M2T3 OMM Final Flashcards
Tendonitis usually occurs 1-4 inches above the calcaneal insertion due to ________.
Decreased blood supply
The tarsometatarsal joint is also known as the ________ joint.
Lisfranc
The pencil in cup deformity seen on X-ray is associated with ________.
Psoriatic arthritis
What are some ways to physically screen someone for scoliosis?
Static structural exam (levelness of structures)
Running hand down spinous processes
Adam’s forward bending test
What are the three main ligaments of the lateral ankle? Which is most often torn?
Anterior talo-fibular, calcaneo-fibular, posterior talo-fibular
Anterior talo-fibular
What are some main differences between Legg-Calve_Perthes disease and a slipped capital femoral epiphysis?
Age:
- LCP: young (4-8 y/o)
- SCFE: older (11-15 y/o)
Treatment:
- LCP: maintain ROM
- SCFE: surgery
In sarcoidosis, ________ is reported in up to 70% of patients and is often precedes other manifestations of the disease.
Arthrlagia
Scoliosis is officially named according to the direction of the ________ of the curve.
Convexity
A severe eversion sprain can cause the ________ ligament to tear.
Deltoid
How does multiple myeloma lead to carpel tunnel syndrome?
Amyloid deposition in the carpal tunnel leading to compression
Which of the five cardinal symptoms is unique to the MSK system?
Stiffness
During heel strike, the heel and ankle are responsible for ________ and ________.
Braking, adapting
What does the SICK in SICK scapula syndrome stand for?
S: scapular malposition
I: inferior medial scapular wining (weak middle/lower trapezius)
C: coracoid tenderness (tight pectoralis minor)
K: scapular dysKinesis
A benign growth of nerve tissue on the bottom of the foot is called ________ and most commonly occurs between the ________ and ________ metatarsals.
Morton’s neuroma, 3rd, 4th
The Ottawa ankle rules state that an x-ray of the ankle is required if you find any of the following: pain in the ________ zone, pain in the ________ zone, tenderness on the posterior edge of the ________, tenderness at the ________, tenderness of the ________, and inability to bear weight immediately and in the ED.
Malleolar, mid-foot, lateral/medial malleolus, base of the 5th metatarsal, navicular
Asymmetry in knee heights when an infant is supine and knees and hips are flexed with the feet on the table is known as ________ sign. The side with the lower knee height is the ________ side.
Galeazzi, affected
Pronation of the ankle is made up of three motions: ________, ________, and ________
Dorsiflexion, eversion, abduction
An asymmetrical occipital flattening of an infants head is known as ________ and is most commonly associated with ________.
Positional plagiocephaly, torticollis
Legg-Calve-Perthes disease usually presents as insidious onset of a ________ with associated pain and pain that often localized to the ________ or ________.
Limp, knee, thigh
Stress fractures of the foot are most common at the ________ and ________ metatarsals along the diaphysis.
2nd, 3rd
Osteoarthritis of the AC joint will have a positive ________ test.
Crossed arm adduction
Zone 3 of the 5th metatarsal is where ________ fractures occur.
Stress
Dorsiflexion of the ankle causes the talus to move ________ and places the ankle in its most ________ (unstable/stable) position.
Posteriorly, stable
The proximal 5th metatarsal is affected by fractures in three distinct zones. Zone 1 involves the ________, zone 2 involves the ________, and zone 3 involves the ________.
Proximal tubercle, metaphysis-diaphysis junction, proximal diaphysis
How should a physical therapy prescription be written?
It should be specific.
Identify the specific diagnosisIdentify how long/how often they should be doing physical therapy
Identify what they should be doing at physical therapy
OMT should focus on the ________, ________, ________, and ________ to treat torticollis and plagiocephaly.
SCM, cranial base, occipito-mastoid suture, temporal bones
Bilateral hilar lymphadenopathy and ankle arthritis are the main features of ________. It may also include ________.
Lofgren syndrome, erythema nodosum
Zone 2 fractures of the 5th metatarsal are also called ________ and are due to ________.
Jone’s fractures, low vascular supply (similar to the scaphoid)
Zone 1 of the 5th metatarsal is where ________ fractures occur.
Avulsion
The Ortolani maneuver is used to ________ the hip and the Barlow maneuver is used to ________ the hip.
Relocate, dislocate
A dropped arch involves the ________ and the ________.
Cuboid, navicular
How may children with asthma present?
Diffuse expiratory wheeze Intermittent dyspnea Cough Use of accessory muscles (intercostals, trapezius, SCM, scalenes) Flaring of nostrils Tachycardia Tachypnea Posturing (tripod) Prolonged expiratory phase
(Sorry, this was a long one 🤦🏽♂️)
The major disabling type of joint disease in SLE is ________. It is most often induced by ________.
Articular osteonecrosis, high dose corticosteroids
Displacement of the femoral head in relation to the femoral neck through the growth plate is known as a ________.
Slipped capital femoral epiphysis
Stress fractures are aggravated by ________, therefore a ________ may be used to help diagnose them.
Vibrations, tuning fork
The foot and ankle are most stable during ________ of the gait cycle.
Mid stance
Upon internal rotation of the tibia and fibula, the lateral malleolus moves ________, and therefore the fibular head moves ________.
Anteriorly, posteriorly
Psoriatic arthritis can manifest itself as pitting in the ________.
Nails
The most common extraintestinal manifestation of IBD is ________.
Oligoarticular arthritis
Web space compression or the foot squeeze are used to diagnose ________.
Morton’s neuroma
The phenomenon in which MS patients cannot tolerate heat is known as ________’s phenomenon.
Uhthoff
Idiopathic avascular necrosis of the femoral head is known as ________ disease.
Legg-Calve-Perthes
A positive talar tilt test indicates at least a grade ________ sprain.
2
The three arches of the foot are the ________, ________, and ________.
Medial longitudinal, lateral longitudinal, transverse
The most unstable position for the ankle is in ________ and ________.
Supination, inversion
Supination of the ankle is made up of three motions: ________, ________, and ________
Plantar flexion, inversion, adduction
Why are children more likely to get otitis media than adults?
The pharyngotympanic tube (Eustachian tube) is shorter and more horizontal
A positive squeeze test of the ankle helps diagnose a tear of the ________.
Syndesmosis (high ankle sprain)
A T-score of 2.5 or lower indicates that you are likely to have ________.
Osteoporosis
In what step does propulsion occur in the gait cycle?
Toe-off
What are the five cardinal symptoms of MSK disease?
Pain, swelling, erythema, warmth, stiffness
Otitis media occurs due to blockage of the pharyngotympanic tube and build up of fluid inside the middle ear creating a ________ pressure.
Negative
Shoulder pain with impingement is thought to be due to repetitive contact of the ________ tendons within local anatomic structures.
Rotator cuff (most common supraspinatus)
What are the degrees of mild, moderate, and severe scoliosis?
Mild: 5-15 degrees (observation)
Moderate: 20-45 degrees (bracing)
Severe: >50 degrees (surgery)
The most common type of torticollis is ________ and is acquired prenatally.
Congenital muscular torticollis
________ is often the imaging modality of choice for screening for scoliosis. You can measure the ________ angle from the images.
X-ray, Cobb,
A young child (4 y/o) who presents with leg pain and a left shift should be worked up for ________ leading to ________.
Acute lymphocytic leukemia, avascular necrosis
Osteoporosis, anemia, elevated ESR, and kidney disease all point towards the diagnosis of ________.
Multiple myeloma
If a rib hump is present on a patient when they forward bend and it goes away with side-bending, rotation or further forward bending, it is called ________ scoliosis. If there is no reduction of the hump it is called ________ scoliosis.
Functional, structural
A neonate with torticollis will present with a shortened ________ with ipsilateral ________ and contralateral ________.
Sternocleidomastoid, sidebending, rotation
When is a slipped capital femoral epiphysis normally seen?
During periods of rapid growth in adolescence (11-15 y/o)
What are the phases of rehab?
Phase I: decrease pain and swelling
Phase II: restore ROM
Phase III: strength training
Phase IV: neuromuscular control/proprioceptive training
Phase V: functional or sport specific training
