Back Flashcards

1
Q

What is “gibbous deformity”?

A

kyphosis, associated with tuberculosis

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2
Q

where does herpres zoster lie dormant?

A

DRG

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3
Q

At what level should a lumbar puncture be done?

A

L4-L5

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4
Q

What level does the spinal cord end?

A

L1-L2

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5
Q

What level does the dural sac (lumbar cistern) end?

A

S2

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6
Q

What do sympathetic autonomics primarily do?

A

vasoconstriction

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7
Q

where do the denticulate ligaments terminate? what is there function?

A

L2 with the conus medullar is

keep spinal cord midline

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8
Q

How do you know if you get a failed lumbar puncture (blast through Posterior longitudinal l.)?

A

hematopoietic cells are aspirated

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9
Q

what is spondolysis?

A

“facet jumping” anterior displacement of one or more vertebrae

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10
Q

what blood plexus surrounds the dura mater in the epidural space?

A

the internal vertebral plexus (of Batson) = valveless! VEIN

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11
Q

what is the cause of a subarachnoid bleed?

A

ruptured intercerebral aneurism

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12
Q

what is the cause of a subdural hematoma?

A

venous bleed from the torn cerebral vein as it enter the superior saggital venous sinus within the skull

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13
Q

What blood vessel supplies the deep back muscles?

A

posterior intercostal a.

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14
Q

what does somatic afferent fibers convey?

A

localized pain

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15
Q

What is Klippel-Feil syndrome?

A

reduction/fusion in a number of cervical vertebrae = short stiff neck with limited motion

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16
Q

what is spondylolithesis?

A

anterior vertebral displacement

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17
Q

what is arnold-chiari malformation?

A

herniation of medulla and cerebellum into formen magnum!

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18
Q

What nerve is affected by quadrangular space syndrome?

A

axillary n.

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19
Q

What supplies the anterior and posterior spinal a.?

A

The (great radicular) a. of Adamkiwicz

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20
Q

What can polio and MD lead to

A

scoliosis

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21
Q

What is found in the triangular space?

A

circumflex scapular a. and v.

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22
Q

What is a “boxers fracture”

A

broken neck of 5th metacarpal (knuckles)

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23
Q

What is Bennett’s fracture?

A

dislocation of the CMC joint of the thumb

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24
Q

What is “gamekeepers thumb”?

A

extensive abduction of MCP = injury to ulnar collateral l.

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25
Q

What structures wrap around the surgical neck of the humerus and are susceptible to injury if broken?

A

axillary n. and posterior humeral circumflex

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26
Q

what is claw hand?

A

trauma to median n. and ulnar n. at the WRIST

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27
Q

what is colles’ fracture?

A

fracture fo distal radium with dorsal dislocation

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28
Q

what is smith’s fracture?

A

fracture of distal radius but dislocation anterior

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29
Q

What spinal segment would you test the triceps reflex?

A

C7

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30
Q

What spinal segment would you test the brachioradialis reflex?

A

C6

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31
Q

What segments make up the biceps brachia?

A

C5, C6

32
Q

What is another name for a hinge joint (elbow joints)?

A

ginglymus

33
Q

what is volkmann’s ischemic contracture

A

bleed into flexor compartment of the forearm - supracondylar fracture can lacerate brachial a.

34
Q

what are the symptoms of compartment syndrome?

A

cold, insensate digits, pain

35
Q

What lies in the radial groove?

A

radial n. and deep brachial a.

36
Q

What nerve would be injured if you dislocated the olecranon

A

ulnar nerve

37
Q

what do interossei do that is important?

A

IP extension

38
Q

Boutonniere deformity

A

DIP hyperextended

39
Q

Dupuytren contracture

A

fibromatosis of palmar fascia

40
Q

what spinal nerve supplies supraspinatus?

A

C5

41
Q

What is a common fracture in children

A

clavicle

42
Q

Where does the ulnar n. enter the forearm?

A

between FCU heads

43
Q

what is a vein thromobsis present?

A

pain with activity, better with rest - usually after a catheter

44
Q

what is a synarthrosis?

A

fibrous connection (interosseous membrane) what allows little/no movement

45
Q

Where does the radial n. run in the wrist?

A

betwen brachioradialis tendon and FCR tendon

46
Q

Where does the posterior interosseous n. come from?

A

extension of deep radial n.

47
Q

radial n. spinal segments

A

all brachial plexus - C5,6,7,8,T1

48
Q

what is the Allen test?

A

squeeze vessels in wrist

49
Q

what would tenosynovitis of radial bursa effecT?

A

flexor pollicis longus

50
Q

what does the ulnar bursa wrap around?

A

FDS, FDP

51
Q

what muscles have no sheath?

A

FCRand FPB

52
Q

what is the blood supply to the trapezius?

A

transverse cervical a.

53
Q

what is blood supply and innervation to leveator scapulae and rhomboids?

A

dorsal scapula a. and n.

54
Q

what innervates and gives blood supply to teres minor?

A

axillary n.

circumflex scapular a.

55
Q

what is the innervation and blood supply to the teres major?

A

lower sub scapular n.

circumflex scapular a.

56
Q

what innervates and gives blood supply to supra and infraspinatus?

A

suprascapular n.

suprascapular a.

57
Q

what gives blood supply to deltoid?

A

posterior circumflex humeral a.

58
Q

what a. is found between teres major and teres minor?

A

scapular circumflex

59
Q

whats in the traingular space?

A

circumflex scapular a.

60
Q

whats in the quadrangular space?

A

posterior humeral circumflex a.

axillary n.

61
Q

whats in the triangular interval?

A

radial n

deep brachial a.

62
Q

what is erb duchenne palsy?

A

upper BP injury - watiers tip

63
Q

what is klumpke’s palsy?

A

lower BP injury

64
Q

whats the function of teres major and latissimus dorsi?

A

adduction

medial rotation

65
Q

what does teres minor do?

A

external rotation

66
Q

what are the contents of the cubital fossa?

A

lateral antebrachial cutaneous n.
median n.
brachial a.
biceps tendon

67
Q

what a strong supinator?

A

biceps brachii

68
Q

what is the flow of lymph from medial forearm?

A

superifical plexus – cubital nodes to lateral axillary nodes – apical nodes – subclavian

69
Q

what is the flow os lymph from lateral forearm

A

superfical plexus – apical axiallry nodes

70
Q

where does the anterior interosseous n come from and what does it aupply?

A

median n
FDP 1/2
FPL
prontator quad

71
Q

where does posterior interosseuous n come from?

A

deep radial n.

72
Q

what does superiical radial n. innervate?

A

cutaneous

73
Q

where does the anterior interosseous n come from and what does it aupply?

A

median n
FDP 1/2
FPL
prontator quad

74
Q

where does posterior interosseuous n come from?

A

deep radial n.

75
Q

what does superiical radial n. innervate?

A

cutaneous