Core

Question 1

A “flat OK sign” =

Answer 1

anterior interosseous syndrome (AIS)

Question 2

Findings in pronator teres syndrome

Answer 2

-Pain with movement and triggered paresthesia in median areas
-Pronator teres usually spared

Question 3

Muscles innervated by the anterior interosseous nerve

Answer 3

There are 3:
-FPL
-FDP (to index and long)
-Pronator quadratus

Question 4

List the typical progression of treatment strategies in pyriformis syndrome

Answer 4

-Oral medications and PT
-Corticosteroid injection into the piriformis
-Botox
-Surgical release
(spinal injections = mixed results)

Question 5

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

Answer 5

serratus anterior

Question 6

Serratus anterior is innervated by

Answer 6

Long thoracic nerve

Question 7

Contributions to the long thoracic nerve

Answer 7

anterior rami of C5,6,7

Question 8

Levator scapula is innervated by

Answer 8

dorsal scapular nerve

Question 9

rhomboids are innervated by

Answer 9

dorsal scapular nerve

Question 10

Contributions to the dorsal scapular nerve

Answer 10

anterior ramus of C5

Question 11

Supraspinatus is innervated by

Answer 11

Suprascapular nerve

Question 12

Infraspinatus is innervated by

Answer 12

Suprascapular nerve

Question 13

Contributions to the suprascapular nerve

Answer 13

ventral rami of C5,6

Question 14

Damage to the suprascapular nerve results in

Answer 14

Limited shoulder abduction and external rotation

Question 15

Common clinical presentation of CMV polyradiculopathy

Answer 15

-subacute leg weakness
-paresthesia
-urinary retention

Question 16

Which part of the plexus is most typically involved in radiation treatment?

Answer 16

Lower plexus

Question 17

Neoplastic plexopathy (e.g. after lung or breast cancer) most commonly present with :

Answer 17

-shoulder pain
-axillary pain
-weakness in C8-T1 muscles
(In questions, may present with Horner’s with T1 involvement)

Question 18

How do you get a Horner’s sign from a thoracic lesion?

Answer 18

A variety of T1 involvement can impact the sympathetic ganglia / path causing a Horner’s

Question 19

The most definitive test / study to confirm osteomyelitis is:

Answer 19

Bone biopsy

Question 20

De Quervain’s tenosynovitis affects which tendons?

Answer 20

1st dorsal compartment of the wrist:
-abductor pollicis longus
-extensor pollicis brevis

Question 21

Mnemonic for considerations in decannulation (e.g. SCI)

Answer 21

VOPS
-Ventilation
-Oxygenation
-Protection of airway
-Secretion management

Question 22

Diabetes insipidus presents with ____natremia

Answer 22

Hypernatremia

Question 23

Euvolemic and hyponatremic =

Answer 23

SIADH

Question 24

Hypovolemic and hyponatremic =

Answer 24

CSW

Question 25

Describe the Modified Ashworth Scale values

Answer 25

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

Question 26

The femoral nerve innervates:

Answer 26

-iliacus
-pectineus
-sartorius
-quadriceps

Question 27

“Typical” duration of post-traumatic headache is:

Answer 27

1-2 weeks

Question 28

When choosing AIS classifications, voluntary anal contraction automatically makes you at least a:

Answer 28

C

Question 29

Medial knee pain with sit to stand and when walking up stairs is classically:

Answer 29

Pes anserine bursitis

Question 30

Is there an association between pain catastrophizing severity and return to work in low back pain?

Answer 30

No association