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Dexter's Class > Dexter Exam #2 > Flashcards

Dexter Exam #2 Flashcards

1
Q

cervical spine resting position

A

midway between flexion and extension

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2
Q

cervical spine closed packed position

A

full extension

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3
Q

cervical spine capsular pattern

A

side flexion and rotation equally limited extension

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4
Q

normal end feels for cervical spine

A

flexion= tissue stretch
extension= tissue stretch
side flexion left and right= tissue stretch
rotation left and right = tissue stretch

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5
Q

cervical myotomes

A 
neck flexion= c1-c2
neck side flexion= c3
shoulder elevation= c4
shoulder abduction/ER= c5
elbow flexion and/or wrist extension= c6
elbow extension and/or wrist flexion= c7
thumb extension and/or ulnar deviation= c8
add/abd of finger intrinsics= T1
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6
Q

reflexes of the cervical spine assessment

A

biceps c5, c6
triceps c7, c8
hoffman’s sign UMN

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7
Q

TMJ resting position

A

mouth slightly open, lips together, teeth not in contact, tongue at roof of mouth

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8
Q

TMJ close packed position

A

teeth tightly clenched

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9
Q

TMJ capsular pattern

A

limitation of mouth opening

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10
Q

cranial nerve testing I

A

olfactory- smell coffee or chocolate with eyes closed

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11
Q

cranial nerve testing II

A

optic- read something with one eye closed

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12
Q

cranial nerve testing III, IV, VI

A

oculomotor, trochlear, abducens- track eye movements, note any ptosis

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13
Q

cranial nerve testing V

A

trigeminal- contract muscles of mastication (masseter, temporalis)

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14
Q

cranial nerve testing VII

A

facial nerve- make faces, raise eyebrows

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15
Q

cranial nerve testing VIII

A

vestibulocochlear- auditory, patient closes eyes and repeats what you say

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16
Q

cranial nerve testing IX

A

glossopharyngeal- swallow, say “ah”

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17
Q

cranial nerve testing X

A

vagus- swallow, say “ah”

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18
Q

cranial nerve testing XI

A

spinal accessory- shrug shoulders, contract SCM

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19
Q

cranial nerve testing XII

A

hypoglossal- stick out tongue and move it left to right

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20
Q

normal end feel at TMJ

A

opening: tissue stretch
closing: bone to bone

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21
Q

GH joint resting position

A

40-55 abduction, 30 horizontal adduction (scapular plane)

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22
Q

GH joint close packed position

A

full abduction, lateral rotation

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23
Q

GH joint capsular pattern

A

lateral rotation, abduction, medial rotation

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24
Q

AC joint resting position

A

arm resting by side in normal physiological position

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25
Q

AC joint close packed position

A

90 abduction

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26
Q

AC joint capsular pattern

A

pain at extremes of ROM, especially horizontal adduction and full elevation

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27
Q

SC joint resting position

A

arm resting by side in normal physiological position

28
Q

SC joint close packed position

A

full elevation and protraction

29
Q

SC joint capsular pattern

A

pain at extremes of ROM, especially horizontal adduction and full elevation

30
Q

GH painful arc

31
Q

AC painful arc

32
Q

Scapulohumeral Rhythm

A

phase 1- humerus: 30 abduction, scapula: minimal movement, clacvicle: 0-5 elevation

phase 2- humerus: 40 abduction, scapula: 20 rotation, clavicle: elevation 15

phase 3- humerus: 60 abduction, 90 ER, scapula: 30 rotation, clavicle: 30-50 posterior rotation, up to 15 elevation

33
Q

Shoulder complex normal end feel

A

forward flexion: tissue stretch
abduction: bone to bone or tissue stretch
abduction of GH joint only: bone to bone or tissue stretch
ER/IR: tissue stretch
extension: tissue stretch
adduction: tissue approximation
horizontal adduction: tissue stretch or approximation
horizontal abduction: tissue stretch

34
Q

ulnohumeral joint resting position

A

70 elbow flexion, 10 supination

35
Q

ulnohumeral close packed position

A

extension with supination

36
Q

ulnohumeral capsular pattern

A

flexion, extension

37
Q

radiohumeral joint resting position

A

full extension and full supination

38
Q

radiohumeral joint close packed position

A

elbow flexed to 90, forearm supinated to 5

39
Q

radiohumeral capsular pattern

A

flexion, extension, supination, pronation

40
Q

superior radioulnar joint resting position

A

35 supination, 70 elbow flexion

41
Q

superior radioulnar joint close packed position

A

5 supination

42
Q

superior radioulnar joint capsular pattern

A

equal limitation of supination and pronation

43
Q

elbow complex end feels

A

elbow flexion: tissue approximation
elbow extension: bone to bone
forearm supination/pronation: tissue stretch

44
Q

distal radioulnar joint resting position

A

10 supination

45
Q

distal radioulnar joint close packed position

A

5 supination

46
Q

distal radioulnar joint capsular pattern

A

full ROM, pain at extremes of rotation

47
Q

radiocarpal (wrist) joint resting position

A

neutral with slight ulnar deviation

48
Q

radiocarpal (wrist) joint close packed position

A

extension with radial deviation

49
Q

radiocarpal (wrist) joint capsular pattern

A

flexion and extension equally limited (works with midcarpal joints)

50
Q

intercarpal joints resting position

A

neutral or slight flexion

51
Q

intercarpal joints close packed position

52
Q

intercarpal joints capsular pattern

53
Q

midcarpal joint resting position

A

neutral or slight flexion with ulnar deviation

54
Q

midcarpal joint close packed position

A

extension with ulnar deviation

55
Q

midcarpal joint capsular pattern

A

equal limitation of flexion and extension (works with radiocarpal joints)

56
Q

carpometacarpal joint resting position

A

thumb: midway between abduction and adduction, and midway between flexion and extension
fingers: midway between flexion and extension

57
Q

carpometacarpal joint close packed position

A

thumb: full opposition
fingers: full flexion

58
Q

carpometacarpal joint capsular pattern

A

thumb: abduction, extension
fingers: equal limitation in all directions

59
Q

metacarpophalangeal joint resting position

A

slight flexion

60
Q

metacarpophalangeal close packed position

A

thumb: full opposition
fingers: full flexion

61
Q

metacarpophalangeal capsular pattern

A

flexion, extension

62
Q

Interphalangeal joint resting position

A

slight flexion

63
Q

interphalangeal joint close packed position

A

full extension

64
Q

interphalangeal capsular pattern

A

flexion, extension

65
Q

Normal end feels of the forearm, wrist, hand

A 
pronation, supination: tissue stretch
radial, ulnar deviation: bone to bone
wrist flexion/extension: tissue stretch
finger flexion/extension: tissue stretch
finger abduction: tissue stretch
thumb flexion/extension: tissue stretch
thumb abduction: tissue stretch
thumb adduction: tissue approximation
opposition: tissue stretch
66
Q

Stages of Grip

A
  1. opening of the hand- simultaneous action of the intrinsic muscles of the hand and the long extensor muscles
  2. positioning and closing the fingers and thumb to grasp the object and adapt to its shape (intrinsic and extrinsic flexor and opposition muscles)
  3. exerted force (varies depending on weight, surface characteristics, fragility, use of the object) involving the extrinsic and intrinsic flexor and opposition muscles
  4. release, in which the hand opens to let go of the object- action of intrinsic muscles and long extensor muscles

Dexter's Class (14 decks)

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