2020 andra cycle Flashcards
For the sage lifting is important:
a. to keep a load with one hand
b. to bend the trunk as much below as possible, during load lifting
c. to keep spine in natural curve
d. to keep a loaf from the body as far as possible
c. to keep spine in natural curve
Patient falls classification (by prof. J.M.Morse): Falls occur in patients who score a high risk of falling on for example the MGS (Morse Fall Scale). These falls called:
a. Anticipated physiological falls
b. Unanticipated physiological falls
c. Accidental falls
a. Anticipated physiological falls
Ergonomic (physical ergonomics) risk factors for the low back pain are:
a. improper work schedule organisation
b. long working hours
c. bullying
d. forceful movements, awkward posture, lifting
d. forceful movements, awkward posture, lifting
At the neuromuscular junction
a. end plate potential normally leads to action potential generation
b. Mg2+ ions are essentials for neurotransmitter release
c. Neurotransmitter release is under low “all-or-nothing”
d. the signal is transmitted both ways: from nerve to muscles as well as from muscle to nerve
e. action potential is result of nicotinic channels opening
a. end plate potential normally leads to action potential generation
Interaction of the movement system elements depends on:
a. central nervous system, joints and muscles
b. cartilage, bones and muscles
c. joints, ligaments and fascia
d. muscles, fascia and bones
a. central nervous system, joints and muscles
Osteoarthritis conservative treatment goals (mark wrong one)
select one or more:
- improve function
- restore range of movements with modern implants
- protect or slow down the progression of the disease
- reduce the pain
- teach the patient about OA and its treatment
-restore range of movements with modern implants
Soft tissue contusion has the following signs:
select one or more:
- impaired function
- expressed edema and massive hemorrhage inside the tissues may mask bone fractures and dislocations
- if large area is injured, general signs like general malaise and fever are possible
- haemorrhage
- edema
- pain
all of them are correct, they are signs of soft tissue contusion!
WHAT CAUSES THE movement dysfunction?
- muscle dysfunction
- nerve dysfunction
- joint dysfunction
- joint, nerve and muscle dysfunction
-joint, nerve and muscle dysfunction
Dorsal pedis artery is continuation of which artery?
a. medial plantar artery
b. fibular artery
c. posterior tibial artery
d. anterior tibial artery
e. lateral plantar artery
d. anterior tibial artery
The contractile response in skeletal muscle
a. produce more work the muscle contracts isometrically than when the muscle contracts isotonically
b. does not last as long as the action potential
c. decreases in magnitude with repeated stimulation
d. starts after action potential is over
e. produces more tension when the muscle contracts isometrically than when the muscle contracts isotonically
e. produces more tension when the muscle contracts isometrically than when the muscle contracts isotonically
When two acetylcholine molecules bind to a nicotinic receptor on skeletal muscle, the channel opens and allows transmembrane passage of ions. The resulting ion flux is dominated by which of the following choices under normal physiologic conditions?
a. Ca2+
b. Mg2+
c. Na+
d. Cl-
e. K+
c. Na+
Common symptom in the pressure on peripheral neuron:
a. Bone deviation
b. Muscular atrophy
c. Joint redness
d. Joint swelling
b. Muscular atrophy
Which of the following is a correct comparison of type 1 (slow oxidate) skeletal muscle fibers and type 2 B (fast-glycolytic) skeletal muscle fibers?
a. Type 1 fibers have fewer mitochondria
b. Type 1 fibers have a bigger diameter
c. Type 1 fibers can generate more tension
d. Type 1 fibers store more glycogen
e. Type 1 fibers produce longer twitch
e. Type 1 fibers produce longer twitch
Elderly patient noticed that pain is “shooting” through hip joint to the ankle, Differential diagnosis from…?
select one or more:
a. knee joint tendon rupture
b. femoral neck rupture
c. spine cervical part pathology
d. vertebral column disorders
d. vertebral column disorders
What are the possible causes of pneumothorax?
select one or more:
- Blunt or penetrating chest injury
- Transbronchial biopsy
- Spontaneous
- Pleural biopsy
- Yawn
- Thoracocentesis
- Subclavian vein puncture
- Esophagoscopy
- Sneeze
- Chest tube insertion
- Intercostal blockade
- Blunt or penetrating chest injury
- Transbronchial biopsy
- Spontaneous
- Pleural biopsy
- Thoracocentesis
- Subclavian vein puncture
- Esophagoscopy
- Chest tube insertion
- Intercostal blockade
Choose the correct type of DMD inheritance:
select one:
a. Y linked
b. Autosomal recessibe
c. Autosomal dominant
d. X-linked recessive
e. X-linked dominant
d. X-linked recessive
Common X-ray symptoms of inflammatory arthropathy:
select one:
a. uzura
b. osteophytes
c. bone cysts
d. subchondrial sclerosis
a. uzura
b. osteophytes
c. bone cysts
d. subchondrial sclerosis
From b-d are signs of arthrosis
Patient is not able to do eversion of the foot, which muscle is damage?
a. tibialis posterior
b. tibialis anterior
c. flexor digitorum longus
d. gastrocmemius
e. fibulas longus
e. fibulas longus
ALSO –> fibulas brevis and fibularis tertius
What is true regarding the inspection of an injured patient?
Select one or more
- Inspection requires prevent additional injuries, it is forbidden to touch or remove foreign bodies
- It is essential to inspect the whole body except non-injured sites
- It is essential to assess the state of consciousness, type and adequacy of respiration, tissue perfusion, as well as to pay attention to the position, deformities, functional and sensational impairment, and to assess the movement of chest and abdominal wall
- Rapid and weak pulse is a sign of hypovolemia, strong pulse is characteristic to a severe head trauma and decreased intracranial pressure
- Inspection helps to detect bone fractures, dislocations, brain and spinal cord injuries, chest and abdominal organ injuries
- Inspection helps to recognize a possible injury and to provide an adequate help
- Suspect the head and chest injury as well as shock when a patient is unconscious
- It is essential to assess the state of consciousness, type and adequacy of respiration, tissue perfusion, as well as to pay attention to the position, deformities, functional and sensational impairment, and to assess the movement of chest and abdominal wall
- Inspection helps to detect bone fractures, dislocations, brain and spinal cord injuries, chest and abdominal organ injuries
- Inspection helps to recognize a possible injury and to provide an adequate help
- Suspect the head and chest injury as well as shock when a patient is unconscious
Common symptom of the myofascicular pain:
a. intramuscular tender knot
b. joint swelling
c. joint redness
d. generalised stiffness
a. intramuscular tender knot
Mark the advantages of computed tomography over the roentgenography in investigations of skeletal system
a. during investigations patient receives low dose of ionising radiation
b. it is possible to make various 2D and 3D reconstructions
c. Most valuable in evaluation of bone tissue and calcification
d. shows precisely bone in evaluation of complex anatomical structures
b. it is possible to make various 2D and 3D reconstructions
d. shows precisely bone in evaluation of complex anatomical structures
What is the sequence of increased pressure on the lumbar vertebrae depending on the body position?
a. sitting, standing lying
b. lying, standing, sitting
c. lying, sitting, standing
d, sitting, lying, standing
b. lying, standing, sitting
Mark the correct statement about posterior cruciate ligament
a. it attaches on the lateral femoral condyle and posterior intercondylar area of the tibia
b. it prevents anterior displacement of the tibia relative to the femur
c. it attaches on the medial femoral condyle and anterior intercondylar area of the tibia
d. it attaches on the medial surface of the lateral femoral condyle and patella
e. it attaches on lateral surface of the medial femoral condyle and posterior intercondylar area of the tibia
e. it attaches on lateral surface of the medial femoral condyle and posterior intercondylar area of the tibia
The important factors associated with manual meterial handling risk on the muscloskeletal system are:
a. the weight of the load
b. chosen lifting technique
c. degree of flexion and rotation of the spine
a. the weight of the load
b. chosen lifting technique
c. degree of flexion and rotation of the spine
select medicine(s) not administered for first line prevention of postmenopausal osteoporosis due to the risk of thromboembolism:
select one or more:
a. estradiol
b. teriparatide
c. ibadronic acid
d. denosumab
e. raloxifene
a. estradiol
e. raloxifene
Teriparatide has no risk of TB, 2nd line
What is on the bottom of the movement pyramid?
a. pain
b. posture
c. muscles
d. skills
PAINNNN
Patient falls prevention. Patient falls intrinsic risk factors. Which intrinsic factors can influence patient falls?
a. different systems and diseases
b. balance and gait disorders
c. cataract
d. arrhythmia
e. orthostatic hypotension
a. different systems and diseases
What tissues is found in epyoheseal plates of children and adolescent?
a. fibrouscartilage
b. hyaline cartilage
c. elastic cartilahe
d. compact bone
e. articular cartilage
b. hyaline cartilage
Paresthesia is common in:
a. Degenerative arthropathy
b. Pressure on peripheral neuron
c. Goat
d. Inflammartory arthropathy
b. Pressure on peripheral neuron
The functions of tropomyosin in skeletal muscle include
a. Acting as “relaxing protein” at rest by covering up the sites where myosin binds to actin
b. Releasing Ca2+ after initiation of contraction
c. Binding to myosin during contraction
d. Sliding on actin to produce shortening
e. Generate ATP, which it passes to the contractile mechanism
a. Acting as “relaxing protein” at rest by covering up the sites where myosin binds to actin
Which nerve is damage if patient is not able to flex the thigh and extend the leg?
a. tibial nerve
b. sciatic nerve
c. femoral nerve
d. superficial peroneal nerve
e. deep peroneal nerve
c. femoral nerve
Common symptom of degenerative arthropathy:
a. Short term joint stiffness
b. Paresthesia
c. Long term joint stiffness
d. Constant pain everywhere
a. Short term joint stiffness
–> REMEMBER: arthritis is degenerative athropathy
Choose the most frequent type of dystrophin gene mutation:
a. inversions
b. insertions
c. transversions
d. point mutations
e. deletions
e. deletions
The optimal tractics for treating joint osteoarthritis* require:
select one or more:
a. all patients older than 70 years are enrolled for end-prosthesis operation
b. a combination of pharmacological treatments
c. a combination of non-pharmcalogical treatments
d. a combination of non-pharmcalogical and pharmacological treatments
e. a combination of pharmcalogical and surgical (alloplastic) treatments
d. a combination of non-pharmcalogical and pharmacological treatments
* Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage that cushions the ends of the bones wears down over time. Although osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine.
Hip joint consists of:
select one or more:
a. ilium bone and ischium
b. iliac crest and femoral head
c. pubis and llium
d. pelvis and femoral head
e. pelvis, symphysis and sacrum
a. ilium bone and ischium
c. pubis and llium
d. pelvis and femoral head
Mark what could be visible in roentgenogram of the spine in case of generalised osteoporosis:
select one or more:
a. thining of compact layer of bones
b. fractures
c. compressed vertebral bodies/ “fish bone” vertebra
d. bones of lower density
a. thining of compact layer of bones
b. fractures
c. compressed vertebral bodies/ “fish bone” vertebra
d. bones of lower density
all are correct
Joint crepitus is common in:
a. myofascicular pain
b. pressure on peripheral neuron
c. fibromyalgia
d. degenerative arthropathy
d. degenerative arthropathy