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Rosh Review- Musculoskeletal Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution £6.36
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Rosh Review- Musculoskeletal Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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Rosh Review- Musculoskeletal Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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  • June 26, 2024
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  • 2023/2024
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DoctorHkane
Rosh Review- Musculoskeletal
What presents with middle-aged man, complaining of acute onset of pain in the first
MTP?

Dx and TX? - ANS-PODAGRA (Gouty Arthritis)

Dx:
Labs:
NEEDLE-SHAPED crystal NEGATIVE birefringence


URIC ACID CRYSTALS

TX:

Acute: NSAID's!!!

May have nodular tophi accumulations at joints

What is is lice infestation characterized by superficial pruritus and secondary skin
infection? - ANS-Pediculosis

Tx:
Permethrin 1%

What is vitamin B3 (niacin) deficiency, characterized by diarrhea, dermatitis and
dementia? - ANS-Pellagra

What presents with pain, paresthesias, and numbness to volar aspect of fingers 1-4?

Dx and Tx? - ANS-Carpal Tunnel!

Affects Median Nerve

Dx:
Phalens--> Dorsal flexed hands for 60 seconds
Tinnel's --> Tapping volar aspect

, TX:
VOLAR splint in Neutral position, NSAIDs
Steroid injection

What presents with pain with brushing hair or teeth, pain at night when rolling onto
shoulder, baseball pitchers?

Pain with hands over head

Dx and Tx? - ANS-Rotator Cuff Tear

Dx:
Neer + Hawkin test

Tx:
Surgery

What are muscles of rotator cuff? - ANS-Supraspinatous, Infraspinatous, Subscapularis,
and Teres Minor

What presents with Women in 20s/30s, aIl destruction of synovial joints, morning
stiffness lasting > 30 minutes, MCP, PIP, Bilateral ulnar deviation at MCP, Baker's cyst
and Systemic sx?

Dx and Tx? - ANS-Rheumatoid Arthritis!

Involves MCP and PIP, all over systemic pain in joints

DX:
Lung: interstitial fibrosis, effusions
Spine: atlantoaxial joint subluxation; cord/vertebral artery compression
Anemia

Tx:
NSAIDs

What signs and symptoms are consistent with a L5 radiculopathy? - ANS-Pain radiates
down lateral aspect of the leg into the foot

Weakness with foot dorsiflexion

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