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CPS Exam #1 > Case #1 > Flashcards

Case #1 Flashcards

1
Q

List Problems by Process (for DD)

A

Vascular, Infectious, Trauma, Autoimmune, Metabolic, Iatrogenic/Idiopathic/Intox, Neoplastic

Congenital, Degenerative, Endocrine

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2
Q

What is frozen shoulder?

A

Adhesive capsulitis

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3
Q

Who tears their supraspinatus?

A

Middle aged Male

Trauma or Exertion

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4
Q

Deferred pain indicates what?

A

Partial Tear (leaves time for swelling to make pathway smaller)

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5
Q

Bones of shoulder joint? (3)

A

Clavicle, Scapula, Proximal Humerus

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6
Q

Articular Surfaces in shoulder (4)

A

Sternoclavicular
Acromioclavicular
Glenohumeral (the main one)
Scapulothoracic

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7
Q

SITS muscles

A

Supraspinatus
Infraspinatus
Teres Minor

Subscapularis

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8
Q

Main muscles of arm flexion (2)

A

Pectoralis

Deltoid

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9
Q

Main muscle of arm extension

A

Deltoid (teres major helps)

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10
Q

Main muscle of arm abduction

A

Deltoid (supra helps)

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11
Q

Main muscle of arm adduction?

A

Pectoralis, Lat (Sub, Infra, and Teres)

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12
Q

Main muscle of medial rotation? Lateral?

A

Medial – Subscap

Lat – Infra

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13
Q

Tensors of the articular capsule?

A

SITS

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14
Q

Muscle to resist downward dislocation?

A

Deltoid

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15
Q

What is the painful arc sign?

What does a positive suggest?

A

Pain with active abduction beyond 90 degrees

Rotator Cuff Tendinopathy

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16
Q

What is a Neer test?

What are you looking for?

A

Passively flex glenohumeral
No shrugging

Assess Impingement

17
Q

What is a Hawkins Kennedy test?

A

Clinician internally rotates shoulder with elbow up
Pain = Positive

Positive = Likely supraspinatus tendon (possibly teres or infra)

18
Q

What is a Jobe’s test?

A

Straight arm 90 deg. up, 30 deg forward
Internally rotates shoulder (like emptying can)
Clinician resists movement

Pain - weakness = tendinopathy
Pain + weakness = Tear

19
Q

What does assessing external rotation strength look at?

A

Infraspinatus and Teres Minor

20
Q

What do you look for in push off tests?

A

Hand behind back push against resistant

Subscapularis

21
Q

Three imaging studies possibly used in shoulder pain?

A

X-ray/CT – Bones
MRI – Soft Tissue
Ultrasound

22
Q

What do you do if acute arthritis is suspected?

A

Arthrocentesis

23
Q

What traits should you look to to distinguish between shoulder disorders?

A

Inflammation, Number of Joints, Site of Involvement

24
Q

Examples of Intrinsic Shoulder Issues. (7)

A 
Trauma
Acute Arthritis
Bursitis
Capsulitis
Bicipital tendonitis
Rotator Cuff Tendonopathy (w/impingement)
Myofascial Pain
25
Q

Examples of Extrinsic Shoulder Issues?

A

Neurologic
Diaphragmatic Irritation
Cardiovascular
Thoracic

26
Q

Difference between tendinitis and tendinosis

A

Tendinitis – Inflammation of Tendons from microtears

Tendinosis – Degeneration of Tendons from chronic overuse

27
Q

Why is tendinosis difficult to detect?

A

No accompanying inflammation

28
Q

What is tendonopathy?

A

Tendon thickening and chronic, localized tendon pain

29
Q

Initial treatment for shoulder pain?

A

Rest
Analgesics/Anti-inflammatory medications
Pendulum Exercises

30
Q

Later treatment for shoulder pain?

A

Strengthening Exercises/Physical Therapy
Return to Normal Activities
Surgery if a complete tear

31
Q

What is anchoring bias?

A

The tendency to place too much weight on a single piece of information acquired early in the data acquisition process.

32
Q

Five steps in Diff Diag?

A 
Acquire Data
Identify Key Features
Create a Representation
Adopt a Framework
Apply Features to Framework
33
Q

In CBC, HgB is a measure of…

A

Hemoglobin

34
Q

Hct =

A

Hematocrit

35
Q

MCV=

A

Mean Corpuscular Volume (Size of RBC)

36
Q

MCHC=

A

Mean Corpuscular Hemoglobin Concentration

37
Q

SEGS=

A

Neutrophils

CPS Exam #1 (4 decks)

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