Musculoskeletal and Orthopedic Conditions Flashcards

A patient with acute gout flare is unable to tolerate NSAIDs due to peptic ulcer disease. What is the most appropriate alternative?

Answer: Colchicine

Colchicine is an effective alternative anti-inflammatory for acute gout flares in patients who cannot tolerate NSAIDs.

Which of the following is a contraindication to corticosteroid joint injection?

Answer: Overlying skin infection

Overlying skin infection is a contraindication to joint injection due to the risk of introducing bacteria into the joint space.

De Quervain's tenosynovitis affects which tendons?

Answer: Abductor pollicis longus and extensor pollicis brevis

De Quervain's tenosynovitis involves inflammation of the abductor pollicis longus and extensor pollicis brevis tendons in the first dorsal compartment.

Which seronegative spondyloarthropathy is strongly associated with HLA-B27 and causes inflammatory back pain in young adults?

Answer: Ankylosing spondylitis

Ankylosing spondylitis is most strongly associated with HLA-B27 and presents as chronic inflammatory back pain and stiffness in young men.

A patient presents with heel pain that is worst with the first steps in the morning. The most likely diagnosis is:

Answer: Plantar fasciitis

Plantar fasciitis causes pain at the calcaneal insertion of the plantar fascia, characteristically worst with the first steps after rest.

Which fracture pattern is most commonly seen in osteoporotic vertebral compression fractures?

Answer: Wedge compression fracture

Osteoporotic vertebral compression fractures typically present as anterior wedge deformities due to preferential failure of the anterior vertebral body.