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Section 4 > CODO- Exam 1 > Flashcards

CODO- Exam 1 Flashcards

1
Q

Joint Evaluation

A

HIPROT

history, inspection, physical, ROM, other tests (Strength, Deep Tendon, Sensory, Special)

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2
Q

H of HIPROT

A

History

Pain
 Weakness
 Deformity
 Limited motion
 Stiffness
 Swelling, heat, redness
 Joint noise (clicks, crepitus)
 Systemic symptoms (fever, chills, rash,
anorexia, weight loss, weakness)
 Trauma (fractures, sprains, dislocations)

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3
Q

MSK exam nuances

A
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4
Q

I of HIPROT

A

inspection

Contour
 Swelling
 Deformity
 Muscle atrophy or fasciculation
 Symmetry
 Redness, bruising
 Skin changes

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5
Q

P of HIPROT

A

Anatomical landmarks

 Tenderness
 Heat
 Swelling
 Masses
 Crepitus

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6
Q

Muscle Strength Grading (OT)

A
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7
Q

Deep Tendon Reflex (OT)

A
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8
Q

Sensory testing (OT)

A
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9
Q

Upper Limb Peripheral Nerves (arm)

A
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10
Q

Arm Dermatomes (Anterior)

A
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11
Q

Arm Dermatomes (Posterior)

A
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12
Q

C5

A

Biceps Reflex
Deltoid and Biceps
sensation Lateral Arm and Axillary Nerve

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13
Q

C6

A

Brachioradialis Reflex
Wrist Extension, Biceps
sensory- Lateral ABC nerve

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14
Q

C7

A

Triceps Reflex
Wrist Flexors
Finger extension
Triceps
sensation to middle finger

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15
Q

C8 Neurology

A
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16
Q

T1 Neurology

A
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17
Q

Major Peripheral Nerves Summary

A
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18
Q

shoulder inspection

A

Contour
 Swelling
 Deformity
 Muscle atrophy or fasciculation
 Symmetry
 Redness, bruising
 Skin changes

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19
Q

Shoulder Inspection

A
  1. scoliosis
  2. evenness of shoulder heights
  3. Scapular Winging
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19
Q

palpate

A
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20
Q

Range of Motion for Shoulder

A
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21
Q

Shoulder Abduction Angle

A

180

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22
Q

Shoulder Adduction Angle

A

45

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23
Q

Shoulder Flexion Angle

A

180

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24
Q

Shoulder Extension Angle

A

45

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25
Q

Shoulder Internal Rotation

A

55

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26
Q

Shoulder External Rotation

A

40-45

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27
Q

Apley Scratch Test for ROM

A
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28
Q

Shoulder Strength Tests

A

give score out of 5 for each plane

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29
Q

Deep Tendon Reflexes of Upper Extremity- SC Roots

A

C5- Biceps
C6- BR
C7- Triceps

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30
Q

Spurling’s Test

A

cervical nerve root compression

a positive test= duplicating shoulder pain or pain radiating into upper extremity

Neck extended, laterally
bent to affected side

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31
Q

apply scratch test

Patient touches superior
& inferior aspects of opposite scapula

A

loss of range of motion

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32
Q

empty can

A

rotator cuff tendonitis/tear

AKA Jobe’s Test/Supraspinatus Test

90° abduction in front, thumbs down

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33
Q

Neer’s sign

A

Subacromial impingement

34
Q

Hawkin’s Test

A

Subacromial impingement

35
Q

Drop Arm Test

A

The drop arm test is used to assess for full thickness rotator cuff tears, particularly of the supraspinatus.

36
Q

Cross Arm Test Diagnosis

Forward elevation to 90° & passive adduction

A

AC Joint Pathology

37
Q

Apprehension Test

A

Anterior glenohumeral instability

Anterior pressure on the humerus with external rotation

38
Q

Relocation Test

A

Anterior glenohumeral instability

Apprehension Test also looks for ant. glenohumeral instability

Posterior force on humerus while externally rotating the arm

39
Q

Sulcus sign

A

Inferior glenohumeral instability

positive test is indicated by the development of abnormal sulcus under acromion during traction

Pulling downward on elbow or wrist. In another place, sulcus is listed as testing for posterior instability as well.

40
Q

Yergason and Speed test the same tendon

Yergason’s Test

A

Biceps tendon instability or tendonitis or labral tear

patient resists supination whie examiners palpates bicipital groove

positive- pain in the shoulder, biceps tendon, subluxation of biceps tendon out of groove

41
Q

Speed’s Test

A

Biceps tendonitis or labral tear

Elbow flexed 10 to 30° & forearm supinated

42
Q

O’Briens Test

A

Labral tear

Done just like the “empty can” test except the maneuver is done with the arm adducted slightly across midline
-Positive: pain in shoulder when done with thumb down, but less/no pain when done with palm up

arm 90 deg forward flexion with forearm pronated, arm
adducted across midline

43
Q

Crank Test

A

Labral Tear

arm 90 deg forward flexion with forearm pronated, arm

44
Q

Rotator Cuff Tendinopathy Tests

A
  1. Empty can/Jobe’s
  2. infraspinatous/resisted external rotation
  3. Push-off/Gerber test
45
Q

Infraspinatus/Teres Minor Testing

A
46
Q

“Lift Off” Test

A

AKA Gerber/ subscapularis testing

47
Q

labral and biceps tendonapathy consideration

A

Significant overlap in test results for SLAP lesions and biceps tendonopathy

labral- o’brien’s and crank
biceps- yergason’s and speed’s

48
Q

Elbow Inspection: What 2 things to look for?

A
  1. carrying angle/valgus (5 degrees for males and 10-15 for females)
  2. swelling /olecranon bursitis
49
Q

landmarks to palpate on the elbow

A
  1. medial and lateral epicondyles
  2. radial head
  3. cubital tunnel
  4. olecranon
50
Q

what is normal range of motion for the elbow?

F/E; supination/pronation

A

Flexion- 135 degrees
Extension- 0-(-)5 degrees
supination and pronation- 90 degrees

51
Q

what nerve roots are involved in elbow senation testing?

A

radial side- C5-C8
ulnar side- C8-T1

52
Q

What motions are looked at during elbow strength testing?

A
  1. F/E at wrist
  2. F/E at elbow
  3. supination/pronation
53
Q

Special Tests for Elbow

A
  1. varus/valgus stress test- lateral instability
  2. Tinel’s- cubital tunnel
  3. medial epicondylitis- flex at wrist against resistance
  4. medial epicondylitis-ext. at wrist against resistance
54
Q

There are four key ones.

Wrist Inspection Elements

A
  1. general shape
  2. fist
  3. nails
  4. deformities
55
Q

Landmarks for wrist palpation

A
  1. anatomical snuffbox (scaphoid bone, abd. poll. longus, ext. poll longus)
  2. distal radius
  3. distal ulna
  4. carpal bones
56
Q

What is normal range of motion for the wrist?

F/E; Ulnar and Radial Deviation

A

Flexion- 80 degrees
Extension- 70 degrees
Radial Deviation- 20 degrees
Ulnar Deviation- 30 degrees

57
Q

Wrist Strength Testing

A

Flexion/Extension

58
Q

Median N. distribution- Name the spinal nerves and areas innervated?

A

C6-8, T1

59
Q

Ulnar Nerve Distribution

A

C8-T1

60
Q

Radial Nerve Distribution

A

C6-8

61
Q

What are 3 special tests for the wrist?

A
  1. Tinel’s (Carpal Tunnel)
  2. Phalen’s (Carpal Tunnel)
  3. Finkelstein’s (DeQuervains Tenosynovitis)
62
Q

Tinel’s

A

Tinel’s test for carpal tunnel by tapping on carpal tunnel and lookinf for pain in the median nerve distribution.

63
Q

Phalen’s

A

similar to Tinel’s but hold pressure on Carpal Tunnel for 60 s. Positive result is numbness/pain in the median nerve distribution.

when to use Tinel’s vs phalens

64
Q

Finkelstein’s Test

A

test for tenosynovitis in abductor pollicis longus and extensor pollicis brevis\

Common with Cross-country skiers and video gamers

Tenosynovitis is inflammation in the synovium of the tendon sheath.

65
Q

Thenar Eminence Atrophy due to Carpal Tunnel Syndrome

A
65
Q

Herberden’s Nodes

A

DIP Joints, osteoarthritis

65
Q

Digit Inspection: What three elements to look for?

A
  1. edema
  2. nodules
  3. contractures/deformities

contracture: a condition of shortening and hardening of muscles, tendons, or other tissue, often leading to deformity and rigidity of joints

66
Q

Bouchard’s Nodes

A

PIP Joints, osteoarthritis

66
Q

Dupuytren’s Contracture

A
66
Q

Range of Motion for Digits

A

Flexion- 90 degrees
Extension- 30-45 degrees
abduction- 20 degrees
adduction- 0 degrees

I am confused about these.

67
Q

Strength testing for thumb and fingers

A
  1. F/E- profundus and superficiales
  2. Opposition (pinching)
  3. Abduction- interossei (C8, T1)
67
Q

Swan Neck Deformity

A

Caused by RA

67
Q

Special Testing for Thumb and Fingers

A

Collateral Ligament Testing

ulnar collateral ligament

67
Q

What can scaphoid fracture lead to…

A

avascular necrosis (typically in the outstretched hand)

68
Q

What innervates the lateral deltoid?

A

Axillary Nerve

69
Q

Tennis Elbow Tests

A

Lateral Epicondylitis

Varus/Valgus Testing
Cozen’s test

70
Q

CODO Ethics

Ethics

A
  1. Autonomy Focus
  2. Patient Needs come first
  3. Justice- treating patients equally (w or w/o insurance)
  4. Autonomy: Patient needs life saving surgery but hates needles
71
Q

COPMAPS

A

begin with open-ended questions, non-verbal actions of listening

72
Q

House structure in PPT

A

look in the PPT for this one

73
Q

Altruism

A

Non-selfish regard

74
Q

SOAP Note

A

S- subjective, what the patient tells you
O- physical findings

** write pertinent negatives, dont leave blank

75
Q
A

Section 4 (5 decks)

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