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Boards Review > Clinical Science > Flashcards

Clinical Science Flashcards

1
Q

Order of Stance Phase:

A 
Initial Contact (heel strike)
Load Response (foot flat)
Mid stance (push off)
Terminal Stance (acceleration)
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2
Q

Swing Phase:

A 
Pre -Swing (toe off)
Mid swing (swing through)
Terminal swing (deceleration)
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3
Q

What disease can case all types of gait pathology?

A

Cerebral Palsy

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4
Q

What is Erb’s Palsy

A

Traction injury to upper brachial plexus
C5 - C6 nerve root
Waiter’s tip
(Shoulder Add and int rot, elbow EXT, wrist and finger FLX)

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5
Q

What runs under the 5th Metatarsal (styloid process of foot)?

A

ABductor Digiti Minimi

Fibularis Longus

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6
Q

How is Osteoporosis Diagnosed?

A 
X-rays (densitometry)
Heel ultrasound (check bone density)
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7
Q

How is Hyper Tension diagnosed?

A

Blood pressure reading
Above 140/90
On 2 - 3 occasions during a 4 week period

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8
Q

What’s the function of a Halo?

A

To stabilize the cervical spine after a traumatic injury to the neck/spinal injury

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9
Q

Define a Cohort Study

A

Observational Study / developing evidence

Outcome has not yet occurred
Members are observed for a long period of time

High Attrition

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10
Q

A review of literature and hypotheses:

A

An Abstract

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11
Q

CI for contact dermatitis:

A

No work over affected areas (open lesions, blisters)

irritating substances are avoided

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12
Q

CI for psoriasis:

A

Massage is NOT CI’d UNLESS there is open lesions

Or

It’s uncomfortable for the client

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13
Q

Special Test for Medial Meniscus:

A

Apley’s Compression Test with Lateral Rot

Bragard’s sign can also point to Med, meniscus injury

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14
Q

How to differentiate meniscus tear:

A

Apley’s Compress (meniscus)

Vs.

Apley’s distraction (collateral ligaments)

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15
Q

ITB Friction Syndrom

A

Inflam + P where ITB crosses Lat Femoral Condyle

Caused by running/cycling, over use, Ant pelvic tilt, HT TFL

P felt along Lat thigh and into Lat knee
TPs in TFL, hip flexors, and Rec Fem

+ Nobles Test

Tx = stretch ITB adn TFL + hot hydro (or ice if inflamed)

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16
Q

Last Layer of skin:

A

Epidermis

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17
Q

Largest Carpal Bone

A

Capitate

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18
Q

Systemic Lupus Erythematous (Chronic)

A

Tx = decreasing P, HT, TPs to
maintain thoracic lumbar mobility and respiratory function.
Prevent/reduce postural changes
Educate client about correct posture (stress reduc + hyperkyphosis tx)
Maintain mobility, strength erectors, increase post pelvic tilt
Diaphragmatic breathing into Lat ribs

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19
Q

Effect of hydrotherapy on Abdomen:

A

Cold wash stimulates bowel mvmts

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20
Q

Ilieocecal Valve

A

Found in R lower Quadrant btw small and large intestine

Prevents material from flowing back into the small intestine

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21
Q

A referred P pattern over the right shoulder could be caused by:

A

Liver or Gallbladder

Inflam, irritation, disease

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22
Q

T12 refferred P could be from:

A

Lower Abdomen & Groin region

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23
Q

Parathesia over the anatomical stuff box involves:

A

ABductor Pollicis Longus

EXT Pollicis Longus

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24
Q

Achilles Tendonitis S/Sx:

A

P felt along tendon btw gastrocnemius/soles complex & calcaneus

Caused by running on a prorated foot or HT calves)
(Boards question asks the effect of cryotherapy on the injury adn how long you should leave on the cold txt and what the outcome/affect is)

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25
Q

Definition of a Strain

A

Sudden overstretch injury to musculotendinous unit resulting in Pain at the lesson site

26
Q

What causes Trendelenburgs Gate?

A

Weak Glut Med on STANDING leg

27
Q

What ligament does the gapping test target?

A

Anterior Sacroiliac Ligamens

28
Q

To get the hamstrings out of the equation when trying to assess the SI joint, you will need to:

A

Flex the knees

29
Q

A posterior glide of the femur at hip improves:

A

Hip FLX
+
Int Rot

30
Q

The contract relax technique stretches the:

A

Antagonist

31
Q

What causes hyperlordosis?

A

Ant pelvic tilt / rot
+
Tight Hip flexors

32
Q

A winged scapula:

A

Protrudes off the back / rib cage

33
Q

Rhomboids are innervates by what nerve?

A

Dorsal Scapular

34
Q

Describe the Supraspinatous Impingement Test:

Hawkins - Kennedy

A

Pt stands while TH Flexes the arm to 90* adn then forcibly medically rotates the shoulder

35
Q

How would you perform the Lateral Epicondylitis test?

A

TH applies pressure to Lat epicondyle
Flexes + ulnar deviates the wrist
Extends elbow

36
Q

Which PNF stretch do you hold for 30 seconds?

A

Hold Relax

37
Q

What indicates a positive apprehension test?

A

Pt pulling away, or making facial expression

38
Q

Test to asses cervical instability

A

Alar ligament Test

39
Q

Test used to asses Atlanto-Axial jt:

A

Atlanta-Axial shear test

40
Q

Chronic Compartment Syndrome is treat by:

A

Rest
Limit Activity
Stretching

41
Q

What stage is healing would it be considered if an injury is 7 days with no improvements/changes in symptoms?

A

Still considered Acute stage

42
Q

how would you design your treatment of a patient walked in with Acute. Frozen Shoulder?

A

Reduce pain, address HT & TPs around shoulder
Subscap + pecs
Joint play of SPs
AROM of shoulder
Lymph drainage, MFR, stretch upper traps + lev scap

43
Q

Characteristics of Trigger Points

A

A hyper irritable spot in a taught band of muscle with a predictable pattern of referral

44
Q

A Marathon Runner uses what type of muscles cells?

A

Type 1 - slow twitch - Aerobic/Oxidative

45
Q

Smooth Muscle is:

A

Slower contracting + Longer lasting

46
Q

What special get would you perform to test the hip for arthritis?

A

Scouring Test

Only use if un Dx’d by their doctor

** Faber is also indicated

47
Q

Test for Posteriorly Rotated Ilium:

A

Supine to Sit Test

**SLOP
Short to Long = Post Rot Ilium

48
Q

Common superficial site of compassion for the ulnar nerve:

A

Cubical tunnel

49
Q

Special Test for an Inversion Ankle Sprain

A

Anterior Talofib Ligament Test

50
Q

What attached to the Lat lip of the bicipital groove?

A

Pec Major

51
Q

Indications for Tx for a patient with MS:

A

Shorter Tx

Decrease SNS

52
Q

Indication for Fibromyalgia / identify the correct statement:

A

Daily mild exersize even if it causes discomfort

53
Q

When applying frictions for Tenosinovitis, which position should the tendon be?

A

Taut

54
Q

What are visible involuntary mm contractions called?

A

Fasciculation

55
Q

Symptom of a Posteriorly Fixed Ilium:

A

Weak hip Flexors and Errectors

Tight Gluts & Hamstings

56
Q

Define “Active Trigger Point”:

A

Painful at rest or with movement of the mm
Reduced strength / length
Referral Pain in predictable pattern

57
Q

Latent Trigger Point =

A

Only painful when palpated

58
Q

Capsular pattern of restriction for Facet Joints:

A

Side FLX and Rot > EXT

59
Q

Myotome:

A

Group of mms that a specific nerve root innervates

Also part of a soviet that develops into mm during embryonic stage

60
Q

Dermatome:

A

An area of skin that a specific nerve root Innervates

61
Q

What Cranial Nerve has a dermatomal pattern?

A

Trigeminal nerve CN V

Boards Review (8 decks)

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