Rheum to Grow
Break a Leg
From Clavicle to Carpal
Clinically Correlated
You've Got Some Nerve!
100
This inflammatory myopathy is associated with characteristic skin findings such as Gottron’s papules and the heliotrope rash, and it carries an increased risk of underlying malignancy.
What is dermatomyositis?
100
The tendons of the sartorius m., gracilis m., and the semitendinosus m. collectively insert on the medial aspect of the proximal tibia at this point.
What is the pes anserinus?
100
Compression of the ulnar nerve in this fibro-osseous tunnel at the medial epicondyle results in pain and paresthesia in the medial hand and fingers.
What is the Cubital Tunnel?
100
This condition, often caused by hematogenous spread or direct extension from nearby infections, presents with fever, back or flank pain, and difficulty extending the hip due to irritation of a major muscle.
What is psoas abcess?
100
The diagnosis for a 65-year-old man who is evaluated for right-hand clumsiness that has slowly worsened over months. Medical history is significant for HTN and end-stage renal disease, for which he undergoes hemodialysis 3 times a week. The patient is retired and not physically active. He does not use tobacco, alcohol, or recreational drugs. Blood pressure is 130/90 mm Hg and pulse is 80/min. BMI is 20 kg/m2. Examination of the right upper extremity shows decreased sensation over the fourth and fifth digits and the medial hand; grip strength and wrist flexion are weaker compared to the left side. Overall muscle mass and tone are decreased in all 4 extremities.
What is Carpal Tunnel Syndrome?
200
This class of medication is the treatment of choice for scleroderma renal crisis.
What are ACE inhibitors?
200
These fibrocartilaginous discs are located on the surface of the tibial plateau between the articulating surfaces of the femur and the tibia. These discs are also commonly affected by chondrocalcinosus that is seen in CPPD.
What are the menisci?
200
The radial nerve runs through the triceps hiatus alongside this artery to supply the posterior compartment of the arm.
What is the deep brachial artery?
200
A patient presents with severe leg pain out of proportion to the exam, along with pain on passive stretch, pallor, pulselessness, paresthesia, and paralysis. This limb-threatening condition requires what immediate intervention?
What is facsiotomy for Compartment Syndrome?
200
Anterior shoulder dislocations should include a neurovascular examination, paying attention to distal pulses and the function of this nerve which is most affected during this kind of shoulder injury.
What is the Axillary Nerve?
300
Patients with Sjögren’s syndrome have an increased risk of developing this type of malignancy, which often presents with persistent parotid gland enlargement.
What is MALT lymphoma?
300
The fibularis tertius is the most lateral part of this muscle.
What is the extensor digitorum longus muscle?
300
This nerve injury results in a "waiter's tip" posture, characterized by an adducted and medially rotated arm, extended elbow, and pronated forearm.
What is Erb-Duchenne Palsy (Upper Trunk Injury)?
300
A patient with breast cancer presents to your clinic with new back pain and radiculopathy. This venous network provides a pathway for breast cancer to metastasize to the spine without first passing through the lungs.
What is the internal vertebral venous plexus (Braxton's plexus)?
300
Damage to this nerve makes patients unable to make an "OK" sign with their hands.
What is the Anterior Interosseous Nerve?
👌
400
A 35-year-old woman presents with progressive skin tightening of her fingers and face, Raynaud’s phenomenon, and pulmonary hypertension. Her condition is most strongly associated with this autoantibody.
What is anti-centromere antibody?
400
In most cases of chondromalacia patellae, the patella tracks too far laterally, which can often be solved by strengthening the oblique fibers of this muscle.
What is vastus medialis?
400
Injury to this nerve following a supracondylar humerus fracture leads to the characteristic Hand of Benediction when the patient is asked to make a fist.
What is the Median Nerve?
400
A 13-year-old obese boy presents with progressive groin and knee pain and a limp. On exam, his hip is externally rotated, and he has limited internal rotation and abduction.
What is slipped capital femoral epiphysis (SCFE)?
400
The superficial location of this nerve makes it susceptible to laceration, it is a purely motor nerve supplies the thenar muscles of the hand.
What is the Recurrent Median Nerve?
500
A 55-year-old woman presents with progressive proximal muscle weakness, but no significant pain or skin rash. Laboratory testing reveals a markedly elevated creatine kinase (CK) level (>10,000 U/L), and electromyography shows myopathic motor unit potentials with fibrillations. A muscle biopsy demonstrates scattered necrotic muscle fibers with minimal lymphocytic infiltration. She is found to have anti-HMG-CoA reductase antibodies. Based on these findings, what is the most likely diagnosis and the most common medication trigger?
What is immune-mediated necrotizing myopathy (IMNM) caused by statin therapy?
500
A groin pull refers to a strain injury to the adductor group of muscles. This muscle is most commonly injured in "groin strains," likely due to its low tendon to muscle ratio at the point of origin.
What is the adductor longus?
500
This test evaluates collateral circulation in the hand by compressing both the radial and ulnar arteries while the patient repeatedly opens and closes their fist
What is the Allen Test?
500
A 65-year-old woman with osteoporosis falls onto an outstretched hand, presenting with a dorsally displaced, angulated distal radius fracture. She is unable to move her wrist and experiences significant swelling.
What is a Colles fracture?
500
These are the 3 nerve roots that correspond to the nerve that supplies the lateral aspect of the forearm along with muscles of the anterior compartment of the arm (biceps brachii, brachialis, and coracobrachialis).
What are C5, C6, and C7? (musculocutaneous nerves)