs is less than 1/3 of psoriasis pts
12. What causes a lesion in the upper trunk of the brachial plexus
Precocious puberty
Antibodies around cells of the epidermis in a reticular or netlike pattern
Trauma
Binds troponin C causing a conformational change leading to tropomyosin to move out of the way allowing for actin/myosin cycling
13. What are the lab findings in pagets disease
Radial - BEST extensors - posterior arm and dorsal hand/thumb - wrist drop
Median nerve
Dry eyes - dry mouth - nasal and vaginal dryness - chronic bronchitis - reflux esophagitis and No arthritis
Inc alk phos - abnl bone architecture
14. How is chondrosarcoma described
Inc alk phos - abnl bone architecture
Axilla
Expansile glistening mass within the medullary cavity
Large goints (knee)
15. What do lupus pts falsely test positive for syphillis
Embryologic - childbirth defect - cervical rib compression - atrophy of the thenar and hypothenar eminences - atrophy of interosseous muscles - sensory deficits of the medial side of the forearm and hand - disappearance of the radial pulse upon movin
Psoriatic arthritis - occurs is less than 1/3 of psoriasis pts
False positives on syphillis test (RPR/VRDL) due to antiphospholipid antibodies - cross react with cardiolipin
Superior glut - thigh abduction - pos trendelenburg - hip drops when standing on the opposite foot (standing on the side of the lesion)
16. What other lesion can cause the appearnce of the ulnar claw
Ulnar deviation - subluxation - bakers cysts (behind knee)
Osteoarthritis
Making fist with a proximal median nerve lesion
Anti Scl70 - anti DNA topoisomerase I antibody
17. What kind of endocrine abnl are associated with McCune Albright
Precocious puberty
Radial deviation of wrist upon flexion - ulnar claw hand - pope's blessing
Osteoid osteoma
Median nerve - lunate bone
18. malignant cartilaginous tumor in men 30 to 60 - Name and common location
Calmodulin - complex activates myosin light chain kinase
Chondrosarcoma - pelvis - spine - scapula - humerus - tibia - or femur
Proximal median nerve lesion - loss of opponens pollicis muscle fxn leading to unopposoble thumb
Inc alk phos - abnl bone architecture
19. small fluid containing blister seen in chickenpox
After a large meal or EtOH conspumption
Vesicle
MCL - ACL - lateral meniscus (esp in athletes)
Pagets dz - bone infarcts - radiation - familial retinoblastoma - codman's triangle or sunburst pattern from elevation of periosteum - poor prognsosis
20. elevated skin lesion <1cm seen in acne vulgaris
Intermediate jxn - just below zona occludens - cadherins and actin filaments - cadherins are dependent on Ca2+
Papule
Endochondroma
Pseudogout
21. common mole - benign
Psoriasis
Osteoarthritis
Crust
Nevocellular nevus
22. What does lack of ATP cause
Muslce use - nerve stim/compound muscle test
Rigor mortis
Anemia - thrombocytopenia - infection - extramedullary hematopoiesis
Atopic dermatitis - eczema
23. What causes heart failure in with Paget's disease
Keratoacanthoma
Elevated ESR and nl CK - prednisone
Wire - loop lesions in kidney with immune complex deposition - death from renal failure and infxns
Inc blood flow from AV shunts can cause high output heart failure
24. appreas in 30s to 40s - does not regress
Cherry hemangioma
Basophilic - rhomboid crystals - weakly birefringent
Failure of longitudinal growth (endochondrial ossification) leading to short limbs - membranous is unaffected - large head
Deep branch of radial nerve
25. hyperpigmentation associated with pregnancy or OCP
Osteosarcoma - multiple myeloma
Axilla
Metaphysis of long bones - distal femur
Melasma (chloasma)
26. What is the primary screening test for lupus
Phosphorylated
Ewings sarcoma - aggressive with early mets - but responsive to chemo
Dry eyes - dry mouth - nasal and vaginal dryness - chronic bronchitis - reflux esophagitis and No arthritis
ANA - sensitive but not specific
27. Where is C8 dermatome
Xeropthalmia - xerostomia - arthritis
Exercise and Ca ingestion before age 30
Carbonic anhydrase II
4th and 5th finger
28. dactylitis and pencil in cup deformity on xray - patchy skin rash and joint pain
Vit D def - dec Ca - inc PTH - dec serum phos - reversible when vit D is replaced
Psoriatic arthritis - occurs is less than 1/3 of psoriasis pts
Conjunctivitis and anterior uveitis - urethritis and arthritis
Crust
29. What kind of jxn is the zona occludens andw What is is composed of...
Phosphorylates myosin light chain which leads to cross bridge formation
Basal cell carcinoma - pearly papules - commonly with telangiectasias
Tight jxn - prevents diffusion across paracellular space - composed of claudins and occludins
Paralysis of lateral rotators
30. Loss of what muscles in Erbs causes the forearm to be pronated
Biceps
Serum ca - phos - PTH are nl alk phos elevated
Osteogenic carcinoma
Lesion to lower trunk of brachial plexus - loss of fxn of all lumbricals - forearm finger flexors - finger extensors are unopposed (radial nerve)
31. Which muscle is the most common rotator cuff injury and What does it do
Parakeratosis
Ulnar
Supraspinatus - abducts the arm before the deltoid
Allopurinaol - uricosurics (probenicid)
32. What do pseudogout crystals appear like microscopically
Type 1 - inc mitochondria and myoglobin conc - inc OXPHOS leading to sustained conctraction
Basophilic - rhomboid crystals - weakly birefringent
Median - lateral finger and wrist flexion - dorsal palmar aspects of lateral 3.5 fingers/thenar eminence - ape hand - carpal tunnel syndrome
Connects cells to underlying extracellular - bullous pemphigoid
33. progressive symmetric proximal muscle weakness cause by CD8+ T cell induced injury to myofibers - dz - most common area of involvement and pathgnomonic histological finding
Hands and face - ulcerative red lesion - locally invasive bur rare metastasis - associated with chronic draining sinuses and keratin pearls
Small cell cancer of the lung - improve with muscle use - no change with ACHE inhibs
Polymyositis - shoulders - perifasicular inflammation
Fracture of surgical neck - dislocation of the humerus - intramuscular injections
34. What are defining lab findings for polymyalgia rheumatica and What is the TX
Cherry hemangioma
Xeropthalmia - xerostomia - arthritis
Elevated ESR and nl CK - prednisone
85% - advanced paternal age - or auto dominant inheritance
35. What lesion causes deltoid paralysis
Lesch - nyhan - PRPP excess - dec exretion of uric acid (thiazide) inc cell turnover - von Gierke's dz - 90% due to underexcretion - 10% to overproduction
Vit D def - dec Ca - inc PTH - dec serum phos - reversible when vit D is replaced
Nl - thickened dense bones
Axillary nerve
36. What is the classic presentation of RA
Loss of lateral lumbrical fxn - 2nd and 3d digits are clawed and can't extend
Supraspinatus - infraspinatus - teres minor - subscapularis - SItS
Over deltoid
Morning stiffness for > 30 min improving with use - symmetry - systemic sx
37. What enzyme defect in responsible for osteopetrosis
Flex at the MCP
NSAIDs (indomethacin) colchicine
Carbonic anhydrase II
Fibroblast growth factor receptor (FGFR3) inhibits chondrocyte proliferation
38. locally invasive but rarely mets skin cancer - rolled edges - with central ulceration - cancer and gross path
Inc alk phos - abnl bone architecture
Phosphate is liberated from the myosin head
Polymyositis - shoulders - perifasicular inflammation
Basal cell carcinoma - pearly papules - commonly with telangiectasias
39. dried exudates from a vesicle - bulla or pustule seen impetigo
Nevocellular nevus
Erythema multiforme - can be macules - papules vesicles - target lesions -
Inc spinosum - dec granulosum
Crust
40. What are the histo findings in an osteoclastoma
Spindle shaped cells with multinucleated giant cells
Crohns and ulcerative colitis
Renal - pulm - CV - GI - 75% female
Anti - CCP - HLA- DR4
41. What signal initiates a muscle contraction
Polyostotic fibrous dysplasia
AP depol opens voltage gated Ca channels - inducing NT release
Osteoarthritis
Psoriasis
42. What nerve is injured by a fracture of the epicondyle of humerus or repeated minor traumas
3rd finger
Anti - CCP - HLA- DR4
Ulnar nerve
Pemphigus vulgaris
43. What is the sign of Leser - Trelat
Morning stiffness for > 30 min improving with use - symmetry - systemic sx
Sudden appearance of multiple sebhorrheic keratosis lesions indicating underlying lesions - GI or lymphoid
Osteoid osteoma
Type 2
44. How is the lower trunk of the brachia plexus injured and what results from it
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
45. What kind of bone tumor is associated with FAP and What is the finding
Thymoma
Steroids
Allows adjacent cells to communicate for electric and metabolic fxns - connexons
Osteoma (gardners syndrome) - new piece of bone grows on another bone - often skull
46. yellow when perpendicular and blue when parallel
Osteosarcoma - multiple myeloma
Pseudogout
Over deltoid
Bulla
47. Macule greater than 1cm
Exercise and Ca ingestion before age 30
Anterior interosseous nerve
Patch
Acanthosis nigcricans
48. What cancer in particular are associated with LE syndrome - what happens to symptoms with muscle use or ACH esterase inhibs
Acanthosis
Vesicle
Small cell cancer of the lung - improve with muscle use - no change with ACHE inhibs
Subclavius
49. How is diffuse scleroderma characterized
Widespread skin involvment - rapid progression - early visceral involvement
Erlenmeyer flask bones that flare out - narrowed foramina
Teres minor
In psoriasis - bleeding spots when scales are scraped off
50. Where is C4 dermatome
Blow to the shoulder - trauma during delivery; limb hangs by side - medially rotated - forearm is pronated
Over deltoid
Long thoracic nerve
Osteochondroma - exostosis