Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

extrem clet > fifi > Flashcards

fifi Flashcards

1
Q
  1. Patient presents w/ lateral pain, radiating down lower leg from recent forced dorsiflexion injury with tingling sensation 

A

Tib-Fib Subluxation 


How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. You test popliteal muscle 

A

test tibial rotation first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

13 year old boy had pain and is overweight; has posterior-inferior rotation in hip


A

SCFE (adolescent coxa vara

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. Patients who present with peripatellar pain with clicking and high riding patella with a fibrotic feel 

A

Synovial plica 


How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. PFTS caused by
A

Quad imbalance, patella alta/baja, synovial plica syndrome (ALL) 


How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. Movie theater sign-
A

pain on prolonged sitting 


How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

housemades knee

A

pre-patellar bursitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

segond’s sign

A

lateral tibial avulsion Fx- ACL and MM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

sindig larsen/ johansson disease

A
  • inferior patellar apophysisitis
  • proximal pole of patellar tendon inserting into the inferior pole of the patella. represents a chronic tratcion injury related to osgood schlatter disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. Osgood-Schalters
A
  • tibial tuberosity apophysitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

pelligrini steati

A

calcified MCL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

godfrey sag

A

PCL tear/instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

45 male had sudden pain; reports a painful sense of giving way (mechanical); 
anterio-medial joint line pain; sharp pain and catching; pain increased with activities; irritation of synovium 


A

-Orthopedic test: McMurray’s 

Most likely clinical impression: 

-Medial Meniscus Tear
Management avenues 

-Obtain x-ray based on Ottawa Rules (couldn’t bend knee) 

-Recommend crutches and co-manage with orthopedist 


How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

45 year old female, insidious Right Lateral knee pain; pain aggravated by running downhill training for marathon; no pain with walking; pain with 
stair climbing; crepitus over lateral knee


A

-Orthopedic + Tests: Noble Test, Modified Ober’s 

-Clinical Impression 

a. IT Band syndrome
Management:

a. Stretch IT band, hamstrings and quad

b. Adjust for fibular head subluxation

c. Adjust for internal hip rotation

d. Adjust talus and calcaneus bones if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. X-ray of 14 year old, codman’s triangle with onion skinned appearance
A

OsteoSARCOMA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

adult patient with relatively painless activity, has a feeling of giving way

A

ACL instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

athletes who experience sudden pain and inability to plantarflex toes to push off

A

tennis leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

ottawa rules:

A
  • 55+
  • isolated pain over fib head
  • isolated pain over patella
  • cant bend knee to 90o
  • cant weight bear
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

high ankle sprain characterized by:

A

syndesmosis of tib-fib lig

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

osteochondrosis, navicular pain, may lead to AVN

A

kohler’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

not considered an ottowa rule

A

excuisite pain at 2nd met head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

21 male, diffuse heal pain, bohler’s angle 4o

A

calcaneal fx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

typically affecting juveniles, posterior heel and calf pain, can lead to AVN

A

severs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

west pont ankle pain, ATFL and CFL instability

A

grade 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

common cause of fasciitis overlooked

A

tightened tricep surae and achilles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

grade 1 sprain, 2 appropriate answers:

A

RICE

adjust the cuboid bone if subluxated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

appropriate exercises excluded:

A

immobilized completely for 7 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

pain from traction apophysitis, 5th met base

A

Islen’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

calcific bump on calcaneus

A

haglans deformity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

majority of foot complaints in souza

A

inappropriate footwear

improper support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

lisfranc fracture

A

Fx of tarsal- metatarsal joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

pain at bottom of foot, specifically forefoot; pes cavus, callus at 2nd met head, no pain in big toe dorsiflexion least likely?

A

plantar fasciitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

tapping dorsum of foot negative, tapping bottom of foot

A

metatarsalgia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

management of patient to exclude

A

cast and crutches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

fracture of 5th met base

A

jones

36
Q

podagra, associated where:

A

1st metatarsal-phalangeal joint

37
Q

peroneal nerve foot stepped on in max dorsiflexion, radiating into foot

A

proximal tib/fib subluxation (medical)

38
Q

popliteus blows out, what to address first?

A

rotated tibia

39
Q

13 year old bilateral knee pain, overweight, trauma, posterior-inferior of proxiaml femoral epiphysis; Dx?

A

9-17 years old

-adolescent coxa vara (SCFE)

40
Q

knee pain, push patella medial, describes what test?

A

test for synovial plica/ patellar bowstring

41
Q

movie- goes sign

A

retropatellar ache

42
Q

housemaids knee

A

prepatellar bursitis

43
Q

bakers’s cyst

A

popliteus fossa mass

44
Q

jumpers knee

A

patellar tendonitis

45
Q

pellegrini stieda

A

calcified collateral ligament- post traumatic, medial femoral collateral ligament, avulsion fx, then calcification of ligament

46
Q

Right knee pain, felt it twist, painful giving way, loose body, anterior medial joint pain in knee worse with bending, decreased active flexing

A
  • meniscus, mcmurray

- management: xray, crutches and co-management with orthopedist

47
Q

severely swollen knee, one year ago, limping, whole region is painful, kid, hair on end xray

A

osteosarcoma

48
Q

43 year old collapses after leg gave way, painless

A

ACL, ligament instability

49
Q

male walking in woods, drops to ground, feels pop, postero-medial knee pain, ecchymosis

A

tennis leg (rupture of the gastroc)

50
Q

pain over shin, weak dorsiflexion, dorsalis pedis is weak

A
  • anterior compartment

- deep peroneal/ fibular nerve

51
Q

21 yoa athlete, pain at bottom of foot, pes cavus, taut fibers on plantar
aspect, callus at 2nd met head, forced dorsiflexion of big toe is unremarkable (plantar fasciitis out)

A
  • Passively flexion toes rules out metatarsalgia, extending aggravates Mortons
  • Tap plantar aspect = pain, tap dorsal aspect = no pain; rules out fracture
  • management excludes foot cast and crtches
52
Q

leg cramps relieved by rest, 70 year old

A
  • interittent claudication

- ischemic arteritis

53
Q

ballet dancer w/ pain in middle of shin, shin splint treatment isnt working, “dreaded black line”

A
  • tibial stress fx

- tibial stress fx syndrome is shin splints

54
Q

36 year old no trauma, working out, lower leg swelling, blushing, management?

A
  • refer out
  • anterior compartment swelling
  • intermittent claudication aka ischemic arteritis
55
Q

wells pre test probabiblity

A

DVT test

56
Q

burning sensation in both legs, LBP, walking in pain worsens, stopping doesnt make it better, but flexing does

A

claudication and spinal stenosis

57
Q

soccer, left sided medial shin pain ( posterior), cramping on medial aspect of lower leg, intermittent pins and needles, into bottom of foot (plantar nerves), loses muscle control (paresis), different from shin splints, no low back pain, skin is shiny (indicates swelling)

A
  • clinical impression: deep posterior compartment syndrome

- chiro care and refer to manage

58
Q

6 P’s

A
  • pain
  • pallor
  • paresthesia
  • pulselessness
  • paresis
  • poikilothermia
59
Q

intrinsic factor for ITB syndrome

A

decreased Q angle

60
Q

lateral proximal thigh pain

A

coxa varus

61
Q

2 hour drive with painless give away w/ previous slip

A

ACL injury w/ quad inhibition

62
Q

patella alta & weak VMO

A

PFTS

63
Q

64 yo ale w/pain relieved at rest

A

advanced atherosclerosis

64
Q

shin pain, gradually progresses, relief is not immediate upon stopping

A

medail stress fx

65
Q

56 yo male, leg discomfort, denies truama

A

refer patient for doppler ultrasound

66
Q

pain in distal calf to heel, posterior-lateral distal heel, runs 40 miles, not likely dx:

A
  • deep posterior compartment syndrome

- it is sural N

67
Q
  1. 28 y.o female, R sided shin pain aching and tingling w/ burning, constant, “loss of control”, normal stats, tenderness, median shin; “woody feeling”, erythmateous, (-) Mortons, (-) Drawer Sign, (-) Thompson, (-) Tarsal Tunnel, (+) Tineal Ankle, loss of 2 point discrimination, able to toe walk
A
  • Possible sequela: diministed posterior tibial pulse, inability to plantarflex & invert, DVT
  • Possible ddx: Tarsal Tunnel Syndrome, Deep Posterior Compartment Syndrome, Posterior Tibial Stress Syndrome (Medial Shin Splints)
  • Mangement to exclude: Ice, compression, elevevation; Splint w/ dorsiflexion at night; air cast for 4-6 weeks
68
Q

Wells Pre-Test probably scale resulting in 2 points being taken off? 


A

a. Patient has malignancy in leg 

b. Next step if patient had a high score on test 

- Obtain a D-Dimer assay .

69
Q
  1. Regarding lower leg swelling, what would have a strep or staph infection 

A

Cellulitis 


70
Q

stress fx locations of the tibia best match

A

runners- middle or distal 3rd

71
Q

patient has pain over the distal part of shin, dorsalis pedis is weak, what nerve

A

deep peroneal

72
Q

weakness when testing the popliteus muscle/ hilton law

A

posterior tib

73
Q

increased q angle genu ____

A

valgus

74
Q

primary functions of ACL, which is not true

A

does not assist the biceps

75
Q

lateral knee pain 23 year old foot stepped on

A

tib fib sublux

76
Q

15 yo with bilateral knee pain, antalgic lean, mild osteoporosis

A

slipped capital epiphysis kliens

77
Q

55 yo cant take more than 4 steps exquisite patella pain

A

xray the patient

78
Q

55 yo walking in the wilderness, feels like he was fhot in the leg or snake bite

A

tennis leg/ refer to orthopedist

79
Q

medial jnt space narrowing and subchondral cysts

A

DJD/ adj exercise, PNF, swimming

80
Q

prime movers in flexion after 30 degree

A

IT band

81
Q

high school athlete w/ med pain and swelling - patello-femoral tracking syndrome (not chondramalascia patella)

A

+ obers, clarks, tight ITB, inc Q angle

82
Q

according to souza-

A

restricted leg extension do not do during stage stage 1 ACL tear

83
Q

origin of IT

A

lateral iliac crest, inserts to the IT band?

84
Q

PCL

A

shorter structure less prone to injury

85
Q

movie goes sign

A

retro patellar ache

extrem clet (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions