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Missed sample exam questions > exam 3 > Flashcards

exam 3 Flashcards

1
Q

Describe the kellgren/lawerence classification of knee OA

A

radiographic classification
0- no OA changes
1- doubtful narrowing and possible osteophytic lipping
2- definite osteophytes and possible joint space narrowing
3- multiple osteophytes, definite JSM, sclerosis, possible boney deformity
4. large osteophytes, marked JSN, severe sclerosis, definite bony deformity

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2
Q

Describe Neer impingement classification

A

I. typically less than 25 with minimal wont changes and irritation to shoulder soft tissues
II. typically 25-40, RTC fibrosis and tendonitis, partial thickness tear
III. greater than 40, bone spurs, tendon rupture or tear
IV. RTC tear arthopathy and progressive disability

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3
Q

which of the following will Manipulation inot cause HR change, muscle weakness, hypolagesia, improvement in depression score

A

muscle weakness

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4
Q

What is an appropriate time dosing of traction who have not received traction before and are in an acute or subacute stage

A

cameron 2013 static 5-10

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5
Q

describe the dermatomes for L4-S1

A

L4 - anterior medial shin region
L5- anterior lateral shin across the top of foot to the big toe
S1- Butt, posterior thigh, posterior lateral lower leg and lateral foot

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6
Q

Singh 2012 identified what risk factors for cervical myelopathy

A
  1. increasing age
  2. larger vertebral bodies
  3. smaller transverse and sagittal diameter of spinal canal
  4. Smaller Torg/Pavlov
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7
Q

what is the wrist ration index and what is the cut of for increased risk for CTS

A
  • wrist AP diameter/wrist width

>0.67

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8
Q

what it is the CTS cpr

A
  1. shaking hands
  2. wirst ration >.67
  3. symptoms >1.9
  4. thumb sensation loss
  5. age >45
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9
Q

Describe Ibrahim 2012 stages fo CTS

A
  1. wake during the night with sensations of swollen, numb hands, hand shaking helps, staff hands in the morning
  2. symptoms persistent during the day, mostly with static positions, start dropping things
  3. muscle wasting in the thenar reign and surgical decompression is unlikely to help
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10
Q

What classic CTS test are have greater sensitivity for detecting tenosynovitis than CTS

A

tinel’s
phalen’s
Reverse phalan’s
carpal tunnel compression

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11
Q

what are the recommend nerve glide positions of the hand with CTS

A
  1. neutral fist arm out in front
  2. neutral wrist with fingers and thumb straight
  3. extend the wrist
  4. turn the wrist up
  5. passively extending the thumb
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12
Q

CTS tendon glides

A
  1. straight hand
  2. hook fist - no flexion of MCP - FDP dip FDS pip
  3. full fist - flexion of all joint - add lumbrical
  4. straight fist - extension of DIP - takeout FDP
  5. platform fist - extension of DIP and PIP - lumbricals only
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13
Q

what are the extensor compartments of the wrist

A
  1. EPB and AbD PL
  2. ECRB and ECRL
  3. EPL
  4. EI and EDCommunis
  5. EDM
  6. ECU
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14
Q

what part of the ACL plays the greatest role in rotational stability

A

Posterior lateral bundle with anterior medial a lessor role

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15
Q

what part of the ACL has the greatest role in anterior translation of the tibial during knee flexion

A

Posterior medial bundle

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16
Q

what is the Hughston drawer sign

A

posterior drawer of the knee with some tibial IR to assess posterior medial corner injury

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17
Q

what is lateral pivot shift test

A

The patient lies supine with legs relaxed. The examiner grasps the heel of the involved leg with examiners opposite hand placed laterally on the proximal tibia just distal to the knee. The examiner then applies a valgus stress and an axial load while internally rotating the tibia as the knee is moved into flexion from a fully extended position. [6] A positive test is indicated by subluxation of the tibia while the femur rotates externally followed by a reduction of the tibia at 30-40 degrees of flexion. lax ACL cause anterior glide and as the ITB tension increased the tibia is pulled back into place

18
Q

Describe the different roles of the arcuate complex and popliteofibular ligament in knee stability

A
  • arcuate - posterior lateral capsular thickening to the fibular styloid process (medial limb over the poplitesu muscle to the oblique popliteal ligament, lateral limb to blend with gastroc insertion)
  • popliteofibular ligament - tibial ER stability and limitation
19
Q

What is a ER lag test how is it deferent that drop arm

A
  • Position patient in 90/90 shoulder ER
  • inability to hold the position is positive suggestive of full thickness supra or infraspinatus tears
  • not in CPR and is thought to have higher sensitivity
20
Q

what is the horn blowers test

A

90/90 shoulder in front of body and resist ER

21
Q

In cases of severe knee OA what role doe debirde surgery play

A

no added benefit use in connection with PT. So try PT first

22
Q

What are the selection criteria according deyle et al 2000 what figuring out what joint to treatment with pollyarticular DJD

A

all of them particularly those in the involved region

23
Q

does the medial or lateral pectoral nerve innervate both muscles

A

medial - minor and major

lateral major only

24
Q

what cervical motions does C3 impact

A

extension - C1-2
flexion - C3
SB - C3
rotation - C3

25
Q

Does strengthening or endurance exercise have better outcomes for chronic neck pain

A

at 12 months both has good outcome, there was no difference

26
Q

Soft tissue imaging of WAD demonstrates what changes

A

fatty infiltration of the muscle and increased cross sectional area

27
Q

how do the carpal row move during ulnar deviation

A

extension proximal, flexion distal

28
Q

the median nerve innervatates the tips of which fingers

A

1-4 (1/2 of four)

29
Q

what are the different upper limb tension test

A

1 - median nerve
2a- median with arm down and back wrist extended
2b- radial with arm down and back wrist flexed
3- ulnar

30
Q

what type of arthritis is associated with joint nodules

A

RA

31
Q

what type of arthritis is associated with tenosynovitis

A

RA

32
Q

thumb adduction is influenced by what nerve

A

ulnar

33
Q

pronator teres syndrome influences what muscles

A

weakness in the muscle of the anterior interosseous nerve - FPL, 1/2 FDP, PQ

34
Q

what innervates more muscle the PIN or the AIN

A

PIN - 9 ECRB, ED, EDM, ECU, SUP, AbD PL, EPB, EPL, EI

AIN - 3 FPL, 1/2 FDP, PQ

35
Q

what treatment modalities is likely of have the LEASE impact on PF pain (manual, education, physical agents, exercise)

A

all will help, but education has the least benefit

36
Q

TMJ capsule problems will present with what type of opening aberrant motions

A

C for sure

S if there is any disc involvement

37
Q

what type of headaches have the longest duration

A

tension type 30-7 days
cluster 15 minutes to 2 hours
migrane 4-72 hours

38
Q

what is a normal amount of cervical extension and rotation

A

45 degree according to the AAOS

60 degrees of rotation

39
Q

what is the ROM cut off for cervical radiculopathy

A

there isn’t one

  • spurlings
  • ULTT-a
  • distraction
40
Q

how would the sensory symptoms differ from a C8 and ulnar nerve injury

A

C8 entire 4th and 5th

ulnar nerve entire 5th, but only part of 4th

41
Q

what muscles of the arm share c5

A

musculocutaneous - biceps, brachialis, brachioradialis

radial- supinator

Missed sample exam questions (3 decks)

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