Lec Final Flashcards
which vitamin is needed for DNA synthesis
B12
Which of the following tests/signs is LEAST likely to be positive for shoulder tendonitis
Dawbarn
the ___muscle externally rotates the femur
piriformis
upper motor neuron lesion would result in dysfunction of
corticospinal
construction worker who wears heavy belt notices tingling on anterolateral surface of thigh this is ____
meralgia paresthetica
in injuries of the knee, the medial meniscus is frequently torn because it is firmly attached to?
tibial collateral
what muscle is innervated by branches of both the median and ulnar nerves
flexor digitorum profundus
doc tells football player he has pulled a hamstring muscle. this results from tearing of the origin of a hamstring muscle from the
ischial tuberosity
19 year old female presents with neck pain, nausea and vomiting of 6 hours duration. brudzinskis sign is present upon cervical flexion
meningitis
while performing Allis sign you notice that the height of the right leg is lower than the left. there is no translation AP. what is the most likely indication?
right anatomical short leg
which of the following is the most common factor for pancreatitis?
alcohol abuse
what will occur if the right lateral spinothalamic tract is severed
pain impulses from the left side of the body will be blocked
a 42 year old male patient presents with sudden excruciating chest pain. he denies dyspnea or a cough and tells you he has been on bed rest for 3 weeks following knee injury. what is the most likely diagnosis?
pulmonary embolism
while falling on an outstretched hand (FOOSH) the most commonly dislocated carpal bone is _____
lunate
a patients left pupil does not respond to direct light reflex, though indirect light reflex (on the right) causes the left pupil to constrict. this is most likely due to a lesion in ___
CN II on the left
in a patient with an infection, you would expect to find a ____ and ____ lymph node
moveable and tender
52 yr old male is sitting in office. complaints of sudden onset of sharp chest pain that began a few min ago. he denies any radiating pain, sweating or dizziness. he does note fairly severe calf pain that past 2 days that has since disappeared. what diagnosis should you be most concerned about
pulmonary emboli
shingles if associated with what antigen
varicella virus
which of the following findings would you expect to be present with pneumonia
increased tactile fremitis
decreased respiratory excursion
a 45 yr old presents with cough, hemoptysis night sweats and weight loss. you suspect which condition
oat cell carcinoma
with signs symptoms will be present with cervical myleopathy and not with cervical radiculopathy
increased deep tendon reflex
optic neuritis is associated with
MS
huntingtons chorea is a hypokinetic disorder of the basal ganglia
false
patient presents to your office after ice skating injury. what component of the case history would best describe how the tissue was injured
mechanism of injury
patient has high iliac crest on the right leg with the left knee and hip flexed due to pelvic unleveling. this would indicate a weak
gluteus medius on the right
A 35 year-old male patient presents with knee pain, right sided leg pain on the lateral aspect of the leg, dorsum of the foot and numbness and tingling is noted between the 1st and 2nd toes of 3 days duration. He denies any low back pain. Examination findings include: hypoesthesia between the 1st and 2nd digits of the foot; resisted dorsiflexion and extension of great toe is graded 3/5, hip abduction is graded 5/5. Deep tendon reflexes of the lower extremity are WNL. The SLR and Kemp’s are negative.
the ability to abduct the hip is due to functioning of the ___ nerve
superior gluteal
A 35 year-old male patient presents with knee pain, right sided leg pain on the lateral aspect of the leg, dorsum of the foot and numbness and tingling is noted between the 1st and 2nd toes of 3 days duration. He denies any low back pain. Examination findings include: hypoesthesia between the 1st and 2nd digits of the foot; resisted dorsiflexion and extension of great toe is graded 3/5, hip abduction is graded 5/5. Deep tendon reflexes of the lower extremity are WNL. The SLR and Kemp’s are negative.
which of the following is the most likely source of these findings?
peroneal neuropathy
A 68 year-old male patient presents with neck pain, an altered gait, unsteadiness on his feet and he seems to slaps his feet on the ground as he walks. He notes this problem is worse at night when he gets up to go the bathroom or when his eyes are shut. He denies pain or any other symptoms.
What is the most likely diagnosis of this condition?
cervical myleopathy
A 68 year-old male patient presents with neck pain, an altered gait, unsteadiness on his feet and he seems to slaps his feet on the ground as he walks. He notes this problem is worse at night when he gets up to go the bathroom or when his eyes are shut. He denies pain or any other symptoms.
Where is the most likely location of the lesion?
dorsal column
Jeff is a 42 year-old male who presents to your office complaining of right-sided lower back pain that began 3 days ago after working on his car. He describes the pain as a dull ache in his lower back as well as a sharp shooting pain that travels down the back of leg to his little toe (5th digit).
Which of the following muscles would you expect to be weak?
peroneus longus
Jeff is a 42 year-old male who presents to your office complaining of right-sided lower back pain that began 3 days ago after working on his car. He describes the pain as a dull ache in his lower back as well as a sharp shooting pain that travels down the back of leg to his little toe (5th digit).
Which of the following tests would you expect to be positive?
Elys heel to buttock
42 yr old male, right sided lower back and leg pain. presents with left antalgic lean (lean to the left) this is consistent with a ___ herniation on the ___side
lateral, right
which of the following muscles is a supinator of the forearm that is NOT innervated by radial nerve
biceps brachii
athetoid movements are rapid, abrupt, highly complex jerky movements that appear to be well coordinated but are performed involuntarily
false
62 yr old female presents with complaints of a right sided throbbing headache which is increased when she combs her hair. this is most consistent with ___
temporal arteritis
intermittant claudication is due to which of the following conditions
athersclerosis
ape hand is associated with a lesion to ___ nerve
median
the fast component of nystagmus will be in the direction of the spin in whirling chair test
true
muscular dystrophy generally affects the ___
larger and proximal muscle groups
although myofascial pain and fibromyalgia have some overlapping features. fibromyalgia is considered to be a regional pain pattern and not a widespread pain problem as seen with myofascial pain
false
35 yr old male presents with repeated episodes of ulilateral severe headaches which are increased by alcohol consumption. other findings include lacrimation and rhinorrhea. what type of headache is it?
cluster
loss of patellar reflex could be due to a lesion in the _____ nerve
femoral
the first heart sound is created by the closure of the _____ valves
mitral and tricuspid
lack of response (toes do not curl) while performing the plantar reflex would indicate
tibial nerve lesion
which of the following is considered a red flag sign that is seen with cauda equina syndrome
urinary retention
kidney stones are most commonly caused by excessive intake of
calcium
which question would be best to ask a patient to help identify a spinal cord lesion
any changes to bathroom habits
the pitch of vesicular breath sounds are
low
which of the following is NOT a positive finding for Roos test
decreased or absent pulse
the cubital tunnel is formed by the
flexor carpi ulnaris muscle
patient presents with localized chest pain that is aggrevated by lying on thier side and side bending. history includes recent pneumonia without trauma. the most appropriate diagnosis is ____
pleurisy
which of the following is not a cause of carpal tunnel syndrome
posterior lunate subluxation
abdominal reflex reveals deviation of the umbilicus to superiorly this indicates
spinal cord lesion at T11
which procedure is not part of the clinical evaluation of cranial nerve III
testing visual acuity
inability to internally rotate the shoulder could indicate a tear in the ____ tendon
subscapularis
upon general auscultation of the heart you hear an additional sound at Erbs point, the next appropriate procedure would be to have the patient
seated and listen with the diaphragm while having them flex forward at the waist
emphysema would most likely demonstrate a positive finding on one side with ___
diaphragmatic excursion
diastole is defined as the period of
ventricular relaxation
increased amylase levels will most likely be seen in ____
pancreatitis
a 25 yr old male presents with foot pain and tingling on the inside and bottom of his foot, without the presence of low back pain. this would inidcate
tibial neuropathy
21 yr old male presents with peri umbilical pain with nausea and vomiting for 2 days. examination reveals muscle guarding and pain in the RLQ on palpation, she is febrile and pain worsens on hip flexion
appendicitis
in lower crossed syndrome which of the following muscle are expected to be weakened
gluteal
a shortened anterior scalene muscle would most likely present with a positive ____
halstead
which of the following tests would not test positive for a pt with SI sprain
patrick
nerve to serratus anterior
long thoracic
nerve to pectoralis minor
medial pectoral
nerve to teres minor
axillary
nerve to levator scapula
dorsal scapular
integrating center for: corneal gag accomodation direct light
pons
medulla
occiptal cortex
midbrain
Pallesthesia
crude touch
light touch
dorsal column
anterior spinothalamic
dorsal column
