fall 2023 CP final

Question 1

name of the ST for costclavicular syndrome

Answer 1

edens

Question 2

what are the structures of cubital tunnel

Answer 2

medial epicondyle, radial nerve, flexor carpi ulnas

Question 3

what bone dislocates the most

Answer 3

lunate

Question 4

the axillary artery becomes what artery

Answer 4

brachial artery

Question 5

describe the differences between a spondy and a stenosis

Answer 5

stenosis- narrowing of nerve canal
spondy- defect in pars articularis

Question 6

what ST of the shoulder should be done in addition with the apprehension/ relocation test to differenciate an unstable GH joint

Answer 6

impingement

Question 7

what are the structures involved with impingement of the shoulder

Answer 7

subacromial bursa, long head of biceps, supraspinatus ligament, corococlavicular ligament

Question 8

name one way each to differentiate between a ligamentous, bony or muscular issue to the finger

Answer 8

ligamentous- valgus or varus or anterior or posterior
bony- tap test
muscular- mmt

Question 9

describe SOAP, SLAP, RICE, ALRI

Answer 9

subjective, objective, assessment, plan
superior labral tear from anterior to posterior
rest, ice compression, elevation
anterolateral rotatory instability

Question 10

describe the process behind the elvy test or the upper limb tension test

Answer 10

test for nerve involvement (eg. entrapment)
shoulder, forearm, wrist, fingers, elbow, and neck if needed

Question 11

what carpal bone will be used in a. back eval

Answer 11

pisaform

Question 12

what is the most common etiology, pathology and involved structures for carpal tunnel

Answer 12

etiology- overused of dexterous movements (eg. typing)

pathology- inflammation of tendons under
retinaculum that compromise the space and pinch median nerve

involved structures- 4 tendons of flexor digitorum superficialis, 4 tendons of flexor digitorum profundus

Question 13

which elbow carrying angle is more common in women

Answer 13

cubitus valgus

Question 14

name 3 ST for labral tears

Answer 14

slap series, lui crank, scouring, load and shift

Question 15

what special tests and muscle groups are lateral epicondylitis

Answer 15

supinators and extensors, cozens, mills, modleys, caplens

Question 16

what does game keeper’s test determine

Answer 16

integrity of UCL of thumb

Question 17

what does the anterior longitudinal ligament limit

Answer 17

extension

Question 18

what network of nerves originate from the spine

Answer 18

all of them: cervical, brachial, lumbar, sacral, cocygeal

Question 19

what is the most common location for herniated lumbar disc

Answer 19

L4-5

Question 20

what nerve root levels and terminating branches make up the brachial plexus

Answer 20

roots: C5-8, T1

branches: axillary, musculotaneous, radial, ulnar, median

Question 21

what test is used for pants on fire (lying)

Answer 21

Hoover

Question 22

with palm of the hand on the medial epicondyle name each of the muscles that each finger represents and the nerve that innervates it

Answer 22

pronator teres- median nerve
flexor carpi radialis-median nerver
palmaris longus- median nerve
flexor digitorum profundus/superficialis - median and ulnar -
flexor carpi ulnaris- ulnar

Question 23

what are the terminating branches

Answer 23

musculocutanenous, axillary, ulnar, radial and medial

Question 24

what are the muscles in the thenar group

Answer 24

flexor pollicis longus and brevis
adductor pollicis longus

Question 25

describe full vascular integrity evaluation from shoulder, wrist, and hand

Answer 25

shoulder- Allen's or adson, brachial pulse wrist- allen's, or radial pulse hand- cap refill

Question 26

what is the purpose of the springing test of the back vs the shoulder

Answer 26

back- hyper or hypo mobility of the discs shoulder- integrity of ac or sc joint

Question 27

scapula will move at that ratio of shoulder movement

Answer 27

2:1

Question 28

the erector spinae is made up of what 3 columns

Answer 28

longissimus, spinalis, iliocostal muscles

Question 29

name 2 involved structures and 2 ST for thoracic outlet syndrome

Answer 29

subclavian vein and artery Allen and adson

Question 30

name 8 ligaments that support or have a function in the shoulder girdle

Answer 30

anterior and posterior sc ligaments, interclavicular, costoclavicular, superior and inferior ac ligaments, superior middle and inferior GH ligaments, coracoclavicular, transverse humeral, coracoacromial, coracohumeral

Question 31

what is the inflammation of the covering of the bone

Answer 31

periostitis

Question 32

what are the positive for the fowlers test

Answer 32

a relief of pain

Question 33

an osteochondral fracture of the glenoid labrum

Answer 33

bankhart lesion

Question 34

what is considered the wrist miniscus

Answer 34

triangular fibrocartilage complex

Question 35

what are two causes for scapular winging

Answer 35

weak musculature, neurological involvement

Question 36

describe the pathology, signs and symptoms, and gold standard ST for a herniated disc,

Answer 36

pathology:nucleus pulposus protrudes beyond the annulus fibrosis S/S: shooting sharp pain ST: straight leg raise

Question 37

what is the muscle that is involved in hard swallowing

Answer 37

omohyoid

Question 38

what ligamentous structure provides a pivot point for the radius (stabilizes the head of the radius)

Answer 38

annular ligament

Question 39

name a ST that tests for GH instability and labral tears and name a ST for GH instability and AC joint stability

Answer 39

1. shoulder scouring 2. traction test

Question 40

name 4 ST for the low back that are completed in a supine position

Answer 40

pelvic compression, pelvic distraction, straight leg raise and well's straight leg raise, hoover, bow string, FABER, femoral shear

Question 41

what does Murphys sign test for

Answer 41

lunate dislocation

Question 42

what is the official name for javelin thrower elbow

Answer 42

medial epicondylitis

Question 43

the ulnar collateral ligaments has how many portions and which portion is the main stabilizer

Answer 43

3 portions (anterior, posterior, middle) main stabilizer= anterior

Question 44

what is the difference in mechanism of injury between a swan neck deformity vs boutonniere deformity

Answer 44

hyperextension vs trauma to the tip of the finger

Question 45

what artery supplies to the extensors of the arm

Answer 45

profunda brachii

Question 46

name 6. ST for possible SI dysfunction

Answer 46

pelvic compression, pelvis distraction, FABER, march, sacral apex, gaenslen's, approximation, femoral shear, Hibbs, prone gapping

Question 47

what is the procedure for opennheim test

Answer 47

using a sharp object down the crest of the tibia

Question 48

what is the treatment for flexor digitorum profundus rupture and how is it tested

Answer 48

surgery and MMT to test integrity

Question 49

describe fully how you would assess the subscapularis and a ST

Answer 49

assess active internal rotation of shoulder then passively and then resistive ST includes lift off and bear hug

Question 50

what ligaments give support to the proximal end of the clavicle

Answer 50

anterior and posterior SC ligaments, costoclavicular and interclavicular ligament

Question 51

what is the name for the medial epicondyle of the humerus

Answer 51

trochlea

Question 52

which nerve is tested during phalen's test

Answer 52

median nerve

Question 53

what are two congenital issues or problems that can be found in the lower back

Answer 53

cafe au lait maculés, and spina bifida occulta

Question 54

what is the most prominent spinous process

Answer 54

C7

Question 55

what is the most common mechanism for a fractured olecranon

Answer 55

falling on a flexed elbow

Question 56

what is the most common mechanism for a AC sprain

Answer 56

falling on tip of the shoulder

Question 57

on what bone would we find the coracoid process

Answer 57

scapula

Question 58

where is key sensory area for c8

Answer 58

medial forearm

Question 59

describe differences for Roo's test and Rowe test

Answer 59

Rowe= GH instability Roos= TOS

Question 60

what motions are obtained at the radial ulnar joint

Answer 60

pronation and supination

Question 61

what are 2 ways to differentiate between a positive impingement vs apprehension test

Answer 61

1. mechanism injury (overuse vs traumatic event) 2. using relocation test (pain relief= instability 3. location of pain (CC pain vs pain more inferior for GH ligaments)

Question 62

what 3 places can step deformity appear

Answer 62

AC, SC, broken clavicle

Question 63

why is a posterior SC ligament a medical emergency and how can we treat it

Answer 63

because the clavicle can run into any sort of arteries and/or veins behind it treated by pulling the clavicle out manually or a knee behind the pt. back pushing anteriorly

Question 64

all the special test(s) for impingement

Answer 64

hawkins kennedy, impingement, speeds, empty can, drop arm, painful arc, neer, yergasons, ludingtons, bicep squeeze test

Question 65

name all the postural abnormalities from head to toe from a posterior view

Answer 65

head: forward and/or backward head posture, rye neck springles deformity, kyphosis, lordosis, scoliosis, pelvic obliquity, anterior or posterior tilt, coxa valga, coxa varus, anteversion, retroversion, patella alta, baja, squinting patella, genu varus, genu valgum, genu recurvatum, camel sign, pes planus, pes cavus, pronation, supination, hallux valgus, fiesse line, cubitus valgus, cubitus varus, cubitus recurvatum, trendelenburg