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q7 lucente game day 2 > 3 > Flashcards

3 Flashcards

1
Q

common name of compression of median nerve by flexor retinaculum

A

carpal tunnel syndrome: overuse, preg, BC

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2
Q

what is the name of classification system used to grade spondy’s, and what is meant by a grade two spondy

A

myerding, 25-50%

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3
Q

what visceral cond: N/V, epigastric, mid upper back pn, relieved by fetal position

A

pancreatitis

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4
Q

why is the SIJ difficult to model and study

A

large amt of anatomical variation between SIJ

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5
Q

what spinal nerves supply the SIJ

A

L4-S2

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6
Q

orthos that form lazlette’s criteria

A 
distraction
sacral thrust
thigh thrust
compression + gaenslen's
yeoman's
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7
Q

MC type of spondy, and at what level does it MC occur

A

isthmic @ L5

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8
Q

etiology and pt presentation of synovial fold entrapment

A

meniscoid [piece] get trapped bt facets, like an acute locked neck: lets locked and can’t move back
-pt is v antalgic, immed relieved by adjustment

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9
Q

cond MC 20-40y, pn worse w lumbar flex, MRS can be pos while xray is normal

A

disc herniation

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10
Q

which pirmary tumor is MC mets in the lumbar region and what type of lesions does it create on an xray

A

prostate, blastic lesions [look sclerotic, white]

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11
Q

a pos step sign is indicative of

A

spondylo

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12
Q

pt reports paresthesia into digit 4/5 after lots of computer work

A

cubital tunnel syndrome

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13
Q

90% of all lumbar disc herniations occur at what 2 disc levels

A

L4/5

L5/S1

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14
Q

explain how peridural fibrosis can cause pn

A

cord tehtering OR scar tissue takes up space where it shouldnt, and squeezes the structures

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15
Q

describe nutation, counternutation and where it occurs

A
  • nutation: nodding fwd of sacrum

- counter: backwd nodding of sac

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16
Q

cond in elderly F, SIJ is ankylosed, sacrum has been weakened by osteoporosis

A

inusufficiency frx

17
Q

pt is 13y gymnast w LBP on extension: dx

A

isthmic spondy

18
Q

the post/inf 2/3 of the SIJ is ___ in nature, while the ant/sup 1/3 is ___ jts

A

synovial

fibrous/syndesmotic

19
Q

the amt of motion is determined by __ and the direction is det by ___

A

discs / facets

20
Q

what is considered the strongest lig in the body

A

interosseous sacral lig

21
Q

5 types of spondylolistheses

A 
dysplastic
congenital
isthmic
degenerative
traumatic
22
Q

how many typical extrinsic musc provide movement to the SIJ

A

0

23
Q

this cond can have a 10:1 M:F, early sx = LB stiffness, SIJ tenderness, which rises up the spine

A

AS

24
Q

no musc hypertonicity, no mobility impairment,no tenderness in area of complaint, what do you do

A

visceral referral

25
Q

pt has a pulsatile swelling in abdoment and linear calcification lateral to lumbar, what is the cond you are most concerned about

A

AAA

26
Q

T/F why: according to souza persistant BP due to extraspinal path is rare in both children and adults

A

false, is rare in children but common in adults

27
Q

dx: 47y F has persistent NP and jaw pn, heartburn and sweating

A

MI

28
Q

an age related cond relived by rest, xray shows narrowed disc space, osteophytes, stenosis

A

DJD/OA

29
Q

MC cond in adults with hx of UTI, intravenous drug use, skin infx, recent surgery

A

infectious spondylitis

30
Q

why are gaenslen’s and yeoman’s tests less valued in lazlette’s criteria

A

less SPECIFIC

31
Q

5 poss categories of extraspinal BP

A 
psychogenic
thoracic
retroperitoneal
abdominal
pelvic [visceral]
32
Q

pt reports chronic pn with extension, after sitting/standing for time, moving around and stretching helps, local pn that sometimes radiates

A

facet syndrome

33
Q

alteration of SIJ biomechanics is difficult to test, the case for jt dysfx as a cause of SI pn is currently best supported by:

A

favorable response to adjustment

34
Q

visc condition can result in pn in costovertebral jx of ribs radiation PA to groin area

A

any kidney dz [uretal stone]

35
Q

pt has baby 6m ago, has LBP rads down leg, gets better with adjustment but returns day or two later

A

SIJ hypermobility/instability

q7 lucente game day 2 (3 decks)

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