Exam 3

Question 1

which carpal bone is the most fractured bone?

Answer 1

scaphoid

Question 2

If someone has carpal tunnel syndrome what nerve is affected?

Answer 2

-Median nerve
-transverse carpal ligament and carpal bones compress
-does not involve pinky but half of ring finger

Question 3

wrist drop is what nerve?

Answer 3

radial nerve

Question 4

what nerve go through the tunnel of Guyon?

Answer 4

Ulnar nerve
also known as the Ulnar Tunnel Syndrome

Question 5

if the ulnar nerve is involved, which part of your hand is affected?

Answer 5

The pinky and half of the ring finger

Question 6

If the radian nerve is impinged, there are several names for it.

Answer 6

-Honeymoon palsy
-Saturday night palsy
-crutch palsy
-radial nerve palsy

Question 7

Lateral epicondylitis

Answer 7

○ Inflammation or repetitive stress at the lateral
epicondyle
○ Swelling
○ Tender to palpate
○ Pain with wrist extension
○ “Tennis elbow”

Question 8

Test for lateral epicondylalgia (Tennis Elbow)

Answer 8

○ Position: seated with tested elbow flexed 90 degrees, forearm flexed 90 degrees, and the fingers flexed. applying force at the lateral epicondyle

Question 9

Cubitus valgus

Answer 9

elbow goes in medially

Question 10

Cubitus varum

Answer 10

elbow goes out laterally

Question 11

Cubital recurvatum

Answer 11

elbow hyperextension

Question 12

4 shoulder joints

Answer 12

○ Acromioclavicular
○ Glenohumeral
○ Sternoclavicular
○ Scapulothoracic articulation

Question 13

To accomplish 180 degrees of glenohumeral elevation

Answer 13

○ 120 degrees from GH movement
○ 60 degrees from scapula
○ 2:1

Question 14

Snuff-box

Answer 14

○ Medial border: tendon of the extensor pollicis longus
○ Lateral border: tendons of the extensor pollicis brevis
and abductor pollicis longus
○ Floor: carpal bones: scaphoid and trapezium

Question 15

What bones you can palpate in the snuff box?

Answer 15

scaphoid and trapezium

Question 16

Cubital Fossa

Answer 16

○ Brachichioradialis laterally
○ Pronator teres medially
○ Brachial artery runs through and subdivides into the
radial and ulnar arteries

Question 17

What nerve runs through the middle of the cubital fossa?

Answer 17

median nerve and musculocutaneous nerve

Question 18

SITS muscles

Answer 18

○ Supraspinatus: abduction
○ Infraspinatus: external rotation
○ Teres minor: external rotation
○ Subscapularis: internal rotation

Question 19

Olecranon Bursitis

Answer 19

○ Inflammation of elbow
○ Student’s elbow
○ Miner’s elbow
○ Draftsman’s elbow

Question 20

Medial epicondylitis

Answer 20

○ “Little leaguer’s elbow”
○ Neuropathy of the ulnar nerve

Question 21

Arthrokinematics: shoulder abduction

Answer 21

head of humerus glides inferiorly

Question 22

Arthrokinematics: shoulder flexion

Answer 22

head of humerus glides posteriorly up to 90 degrees then glides inferiorly to 90 degrees..

Question 23

Arthrokinematics: shoulder external rotation

Answer 23

head of humerus glides anteriorly as it rolls posteriorly.

Question 24

Arthrokinematics: shoulder internal rotation

Answer 24

head of humerus glides posteriorly as it rolls anteriorly.

Question 25

Arthrokinematics: shoulder extension

Answer 25

head of humerus glides anteriorly and medially

Question 26

Handlebar Palsy (Guyon’s canal syndrome)

Answer 26

○ Ulnar nerve: between pisiform and hamate ○ Tingling in little finger and progresses to weakness in intrinsic hand muscles ○ Weakens power grip

Question 27

Shoulder vs Hip

Answer 27

Shoulder has more mobility than stability

Question 28

Most dislocated joint of the body

Answer 28

Shoulder

Question 29

SLAP

Answer 29

○ Superior ○ Labrum ○ Anterior ○ Posterior

Question 30

2 shoulder test that look familiar

Answer 30

○ AcromioClavicular traction: scapula and humerus drops (sprain of acromioclavicular ligament or coracoclavicular ligament) ○ Sulcus sign: humerus drops (superior GH ligament torn)

Question 31

Colle’s fracture

Answer 31

○ Fracture of the radius just above the wrist. ○ Result of a fall with wrist extended

Question 32

Terrible triad

Answer 32

○ Dislocation ○ Fracture of radial head ○ Fracture of coronoid process

Question 33

Shoulder impingement

Answer 33

Supraspinatus tendon

Question 34

Shoulder subluxation

Answer 34

Happens during stroke

Question 35

Ganglion cyst

Answer 35

Check distal radius and ulna

Question 36

Elbow valgus stress test

Answer 36

Sprain of ulnar collateral ligament

Question 37

Elbow varus stress test

Answer 37

damage to radial collateral ligament

Question 38

Gerber Lift Off Test

Answer 38

-subscapularis pathology (+) If the hand is unable to lift from the spine. -standing with humerus internally rotated

Question 39

Acromioclavicular traction test

Answer 39

torn or sprained AC or coracoclavicular ligament (+) the humerus and scapula move inferior to clavicle -standing or sitting

Question 40

Anterior Apprehension Test

Answer 40

-test for GH Laxity (+) apprehension or pain in maybe the anterior capsule, anterior labrum, inferior GH -supine, sitting, standing

Question 41

Posterior Apprehension Test

Answer 41

-test for GH laxity (+) if the shoulder displays apprehension in maybe the posterior capsule or posterior labrum and produces muscles guarding to prevent the shoulder from subluxating posteriorly.

Question 42

Sulcus Sign Test

Answer 42

-test for inferior GH laxity (+) humerus move away from scapula. -sitting

Question 43

Neers Shoulder Impingement Test

Answer 43

-used test for impingement in the long head of bicep or supraspinatus (+) pain in the anterior or posterior shoulder -sitting or standing

Question 44

Hawkins Shoulder Impingement Test

Answer 44

-used test for impingement in the long head of bicep or supraspinatus (+) pain with motion, near end of ROM

Question 45

Speeds Test

Answer 45

-test for long head of bicep brachii tendinopathy -sitting or standing (+) pain along the long head of the biceps brachii tendon

Question 46

Obrien's Test

Answer 46

- used to test for SLAP lesion or AC joint pathology (+) pain is experienced during internal rotation but decreased during external rotation.

Question 47

GRIND Test

Answer 47

-test for SLAP lesion -supine (+) pain or snapping

Question 48

Phalen's Test

Answer 48

-test carpal tunnel syndrome -standing (+) tingling develops or increases.

Question 49

Heberden's nodes

Answer 49

small bony growth that appears closest to the tip of the finger.

Question 50

Pulse location at wrist?

Answer 50

the radial pulse is felt on the wrist, just under the thumb.