musculoskeletal

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what are stronger than bones until puberty?

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1

what are stronger than bones until puberty?

ligaments and tendons

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2

what is the most common area for a child to break a bone?

distal forearm

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3
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plastic deformation

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4
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buckle/torus break

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5
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greenstick fracture

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6
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complete fracture

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7
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complete break with periosteal hinge

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8

a child who had a cast placed complains of pain and tightness - what do you suspect?

compartment syndrome

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9

a group of conditions that cause the femoral head and the acetabulum are improperly aligned

developmental dysplasia of the hip (DDH)

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10

what is a common causative factor DDH?

breech position

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11

an infant’s one knee is lower than the other when their legs are flex, this is known as -

Galeazzi sign

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12

what maneuvers can be done by a physician to check for HHD?

Ortolani and Barlow

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13

when do minor cases of DDH normally resolve?

4 months

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14

what is the treatment for DDH if the infant is less than 6 months old?

bracing (23 hours a day)

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15

what is the treatment of DDH if the child is older than 6 months?

closed reduction with spica casting

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16

plantar flexion of the foot, inversion of the heel, and medial deviation of the forefoot are all parts of -

clubfoot

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17

what is the treatment of choice for clubfoot?

serial casting (Ponseti method)

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18

what are options of serial casting is not working to repair clubfoot?

tenectomy or surgical repair

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19

medical adduction of the toes and forefoot are referred to as -

metatarsus adductus

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20

what normally causes metatarsus adductus?

positioning in utero

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21

what are the common treatments for metatarsus adductus?

usually stretching, can be surgical

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22

inherited connective tissue disorder where the production of collagen is effected, resulting in fragile bones -

osteogenesis imperfecta

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23

what is the most severe form of osteogenesis imperfecta?

type 2

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24

what is the most common type of osteogenesis imperfecta?

type 1

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25

what dietary changes should be suggested for a child with osteogenesis imperfecta?

high vitamin D and calcium intake

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26

a self-limited condition of avascular necrosis of the femoral head as a result of an interruption in blood supply

Legg-Calve-Perthes disease

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27

what is a hallmark sign of Legg-Calve’-Perthes disease?

limp with mild to severe pain

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28

condition where the femoral head is displaced from the femoral neck

slipped capital femoral epiphysis

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29

what is a common predisposing factor for slipped capital femoral epiphysis?

obesity

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30

what is the hallmark sign of slipped capital femoral epiphysis?

pain and a limp

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31

a lateral curvature of the spine that is associated with a rotational deformity?

scoliosis

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32

dose a child with scoliosis experience pain?

rarely

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33

how often should a child with a brace wear it within the day?

23 hours

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34

how should a brace be worn for scoliosis?

over a shirt; not directly on the skin

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35

where is osteomyelitis more common?

lower extremities

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36

what is the most common cause of osteomyelitis?

bacterial infection

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37

what is the most common bacteria that causes osteomyelitis?

staph aureus

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38

what are the expected laboratory findings associated with osteomyelitis?

elevated WBCs, elevated ESR, and elevated CRP

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39

what is the treatment for osteomyelitis?

broad spectrum antibiotics (vancomycin and clindamycin)

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40

what are common side effects of vancomycin use?

hearing and kidney problems

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