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M&M Test 1 > B6-043 MSK exam: Upper limb > Flashcards

B6-043 MSK exam: Upper limb Flashcards

1
Q

5 P’s of compartment syndrome

A

pain
pallor
paresthesia
paralysis
pulselessness

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2
Q

test for internal rotation of shoulder ROM

A

hand on back of L spin, reach up

**non dominant side should reach slightly further

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3
Q

test for external ROM shoulder

A

normal is 45-60

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4
Q

empty can tests […]

A

supraspinatus

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5
Q

drop arm tests […]

A

supraspinatus

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6
Q

external rotation strength test assesses […]

A

infraspinatus
teres minor

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7
Q

internal rotation lag test (lift off) assesses

A

subscapularis

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8
Q

20% of more loss of strength in the bear hug sign is indicative of […] tear

A

subscapularis

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9
Q

what is this maneuver testing for?

A

AC joint arthritis or shoulder separation

they will have pain under the examiner’s fingertips

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10
Q

adhesive capsulitis patients will have loss of passive […]

A

external rotation

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11
Q

what should your differential include in a patient with loss of passive external rotation? [4]

A

-adhesive capsulitis
-arthritis
-infection
-dislocation

**RCT is NOT on list because they will maintain passive external rotation

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12
Q

what does Speeds test evaluate for?

A

biceps tendonitis

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13
Q

why should you be sure to perform the Speeds test on both shoulders?

A

can be a tender point in anyone. you’re looking for asymmetric tenderness

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14
Q

what is Neer’s test evaluating for?

A

shoulder inpingement

**this is a passive test, examiner raises arm

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15
Q

what is the Hawkins test evaluating for?

A

shoulder inpingement

**passive test

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16
Q

-injury where axon remains intact but may cause affected muscle atrophy
-temporary neuro defect

A

traction neuropraxia

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17
Q

differential for medial elbow pain [3]

A

cubital tunnel
medial epicondylitits
UCL (athletes-overhead throwers)

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18
Q

differential for lateral elbow pain [2]

A

lateral epicondylitis
radial-capitellar arthritis (much less common)

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19
Q

what maneuver can help identify UCL injury with medial elbow pain?

A

milking maneuver

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20
Q

what does this maneuver assess for and what is it called?

A

lateral epicondylitis

(chair lift test)

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21
Q

what does this maneuver assess for and what is it called?

A

lateral epicondylitis

(middle finger test)

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22
Q

“pop” at anterior elbow with eccentric load (i.e. out of truck)

A

distal biceps tear

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23
Q

inability to turn door handle or car ignition may indicate

A

distal biceps tear

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24
Q

why is fixing a distal biceps tear time-dependent?

A

starts to scar in in 3-4 weeks

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25
Q

bump on dorsal or palmar side of wrist that may change in size with activity is likely

A

ganglion cyst

26
Q

tenderness in the snuffbox may indicate

A

scaphoid fracture

27
Q

treatment for possible occult scaphoid fracture

A

put them in splint, reXray a week later

28
Q

what does this maneuver assess for and what is it called?

A

De Quervains
Finkelstein test

**pain with ulnar deviation

29
Q

congenital anomaly of a flexed PIP joint

A

camptodactyly

30
Q

congenital c-shaped curvature of the small finger

A

clinodactyly

31
Q

congenital webbing of fingers

A

syndactyly

32
Q

long standing carpal tunnel can cause […] atrophy

33
Q

what does this maneuver test for?

A

FDS (left) and FDP (right) function

**check after laceration to hand

34
Q

what does Spurling’s sign evaluate?

A

cervical radiculopathy (see if this induces the arm pain)

**passive test

35
Q

what does the shoulder abduction relief sign indicate?

A

pressure on C5-C6 nerve roots

36
Q

[radiculopathy/myelopathy] is hyporeflexive

A

radiculopathy

37
Q

[radiculopathy/myelopathy] is hyperreflexive

A

myelopathy

38
Q

[radiculopathy/myelopathy] has loss of fine motor function

A

myelopathy

39
Q

[radiculopathy/myelopathy] affects lower motor function

A

radiculopathy

40
Q

[radiculopathy/myelopathy] affects upper motor function

A

myelopathy

41
Q

[radiculopathy/myelopathy] may display a wide gait and weakness

A

myelopathy

42
Q

[radiculopathy/myelopathy] is more urgent

A

myelopathy

43
Q

positive Hoffman sign

A

myelopathy

44
Q

supraspinatus injury typically presents at what age?

A

over 40

**unless acute

45
Q

loss of strength and pain with internal rotation of shoulder

A

subscapularis injury

46
Q

decreased ROM in abduction and forward flexion with pain and weakness

A

supraspinatus injury

47
Q

abnormal clicking in shoulder
pain with biceps loading (throwing)

48
Q

swelling, pain with cross chest adduction
difficulty lying on affected side
trapezial muscle spasms

A

AC joint arthritis

49
Q

pain over the lateral epicondyle with resisted wrist extension (chair lift test) and resisted middle finger extension

A

lateral epicondylitis

50
Q

tendon origin implicated in lateral epicondylitis

A

extensor carpi radialis brevis

51
Q

resisted wrist flexion would test for

A

medial epicondylitis

52
Q

triangle formed by APL/EPB and EPL tendons

A

anatomical snuffbox

53
Q

untreated scaphoid fractures with leave patients with

A

permanent wrist dysfunction (SNAC)

54
Q

what type of splinting is acceptable for possible scaphoid fx?

A

wrist or thumb spica

55
Q

sensory loss documented before any treatment

A

primary nerve defecit

56
Q

nerve function is intact prior to and then absent after a procedure or treatment

A

secondary nerve defecit

57
Q

milder nerve injury due to traction or stretch injury

A

neuropraxia

58
Q

cyst forming over DIP/PIP that can drain a yellow fluid

A

mucous cyst

59
Q

can function lost to myelopathy be recovered?

60
Q

can function lost to radiculopathy be recovered?

61
Q

[…] reduces risk of stress fracture

A

cross training

62
Q

treatment for stress fx

A

decrease loading of the limb until pain is acceptable, slowly return to exercise and switch up exercises

M&M Test 1 (15 decks)

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