2.5.3 Week in Review

Question 1

Answer 1

B

Question 2

Answer 2

Question 3

What gender is most likely to suffer from a colles fracture?

Answer 3

Women

Question 4

Answer 4

B. Femoral

Question 5

What is the most frequently damaged ligament upon ankle eversion?

Answer 5

Deltodid ligament

Question 6

Lack of an end point in the talar tilt is positive for what?

Answer 6

LCL tear (anterior/posterior talofibular ligaments, calcaneofibular)

Question 7

Answer 7

A

Question 8

What are the points of tenderness in the ottawa ankle rules?

Answer 8

Question 9

Answer 9

B

Question 10

What are the Ottawa Ankle rules for x-raying ankle?

Answer 10

Question 11

Diagnose me.

Answer 11

Acromioclavicular separation (shoulder separated)

Question 12

Where does the compression occur in cubital tunnel?

Answer 12

Ulnar nerve as it passes beneath the ulnar collateral ligament (UCL)

Question 13

What is the ulnar tunnel of the hand/wrist?

Answer 13

Guyon’s canal

Question 14

What three tests (provocative maneuvers) that can be used to identify carpal tunnel syndrome?

Answer 14

Phalen’s test: phalen’s flap

Tinel’s sign: Tinel’s tap

Digital compression test

Question 15

What are the grades of ankle sprains?

Answer 15

Question 17

What does the ulnar nerve innervate?

Answer 17

The hand and 1.5 anterior forearm muscles (flexor carpi radialis and ulnar half of flexor digitorum profundus

and sensory for 1.5 fingers

Question 18

What is the order of the hamstring muscles from medial to lateral?

Answer 18

semiMembranous, semitendonous, and biceps femoris

Question 19

What type of movement could cause Erb’s palsy

Answer 19

Excessive separation of the head and neck such as falling with shoulder on ground

(shoulder dystocia in baby delivery)

Question 20

Answer 20

A

Question 21

What is the diff b/t varus and valgus?

Answer 21

Question 22

What nerve/vessel injuries are associated with these humerus fractures?

Surg neck, radial groove, distal end of humerus, medial epicondyle

Answer 22

Question 23

What is the clinical importance of the femoral triangle?

Answer 23

Question 24

What test is used for fuction of the subscapularis?

Answer 24

The “lift-off test” (also good for testing rhomboids)

Question 25

Where is pain and tenderness felt in a scaphoid fracture?

Answer 25

The anatomical snuff box

Question 26

What are the two types of muscle fibers?

Answer 26

2: Too fast

Question 27

What is the most common direction of ankle sprains?

Answer 27

Inversion

Question 28

Answer 28

C. Common Fibular (peroneal) nerve

Question 29

What is the most frequently fractured carpal bone?

Answer 29

Scaphoid

Question 30

What is O’ Donoghues Triad?

Answer 30

Complete ACL tear

Complete M/TCL Tear

Peripheral medial meniscus tear

Question 31

What type of subluxation and dislocation is common in young children?

Answer 31

S & D of the radial head (“pulled elbow” = nursemaid’s elbow)

Question 32

What the relationship between the the roots and the terminal branches of the brachial plexus?

Answer 32

Question 33

What test is used to identify weakness in shoulder due to the tearing of the supraspinatus?

Answer 33

The empty-can test

Question 34

Answer

Answer 34

D

Question 35

What duration of time for immobilization is suggested for non-displaced scaphoid fractures?

Answer 35

Question 36

What is unique about the origin of the lumbricals?

Answer 36

originate off the tendons of the flexor digitorum profundus

Question 37

During what type of muscle movement is hamstring injury most common?

Answer 37

Eccentric muscle contraction

Question 38

What is the most common cause of a Colles’ fracture?

Answer 38

Falling on an outstretched hand (FOOSH)

Question 39

Which hand muscles are innervated by the median nerve?

Answer 39

1/2 LOAF

Question 40

What is the most common bacterium causing cellulitis?

Answer 40

Streptococci or Staph. aureus (increasing concern with MRSA)

Question 41

What two tendons make up the anatomical snuff box?

Answer 41

Extensor pollicis longus (EPL) tendon

Extensor pollicis brevis (EPB) tendon

Question 42

What is the most frequently damaged ligament upon ankle inversion?

Answer 42

Anterior talofibular ligament

Question 43

Tommy John surgery is used to repair which structure in the elbow?

Answer 43

The ulnar collateral ligament

Question 44

What is the most commonly torn muscle of the rotator cuff?

Answer 44

Supraspinatus m.

Question 45

What are the four types of Colles’ fracture?

Answer 45

I: extra articular, undisplaced

II: extra articular, displaced

III: intra articular, undisplaced

IV: intra articular, displaced

Question 46

What ligaments are injured in a high ankle sprain?

Answer 46

Syndesmosis ligaments

Question 47

The piano key sign is associated with which Tossy classification?

Answer 47

Tossy III

Question 48

What type of neural injury causes ape hand deformity?

Answer 48

Damage to proximal median nerve

Question 49

What is the function of the lumbricals? What innervates them?

Answer 49

Flex the MCP joint and extends the IP joints of the medial four fingers

1 & 2: median nerve

3 & 4: ulnar nerve

Question 50

What are the borders of the femoral triangle?

Answer 50

Inguinial lig, sartorius, and adductor longus

Question 51

What is the Tossy classification system used for? What are the grades?

Answer 51

AC joint isolation

Question 52

What are the muscles (both intrinsic and extrinsic to the hand) that control these thumb movements? and their respective innervation?

Answer 52

Question 53

Answer 53

D. Medial meniscus

Question 54

What are the syndesmosis ligaments?

Answer 54

Question 55

Injury of the upper brachial plexus (C5-6) is called what?

Answer 55

Erb’s palsy - waiter’s tip deformity