Exam 3 Study Guide Part 2

Question 1

Tempomandibular joint inspection begins with what?

Answer 1

Place the pad of each index finger in the conchal bowl behind the tragus

Question 2

What is trismus?

Answer 2

Lockjaw/restriction of the range of motion of the jaw

Question 3

Pain on palpation of the jaw may be associated with what conditions?

Answer 3

Rheumatoid arthritis or osteoarthrosis

Question 4

What is flexion of the head?

Answer 4

Head is bent forward, “Touch your chin to the chest.”

Question 5

What is abduction range of motion of the shoulder?

Answer 5

0-180 degrees

Question 6

When you examine the elbow for range of motion and the arms are straighten at the elbow this is called what?

Answer 6

Extension

Question 7

Pain within the snuff box of the wrist is indicative of what possible fracture?

Answer 7

Chronic stenosing tenosynovitis (DeQuervain disease)

Question 8

Larger than normal hands may indicate what?

Answer 8

Acromegaly

Question 9

Elongated and slender fingers may be associated with what syndrome?

Answer 9

Marfan syndrome

Question 10

Herbeden’s nodes are associated with osteoarthritis and are found?

Answer 10

Distal interphalangeal joints

Question 11

Herberden’s Nodes

Answer 11

Bony enlargement of distal interphalangeal joints found in osteoarthritis

Question 12

Components of the assessment of orientation?

Answer 12

• Person – who they are
• Place – where they are
• Time – what the date is

Question 13

Palpation of the knee begins with?

Answer 13

Palpate bilaterally with the back of the hands to screen for warmth

Question 14

A grinding feeling in the knee with it is moved is called?

Answer 14

Possible meniscal tear

Question 15

Rotoscoliosis

Answer 15

Lateral curvature of the spine

Question 16

Pain, numbness and tingling in the hand in the first three digits and the lateral aspect of the fourth digit is called what?

Answer 16

Carpal tunnel syndrome

Question 17

A patient presents with an acute knee injury. Which technique best assesses for fluid within the joint space?

Answer 17

Ballottement

Question 18

A positive varus stress test is associated what injury to knee?

Answer 18

A larger gap on one side -> lateral collateral laxity

Question 19

Tempomandibular joint (TMJ) dislocation

Answer 19

Inability to close the jaw

Question 20

What is a normal liver span to percussion at mid-clavicular line?

Answer 20

5-10 cm

Question 21

With extraocular movement testing, the patient is unable to look up and medially with the right eye. This demonstrates a deficiency in which ocular muscle?

Answer 21

Inferior Oblique

Question 22

The normal liver is how many centimeters in size at the mid-clavicular line?

Answer 22

6-12 cm

Question 23

What signs are most commonly associated with carpal tunnel syndrome?

Answer 23

Phalen’s Sign & Tinel’s Sign

Question 24

The gag reflex assesses which cranial nerves?

Answer 24

• Glossopharyngeal Nerve/Cranial Nerve IX -> sensory component
• Vagus Nerve - Cranial nerve X -> motor component

Question 25

Glossopharyngeal Nerve

Answer 25

• Cranial Nerve IX
• Responsible for taste sensation to the posterior 1/3 of the tongue
• Sensory component of the gag reflex

Question 26

Vagus Nerve

Answer 26

• Cranial nerve X
• Responsible for the motor component of the pharynx (gag reflux)
• Larynx
• Providing parasympathetic innervation to thoracic & abdominal organs

Question 27

What indicates an upper motor neuron lesion?

Answer 27

Hypertonia

Question 28

Hypertonia

Answer 28

• Increased muscle tension/resistance
• Indicative of upper motor neuron lesions
• Marked by decreased ability of muscle to stretch