Core Flashcards
A “flat OK sign” =
anterior interosseous syndrome (AIS)
Findings in pronator teres syndrome
-Pain with movement and triggered paresthesia in median areas
-Pronator teres usually spared
Muscles innervated by the anterior interosseous nerve
There are 3:
-FPL
-FDP (to index and long)
-Pronator quadratus
List the typical progression of treatment strategies in pyriformis syndrome
-Oral medications and PT
-Corticosteroid injection into the piriformis
-Botox
-Surgical release
(spinal injections = mixed results)
When the arm is forward flexed to 0 degrees and the scapula rotates clockwise and its lower medial border projects outward away form the thorax, the ________ muscle is most likely dysfunctional
serratus anterior
Serratus anterior is innervated by
Long thoracic nerve
Contributions to the long thoracic nerve
anterior rami of C5,6,7
Levator scapula is innervated by
dorsal scapular nerve
rhomboids are innervated by
dorsal scapular nerve
Contributions to the dorsal scapular nerve
anterior ramus of C5
Supraspinatus is innervated by
Suprascapular nerve
Infraspinatus is innervated by
Suprascapular nerve
Contributions to the suprascapular nerve
ventral rami of C5,6
Damage to the suprascapular nerve results in
Limited shoulder abduction and external rotation
Common clinical presentation of CMV polyradiculopathy
-subacute leg weakness
-paresthesia
-urinary retention
Which part of the plexus is most typically involved in radiation treatment?
Lower plexus
Neoplastic plexopathy (e.g. after lung or breast cancer) most commonly present with :
-shoulder pain
-axillary pain
-weakness in C8-T1 muscles
(In questions, may present with Horner’s with T1 involvement)
How do you get a Horner’s sign from a thoracic lesion?
A variety of T1 involvement can impact the sympathetic ganglia / path causing a Horner’s
The most definitive test / study to confirm osteomyelitis is:
Bone biopsy
De Quervain’s tenosynovitis affects which tendons?
1st dorsal compartment of the wrist:
-abductor pollicis longus
-extensor pollicis brevis
Mnemonic for considerations in decannulation (e.g. SCI)
VOPS
-Ventilation
-Oxygenation
-Protection of airway
-Secretion management
Diabetes insipidus presents with ____natremia
Hypernatremia
Euvolemic and hyponatremic =
SIADH
Hypovolemic and hyponatremic =
CSW
Describe the Modified Ashworth Scale values
0 = normal tone
1 = catch and release or minimal resistance at the end range of motion
1+ = catch and release through less than 50% of range
2 = increased tone through most of range of motion
3 = hard to move
4 = rigid
The femoral nerve innervates:
-iliacus
-pectineus
-sartorius
-quadriceps
“Typical” duration of post-traumatic headache is:
1-2 weeks
When choosing AIS classifications, voluntary anal contraction automatically makes you at least a:
C
Medial knee pain with sit to stand and when walking up stairs is classically:
Pes anserine bursitis
Is there an association between pain catastrophizing severity and return to work in low back pain?
No association
