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NPTE > FF powerpoint questions MSK > Flashcards

FF powerpoint questions MSK Flashcards

1
Q

where does saphenous N innervate

A

cutaneous to ant/medial leg

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2
Q

how to test saphenous N

A

prone, hip extension, and ER. knee ext. ankle DF. foot extension

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3
Q

upper crossed syndrome

A

tight: pecs, levator scap, upper traps, SCM
weak: rhomboids, deep cervical flexors, lower trap, serratus ant

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4
Q

lower crossed syndrome

A

tight: hip flexors, erectors
weak: abs, glutes

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5
Q

long sitting test

A

purpose: to identify SI joint dysfunction that may be cause of leg length discrepency
description: start supine and go to sitting
results: if limb on affected side appears longer longer in supine and shorter in seated, test is positive indicating anterior inomminate rotation of affected side

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6
Q

type of m action with with of m

A

isometric: m torque =load torque
concentric: m torque>load torque
eccentric: m torque<load torque

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7
Q

joint mobs grades

A

1: small at beginning of range
2: large within range
3: large up to limit
4: small at limit
5: small high thrust

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8
Q

shoulder rotators

A

upward rotators: UT, SA, LT
downward rotators: rhomboids, LS, pec minor

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9
Q

hip excessive anteversion with related postures

A

toeing in, subtalar pronation, lateral patellar sublexation, medial tibial torsion, medial femoral torsion

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10
Q

hip excessive retroversion with related postures

A

toe out, subtalar supination, lateral tibial torsion, lateral femoral torsion

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11
Q

coxa vara with related postures

A

pronated subtalar joint, leg IR, short ipsi leg, ant pelvic tilt

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12
Q

coxa valga with related postures

A

supinated subtalar joint, ER rotation of leg, long ipsilateral leg, post pelvic tilt

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13
Q

trigger finger

A

nodule in sheath causes blockage, forcing flexion of finger
usually digits 3-4
finger snaps into flexion and has difficulty returning to extension
sxs: pain, catching, locking, tenderness or bump at base
can result in fixed, flexion deformity
most common: women, middle aged, RA
interventions: rest, splint, exercise, NSAIDS, steroid injection
treatments: fasciotomy - long band that goes down tissue
fascectomy - removes palmar aponeurosis

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14
Q

Boutteniere

A

ruptured/slipped central band
PIP flexion, DIP hyperext
treatment: splint to block PIP flexion and DIP ext

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15
Q

swan neck deformity

A

ruptured lateral band
PIP extension, DIP flexion
treatment: extension block splint at PIP

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16
Q

mallet finger

A

avulsion of distal extensor tendon
isolated to extensor tendon of DIP which results in DIP flexion only
Sxs: trauma, painful, swelling around DIP, unable to straighted
Cause: workplace injury, sports (ball hit fingertip)

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17
Q

Mallet fracture

A

extensor tendon also causes avulsion of distal phalanx

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18
Q

Z shaped thumb

A

CMC joint dislocation, MCP flexion, IP hyperextension
can have atrophy at anatomical snuffbox

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19
Q

Bouchard’s node

A

on PIP
BURP
present in RA, and OA
bilateral

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20
Q

Heberdens node

A

On DIP
can happen with OA, NOT RA
unilateral

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21
Q

hip OA

A

decreased space btw acetabulum and head, decreased bone mineral density, increased risk of fractures, anterolateral hip pain, stiffness, ROM limited in IR, pain with WB, older age

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22
Q

avascular necrosis

A

occurs with those that take prolonged corticosteroids

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23
Q

osteomyelitis

A

infection - would show fever or systemic sxs

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24
Q

osteoporosis

A

decreased/weak bone which can lead to OA

25
Q

what level is most prominent CS vertebrae

A

C7

26
Q

what level is spine of scapula

A

T3

27
Q

what level is inf angle at

A

T7

28
Q

what level is iliac crest at

A

L4

29
Q

what level is PSIS at

A

S2

30
Q

Interventions for TOS

A

-stretch SCM, scalenes, and pec minor
-grade 5 manip to 1st rib
- subclavian artery, vein and BP are compressed btwclavicle and 1st rib

31
Q

ULTT for median N and Anterior interosseous N

A

MAIN
110 deg abduction

32
Q

ULTT for median N and musculocutaneous N

A

MAM
10deg abduction
shoulder ER

33
Q

ULTT radial N

A

40deg abduction
25 deg shld extension

34
Q

SLAP lesion

A
  • superior labrum, anterior and posterior
  • MOI - ER and extension - ex throwing
  • superior labrum tears away by biceps insertion
35
Q

where is shoulder glenoid located

A

under subacromial/
coracoacromial arch

36
Q

Bankhart lesion

A
  • inferior shoulder labrum
  • MOI: ER and extension
37
Q

Hill-Sachs fracture

A

-fracture of posterior side of humerus, chip of humeral head came off
- MOI - anterior dislocation: horiz abd, ER

38
Q

SLAP lesion max protection phase protocols

A
  • if biceps tendon is detached, proceed with caution:
  • no shoulder passive/ AAROM flexion past 60 for first 2 weeks
  • no shoulder flexion PROM/AAROM past 90 for 6 wks
  • only rotation in scap plane for 2 wks
  • progress to ER 30deg, IR 60deg at 4 wks
  • no active biceps contraction for 6 wks
  • keep arm in shoulder/elbow ext for 6 wks
39
Q

Legg Calve Perthes

A
  • little kid bit into ice cream
  • ages 2-13, short, males
  • decreased blood supply to femoral head > abnormal shaped/flattened femoral head
  • femoral head necrosis, fragments and ossifies
  • stiffness, limp, pain increases with activity
  • decreased extension, IR, abduction
  • conservative treatment and bracing
40
Q

Slipped Capital Femoral Epiphesis

A
  • Big kid wants second scoop but slides over
  • Ages 10-17
  • overweight
  • Displacement of femoral head due to slippage from growth plate
  • pain increases with activity, stiffness, limp
  • decreased flexion, IR, abduction
  • requires surgery to stabilize
41
Q

braces for congenital hip displasia

A

frejka pillow, pavlik harness, hip spica

42
Q

scottish rite brace

A

position hip
for LCPD

43
Q

ACL

A
  • resist ant translation and IR of tib on femur
  • injuries: hypertextenion, extension/IR
44
Q

MCL

A
  • valgus and ER
44
Q

PCL

A
  • resist post translation and IR of tibia
  • dashboard injury
  • hyperflexion injury
45
Q

LCL

A
  • varus and ER
46
Q

what to be caution about for patellar tendon graft for ACL repair

A

knee extension

47
Q

what to be caution about for hamstring tendon graft for ACL repair

A

knee flexion

48
Q

what to avoid with open chain training after ACL reconstruction

A

45 deg-full extension for 6-12 wks

49
Q

0-2 wks after achilles tendon repair

A
  • Cam boot or orthotic restricted to -20deg
    -partial WB with bilat axillary crutches
50
Q

2-4 wks after achilles tendon repair

A
  • cam boot restricted to -20deg of DF
  • WBAT, crutches as needed
51
Q

4-6 wks after achilles tendon repair

A
  • 4 wks: DF limited to -10 degrees
  • 5wks: DF limited to 0deg in CAM boot
  • wean crutches, FWB in cam boot
52
Q

6-8 wks after achilles tendon repair

A

6 wks: restrict DF to -10deg
- 7 wks: 1-1.5cm heel lift
- can wear normal shoes

53
Q

8> wks after achilles tendon repair

A
  • wean heel lift by 10 wks, normal shoes
54
Q

Jumper’s knee

A
  • pain with palpation of lower pole of patella and quadriceps tendon
  • overuse of quads tendon
  • stiffness after activity
55
Q

Osgood Schlatter

A
  • 12-14 y/o
  • inflammation at tibial tuberosity
56
Q

Osteochondritis dissecans

A
  • pain at base of patella due to traction apophysitis of tibial tuberosity
  • younger age, before skeletally mature
57
Q

T scores

A
  • measure of bone density
  • <-2.5=osteoporosis
58
Q

what to avoid with spine OA

A
  • avoid rotation and flexion of spine - avoid flexion wedge compression fxs
  • want to do extension and core stabilization

NPTE (60 decks)

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