Gen Dx

Question 1

Pain pattern that is: 
-sharp
-stabbing
-well demarcated
Ex: disc herniation

Answer 1

Dermatogenous

Question 2

Pain pattern with areas known as TrP refer pain to distant site.
Ex: Myofascial pain syndromes

Answer 2

Myotogenous

Question 3

Pain pattern that is referred from somatic structures, such as cartilage, ligaments joint capsules/bones.
Pain that is: 
-dull
-achy
-diffuse
-difficult to pinpoint
Ex: Referred pain from spine

Answer 3

Sclerotogenous

Question 4

5 cardinal signs of inflammation:

Answer 4

redness
heat
pain 
swelling
loss of fx
(will not always see them all)

Question 5

Typical signs of malignancy:

Answer 5

constant pain 
pain worse at night 
lumps/growths
unexplained weight loss
unwarranted fatigue

Question 6

___ degree sprain is a tear of a minimum number of ligamentous fibers resulting in localized tenderness, without instability.

Answer 6

1st

Question 7

___ degree sprain is a tear of a greater number of ligamentous fibers that results in a greater loss of fx and joint rxn, but is still without instability.

Answer 7

2nd

Question 8

___ degree spreain is a complete tear of ligament with joint instability (Ex: patient may hear it pop-classic ACL sprain)

Answer 8

3rd

Question 9

____ deg strain is minimal stretching of the musculotendonous unit without permanent injury, typically accompanied by swelling.

Answer 9

1st

Question 10

____ deg strain is partial tearing of musculotendonous unit accompanied by ecchymosis (bruising/bleeding)

Answer 10

2nd

Question 11

___ deg strain is a complete disruption of a portion of the musculotendonous unit, accompanied by swelling, bleeding and localized discomfort, may even cause temporary disability and may have a palpable defect in the muscle.
-dent in quads

Answer 11

3rd

Question 12

_____ is inflammation of the synovial sheath surrounding a tendon.

• usually found in the hands and feet, can affect long head of biceps
• can develop adhesions, leading to loss of fx

Answer 12

tenosynovitis

Question 13

If have myositis ossificans (secondary to trauma that isn’t allowed to heal properly), the management of it is:

Answer 13

Day of injury: ice
Days 3-4: sit in hot tub and slowly flexing and extending muscle to remove hematoma and won’t develop calcification nd then ossification

Question 14

Tx for bursitis:

Answer 14

Immediately: ice

3-4 days: US

Question 15

Pes anserine bursitis is MC caused by:

Answer 15

PI ilium

(PI ilium stretches sartorius and puts pressure on the bursa

Question 16

______: Paralysis of arm due to trauma during delivery. Affects C5/6. Arm hangs at side in elbow extension and wrist flexion.

Answer 16

Erb’s palsy

Question 17

Orthos for Shoulder dislocation:

Answer 17

• Dugas

- Apprehension

Question 18

_____ is the most commonly injured shoulder muscle.

Answer 18

supraspinatus

Question 19

Ortho tests for shoulder tendonitis:

Answer 19

Speeds

Yergason

Question 20

Biceps tendinitis orthos:

Answer 20

Transverse humerus lig test
Yergasons
Speeds

Question 21

Neurologic disorder affecting CNS, PNS, ANS that usually occurs secondary to fractures, sprains, and trivial soft tissue injury. Fingers puffy, pale, pitting edema, persistent, intense burning pain.

Answer 21

Reflex Sympathetic Dystrophy Syndrome (aka CRPS)

Question 22

_____: tear of extensors due to racquet/grip, carrying heavy bags, excessive hammering/screwing; palpable tenderness, worse with wrist extension and relieved by rest/stimulus.

Answer 22

lateral epicondylitis

tennis elbow

Question 23

Lateral epicondylitis orthos:

Answer 23

Cozens

Mills

Question 24

____: painful wrist flexion & pronation, gripping/handshaking, relieved by rest; throwing a pitch in baseball

Answer 24

medial epicondylitis

Question 25

Ortho for medial epicondylitis:

Answer 25

Golfer’s elbow test

Question 26

____: adolescents & younger, medial/lateral epicondyle by repetitive throwing motions, occurs by overstretching and can affect ulnar nerve, pain with valgus stress. Palpable tenderness reproduced on extension.

Answer 26

little league elbow

Question 27

____: pseudo paralysis of the arm caused by radial head subluxation either from yanking or external injury (child)

Answer 27

nursemaids’ elbow

Question 28

______: excessive wrist pronation & supination; pain following median n in resisted motions above, reprod pain by palp of pronator ters

Answer 28

Pronator teres syndrome

Question 29

3rd MC dislocated region & MC in children:

Answer 29

Elbow dislocation (FOOSH-posterolat dislocation)