پزشکی ورزشی

Question 1

Chief complaint
بیمار وقتی چند مشکل دارد، کدام مشکل است؟

Answer 1

Most bothersome problem

Question 2

۸ جز مرتبط با C.C. که در HPI باید آورده شود:

Answer 2

۱.مکان ۲.زمان شروع ۳.کیفیت ۴.زمینه
۵.شدت ۶.مدت ۷.عوامل تاثیرگذار ۸.علائم مرتبط

1.location 2.time of onset 3.quality 4.context 5.severity 6.duration 7.modifying factors
8.associated signs & symptoms

Question 3

Linear distance between successive corresponding points of heel contact of the same foot

Answer 3

Stride length

Question 4

The distance between corresponding points of heel contact of the same foot

Answer 4

Step length

Question 5

Women average step length

Answer 5

2 feet
۶۰.۹۶ cm

Question 6

Men average step length

Answer 6

2.5 feet
۷۶.۲ cm

Question 7

معاینات فیزیکی مربوط به GAIT

Answer 7

1.Ease of arising from a seated position
سهولت برخاستن از وضعیت نشسته

2.Balance
تعادل

3.Walking speed
سرعت راه رفتن

4.Stride and Step length
طول قدم ها

5.Attitude of arms and legs
رفتار بازوها و پاها

Question 8

مواردی که در MSK:Musculoskeletal examination باید بررسی شود

Answer 8

Inspection
Palpation

Passive and active Range Of
Motion

Assesment of joint stability

Manual muscle training

Joint specific provocative maneuvers, and special tests

Question 9

مواردی که در بررسی attitude of arms and lengs باید به آن‌ها توجه کنیم

Answer 9

Tendem gait
گام‌های کوتاه

On heel and toe
روی پنجه، روی پاشنه

Trendelenburg gait
ضعف یک‌طرفه هیپ

Question 10

SITS muscles of the rotator cuff (dynamic stabilizers of shoulder joint)

Answer 10

Supraspinatous,
Infraspinatus,
Teres minor,
Subscapularis

Question 11

The most common cause of shoulder pain in primary care?

Answer 11

Rotator cuff disorders

Question 12

_____ may cause elevation of one shoulder.

Answer 12

Scoliosis

Question 13

With anterior dislocation of the shoulder, the rounded lateral aspect of the shoulder appears _____

Answer 13

Flattened

با در رفتگی قدامی شانه، قسمت گرد جانبی شانه صاف به نطر می‌رسد

Question 14

Swelling over olecranon process is suspicious for _____

Answer 14

Olecranon bursitis

Question 15

Inflamation of synovial fluid
Suggests _____

Answer 15

Arthritis

Question 16

Tenderness distal to the epicondyle is common in _____

and less common in _____

Answer 16

lateral epicondylitis (Tennis Elbow)

Medial epicondylitis (** pitcher’s or golfer’s elbow**)

Question 17

Degenerative changes at the first carpometecarpal joint of the thumb are more common in [men/women]

Answer 17

Women

Question 18

Heberden nodes (hard dorsolateral nodules on the DIP joints) and Bouchard nodes (hard dorsolateral nodules on the PIP joints) are common findings in ______

Answer 18

OA

Question 19

Thenar atrophy can occur in median nerve
compression from _____________

Answer 19

carpal tunnel syndrome

Question 20

____________ can occur in median nerve
compression from carpal tunnel syndrome

Answer 20

Thenar atrophy

Question 21

In ulnar nerve compression, there is
_________ atrophy

Answer 21

Hypothenar

Question 22

__________ contractures occur in the third,
fourth, and fifth fingers and arise from thickening of the
palmar fascia

Answer 22

Dupuytren flexion

Question 23

Dupuytren flexion contractures occur in the ______, ______, and ______ fingers and arise from thickening of the palmar fascia

Answer 23

third, fourth, and fifth

Question 24

__________ are caused by stenosing tenosynovitis.

Answer 24

Trigger digits

Question 25

Trigger digits are caused by __________

Answer 25

stenosing tenosynovitis

Question 26

Snuffbox” tenderness with the wrist in ulnar deviation and pain at the scaphoid tubercle are suspicious for ___________

Answer 26

occult scaphoid fracture.

Question 27

Snuffbox” tenderness with the wrist in ulnar deviation and pain at the scaphoid tubercle are suspicious for ___________

Answer 27

occult scaphoid fracture.

Question 28

____________ with the wrist in ulnar deviation and pain at the scaphoid tubercle are suspicious for occult scaphoid fracture.

Answer 28

Snuffbox” tenderness

Question 29

Tenderness over the extensor and abductor tendons of the thumb at the radial styloid occurs in _________ & ________

Answer 29

DE Quervain tenosynovitis and
gonococcal tenosynovitis

Question 30

The MCPs are often boggy or tender in ______ but are rarely involved in _____.

Answer 30

RA OA

Question 31

Pain with compression also occurs in ________

Answer 31

posttraumatic arthritis

Question 32

Focal tenderness after trauma may suggest ________

Answer 32

underlying fracture

Question 33

___________ tenosynovitis involves the extensor and abductor tendons of the thumb as they cross the radial styloid in the first dorsal compartment of the wrist.

Answer 33

De Quervain

Question 34

Arthritis, tenosynovitis, and Dupuytrencontracture All impair ____

Answer 34

ROM

Question 35

Decreased __________ is a positive test for weakness of the
finger flexors and/or intrinsic muscles of the hand.

Answer 35

grip strength

Question 36

Decreased Grip strength result from ______ , ….

Answer 36

weakness of the finger flexors
intrinsic muscles of the hand.
degenerative arthritis,
carpal tunnel syndrome,
epicondylitis,
cervical radiculopathy
other nerve disorders of the arm and hand.

Question 37

Grip weakness plus wrist pain are often present in ______

Answer 37

de Quervain tenosynovitis