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EEO exam 1 > lectures > Flashcards

lectures Flashcards

1
Q

ABCs of radiographic evaluation

A

A: alignment
B: bone density
C: cartilage spaces
S: soft tissues

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2
Q

what are Clinical-based/performance-based (clinician performs) vs. patient centered/self-report

A

outcome measures

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3
Q

if a response is formated with yes or no questions , asking if you are independent or dependent , able to do or unable to do something this is an example of what format

A

nominal measures

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4
Q

what response format is Points awarded based onf self report , outcome is measured in rank order
Ex: describe ability to take shower: no difficulty (0), some (1), etc, patient satisfaction

A

ordinal

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5
Q

what is the difference between interval and ration

A

interval is real numbers and ratio has to have a 0

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6
Q

if the test does the same thing every time then it is what

A

reliable

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7
Q

what is face validity

A

measures what it claims to

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8
Q

what validity is Subcomponents adequately cover entire construct

A

content validity

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9
Q

what is the difference between ceiling and floor effect

A

ceiling is to easy and floor is to hard

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10
Q

Minimal clinically important difference: smallest diff in measured variable that signifies an important diff in pt’s condition .. how much does the score change by

A

10

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11
Q

what Measures overall disability or quality of life

A

Global disability/QoL

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12
Q

Health Status Questionnaire/SF-36
SF-12
Sickness Impact Profile
Patient-Specific Functional Scale
Global Rating of Change
Functional Status Questionnaire
are all examples of what

A

Global disability/QoL

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13
Q

what does ADL measure

A

function of patient

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14
Q

Barthel Index
Katz ADL
Lawton Brody Instrumental Activities of Daily Living
Functional Status Index
OPTIMAL (Outpatient PT Improvement in Movement Assessment Log)
are examples of what

A

ADL measures

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15
Q

*Roland Morris LBP Disability Questionnaire
*Neck Disability Index
*Oswestry Disability Index
are examples of what

A

spine specific measures

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16
Q

*Disabilities of the Arm, Shoulder, & Hand (DASH)/quick DASH
*Upper Extremity Functional Scale (UEFS)
are examples of what

A

Global upper quarter:

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17
Q

*6 min walk test
*UQ test
are examples of what test

A

Aerobic capacity/endurance

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18
Q

*Dynamic gait index
*TUG
*Functional gait assessment
are example of what perfromance based outcome measures ?

A

gait

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19
Q

*Tinetti
*Star excursion
*Y-balance
are examples of what performance based outcome

A

balance

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20
Q

how is gait speed determined

A

10 meter walk test

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21
Q

Household ambulator:
Limited community ambulator:
Community ambulator:

A

Household ambulator: <0.4 m/s
Limited community ambulator: 0.4-<0.8 m/s
Community ambulator: >=0.8 m/s

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22
Q

Crude/coarse touch, pain, temp, sharp/dull are all examples of what tract when testing

A

anterolateral

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23
Q

Light touch, fine touch, vibration, position sense, protective sensation… are all examples of what tract when test neurosensory

A

posterior

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24
Q

T/F: Rare to have complete loss of sensation bc of peripheral nerve overlap

A

T

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25
Q

will you have weakness or paralysis when testing for myotomes

A

weakness

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26
Q

Rapid alternating (forearm sup vs. pron) is part of what coordination test and what is it testing

A

upper and dysdiadochokinesia

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27
Q

Finger opposition (rapid touch pad of thumb to each other finger) is apart of which coordination testing

A

upper

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28
Q

Finger to nose eyes closed (alternate nose touches from each arm) and Finger to nose eyes open (alternate nose touches from each arm) is apart of which coordination test and what is it testing for

A

upper and dysmetria

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29
Q

Rapid alternating (ankle DF/PF) is apart of which coordination testing and what is it testing for

A

lower and dysdiadochokinesia

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30
Q

what is lack of control of body movements defined as

A

Ataxia

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31
Q

define dysmetria

A

error in trajectory

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32
Q

define Dysdiadochokinesia

A

cant do rapid alternating movements

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33
Q

what test should be performed for UMNL for pathologic relexes

A

clonus
babinski
hoffmans
pronator drift
shimizu relfex

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34
Q

what is cervical myelopathy

A

sc is being squeezed in the central region
will have UE , LE and trunk issues

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35
Q

if a patient presents with hyporeflexia , muscle weakness, muscles atrophy, or sensory changes along dermatome or peripheral n distribution then what do they have

A

LMNL

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36
Q

what is a positive test of clonus

A

Beats observed into PF

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37
Q

what is positive testing for pronator drift

A

1 or both arms drop out of flexion &/or sup
*More severe is there’s elbow or finger flexion
*If R arm drops → L lesion (bc this is for UMNL)

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38
Q

what is a positive test for babinski

A

great toe extends & toes splay or if pt withdraws LE
*Normal in infants
*Suspect opposite side UMNL

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39
Q

what is a positive test for hoffmans

A

thumb flexes & adducts &/or 2nd digit flexes
Suspect opposite side UMNL

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40
Q

what is the positive finding for shimizu testing

A

scap elevation or humeral abduction
Lesion @ craniocervical junction or higher cervical levels

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41
Q

what comes first in testing … myotomes or reflexes

A

myotomes

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42
Q

what comes first in testing … MMT or ROM

A

ROM

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43
Q

what is done last in testing

A

MMT

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44
Q

what is inability to recognize familiar objects by touch

A

Asterognosis

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45
Q

what is the inability to correctly locate sensation

A

Atopognosis

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46
Q

what is the inability to distinguish b/t diff weights

A

Abaragnosis:

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47
Q

what is defined as paralysis of lower half of 1 side of body

A

Hemiparaplegia:

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48
Q

Hemiparesis vs. hemiplegia:

A

paresis is weakness, plegia is paralysis

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49
Q

what is partial paralysis of LE

A

Paraparesis:

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50
Q

NDI
ODI
STaRT back tool
Cervical deep flexor muscle endurance test
5x StS
Prone plank endurance
Side plank endurance
Sorensen endurance (functional lumbar index)
all of these are outcome measures for what

A

the spine

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51
Q

what is the difference between lordosis and kyphosis

A

lordosis is an anterior curve of C and L
kyphosis is a posterior curve of S and T

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52
Q

Where are the common spinal areas for hinge points?

A

Transition points (b/t diff spinal levels)

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53
Q

Which areas of the spine are most common for disc pathologies?

A

Cervical C6-C7
Lumbar L4-L5

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54
Q

Foraminal stenosis:
MOI:

A

Later in life
Prior injuries & repetitive motions

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55
Q

*Pain relieved w/ foraminal opening & increased w/ closing
*Unilateral radiating symptoms

these are common presentation for what pathology

A

Foraminal stenosis:

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56
Q

Foraminal stenosis:
subjective questions to ask?

A

Pain down arm
Arm weakness
24 hour pain behavior
Imaging

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57
Q

outcome measures for foraminal stenosis

A

NDI
Grip strength dynamometer
Cx flexor endurance test

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58
Q

MOI for Central stenosis:

A

*Same as foraminal stenosis
*Can be anterior from disc pathology or posterior from ligamentum flavum hypertrophy

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59
Q

what is the presentation for central stenosis

A

bilateral
anterior: motor and some sesnory
posterior: sensory

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60
Q

outcome measures for central stenosis

A

NDI
Hand grip dynamometer
Cx flexor muscle endurance test

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61
Q

Cervicogenic headache is what type of dysfunction

A

upper cervical spine start at the neck and going to the head

62
Q

Prolonged flexion or whiplash and Usually central protrusion/herniation are MOI for what

A

disc pathology C spine

63
Q

presentation for disc path C spine is what

A

Bilateral
Motor symptoms first then some sensory but can be all sensory
Sensitive to weightbearing

64
Q

if someone presents with Depends on movable levels,
Muscle spasm/tightness, Disc-like symptoms in lower cervical spine, and Brain stem type injury in upper cervical spine what are they presenting with

A

whiplash

65
Q

Nucleus pulposis dehydrates & becomes less distinct w/ annulus → disc more convex and lost of overall heigh is with what pathology

A

lumber DDD

66
Q

disc pathology for L spine presents w what MOI

A

typically flexion and rotation

67
Q

Hypertrophy of lig flavum & compression from disc,
Motor &/or sensory ,
Symptoms can come on after short period of time walking/standing & relieved w/ sitting in flexed/slouched position describe what pathology

A

lumbar spinal stenosis

67
Q

what are functional outcomes for lumbar spinal stenosis

A

6 MWT
Timed treadmill test
Treadmill incline test

67
Q

what is the Lumbopelvic rhythm

A

lumbosacral flexion > anterior pelvic tilt → hip flexion (reverses to stand up)

68
Q

what is the presentation of someone with disc path in L spine

A

Unilateral
Motor & sensory
(+) reproduction w/ valsalva/weightbearing

69
Q

MOI of what pathology presents with
Young females (esp preg)
Unilateral activities or pts w/ pelvic obliquities
Macrotrauma aggravates

A

SIJ hypermobility

69
Q

someone who presents with Pain directly @ SIJ & radiates down posterior limb → knee and is Hypermobile patient has what pahtology

A

SIJ hyermobility

70
Q

Thoracolumbar:
Flex:
Ext:
SB:
Rot:

A

Flex: 60
Ext: 25
SB: 35
Rot: 45

71
Q

Cervical AROM:
Flex:
Ext:
SB:
Rot:

A

Flex: 40
Ext: 50-70
SB: 22
Rot: 70-90

72
Q

Lumbar:
Flex:
Ext:
SB:

A

Flex: 40-50
Ext: 15-20
SB: 25

73
Q

how do you document if someone has 20° of hyperextenstion and 130 ° of flexion at the elbow joint

A

20-0-130

74
Q

what does this documentation read at the C spine , 50-42

A

50 degress of extension and 42 flexion

75
Q

AROM provides info abt:

A

-Subject’s willingness to move
-Coordination
-Muscle strength
-Joint ROM
-Contractile tissue integrity
-If inert tissues are stretched or pinches

76
Q

PROM provides info about:

A

-Integrity of joint surfaces
-Extensibility of capsule, ligaments, muscles, fascia, & skin
-Endfeels

77
Q

for ROM do you test involved side or uninvolved side first

A

uninvolved

78
Q

during MMT if someone is weak and it was painful what type of lesion

A

major

78
Q

what is the grade If they can move in full active range in gravity resisted

A

3/5

79
Q

during MMT if someone is strong but it was painful what type of lesion

A

minor

80
Q

during MMT if someone is weak and painless what type of lesion

A

complete lesion

81
Q

Hand dynamometry grip strength
Upper quarter y-balance test
Apley scratch test
UE CKC stability test
these performance measures are all for what

A

shoulder

82
Q

what are some common outcome questinonaire for shoulder

A

quick dash
ucla shoulder scale
upper extremity function scale

83
Q

what vertebrae levles is the scap in between

A

T2-T7

84
Q

if you have an elevated scap what is stretched and what is tight

A

Stretched: rhomboid, mid/lower trap
Tight: upper trap, levator scap

85
Q

if you have a depressed scap what is tight and stretched

A

stretched: upper trap and levator scap
tight: rhomboid , mid/lower trap

86
Q

if you have a protracted scap what is tight

A

Tight: serratus anterior

87
Q

if your scap is UR what is tight

A

Tight: serratus anterior, upper & lower trap

87
Q

if you have an retracted scap what is tight

A

Tight: rhomboid, middle trap

88
Q

if your scap is DR what is tight

A

Tight: rhomboids

89
Q

what causes AC joint sprain

A

FOOSH
Downward force on acromion or upward force on clavicle

90
Q

Pop during injury
Pain & weakness @ endrange elevation, 90 deg shoulder flx, HADD
Piano key sign (severe, clavicle elevated position)
these are presenations for what pathology

A

AC joint sprain

91
Q

what are causes for joint arthrtis

A

Repetitive overhead or cross-body
Prior AC joint sprain, RC tear, scap dyskinesia

92
Q

Pain in 60-120 deg shoulder abd (painful arc) or reaching overhead or out
Click or pop
Pain over anterolateral shoulder & maybe down humerus
these are presentation of someone with what pathology

A

shoulder impingement

92
Q

Bony growth or acromion shape
Poor mech w/ overhead reaching (not enough scap UR & too much humeral IR)
Prior RC injury
FOOSH
these are all causes of what pathology

A

shoulder impingement

93
Q

what are the causes for Rotator cuff tendinopathy

A

Repeated microtrauma
Progression of shoulder impingement

94
Q

what are the causes for RC tear

A

FOOSH
Rep microtrauma

95
Q

how many weeks post RC sx does the patient have limited PROM flexion , abd, ER & IR and NO AROM

A

4-6

96
Q

what is the presentation for labral tear

A

pop, cliick
heavy arm about to dislocate
Pain w/ overhead reach esp abd & ER

96
Q

FOOSH
Direct blow to shoulder
Violent pull on shoulder
Loaded lifting
these are all causes for what pathlogy

A

labral tear (bankart lesion)

97
Q

Overhead throwing
Forced hyperextension
FOOSH
Heavy lifting
these are all causes of what pathology

A

SLAP

98
Q

people with a SLAP lesion have pain w what movement

A

flexion or IR

99
Q

what are the causes for Adhesive capsulitis (frozen shoulder):

A

Insidious
Middle aged women, T2D, hypothyroidism

100
Q

what is the shoulder end feel

A

firm always

101
Q

if you have an empty end feel for the shoulder what does that mean

A

subacromial bursitis

102
Q

if you have a hard capsular end feel for the shoulder what does that mean

A

frozen shoulder

103
Q

what 2 patholgies are common w/ dominant hand

A

carpal tunnel and tennis elbow

104
Q

if hand pain is in morning then

A

disc, arthritis, tendons

105
Q

Normal cubitus valgus:

A

8-15°

106
Q

If too big carrying angle:
Stretched:
Compressed:

A

Stretched: MCL, ulnar n, FCU
Compressed: LCL, radial head

107
Q

If too little carrying angle:
Stretched:
Compressed:

A

Stretched: LCL, brachiorad
Compressed: ulnar trochlea

108
Q

what does claw hand present with

A

ulnar nerve issure

109
Q

what does adductor pollicis atrophy present with

A

ulnar nerve issue

110
Q

what does bishops and apes hand present with

A

median nerve issure

111
Q

Entrapment: nerve roots, 1st rib, pec minor, humeral head, cubital tunnel, guyon’s canal, arm over head
these are all common for what nerve

A

ulnar

112
Q

what does thenar atrophy present with

A

median nerve issue

113
Q

how do you screen for median nerve

A

OK sign

114
Q

how do you screen for ulnar nereve

A

open & close, cross finger, or hold paper b/t fingers

115
Q

what clinical test would you do for median nerve issue

A

tinel’s and phalen’s and reverse phalens

115
Q

Entrapment: nerve roots, b/t scalenes, pec minor, humeral head, pronator teres, carpal tunnel
these are all comon are what nerve

A

median

115
Q

what does wrist drop present with

A

radila nerve issue

116
Q

how do you screen for radial nerve

A

thumb up

117
Q

Entrapment: nerve roots, b/t scalenes, triangular space, spiral groove, lateral epi, ECRB, arcade of froshe w/ supinator
these are all common for what nerve

A

radial

118
Q

what are clinical testing for radial nerve issues

A

tinels and reisister supination

119
Q

Lateral elbow tendinopathy (tennis elbow) is related to which spinal level

A

C5

120
Q

Repetitive wrist ext w/ radial deviation (ECRL & ECRB) can cause what pathology

A

Lateral elbow tendinopathy (tennis elbow)***:

121
Q

someone with Lateral elbow tendinopathy (tennis elbow) will present w what

A

Crepitus w/ wrist flx/ext
Pain w/ ecc control wrist flx & gripping

122
Q

what spinal level is Medial epicondylalgia (golfer’s elbow) correlated with

A

T1

123
Q

Repetitive wrist flexion, gripping/twisting
Acute tissues inflamed, chronic tissues degenerative
these are causes of what pathology

A

Medial epicondylalgia (golfer’s elbow):

124
Q

CANNOT DO LATERAL PINCH GRIP with what pathology

A

Medial epicondylalgia (golfer’s elbow):

125
Q

Ulnar n entrapment
Repetitive microtrauma (flx, valgus force)
Direct blow to posteromedial elbow
these are all causes of what pathology

A

Cubital tunnel syndrome (telephone elbow):

126
Q

if a patient presents with Numbness/tingling in n distribution, Weakness in ulnar side gripping & fine motor control and Ulnar n snapping in front of medial epi then what pathology can you suspect

A

Cubital tunnel syndrome (telephone elbow):

127
Q

Rep, forceful valgus &/or weightbearing is a cause of what pathology

A

Osterochondritis dessicans:

128
Q

If alvused → little leaguer’s elbow
Valgus force esp if loaded & quick
these are causes of what type of pathology

A

Ulnar collateral lig sprain:

129
Q

Varus and Crutch users are causes of what pathology

A

Lateral collateral lig sprain:

130
Q

Radial head compression fracture is caused how?

A

FOOSH
Elbow ext, forearm pron

131
Q

someone with Radial head compression fracture will present with what

A

Limited pron/sup
DRUJ/ligamentous issues

132
Q

what causes DeQuervain’s tenosynovitis:

A

rep radial dev

133
Q

how do you screen DeQuervain’s tenosynovitis:

A

thumb tuck

134
Q

what causes Scaphoid fractures:

A

FOOSH esp w/ wrist hyperext

135
Q

if someone has Pain in snuffbox, w/ ext & rad dev and Weak grip what pathology do the have

A

Scaphoid fractures

136
Q

CMC hyperextn and being Female & older are causes of what

A

CMC arthritis:

137
Q

what tendon is deformity for mallet finger

A

ED tendon

138
Q

normal wrist ROM
flex:
ext:
Rad dev:
Uln dev:

A

flex: 80
ext: 70
Rad dev: 20
Uln dev: 30

139
Q

normal elbow ROM:
flex
ext
pro
sup

A

flex: 150
ext: 0
pro: 80
sup: 80

140
Q

MCP ROM:
flex
ext

A

flex: 90
ext: 45

141
Q

PIP ROM:
flex
ext

A

flex: 100
ext: 0

142
Q

DIP ROM
flex:
ext:

A

flex: 90
ext: 0

EEO exam 1 (10 decks)

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