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PTA 160- Med Surg > Med Surg-Quiz 9 > Flashcards

Med Surg-Quiz 9 Flashcards

1
Q

Caused by weakness of the scapular supporters: rhomboids, traps, **Serratus anterior
Outline of scapula is prominent and protruding from posterior thorax

A

Scapular Winging

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2
Q

most common (20:1) dislocation

A

Sternoclavicular Dislocation: Anterior dislocation

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3
Q

most severe complications (dislocation)

A

Sternoclavicular Dislocation: Posterior dislocation

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4
Q

Nerve and Vascular impingement

A

Thoracic Outlet Syndrome

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5
Q

Hypertrophied neck musculature (anterior scalenes, upper trapezius)
Hypertrophied anterior chest musculature leading to rounded shoulders/kyphotic posture

A

Most common etiologies for Thoracic Outlet Syndrome

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6
Q

bundle of peripheral nerves C5-T1; Known as a “Stinger” by ATC’s

A

Brachial Plexus Injury

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7
Q

Pinching pain in shoulder, especially with abduction

A

Impingement Syndrome

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8
Q

Impingement: 1⁰ = mechanical wear and tear; this may be indicated

A

acromioplasty

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9
Q
  1. Painful arc- within 60-120⁰ of shoulder abd.
A

Impingement Syndrome: Clinical Manifestations

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10
Q

“Frozen shoulder.”

A

Adhesive Capsulitis

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11
Q

inflammation of the bicipital tendon within the bicipital groove of the shoulder. Due to muscle imbalances and small area of the groove. Proximal anterior pain to palpation of tendon

A

Bicipital Tendonitis

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12
Q

usually from subdeltoid or subacromial bursa. Increased friction against the bursa from muscle imbalances cause inflammation. Proximal lateral pain.

A

Shoulder Bursitis

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13
Q

when any of the 4 rotator cuff muscles develop tendinitis from muscle imbalances. Referred pain to mid-deltoid region.

A

Rotator Cuff Tendinitis

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14
Q

the humerus glides out of the glenoid fossa. Possible tears of the labrum or other supportive ligaments and tendons. Most susceptible in ER , flexion and ABD. (throwing position). May be from trauma or from laxity due to repetitive stress.

A

Glenohumeral Dislocation

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15
Q

the humerus temporarily dislocates, but then re-sets itself.
Strengthen for stability or may require surgery.
Avoid ER, flex and ABD combo. “Triple Whammie”

A

Glenohumeral Subluxation

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16
Q

a tear to the anterior labrum of the shoulder via the inferior glenohumeral ligament.

A

Bankart Lesion

17
Q

Impaction fracture. Damage to the head of the humerus after anterior dislocation.

A

Hill-Sachs Lesion

18
Q

“Superior Labrum Anterior to Posterior”. Detachment of the proximal attachment of the long head of the biceps at the labrum.

A

SLAP repair

19
Q

Common in young athletes (Little League Shoulder); repetitive throwing motions (forceful medial rotation combined with adduction) damage epiphyseal plates of proximal humerus.
Begins as pain with throwing. DO NOT IGNORE!!!
**ABSOLUTE REST from throwing is REQUIRED for the bone to heal without disrupting growth plates. Bone may require 8-12 months to reossify properly and remodel. Patient education!

A

Proximal Humeral Fracture

20
Q

replacement of the humeral head with a metal implant and resurfacing of the glenoid fossa with plastic “cover”

A

TSA

21
Q

replacement of humeral head only

A

Hemiarthroplasty

22
Q

C6-C8; through carpal tunnel to hand;Most common type of UE nerve injury

A

Common Neural Tension: Median nerve

23
Q

Compression injury to median nerve

A

Carpal Tunnel Syndrome

24
Q 
Progresses from activity-induced symptoms to constant symptoms of pain/paresthesia along median nerve innervations; thumb and first 2 digits
Increased pain at night
Decreased grip
Decreased wrist flexion
Loss of hand dexterity
A

Carpal Tunnel Syndrome: Patient presentation

25
Q

Presents as medial elbow pain with hand weakness.

A

Common Neural Tension: Ulnar nerve

26
Q

“Tennis elbow”; Degenerative, inflammatory condition of the extensor carpi radialis brevis. Pain with resisted wrist extension.

A

Lateral Epicondylitis

27
Q

“Golfer’s Elbow”; degenerative, inflammatory condition affecting the flexor carpi radialis and pronator teres tendons. Presents as tender point pain at medial epicondyle tendon insertions. Pain with resisted wrist flexion and pronation.

A

Medial Epicondylitis

28
Q

Fracture of the distal radius with anterior displacement.

FOOSH injury.

A

Colle’s Fracture

29
Q

Most common carpal bone fracture; Pain in anatomical snuff box

A

Scaphoid Fracture

30
Q

Finkelstein’s sign: adduct thumb inside the fist and perform ulnar deviation. Increased pain is positive Finkelstein.

A

De Quervain’s Syndrome

31
Q

Rupture of the central band of the extensor hood, causing flexed PIP and extended DIP

A

Boutenniere Deformity

32
Q

bowstring tightness of the extensor hood, causing hyperextension of PIP and flexion of the DIP.

A

Swan Neck Deformity

PTA 160- Med Surg (15 decks)

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