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Simmons NURP 502 Exam 4 > 12: What Does this Suggest? > Flashcards

12: What Does this Suggest? Flashcards

1
Q

What does this finding suggest may be the problem?

Positive crossover test (adduct patient’s arm across chest).

A

Inflammation or arthritis of the AC joint

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2
Q

What does this finding suggest may be the problem?

Positive drop arm test in a patient over 60 years of age.

A

Degenerative rotator cuff tear. The combined findings of supraspinatus weakness, infraspinatus weakness, and a positive impingement sign increase the likelihood of a tear.

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3
Q

What does this finding suggest may be the problem?

Difficulty with the Apley scratch test.

A

Rotator cuff disorder or adhesive capsulitis

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4
Q

What does this finding suggest may be the problem?

Pain with Neer’s sign.

A

Inflammation or rotator cuff tear

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5
Q

What does this finding suggest may be the problem?

Pain with Hawkin’s sign.

A

Inflammation or rotator cuff tear

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6
Q

What does this finding suggest may be the problem?

Weakness with empty can test.

A

Rotator cuff tear

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7
Q

What does this finding suggest may be the problem?

  • Weakness when asking the patient to place arms at the side and flex the elbows to 90 degrees with the thumbs turned up.
  • Provide resistance as the patient presses the forearms outward.
A

Rotator cuff tear or bicipital tendinitis

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8
Q

What does this finding suggest may be the problem?

Pain with forearm supination.

A

Inflammation of the long head of the biceps tendon or rotator cuff tear

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9
Q

What does this finding suggest may be the problem?

Weakness with the drop arm test.

A

Rotator cuff tear

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10
Q

What does this finding suggest may be the problem?

Pain with Finkelstein’s test.

A

deQuervain’s Tenosynovitis

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11
Q

What does this finding suggest may be the problem?

Weakness with thumb abduction.

A

Carpal Tunnel

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12
Q

What does this finding suggest may be the problem?

Aching and numbness in the first 3 fingers with Tinel’s sign.

A

Carpal Tunnel

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13
Q

What does this finding suggest may be the problem?

Numbness and tingling with Phalen’s sign.

A

Carpal Tunnel

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14
Q

What does this finding suggest may be the problem?

Elbow supination causes pain.

A

Medial Epicondylitis (Golfer’s Elbow)

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15
Q

What does this finding suggest may be the problem?

Elbow pronation causes pain.

A

Lateral Epicondylitis (Tennis Elbow)

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16
Q

What does this finding suggest may be the problem?

Swollen olecranon process.

A

Bursitis

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17
Q

What does this finding suggest may be the problem?

Thenar eminence is flattened.

A

Carpal Tunnel

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18
Q

What does this finding suggest may be the problem?

Weakness with thumb/first finger opposition to resistance.

A

Carpal Tunnel

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19
Q

What does this finding suggest may be the problem?

Deformity of the thorax with forward bending (Adam’s bend test).

A

Scoliosis

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20
Q

What does this finding suggest may be the problem?

Persistence of lumbar lordosis with forward bending.

A
  • Muscle Spasms
  • Ankylosing Spondylitis
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21
Q

What does this finding suggest may be the problem?

Decreased spinal mobility with back extension.

A
  • Osteoarthritis
  • Ankylosing Spondylitis
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22
Q

What does this finding suggest may be the problem?

A wide standing/walking base.

A

Cerebellar disease or foot problems

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23
Q

What does this finding suggest may be the problem?

A waddling gait caused by the pelvis dropping on the other side.

A
  • Hip dislocation
  • Arthritis
  • Leg length discrepancy
  • Abductor weakness
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24
Q

What does this finding suggest may be the problem?

Loss of lordosis.

A

Paravertebral spasm

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25
Q

What does this finding suggest may be the problem?

Excess lordosis.

A

Flexion deformity of the hip

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26
Q

What does this finding suggest may be the problem?

Leg shortening and external rotation of the hip.

A

Hip fracture

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27
Q

What does this finding suggest may be the problem?

Sacroiliac joint tenderness.

A

Sacroilitis

28
Q

What does this finding suggest may be the problem?

Bulges along the inguinal ligament.

A
  • Inguinal hernia
  • Aneurysm (occasionally)
29
Q

What does this finding suggest may be the problem?

Tenderness in the groin area.

A
  • Synovitis of the hip joint
  • Arthritis
  • Bursitis
  • Psoas abscess (possibly)
30
Q

What does this finding suggest may be the problem?

Focal tenderness over the trochanter.

A

Trochanteric bursitis

31
Q

What does this finding suggest may be the problem?

Tenderness over the posterolateral surface of the greater trochanter.

A
  • Localized tendinitis
  • Muscle spasm from referred hip pain
  • ITB tendinitis
32
Q

What does this finding suggest may be the problem?

Mimics sciatica but has hip tenderness as well.

A

Ischiogluteal bursitis (Weaver’s Bottom)

33
Q

What does this finding suggest may be the problem?

Restricted hip abduction.

A

Hip osteoarthritis

34
Q

What does this finding suggest may be the problem?

Restriction of internal and external hip rotation.

A

Arthritis (and other hip disease)

35
Q

What does this finding suggest may be the problem?

Stumbling or “giving way” of the knee during heel strike.

A
  • Quadriceps weakness
  • Abnormal patellar tracking
36
Q

What does this finding suggest may be the problem?

Swelling over the patella.

A

Prepatellar bursitis

37
Q

What does this finding suggest may be the problem?

Swelling over the tibial tubercle.

A

Infrapatellar or anserine (more medial) bursitis

38
Q

What does this finding suggest may be the problem?

Pain and crepitus of the patella.

A

Roughening of the undersurface of the patella that articulates with the femur

39
Q

What does this finding suggest may be the problem?

Pain with patellar compression and with patellar movement during quadriceps contraction.

A
  • Chondromalacia
  • Degenerative patella (patellofemoral syndrome)
40
Q

What does this finding suggest may be the problem?

Swelling above and adjacent to the patella.

A
  • Synovial thickening
  • Effusion in the knee joint
41
Q

What does this finding suggest may be the problem?

Thickening, bogginess, or warmth in the patellar area.

A
  • Synovitis
  • Nontender effusions from osteoarthritis
42
Q

What does this finding suggest may be the problem?

A fluid wave on the medial side between the patella and the femur.

A

Positive bulge sign consistent with effusion

43
Q

What does this finding suggest may be the problem?

Pain or a gap during the valgus stress test (abduction).

A

MCL injury

44
Q

What does this finding suggest may be the problem?

Pain or a gap during the varus stress test (adduction).

A

LCL injury

45
Q

What does this finding suggest may be the problem?

Click or pop with McMurray test.

A

Meniscus tear

46
Q

What does this finding suggest may be the problem?

Joint line tenderness.

A

Meniscus tear

47
Q

What does this finding suggest may be the problem?

Focal heel tenderness or pain along the plantar aspect of the midfoot that is worse in the morning.

A

Plantar fasciitis

48
Q

What does this finding suggest may be the problem?

Tenderness along the posterior medial malleolus.

A

Posterior tibial tendinitis (and causes flat feet)

49
Q

What does this finding suggest may be the problem?

Acute inflammation of the first metatarsophalangeal joint.

50
Q

What does this finding suggest may be the problem?

Tenderness over the heads of the 3rd and 4th metatarsals on the plantar surface.

A

Morton’s neuroma

51
Q

What does this finding suggest may be the problem?

Heberden’s nodes.

A

Osteoarthritis

52
Q

What does this finding suggest may be the problem?

Bony overgrowth on DIP joints.

A
  • Heberden’s nodes
  • Heberden’s nodes are Higher up on the finger.
  • Bouchard’s nodes are closer to the Body.
53
Q

What does this finding suggest may be the problem?

Bony overgrowth on PIP joints.

A
  • Bouchard’s nodes
  • Heberden’s nodes are Higher up on the finger.
  • Bouchard’s nodes are closer to the Body.
54
Q

What does this finding suggest may be the problem?

Bouchard’s nodes

A
  • Both Heberden’s and Bouchard’s nodes can be found in osteoarthritis.
  • However, the presence of Bouchard’s nodes (with the absence of Heberden’s nodes) on a board question can help you in diagnosing Rheumatoid Arthritis.
55
Q

What does this finding suggest may be the problem?

Lateral deviation of the great toe and enlargement of the head of the first metatarsal on the medial side.

A

Hallux valgus (Bunion)

56
Q

What does this finding suggest may be the problem?

  • Most commonly involves the 2nd toe.
  • Characterized by hyperextension at the metatarsophalangeal joint with flexion at the proximal interphalangeal joint.
A

Hammer Toe

57
Q

What does this finding suggest may be the problem?

  • Painful thickening of skin that results from recurrent pressure on the normally thin skin.
  • The apex points inward and causes pain.
  • Usually over bony prominences such as the 5th toe.
58
Q

What does this finding suggest may be the problem?

  • An area of thickened skin that develops in a region of recurrent pressure.
  • Involves skin that is normally thick, such as the sole.
  • Usually painless.
59
Q

What does this finding suggest may be the problem?

Hyperkeratotic lesion caused by HPV on the sole of the foot.

A

Plantar wart

60
Q

What does this finding suggest may be the problem?

Positive Thompson squeeze test.

A

Achilles tendon rupture

61
Q

What does this finding suggest may be the problem?

Pain during Apley’s grind test.

A

Meniscal tear

62
Q

What does this finding suggest may be the problem?

Anterior shoulder pain (with or without trauma) that does not radiate below the elbows and worsens when arm is lifted overhead:

A

Rotator Cuff Tendonitis

63
Q

What does this finding suggest may be the problem?

Complaints of heaviness and numbness in arm.

A

Rotator Cuff Tear/Instability

64
Q

What does this finding suggest may be the problem?

Positive apprehension test.

A

Glenohumeral Instability

65
Q

What does this finding suggest may be the problem?

Pain with palpation of the bicipital groove.

A

Bicipital Tendonitis

66
Q

What does this finding suggest may be the problem?

Snuffbox tenderness.

A

Scaphoid Fracture

Simmons NURP 502 Exam 4 (21 decks)

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