Final Exam Flashcards by Aceline Alusca

A single cycle of gait is defined as the?

From Hell off of one foot to the hell off of the same foot

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At what phase of gait is mediolateral stability of the knee most important?

Mid stance

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In measuring for a quadrilateral Brim what is the most important measurement?

Anterior posterior and medial lateral

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What comprises the scarpa triangle?

Sartorius
Inguinal ligament
Adductor longus

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What is the best position for managing the chronically dislocating glenohumeral joint

Abducted and internally rotated

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The oblique diameter of a patients malleoli is 3 5/8 inch or 90 mm what should be the inside dimension of the ankle joint be?

4 1/16inch

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A hemiplegic patient presents with zero hip extensors fair quadriceps zero calf. what would you recommend?

KAFO

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A 20-year-old female patient presents with flaccid anterior compartment and medial lateral instability in her right lower limb which of the following would you recommend?

solid ankle polypropylene AFO trim interior to the malleoli

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What is a contraindication for Spiral AFO ?

Edema with frequent volume changes

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Bunnell cock up splints are frequently used for?

Arthritis

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What structure assists the deltoid and glenohumeral abductions?

Rotator cuff

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An Orthotic patients wrist is position in ulnar deviation and flexion she tried to reposition the patients wrist

And 30° extension

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What is often a result of an irregular birth?

Erb’s palsy

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What is the inflammation of the outer covering of the spinal cord or brain?

Meningitis

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What is the primary target organ and rheumatoid arthritis

Synovium

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What best describes a small lubricant filled sac which if removed results in an increase in friction?

Bursa

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In an LSO what is the superior margin of the paraspinal bars?

1 inch inferior angle of the scapula

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What is the superior margin of the paraspinal bars and a Taylor TLSO

Spine of scapula

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What is the preferred position for fitting in a hyperextension TLSO Jewett type?

Supine

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The superior portion of the Milwaukee CTLO should be carefully fabricated so as to?

Avoid excessive pressure on the chin

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In an attempt to restore upper limb function to a C-5 complete quadriplegic which of those is should you recommend?

WHO with externally powered wrist or prehension

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What structure is at the distal end of the humerus?

Epicondyle

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Primary function of the brachioradialis is?

Elbow flexion and forearm supination

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The primary function of the biceps brachii is

Supination

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The primary function of the brachialis is?

elbow flexion

In addition to the deltoid the axillary nerve innervates the?

Teres minor

What muscle compliments the deltoid in performing glenohumeral abduction

rotator cuff

What is a contraindication for a plastic AFO?

Placcid peroneus tertius

Maximum dorsiflexion occurs during which phase of gait?

Hell off

What is the function of the serratus anterior muscle?

Rotation of the scapula

``` Which of the following is a birth injury to the brachial plexus? Cerebral palsy Bell's palsy Klumpke's palsy Perineal palsy ```

Klumpke's palsy

``` A musculocutaneus nerve lesion will cause loss of function of which of the following muscles? Subscapularis Biceps Deltoid Serratus anterior Triceps ```

Biceps

Erb's palsy refers to paralysis from injury to the?

Upper trunk of the brachial plexus

A landmark located at the distal end of the humerus is the

Epicondyle

``` The medial epicondyle of the humerus serves as the origin for which of the following muscle groups? Wrist extensors Elbow extensors Finger extensors Supinators Finger flexors ```

Finger flexors

The primary action of the brachioradialis muscle is to?

Flex the elbow

A local physician asks your opinion on fitting a complete brachial plexus injury with a functional orthosis. Which of the following problems can be anticipated? The hand is hypersensitive Muscle spasticity will interfere with fitting Shoulder subluxation is difficult to control No locking joints Are available for the elbow

Shoulder subluxation is difficult to control

``` Which of the following muscles in the forearm does not cross the wrist joint? Flexor Carpi radialis Extensor pollicis longus Adductor pollicis longus Brachioradialis Extensor indicis proprius ```

Brachioradialis

An orthosis to immobilize a fracture of the carpal navicular must include the?

Mp joint of the thumb

``` Which of the following muscles extends the distal phalanx of the thumb? Extensor pollicis longus Extensor pollicis brevis Extensor pollicis proprius Extensor digitorum longus ```

Extensor pollicis longus

``` Which of the following muscles is not supplied by the median? Palmaris longus Flexor pollicis longus Flexor Carpi ulnaris Pronator teres Flexor digitorum superficialis ```

Flexor Carpi ulnaris

When a patient wearing a WHFO (wrist driven flexor hinge orthosis) dorsiflexes his wrist, it will cause what finger motion?

Flexion

``` All of the following structures pass through the carpal tunnel except? Median nerve Flexor digitorum profundus tendon Flexor digitorum superficialis tendon Flexor Carpi radialis tendon ```

Flexor Carpi radialis tendon

``` All of the following are wrist tendodesis orthoses except: WHFO (engender-tirr) WHFO (rancho) WHFO (ric) WHFO (Oppenheimer) ```

WHFO (Oppenheimer)

``` Which of the following components is most effective for a hand lacking thumb abductor strength? C-bar Thumb extension Thumb IP extension assist First dorsal interosseous assist ```

C- bar

Metacarpophalaneal hyperextension and interphalangeal semi-Flexion of the ring and little finger characterizes a lesion of which nerve At the wrist?

Ulnar

Flexion of the distal interphalangeal joints is accomplished by which muscle?

Flexor digitorum profundus

Which orthotic device is indicated in order to restore prehension to quadriplegic patient whose functional neurological level spares C-6 nerve root?

WHFO ( wrist driven flexor hinged orthosis

The orthosis indicated for a median nerve palsy At the wrist is?

HO (basic opponens orthosis)

Patients who have good extensor digitorum communis function but loss of intrinsics would require a hand orthosis with what component?

An mp stop

A patient with a well fitted orthosis for a wrist level median nerve injury does not use his hand functionally this is most likely due to?

Sensory deficit | Lack of motivation.

Sensation is transmitted through which following structures?

Dorsal branch of the nerve

``` Which of the following describes an aponeurosis? A ganglion A nerve plexus Thin flattened tendon An apposition muscle A ligament ```

A thin flattened tendon

During normal human locomotion, how much does the center of gravity shift from side to side?

2 inches

``` Spasticity does not result from which of the following? Cerebral palsy Multiple sclerosis Myedysplasia Cauda equina injury Spinal cord injury ```

Cauda equina injury

The primary tissue involved in rheumatoid arthritis is?

Synovial membrane

A Charcot joint results from?

Disruption of the sensory pathways to the joint

The most effective way to obtain maximum support with a metal spinal orthosis is to wear it with?

A corset

A patient returns to you complaining that her LS corset is sliding up. Your initial recommendation should be to? Obtain a new garment attach garters and wear hose Tighten the straps distally to proximally

Add perineal straps

A guide in measuring the distance between posterior uprights on a lumbosacral orthosis is the?

Para spinal muscles

Lateral bending of the spine always includes what additional motion?

Rotation

Hydrocephalus may accompany?

Myelodysplasia

``` Which of the following does not result in an upper motor neuron lesion? Cerebral vascular accident Multiple sclerosis Diabetic neuropathy Spinal cord transection ```

Diabetic neuropathy

A hernia support or truss should be fitted while the patient is?

Supine

Wearing a spinal orthosis may have what effect on the trunk?

Results in disuse atrophy

A good purchase on the pelvis is required in spinal orthotics to?

Prevent increased motion at the lumbosacral junction

The purpose of the anterior hyperextension orthosis is to reduce pressure on the ?

Anterior vetebral body

Lordosis can result from?

Flexion contracture of knees

The term Cauda Equina refers to the?

Nerve roots below the level of the spinal cord

Increasing intra-abdominal pressure by using spinal orthoses has the effect of?

Limiting diaphragmatic respiration

``` Which of the following orthoses would best treat spondylolisthesis? LSO corset LSO chair back LSO knight LSO Williams ```

LSO Williams

For maximum leverage with an LSO, it should extend from the?

Sacrococcygeal area to 1" below the inferior angle of the scapula