Msk Rosh 74 Correctly Answered Questions Latest Update

Septic Arthritis {Ans: · Patient may present with fever, monoarticular pain with decreased ROM · Labs from arthrocentesis: WBC > 50,000/µL with > 75% PMNs · Diagnosis is made by arthrocentesis · Most common cause overall: S. aureus · Infants < 3 mo: Group B Streptococcus (Streptococcus agalactiae) · N. gonorrhoeae is a common cause in young, sexually active individuals · Tx: IV Abx, joint drainage, surgical washout cause in pt w/ sickle cell -->salmonella}Pharm for acute low back pain {Ans: 1st line: mono or combined therapy 2-4 weeks, NSAIDs, Acetamimophen (if NSAID CI), topical capsaicin or lidocaine 2nd line: optional NSAID + opioid, optional NSAID w/ diazepam or muscle relaxer refractory or severe pain: opioids, tramadol other: antidepressants, glucocorticoids, antieplieptics adjunctive: exercise facilitates faster reocvery, limits disability and improves mental health -PT -spinal manipulation -acupunture}A 32-year-old man presents with right-sided elbow swelling and pain. He works as a plumber and denies any specific injuries. The elbow pain and swelling developed rapidly and became worse over the last 2 days despite applying ice and using over-the-counter anti-inflammatory medications. His vital signs are HR 104 bpm, BP 110/60 mm Hg, RR 18/min, and T 100.2°F. On physical exam, his