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PCM-1 > Approach to Pt w/ joint pain and Shoulder Pain > Flashcards

Approach to Pt w/ joint pain and Shoulder Pain Flashcards

1
Q

What is a normal reflex?

A

+2/4

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2
Q

What does Speed’s Test evaluate?

A

feel bicipital groove while having pt flex elbow against resistance
+ test = pain in bicipital groove
indicates: bicipital tendonitis of longhead biceps

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3
Q

What is a landmark for C4 dermatome?

A

top of shoulder

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4
Q

What vertebrae is at the inferior border of the scapula?

A

T7

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5
Q

What does OLDCAAARTS stand for?

A 
onset
location
duration
character
alleviating factors
aggravating factors
associated factors
radiation
timing
severity
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6
Q

What is the specificity of a joint test?

A

portion of pts without the diagnosis who lack the physical sign (true negative)

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7
Q

What is a landmark for T4 dermatome?

A

nipple line

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8
Q

What happens in a dislocation?

A

complete lack of contact btw two articular surfaces

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9
Q

What does migratory mean?

A

moves from one joint to another

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10
Q

What is tenosynovitis?

A

inflammation of the tendon sheath

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11
Q

What does the sulcus sign evaluate?

A

+ test = indentation appears beneath acromion

Indicates: glenohumeral instability

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12
Q

When do muscle strains often happen?

A

when muscle is stretched and contracted simultaneously

“grabbing sensation”

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13
Q

How do you document examination of edema?

A

press for 5 seconds
0 = absent
1+ = barely detectable, 2 mm, disappears rapidly
2+ = slight indentation (4 mm); 10-15 sec
3+ = deeper indentation (6mm); >1 min
4+ very marked indentation (8 mm); 2-5 min

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14
Q

What does the apley scratch test evaluate?

A

Range of motion of shoulder; test both sides
Upper arm: abduction and external rotation
Lower arm: internal rotation and adduction

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15
Q

What does the Empty Can test indicate?

A

Flex shoulder to 90 degrees while horizontally abducting to 45 degrees; internally rotated
press down on forearms while pt resists
+ test = pain or weakness
Indicates: rotator cuff pathology (spec supraspinatus m)

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16
Q

What is a landmark for C5 dermatome?

A

lateral part of upper arm

17
Q

What does arthralgia mean?

A

joint pain

18
Q

What does Neer Impingement evaluate?

A

Stabilize shoulder; w/ forearm pronated, passively flex shoulder to fully flexed pos
+ test = pain
Indicates: subacromial bursa or rotator cuff impingement

19
Q

What does the lift off test evaluate?

A

pt’s arm in internal rotation and extension (arm behind back); pt pushes arm into further internal rotation against physician
+ test = weakness
Indicates: subscapularis weakness

20
Q

What is a sprain?

A

ligament stretching and tearing

bleeding outside of ligament is proportional to how bad the tear is

21
Q

What is a normal pulse?

A

+2/4

22
Q

What does the drop-arm test evaluate?

A

Pt abducts to 90 degrees –> slowly drops arm
+ test: arm will drop or gentle tap on wrist will cause arm to drop
indicates: full thickness tear of supraspinatus

23
Q

What vertebrae is at the spine of scapula?

A

T3

24
Q

What is subluxation?

A

abnormal joint movement, but there is still residual contact btw articular surfaces

25
Q

What is a normal muscle strength?

A

+5/5

26
Q

What does the painful arc test evaluate?

A

+ test = pain within 60 and 120 degrees of abduction

indicates: subacromial impingement or rotator cuff injury

27
Q

What is a landmark for C8 dermatome?

A

5th digit

28
Q

What does the apprehension test evaluate?

A

put pt into external rotation
+ test = apprehensive of repeat dislocation
indicates: glenohumeral instability

29
Q

What is LR in relation to a joint test?

A

probability of a disease or diagnosis
0 to infinity
higher the number, the more likely the disease

30
Q

What does the cross arm test evaluate?

A

Passively adduct pt’s arm across chest
+ test = pain in aC joint w/ end range adduction
Indicates: AC joint pathology

31
Q

What is a landmark for T10 dermatome?

A

umbilicus

32
Q

What does Hawkins Test evaluate?

A

flex shoulder and elbow to 90 degrees; passively rotate into internal rotation
+ test = pain
indicates: rotator cuff or subacromial bursa impingement

33
Q

What does extra-articular refer to?

A

bones, muscles, tendons, bursa, skin

34
Q

What is the sensitivity of a joint test?

A

proportion of pts with the diagnosis that also have the physical sign (true positive)

35
Q

What is a landmark for C7 dermatome?

A

posterior aspect of arm and forearm

middle 3 fingers

36
Q

What is an effusion?

A

fluid escaped from blood vessels or lymphatics into tissues or cavity

37
Q

What is a landmark for T1 dermatome?

A

medial aspect of arm and forearm

38
Q

What does Yergason’s Test evaluale?

A

have pt supinate and externally rotate against resistance
+ test = pain and/or tendon sublaxation out of groove
Indicates: unstable long head bicipital tendon

39
Q

What are landmarks for C6 dermatome?

A

radial aspect of forearm

thumb

PCM-1 (11 decks)

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