Exam 5 Flashcards

1
Q

O, I, A, & N of the Sternocleidomastoid (SCM)

A
O: Sternum and Clavicle
I: Mastoid Process
A: Bilaterally- Flexes Neck
     Unilaterally- Laterally Bends Neck, Rotates Neck to Opposite Side
N: Accessory Spinal Nerve (C2, C3)
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2
Q

O, I, A, & N of the Scalene Muscles

A

O: Transverse Process of the Cervicle Vertebrae
I: Ribs 1 & 2
A: Bilaterally- Flexes Neck
Unilaterally- Lateral Bend of Neck to Same Side
N: Lower Cervicle Nerve

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3
Q

O, I, A, & N of the Splenius Capitis (A)

A

O: Lower Half of Nuchal Ligament, Spinous Processes of C7-T3
I: Lateral Occipital Bone, Mastoid Process
A: Bilaterally- Extends Neck
Unilaterally- Rotates and Laterally Flexes neck to Same Side
N: Middle and Lower Cervicle Nerves

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4
Q

O, I, A, & N of the Splenius Capitis (B)

A
O: Spinous Processes of T3-T6
I: Transverse Processes of C1-C3
A: Bilaterally- Extends Neck
     Unilaterally- Rotates and Laterally Flexes Neck to Same Side
N: Middle and Lower Cervicle Nerves
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5
Q

O, I, A, & N of the Rectus Abdominis

A

O: Pubis
I: Costal Cartilage of Ribs 5-7
A: Trunk Flexion, Compression of Abdomen
N: Intercostal Nerves 7-12

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6
Q

O, I, A, & N of the External Obliques

A

O: Lower 8 Ribs Laterally
I: Iliac Crest and Linea Alba
A: Bilaterally- Flexes Trunk, compression of Abdoment
Unilaterally- Lateral Flexion, Rotation to Opposite Side
N: 8-12 Intercostal, Iliohypogastric, and ilioinguinal nerves

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7
Q

O, I, A, & N of the Internal Obliques

A

O: Inguinal Ligament, Iliac Crest, Thoracolumbar Fascia
I: Ribs 10-12, Abdominal Aponeurosis
A: Bilaterally- Trunk Flexion
Unilaterally- Lateral Flexion, Rotation to Same Side
N: 8-12 Intercostals, Iliohypogastric, and Ilioguinal Nerves

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8
Q

O, I, A, & N of the Transverse Abdominis

A

O: Inguinal Ligament, Iliac Crest, Thoracolumbar Fascia, and Last 6 Ribs
I: Abdominal Aponeurosis and Linea Alba
A: Compression of Abdomen
N: 7-12 Intercostal, Iliohypogastric, and ilioinguinal nervese

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9
Q

During what kind of activities is the Transverse Abdominis used?

A

Coughing, Sneezing, Laughing, Forced Expiration, “Bearing Down”

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10
Q

O, I, A, & N of the Erector Spinae

A
O: Spinous Processes, Transverse Processes, and Ribs from the Occiput to the Sacrum and Ilium
I: Same as origin
A: Bilaterally- Extends Trunk
     Unilaterally- Laterally Bends Trunk
N: Spinal Nerves
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11
Q

O, I, A, & N of the Transversospinalis

A
O: Transverse Processes
I: Spinous Processes of Vertebrae Above
A: Bilaterally- Extends Trunk
     Unilaterally- Rotates Trunk to Opposite Side
N: Spinal Nerves
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12
Q

O, I, A, & N of the Quadratus Lumborum

A

O: Iliac Crest
I: Rib 12, Transverse Processes L2-L5
A: Trunk Lateral Bending, Hip Hiking or Elevation
N: T12 and L1 Nerves

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13
Q

What parts of the vertebrae are an attachment for muscles and ligaments?

A

The Spinous and Transverse Processes

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14
Q

Where is the Anterior Longitudinal Ligament located, what does it do, and where is it thickest and thinnest?

A
  • Located on the anterior surface of the vertebral bodies (running all the way down the spine)
  • Prevents excessive Hyperextension
  • Thin superiorly and thick inferiorly to fuse with sacrum
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15
Q

What are the main Ligaments of the Spine?

A
  • Anterior Longitudinal Ligament
  • Posterior Longitudinal Ligament
  • Supraspinal Ligament
  • Ligamentum Nuchae
  • Interspinous Ligament
  • Ligamentum Flavum
  • Intertransverse Ligament
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16
Q

Where is the Posterior Longitudinal Ligament located, what does it do, and where is it thickest and thinnest?

A
  • Located on the posterior surface of the vertebral bodies (running all the way down the spine)
  • Prevents excessive flexion
  • Thick superiorly to help support the skull, and thin inferiorly, which contributes to increased disk injury in lumbar area
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17
Q

Where is the Supraspinal Ligament located?

A

From C7 to the sacrum, along the tips of the spinous processes

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18
Q

Where does the Interspinous Ligament run?

A

Between successive spinous processes

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19
Q

What does the Ligamentum Flavum do and where is it located?

A
  • Connects adjacent laminae anteriorly

- Located across the bay from the Posterior Longitudinal Ligament

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20
Q

Where is the Ligamentum Nuchae located and what does it do?

A
  • Located in the cervical spine only

- Takes the place of the Supraspinal and Interspinal Ligaments

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21
Q

Where is the Intertransverse Ligament located?

A

Between successive transverse processes

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22
Q

What are the Arthrokinematics of the C-Spine?

A

Rotation and Side Bending to the Same Side

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23
Q

What are the Arthrokinematics of the L-Spine?

A

Rotation and Side Bending to the Opposite Side

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24
Q

What are the Arthrokinematics of the T-Spine?

A

Upper act as C-Spine and Lower act as L-Spine

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25
Q

What type of Joints are the Intervertebral Joints

A

Amphiarthrosis or Cartilaginous Joints

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26
Q

Which vertebrae is the point at which the head can nod yes?

A

C1 or Atlas

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27
Q

Which vertebrae is the point at which the head can shake no?

A

C2 or Axis

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28
Q

Which vertbrae is the point at which the C-Spine can side bend?

A

C7

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29
Q

What is a general term for compression of the neurovascular structures located between the first rib, the clavicle, and anterior and middle scalene muscles?

A

Thoracic Outlet Syndrome

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30
Q

What is the name for a degenerative disorder of the cervical vertebral structure and function?

A

Cervical Spondylosis

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31
Q

What is the name for a narrowing of the vertebral canal that houses the spinal cord?

A

Spinal Stenosis

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32
Q

What is the name for a defect in the pars interarticularis?

A

Spondylolysis

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33
Q

What is the name for when one vertebrae slips forward in relation to an adjacent vertebrae? Usually in response to a fracture, or giving away, of a defective pars interarticularis.

A

Spondylolisthesis

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34
Q

What is the name for when the nucleus pulposus bulges through the annulus?

A

Herniated Disk

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35
Q

What is the name for when a pinched or irritated nerve in the neck causes pain, numbness, or weakness radiating into the chest or arm?

A

Cervical Radiculopathy

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36
Q

What is the name for a collapse of the anterior (body) portion of the vertebrae due to osteoporosis in the thoracic region?

A

Compression Fracture

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37
Q

What is the name for the fracture involving C2 due to a forceful, sudden hyperextension of the head?

A

Hangman’s Fracture

38
Q

What is the hole or opening in the transverse processes through which the vertebral artery passes

A

Transverse Foramen

39
Q

What type of joint are the Facets?

A

Synovial

40
Q

In what plane are the facets of the T-Spine?

A

Frontal (for rotation and lateral flexion)

41
Q

In what plane are the facets of the L-Spine?

A

Sagital (for flexion and extension)

42
Q

In what plane are the facets of the C-Spine?

A

Triplanar (for all motions)

43
Q

Which muscle is missing in one-fifth of the population?

A

The Palmaris Longus

44
Q

What does the Dorsal Interossei muscle do?

A

Finger Abduction at the MCPs

45
Q

What does the Palmar Inerossei muscle do?

A

Finger Adduction at the MCPs

46
Q

What does the Lumbricales muscle do?

A

MCP flexion/ PIP and DIP Extension

47
Q

What are the ligaments of the elbow?

A
  • Medial Collateral Ligament
  • Lateral Collateral Ligament
  • Annular Ligament
48
Q

What is the shape of the Medial Collateral Ligament (Ulnar Ligament), what does it connect to, and what does it do?

A
  • Triangle shape
  • Connects medial epicondyle of humerus, coronoid process, and olecranon process of ulna
  • Provides medial stability to elbow
49
Q

What is the shape of the Lateral Collateral Ligament, what does it connect to, and what does it do?

A
  • Triangle shape
  • Connects lateral epicondyle, annular ligament, and lateral ulna
  • Provides Lateral stability to elbow
50
Q

Where is the Annular Ligament located and what does it do?

A
  • Encompasses the radial head and holds it against the ulna

- Keeps the radius and ulna together during pronation/supination (along with the interosseus membrane)

51
Q

What does the Radial Collateral Ligament attach to and what does it do?

A
  • Attaches to the Radial Styloid process and scaphoid and trapezium bones
  • Provides Lateral support to the wrist
52
Q

What does the Ulnar Collateral Ligament attach to and what does it do?

A
  • Attaches to the Ulnar Styloid process and pisiform and triquetrum bones
  • Provides medial support to the wrist
53
Q

What is the Palmar Radiocarpal Ligament also known as, what is it’s consistency, what does it attach to, and what does it do?

A
  • AKA Floor of the Carpal Tunnel
  • Thick, tough ligament
  • Attaches to the distal radius and ulna, and the anterior surface of the scaphoid, lunate, and triquetrum
  • Limits wrist extension
54
Q

What does the Dorsal Radiocarpal Ligament attach to and what does it do?

A
  • Attaches to the posterior surface of the distal radius and ulna, and the posterior surface of the scaphoid, lunate, and triquetrum
  • Limits wrist flexion, although not as strong as the Palmar Radiocarpal Ligament
55
Q

What is the TFCC, where is it located, and what does it do?

A
  • Triangular FibroCartilage Complex (Articular Disk)
  • Located distally to the ulna, and articulates with the triquetrum and lunate
  • Absorbs shock and filler of space
56
Q

What are the Ligaments of the wrist?

A
  • Flexor Retinaculum
    • Palmar Carpal Ligament
    • Transverse Carpal Ligament
  • Extensor Retinaculum
  • Extensor Expansion Ligament
57
Q

What is the Flexor Retinaculum also known as, and what 2 ligaments make up this main ligament?

A
  • Roof of the Carpal Tunnel
  • Palmar Carpal Ligament (Proximally)
  • Transverse Carpal Ligament (Distally)
58
Q

What does the carpal tunnel provide a passageway for?

A

The long finger flexor tendons and the median nerve

59
Q

What does the Transverse Carpal Ligament attach to?

A

The scaphoid and trapezium, and the pisiform and hook of hamate

60
Q

Which ligament is often cut to relieve symptoms of carpal tunnel syndrome?

A

The Transverse Carpal Ligament

61
Q

What does the Extensor Retinaculum Ligament attach to and what does it do?

A
  • Attaches to medial ulnar styloid process, triquetrum, pisiform, and lateral side of the radius
  • Holds extensor tendons close to wrist
62
Q

What does the Extensor Expansion Ligament do?

A

Holds extensor tendons of the fingers close

63
Q

What are the 2 types of prehension grasps and what are they used for?

A
  • Power Grips: Used when an object needs to be held forcefully while being moved by more proximal joints
  • Precision Grips: Used when an object needs to be manipulated
64
Q

What are the different types of Power Grips?

A
  • Cylindrical Grip
  • Cylindrical Grip Variation
  • Spherical Grip
  • Hook Grip
65
Q

What are the different types of Precision Grips?

A
  • Pad-to-pad grip
  • Pinch grip
  • Three-jaw chuch grip
  • Pad-to-side grip
  • Side-to-side grip
  • Lumbrical grip or Plate grip
66
Q

Describe the Cylindrical Grip

A
  • All fingers flexed around object

- Ex. holding a hammer or the rig for a pull up

67
Q

Describe the Cylindrical Grip Variation

A
  • 5th finger flexed the most and 2nd finger partly flexed

- Ex. holding a screwdriver or golf club

68
Q

Describe the Spherical Grip

A
  • All finger tips grasping a round object

- Ex. picking up or unscrewing a jar by its top

69
Q

Describe the Hook Grip

A
  • 2nd through 5th fingers flexed around an object in a hooklike manner
  • Ex. holding a suitcase without the thumb involved
70
Q

Describe the Pinch grip

A

-Usually pad of thumb to pad of 2nd digit

71
Q

Describe the Three Jaw Chuck grip

A
  • Involves the thumb and two fingers

- Ex. holding a pencil

72
Q

Describe the Tip-to-Tip grip

A

-Tip of thumb to tip of index finger

73
Q

Describe the Pad-to-side grip

A
  • The pad of the thumb pressing an object into the radial side of the index finger
  • Ex. holding a key
74
Q

Describe the Side-to-Side grip

A
  • Holding an object between fingers

- Ex. holding a cigarette

75
Q

Describe the Lumbrical or Plate grip

A
  • Thumb opposes over all four fingers to hold something horizontal
  • Ex. holding a plate
76
Q

What is a common name for Lateral Epicondylitis?

A

Tennis Elbow

77
Q

What is a common name for Medial Epicondylitis?

A

Golfer’s Elbow

78
Q

What is the most common fracture in children from falling on an outstretched hand and fracturing the humerus just above the condyles?

A

Supracondylar Fracture

79
Q

What is the term for a break in the distal radius? A common injury in the elderly.

A

Colles Fracture

80
Q

What is the term for when the distal fragment of the wristis displace anteriorly (reverse Colles) due to a fall on the back of the hand?

A

Smith’s Fracture

81
Q

How does a Scaphoid Fracture usually occur?

A

From falling on the outstretched hand of a younger person

82
Q

What is the term for when the aponeruosis undergoes a nodular thickening and causes ring and little finger contractures?

A

Dupuytren’s Contracture

83
Q

What is the term for when the DIP cannot extend?

A

Mallet Finger

84
Q

What is the term for inflammation and thickening of the sheath containing the estensor pollicis brevis and abductor pollicis longus, resulting in pain on the radial side of the wrist?

A

De Quervain’s Disease

85
Q

What is the carrying angle of the elbow?

A

5-15 degrees valgus

86
Q

What are abnormal carrying angles of the elbow?

A
  • Cubitus Valgus >15 deg

- Cubitus Varus <5 deg

87
Q

What is the most common complication following a supracondylar fracture?

A

Cubitus Varus

88
Q

What part of the humerus articulates with the ulna?

A

Trochlea

89
Q

What part of the humers articulates with the radius

A

Capitulum

90
Q

What type of joint is the CMC of the thumb

A

Saddle Joint