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NMS I COPY (Final) > 3rd Written Sim > Flashcards

3rd Written Sim Flashcards

1
Q

What are the 3 initial hypothesis’s based on the following symptoms:
–Lateral/anterior shoulder pain w/ overhead activities or exhibiting a painful arc

A
  • -Subacromial impingement
  • -Tendinitis
  • -Bursitis
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2
Q

What are the 2 initial hypothesis’s based on the following symptoms:
–Instability, apprehension, and pain w/ action, especially w/ shoulder abducted and externally rotated

A
  • -Shoulder instability

- -Possible Labral tear if clicking

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3
Q

What is the initial hypothesis based on the following symptoms:
–Patient falls on shoulder followed by AC joint pain

A

AC joint sprain

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4
Q

What is the initial hypothesis based on the following symptoms:
–Decreased ROM w/ pain during resistance

A

Rotator cuff or bicep tendon involvement

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5
Q

What is the initial hypothesis based on the following symptoms:
–Pain and weakness w/ muscle loading, night pain age > 60

A

Rotator cuff

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6
Q

What is the initial hypothesis based on the following symptoms:
–Poorly located shoulder pain, occasionally extending into elbow, pain aggravated by movement, loss of movement age > 45, females more affected

A

Adhesive capsule this

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7
Q

If you suspect a SLAP Lesion, what are 3 tests you should utilize?

A
  • -Bicep Load Test
  • -O’Briens Test
  • -Active Compression Test
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8
Q

If you suspect a Rotator Cuff Tear, what are 5 tests you could use?

A
  • -Full Can
  • -Empty Can
  • -External Rotation Lag Sign
  • -Hornblower’s Sign
  • -Belly Press Test
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9
Q

What is the procedure for External Rotation Lag Sign?

A
  • -Elbow flexed to 90*
  • -Passively externally rotate the arm
  • -Arm should remain in external rotation
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10
Q

What is a positive External Rotation Lag Sign and what does it mean?

A

Arm lags back

–Infraspinatus tear

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11
Q

What is the procedure for Hornblower’s Sign?

A

Patient put hand to mouth and extend elbow above mouth

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12
Q

What is a positive Hornblower’s Sign and what does it indicate?

A

Patient is unable to raise elbow above mouth

–Teres Minor tear

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13
Q

What is the procedure for Belly Press?

A

Patient pushes arm against bell while DR tries to pull arm away

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14
Q

What is a positive Belly Press and what does it indicate?

A

Patient doesn’t provide resistance to DR

–Subscapularis problem

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15
Q

What type of SLAP lesion is this:

–Fraying of and degeneration of superior labrum

A

Type 1

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16
Q

What type of SLAP lesion is this:

  • -Fraying of and degeneration of superior labrum
  • -Biceps anchor detachment
A

Type 2 (Most common)

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17
Q

What type of SLAP lesion is this:

–More of a bucket handle tear of labrum, intact bicep tendon

A

Type 3

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18
Q

What type of SLAP lesion is this:

–Bucket handle tear of labrum w/ extension of tear into biceps tendon

A

Type 4

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19
Q

What is the best test for diagnosing Shoulder Instability?

A

Apprehension test w/ relocation

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20
Q

What are the 2 initial hypothesis’s based on the following symptoms:
–Pain over lateral elbow during gripping

A
  • -Lateral epicondylitis

- -Radial Tunnel Syndrome

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21
Q

What is the initial hypothesis based on the following symptoms:
–Pain over medial elbow during wrist flexion and pronation

A

Medial epicondylitis

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22
Q

What is the initial hypothesis based on the following symptoms:
–Numbness and tingling in ulnar nerve distribution distal to elbow

A

Cubical tunnel syndrome

23
Q

What is the initial hypothesis based on the following symptoms:
–Pain in anterior aspect of elbow and forearm that is exacerbated by wrist flexion combined w/ elbow flexion and forearm pronation

A

Pronator syndrome

24
Q

What is the initial hypothesis based on the following symptoms:
–Pain during movement w/ sensation of catching or instability

A

Rotary instability

25
Q

What is the initial hypothesis based on the following symptoms:
–Posterior elbow pain during hyperextension

A

Valgus extension during hyperextension

26
Q

What are the following Elbow ROM’s?

  • -Flexion
  • -Extension
  • -Supination
  • -Pronation
A 
Flexion = 140*
Extension = 0*
Supination = 80*
Pronation = 80*
27
Q

What is the procedure for Elbow Flexion Test?

A

Patient will hold a flexed position at the elbow for up to 5 minutes

28
Q

What is a positive Elbow Flexion Test and what does it mean?

A

Tingling/parasthesia along ULNAR N in forearm and hand

–Cubital Tunnel Syndrome

29
Q

What is the procedure for Tinel’s Test at the Elbow?

A

Doc taps the groove b/w

  • -1.) Olecranon and lateral epicondyle
  • -2.) Olecranon and medial epicondyle
30
Q

What is a positive Tinel’s Test at the Elbow and what does it mean?

A

Hypersensitivity is indicative of nerve damage/irritation

31
Q

What is the procedure for Cozen’s Test?

A

Patient extends the wrist while the Doc sustains pressure

32
Q

What is a positive Cozen’s Test and what does it mean?

A

Pain at lateral epicondyle

–lateral epicondylitis

33
Q

What is the procedure for Caplans Test?

A

Grip strength test one time then again w/ a brace

34
Q

What is a positive Caplans test and what does it mean?

A

Grip strength increases the second time

–Epicondylitis

35
Q

What is the Golfer’s Elbow Test procedure?

A

Patient flexes wrist while the doctor sustains pressure

36
Q

What is a positive Golfer’s Test and what does it mean?

A

Pain at medial epicondyle

–Medial epicondylitis

37
Q

What is the procedure for Lift Test?

A

Patient takes weight and flexes wrist, then pronates and extends wrist

38
Q

What is a positive Lift Test and what does it mean?

A

Pain at epicondyle

–Epicondylitis

39
Q

What is the procedure for Ligamentous Instability Test?

A

Patient flex elbow 20-30* and doc applies valgus and varus stress

40
Q

What is a positive Ligamentous Instability Test and what does it mean?

A

Laxity and pain

–MCL, LCL sprain/strain

41
Q

What is the procedure for Mill’s Test?

A
  • -Patients forearm, fingers and wrist are passively flexed

- -Forearm is then pronated and extended

42
Q

What is a positive Mill’s Test and what does it mean?

A

Pain and Lateral epicondylitis

43
Q

What are the normal Elbow ROM’s?

  • -Flex
  • -Ext
  • -Ulnar Dev
  • -Radial Dev
A
  • -Flex = 60*
  • -Ext = 60*
  • -Ulnar Dev = 30*
  • -Radial Dev = 20*
44
Q

What is the initial hypothesis based on the following symptoms:
–Pain over radial styloid process w/ gripping

A

Possible de Quervain’s syndrome

45
Q

What is the initial hypothesis based on the following symptoms:
–Insidious onset of numbness and tingling in 1st 3 fingers; may be worse at night

A

Carpal tunnel syndrome

46
Q

What is the initial hypothesis based on the following symptoms:
–Paresthesia over dorsal aspect of Ulnar border of hand and fingers 4,5

A

Ulnar nerve compression at canal of Guyon

47
Q

What are 2 of the initial hypothesis’s based on the following symptoms:
–Inability to extend metacarpophalangeal of IP joints

A
  • -Dupuytren’s contracture

- -trigger finger

48
Q

What are the 2 initial hypothesis’s based on the following symptoms:
–Falling on hand w/ wrist hyperextended, complains of pain w/ loading the wrist

A
  • -Scaphoid fracture

- -Carpal instability

49
Q

What is the procedure for Tinel’s sign at the wrist?

A

Doc taps over the carpal tunnel w/ reflex hammer

50
Q

What is a positive Tinel’s sign at the wrist and what does it mean?

A

Hypersensitivity

–Carpal tunnel syndrome

51
Q

What is the procedure for Phalen’s Test?

A

Patient puts dorsal aspect of hands together and pushes them in contact

52
Q

What is a positive Phalen’s Test and what does it mean?

A

Increase pressure on median nerve

–Carpal tunnel symptoms

53
Q

What is the procedure for Froment’s Test?

A

Patient attempts to grab a piece of paper b/w thumb and index finger Doc then tries to pull it out of the grip

54
Q

What is a positive Froment’s Test and what does it mean?

A

Can’t hold paper

–Ulnar nerve paralysis

NMS I COPY (Final) (10 decks)

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