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Extremity Clet > FINAL > Flashcards

FINAL Flashcards

1
Q

When performing the elbow relocation test, you elicit a positive from the patient which performing the A-P anterior apprehension portion of the test

What does this indicate

A

Reproduction the pain, confirms anterior instaiblity

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2
Q

Elbow relocation test rules out

A

Tendinitis (supraspinatus)

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3
Q

Shoulder multi directional instability in the patient will be confirmed with which ortho test

A

Sulcus sign with load and shift

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4
Q

Repetitive heavy lifting and compressive foreces to the distal end of the clavicle may MOI for which of the following conditions

A

Osteocytes of the clavicle

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5
Q

A SLAP lesion is associated with _____ and involves a ___ lesion

A

A labral tear

Bankart lesion

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6
Q

A 60 yo female comes into your office, she is holding her arm to her side, she states her entire shoulder hurts. You find out she fell off a ladder while washign her windows. You perform physical exam and the lift-off sign is positive.

What is your initial impression

A

Rotator cuff tear

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7
Q

A 60 yo female comes into your office, she is holding her arm to her side, she states her entire shoulder hurts. You find out she fell off a ladder while washign her windows. You perform physical exam and the lift-off sign is positive.

What structure may be involved

A

Subscapularis tendon tear

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8
Q

A patient comes to you with anterior-lateral shoulder pain. You perform hawkin-kennedy test which is positive. Which confirmation test would you perform next

A

Impingement sign

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9
Q

Panner’s disease relies on what test to confirm diagnossi

A

Radiographic views

AVN of the elbow

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10
Q

Loose bodies and osteophytes, a positive valgus overload test of the elbow will give you which diagnosis

A

Posterior impingement syndrome

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11
Q

Wartenberg sign is involved in which of the following

A

Cubital tunnel syndrome

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12
Q

If you see a pt with nodular thickening of the tendons into the 4th and 5th fingers MCP an PIP, this presentation would lead you to what impression

A

Dupuythen’s contracture

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13
Q

Intersection syndrome and dequervain’s tenosynovitis

Only dequarvains

A

Inflammation of the abductor pollicus longus and extensor pollicus brevis tendons

NSAID too

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14
Q

Most wrist and hand fractures fall with teh zone of vulnerability

A

Radial styloid process, scaphoid, hamate

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15
Q

Scaphoid fractures are common AVN due to poor blood supply

A

Proximal pole

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16
Q

A distal radial fracture with dorsal angulation is called

A

Colle’s fracture

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17
Q

In extremity adjusting, opponens pollicus relative muscle test

A

Trapezium

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18
Q

Muscle wasting in the hypothenar eminence the hand upon finger extension

A

Claw hand

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19
Q

Your patient presents with MCP and DIP joints at the second and third digits. But the thir and sedcon digit does not

A

Hand of benediction

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20
Q

What nerve is involved with MCP and DIP joints at 2-3 digit

A

Median

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21
Q

Hip fratures most commonly found where in the femur

A

Femoral neck micro-fractures

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22
Q

Following a traumatic hip dislocation, soccer game you see the player laying on the with hip in flexion/adduction and internal rotation, what direction is the dislocation

A

Posterior

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23
Q

Which of teh follwoing tests help rule out shoulder tendinitis

A

Anterior apprehension with relocation test

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24
Q

Which test are positive in labral tear

A

O’brien sign and anterior slide test

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25
Q

Medial epicondylitis is found with which tests

A

Golfers elbow test and reverse mills test

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26
Q

Ulnar nerve issues are found with which tests

A

Froments paper sign and compression test

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27
Q

Radiographic findings for congenital hip dysplasis

A

Lateral displacement of the femus, increased elevated inclination of teh acetabular roof

Immature apophysis of femur head

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28
Q

Click test is positive in which pathology (ortalani’s)

A

Congenital hip dysplasia

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29
Q

AVN of teh femoral head can be caused by

A

Posterior hip dislocations

30
Q

Impingement of the shoulder is confirmed with what orthopedic test

A

Neer test

31
Q

FAJ or FAI patients often complain of low back pain which is localized to all but

A

Knee joint

32
Q

Patellar femoral disorders occur from all the pathomechanics except

A

OA

33
Q

A 22 yo male was stepped on

A

Flex knee to 45 degrees and apply ice to bruise

34
Q

Patella bowstring test is performed with a patient who may have

A

Synovial knee plica (grinding)

35
Q

OCD is indicated by which part of the femur

A

ARTICULAR EPIPHYSIS

36
Q

Which ortho tests when positive help diagnose ITB syndrome

A

Ober and noble test

37
Q

Femoral acetabular impingement is classified by the appearance of the femoral head and the acetabular head. Which form is present when the femoral head and neck relationship are NOT perfectly round

A

CAM

38
Q

Femoral acetabular impingement is classified by appearance fo femoral head and acetabular head. Which form is present when there is too much coverage of femoral head by acetabulum

A

Pincher

39
Q

Femoral acetabular impingmenet is associated with

A

Cartilage damage

Labral tear

40
Q

Which ligament helps to secure the posterior horns of the lateral meniscus

A

Meniscofemoral

41
Q

An interruption in the lateral joint capsule occus which strucuters are foudn in that void

A

Coronary ligament

42
Q

A meniscual injury taht is considered a red-red tear

A

Peripheral both medail and/or lateral

43
Q

Medial meniscus tears are assocaited with

A

OA

44
Q

Potential causes of inflammation of synovial plica include

A

Macrotrauma and/or microtraumna
Loose bodies and/or meniscal tears
OCD

45
Q

Which evaluations and assessment methods are used for diagnosis DVT

A

Homan and doppler-ultrasound

46
Q

A 58 yo female pain in lower leg that gets worse as she exercises and then if she quits it goes away. No back pain. What impression

A

Claudication

47
Q

Compartment syndrome once diagnosed has which of the follwoing

A

Immediate referral for compartment pressure readings

48
Q

Supination fo the foot involves which tri-plantar motion

A

Plantarflexion, inversion, adduction

49
Q

Generally, if you see a fractured second metatarsal the most common

A

Freiburg’s disease

50
Q

45% of compartment suyndromes are caused by

A

Tibial fractures

51
Q

Managment of compartment syndrome includes

A

Elevation fo teh foot to level of the heart

52
Q

A traction apophysis of the 5ht tuberosity seen in younger atheltes is

A

Islin’s disease

53
Q

An abnormal bone spur, osteophyte or prominence on the posterior of the calcaneus is called

A

Haglands deformity

54
Q

AVNj of navicular

A

Kohler’s disease

55
Q

Managemetn of pt with problem include orthotics. Heel out and stretching of the entire posterior anatomy train. What is the problem

A

Plantar fascitis

56
Q

Acute pain int eh first metatarsal phalangeal joint could include a diagnosis of all except

A

Jones fracture

Sesamoiditis, gout, turf toe

57
Q

Dorsiflexion and eversion would involve which structure

A

Deltoid ligament

58
Q

The 6 P’s of acut limb ischemia include all but what

A

Pressure

59
Q

A 61 yo pt complains of heel pain. He has been running for 25 years usually 5 miles a day. You examine foot and ankle, press into tissues right over plantar calcaneal tubercle and then decrease to a 4/10 squeezed and pressed again. Initial impression

A

Fat pad syndrome

60
Q

If you had a positive navicular drop test, which other

A

Rigid or supple flat feet

61
Q

Upper crossed syndrome is characterized by

A

Anterior head posture and anterior shoulders

62
Q

Upper crossed syndrome includes which of the following

A

Facilitated SCM

63
Q

A 23 yo female pain in front pocket area of thigh. Tight customs for about 10 hours

A

Meralgia paresthetica

64
Q

Upper crossed sydnrome results in pain mimicking ___ and decreased function in ___

A

Angina

Respiration

65
Q

Lower crossed syndrome is characterized by

A

Increase in lumbar lordosis and anterior pelvic tilt

66
Q

When evaluating a patient with possible compartment syndrome, which should be present

A

Pain and tenderness iwth normal pulses and 40 mmhg above normal pressure for at least 30 more minutes

67
Q

The plantaris muscle is part of which compartment in the lower leg

A

Posterior superficial

68
Q

Causes of tarsal tunnel syndrome include all but

A

Traction apophysitis off teh medial plantar tubercle of calcaneus

69
Q

The dreaded black line on the tibia when viewing

A

Tibial stress fracture

70
Q

A plantar capsule of the first MTP has been hyper-flexed what is your diagnosis

A

Turf toe

Extremity Clet (7 decks)

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