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Exams > Exam 2 > Flashcards

Exam 2 Flashcards

0
Q

Action at AO joint

A

Flexion and extension (nodding)

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1
Q

5 Ds of vertebral artery test

A

Diplopia, dysphasia, dysarthria, dizziness, drop attack

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2
Q

Tectorial membrane

A

Covers dens and ligaments

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3
Q

Role of alar ligaments

A

Major stabilizers of C1 and C2 especially in flexion and rotation

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4
Q

Where is the alar ligament

A

Goes from dens to occipital condyles

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5
Q

Primary movement at AA joint

A

Rotation

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6
Q

Role of transverse ligament of the atlas

A

Holds dens in atlas

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7
Q

Role of facet joints

A

Facilitate flexion and extension

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8
Q

Rotation and slide flexion in cervical spine

A

C1+C2 and C7-T1 opposite

C2-C7 same direction

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9
Q

Where is greatest mobility in c spine

A

C5-C6

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10
Q

Resting position at c spine

A

Between flexion and extension. Neutral

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11
Q

Close packed position at c spine

A

Completely extended

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12
Q

Function of nucleus pulposus

A

Buffers axial compression

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13
Q

Function of annulus fibrosus

A

Withstands tension in disc

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14
Q

5 phases of Watkins severity scale neuro deficit

A
  1. One arm sensory
  2. Both UE sensory and motor
  3. Entire one side motor and sensory
  4. Sensation loss in all limbs
  5. Motor loss in all limbs
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15
Q

What are burners

A

Traction or compression of upper brachial plexus or C5,C6 nerve root

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16
Q

Bakodys sign

A

Decrease pain when place hand of affected side on top of head
Usually a C4, C5 problem

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17
Q

How patient looks with c spine injury

A

Head tilted and rotated away from affected side

Face tilts up

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18
Q

How a hysterical patient looks

A

Head tilted and rotated away from pain

Face tilted down

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19
Q

Cluster for thoracic outlet

A 
Adson
Allen
Roos 
Wright 
Tinel over supraclavicular
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20
Q

Cluster for cervical radiculopathy

A

Upper limb tension test A
Spurlings
Distraction test
Rotation less than 60 degrees

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21
Q

Close packed position of GH joint

A

Full abduction and lateral rotation

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22
Q

Resting position of GH joint

A

40-55 degrees abduction and 30 degrees horizontal adduction

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23
Q

Capsular pattern of GH joint

A

ER, abd, IR

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24
Q

What makes up rotator interval

A

Superior GH ligament, coracohumeral ligament, joint capsule, tendons of supraspinatus and supraclavicular

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25
Q

Major stabilizers of GH joint

A

Superior, middle, and inferior GH ligament

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26
Q

Primary support of AC joint

A

Coracoclavicular ligament

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27
Q

Resting position of AC joint

A

Arm at the side

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28
Q

Close packed position of AC joint

A

90 degrees abduction

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29
Q

Capsular pattern of AC joint

A

Horizontal adduction and full elevation

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30
Q

Primary support of SC joint

A

Costoclavicular ligament and anterior and posterior SC ligament

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31
Q

Resting position of sc joint

A

Arm at side

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32
Q

Closed pack position of sc joint

A

Full elevation and protraction

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33
Q

Sprengels deformity

A

High undescended scapula

Shoulder abd rom decreases

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34
Q

GH painful arc

A

60-120

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35
Q

AC painful arc

A

170-180

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36
Q

Presentation of anterior shoulder instability

A

Drooping shoulder

Excessive ST movement in abduction

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37
Q

Presentation of posterior shoulder instability

A

Excessive ST movement in horizontal adduction

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38
Q

Limited motions with subacromial bursitis

A

Abduction and ER

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39
Q

Popeyes sign

A

Long head of biceps is ruptured. Bulge in biceps when muscle is flexed

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40
Q

Bankhart lesion

A

Anteroinferior labrum is torn. Occurs most common with anterior dislocation

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41
Q

SLAP lesion

A

Tear in superior labrum from anterior to posterior

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42
Q

Cluster for full thickness rotator cuff tear

A

Drop arm sign
Painful arc sign
Infraspinatus muscle test
Lag sign

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43
Q

Ulnohumeral resting position

A

70 elbow flexion and 10 supination

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44
Q

Ulnohumeral closed pack position

A

Extension with supination

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45
Q

Ulnohumeral Capsular pattern

A

Flexion then extension

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46
Q

Radiohumeral resting position

A

Full extension and full supination

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47
Q

Radiohumeral closed pack position

A

Elbow flexed to 90 and forearm supinated 5

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48
Q

Radiohumeral capsular pattern

A

Flexion, extension, pronation, supination

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49
Q

Superior radioulnar joint resting position

A

35 supination and 70 flexion

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50
Q

Superior radioulnar joint closed pack position

A

5 supination

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51
Q

Superior radioulnar capsular pattern

A

Equal limitation of supination and pronation

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52
Q

Distal radioulnar resting position

A

10 supination

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53
Q

Distal radioulnar close packed

A

5 supination

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54
Q

Distal radioulnar capsular pattern

A

Full ROM pain at extremes of rotation

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55
Q

Function of lateral collateral ligament

A

Posterolateral stability

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56
Q

Function of medial collateral ligament

A

Valgus instability

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57
Q

Characteristics of cubital tunnel

A

FCU, three ulnar collateral ligament

Ulnar nerve passes through

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58
Q

Gunstock deformity

A

Cubitus varus in extension because of fracture of supracondylar ridge on distal humerus

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59
Q

Functional ROM of elbow flexion

A

30-130 flexion
50 pronation
50 supination

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60
Q

Resting position of Radiocarpal

A

Neutral with slight ulnar deviation

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61
Q

Closed pack position of Radiocarpal joint

A

Extension with radial deviation

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62
Q

Capsular pattern of Radiocarpal joint

A

Flexion/extension equally limited

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63
Q

Resting position of intercarpal

A

Neutral or slight flexion

64
Q

Closed pack position of intercarpal

A

Extension

65
Q

Midcarpal joint resting position

A

Neutral or slight flexion with ulnar deviation

66
Q

Midcarpal closed pack position

A

Extension with ulnar deviation

67
Q

Swan neck

A

Flexion of mp and dip. Extension of pip

68
Q

Boutonnière deformity

A

Extension of MCP and dip and flexion of pip

69
Q

Ulnar drift

A

Ulnar deviation of digits due to weakening of capsuloligamentous structures of the MCP joint and bowstring of extensor communis tendon

70
Q

Extensor plus deformity

A

Cannot simultaneously flex MCP and IP

71
Q

Claw fingers

A

Loss of intrinsics and over action of extrinsics. MCP joints are hyperextended and pip and dip are flexed

72
Q

Trigger finger

A

Patient attempts to flex fingers, the tendon sticks, and finger lets go with a snap
Results from thickening of flexor tendon sheath

73
Q

Ape hand deformity

A

Wasting of thenar eminence and the thumb falls back in line with fingers as a result of the pull of the extensor tendons

74
Q

Bishops hand

A

Wasting of hypothenar muscles of the hand and flexion of 4 and 5 digit

75
Q

Drop wrist

A

Extensor wrist muscles are paralyzed and fingers cannot be actively extended

76
Q

Z deformity of the thumb

A

Flexed CMC and hyperextended MCP, partially flexed IP

77
Q

Dupuytrens contracture

A

Contracture of palmar fascia. Fixed flexion of MCP and pip joint

78
Q

Mallet finger

A

Result of rupture or avulsion of the extensor tendon where it inserts into distal phalanx resulting in flexed position

79
Q

Green filament marking

A

Normal 1.65 to 2.83

80
Q

Blue filament marking

A

Diminished light touch 3.22-3.61

81
Q

Purple filament marking

A

Diminished protective sensation 3.84-4.31

82
Q

Red filament marking

A

Loss of protective sensation 4.56-6.65

83
Q

Red-lined filament marking

A

Above 6.65

84
Q

Resting position of tmj

A

Teeth slightly apart with lips together

85
Q

Closed pack of tmj

A

Teeth clenched

86
Q

Capsular pattern of tmj

A

Limit mouth opening

87
Q

Innervation of tmj disc

A

Auriculotemporal and masseteric branch of mandibular

88
Q

Function of temporomandibular and lateral ligaments

A

Restrains lower jaw movement and prevents compression of tissue behind condyle

89
Q

Sphenomandibular and stylomandibular ligaments

A

Guiding restraints

90
Q

What is central occlusion

A

Max teeth contact

91
Q

Upper cavity tmj movement

A

Gliding / sliding

92
Q

Lower cavity tmj movement

A

Rotation

93
Q

First phase of tmj movement

A

Roll/ rotation from beginning to midrange

94
Q

Second phase of tmj movement

A

Glide of mandible and disc

95
Q

Pain on opening of mouth

A

Extra articular

96
Q

Pain when biting

A

Intra articular

97
Q

Early click mouth opening

A

Developing dysfunction

98
Q

Late click mouth opening

A

More chronic development

99
Q

Disc displacement with reduction

A

Disk started anterior and when you open mouth it slid into place. Usually one click

100
Q

Reciprocal clicking

A

Second click is closing of mouth

101
Q

Hard click in jaw

A

Joint pathology

102
Q

Soft click when closing mouth

A

Muscles not coordinated

103
Q

What happens when jaw locks

A

Disc displacement

104
Q

Buccoversion

A

Underbite

105
Q

Class 1 occlusion

A

Normal

106
Q

Class 2 malocclusion

A

Overbite ( horizontal overlap and vertical overlap)

107
Q

Class 3 malocclusion

A

Underbite

108
Q

Orthognathic

A

Normal, straight jawed

109
Q

Retrognathic

A

Receding chin

110
Q

Prognathic

A

Strong chin in front of vertical line

111
Q

Cranial nerve 1 testing

A

Olfactory - smell coffee with eyes closed

112
Q

Cranial nerve 2 testing

A

Optic look at eye chart

113
Q

Cranial nerve 3, 4, 6 testing

A

Oculomotor
Trochlear
Abducens
Track finger with eyes

114
Q

Cranial nerve 5 testing

A

Trigeminal

Clench teeth

115
Q

Cranial nerve 7 testing

A

Facial

Make a facial expression

116
Q

Cranial nerve 8 testing

A

Vestibulocochlear

Close eyes and repeat what you are saying

117
Q

Cranial nerve 9 and 10 testing

A

Glossopharyngeal and vagus

Swallowing

118
Q

Cranial nerve 11 testing

A

Spinal accessory

Shrug shoulders

119
Q

Cranial nerve 12 testing

A

Hypoglossal

Stick tongue out

120
Q

Type of joint for distal radioulnar

A

Pivot 1 dof

121
Q

Type of joint Radiocarpal

A

Ellipsoid

122
Q

Type of joint are both mid carpal

A

Sellar (saddle) types

123
Q

Type of joint CMC thumb

A

Sellar joint with 3 dof

124
Q

Type of joint CMC digits 2-5

A

Plane

125
Q

Capsular pattern of CMC of thumb

A

Abduction then extension

126
Q

Capsular pattern of CMC fingers

A

Equal in all directions

127
Q

Resting position of CMC thumb

A

Between flexion/extension and adduction and adduction

128
Q

Resting position CMC fingers

A

Between flexion and extension

129
Q

Closed pack position CMC thumb

A

Full opposition

130
Q

Closed pack CMC fingers

A

Full flexion

131
Q

Type of joint MCP

A

Condyloid

132
Q

Resting position MCP

A

Slight flexion

133
Q

Closed pack position Mcp thumb

A

Full opposition

134
Q

Closed pack position MCP fingers

A

Full flexion

135
Q

Capsular pattern MCP

A

Flexion, then extension

136
Q

Distal transverse arch

A

Passes through MCP joint and has greater mobility than proximal

137
Q

Longitudinal arch

A

Runs from carpals to CMC joints

138
Q

Type of joint IP

A

Hinge joint with 1 dof

139
Q

Closed pack IP

A

Full extension

140
Q

Resting position IP

A

Slight flexion

141
Q

Capsular pattern

A

Flexion then extension

142
Q

Heberdens nodes

A

Dorsal surface of distal dip

143
Q

Bouchards nodes

A

Dorsal surface of pip

144
Q

Functional position of wrist

A

20-35 extension

10-15 ulnar deviation

145
Q

Power grip

A

Used whenever strength or force is primary consideration

146
Q

Hook grasp

A

All of 2nd and 3rd finger are used as a hook controlled by forearm

147
Q

Cylinder grasp

A

Thumb is used and entire hand wraps around object. Holding a cup

148
Q

Fist grip

A

Hand moves around narrow object. Holding a tennis racket

149
Q

Spherical grasp

A

More opposition and hand moves around sphere. Holding a baseball

150
Q

Characteristics of anatomical snuff box

A

Bordered by epb and epl. Scaphoid inside

151
Q

Where does radial pulse lie

A

Between fcr and apl

152
Q

Tunnels of dorsal side of forearm

A 
Tunnel 1: apl and epb
Tunnel 2: ecrl and ecrb 
Tunnel 3: epl
Tunnel 4: ed and ei 
Tunnel 5: edm
Tunnel 6: ecu
153
Q

Proximal skin crease

A

Upper limit of synovial sheaths of flexor tendons

154
Q

Middle skin crease

A

Radiocarpal wrist joint

155
Q

Distal skin crease

A

Upper margin of flexor retinaculum

156
Q

Radial longitudinal skin crease

A

Encircles thenar eminence

157
Q

Proximal transverse carpal arch

A

Runs across shaft of metacarpals indicating superficial palmar arch

158
Q

Distal transverse arch

A

Heads of metacarpals

Exams (12 decks)

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