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MSK UQ > Midterm Labs > Flashcards

Midterm Labs Flashcards

1
Q

3 mandatory questions for pt with neck pain?

A

1) dizziness, blackouts, or drop attacks?
2) Hx of RA, other inflammatory arthritis, or systemic steroid use?
3) any neuro sx is legs?
trauma

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2
Q

cervical radiculopathy CPR

A
  1. C spine rotation <60 deg painful side
  2. (+) Spurling test
  3. (+) distraction
  4. (+) ULTT #1
    (4=90%; 3=65%)
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3
Q

what structure does the Modified Sharp-Purser test assess?

A

transverse ligament for AA joint stability (C1/C2)

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4
Q

what type of test is Modified Sharp-Purser test?

A

RElocation
+ = S&S reduced

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5
Q

where do you hold for Modified Sharp-Purser test?

A

C2 SP and apply posterior pressure to forehead

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6
Q

if you are unsure of Modified Sharp-Purser test results, what do you do next?

A

supine lift off test
+ = excessive upper c spine mobility isolated from neck

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7
Q

where do you hold for supine lift off test?

A

C1 lamina

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8
Q

what structure does the supine lift off test assess?

A

transverse ligament for AA joint stability (C1/C2)

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9
Q

primary vs secondary test for transverse ligament

A

1 - Modified Sharp-Purser
2 - supine lift off

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10
Q

+ test for alar ligament test

A

no movement of C2 SP with cervical rotation

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11
Q

which joint does the alar ligament test assess the stability off?

A

OA

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12
Q

where do you hold for alar ligament test?

A

SP C2 and head

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13
Q

which way does C2 SP move for alar ligament test?

A

opposite direction of rotation or SB

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14
Q

is the alar ligament test passive or active?

A

passive

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15
Q

you need at least ___ deg of cervical extension for VBI screen

A

30

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16
Q

is the VBI screen passive or active?

A

passive

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17
Q

in what position is C spine MMT performed?

A

NEUTRAL

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18
Q

how to test upper trap length

A

maximal flex
contra SB
ipsi rotation
depress ipsi shoulder

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19
Q

normal muscle length for upper trap, levator, and scalenes

A

~45 deg of rotation w/ soft barrier at end range

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20
Q

how to test levator length

A

contra rotation
contra SB
depress ipsi shoulder

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21
Q

how to test SCM length

A

slight extension
contra SB
ipsi rotation
stabilize ipsi shoulder

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22
Q

how to test scalenes length

A

slight extension
contra SB
stabilize ipsi shoulder

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23
Q

what sideglide is performed for OA joint opening restriction on R?

A

flexion
L to R glide

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24
Q

what sideglide is performed for OA joint closing restriction on R?

A

extension
R to L glide

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25
which special test is performed to put pt in movement coordination/whiplash bucket?
cranio-cervical flexion test (CCFT)
26
cranio-cervical flexion test (CCFT) procedure
inflate cuff to 20 mmHg chin tuck to increase by 2, hold 10 sec repeat until 30 mmHg goal: 10 reps of 10 sec at 30 mmHg
27
+ test for neck flexor endurance test
F: <38.9 M: <29.4
28
which special test is done for cerivogenic HA?
cervical flexion-rotation test (CFRT)
29
+ test for cervical flexion-rotation test (CFRT)
10 deg or more different side-to-side in ROM reproduction of HA sx
30
how to dose mobilization?
3-4 sets of 30 seconds
31
where to hold for OA joint mob?
C1 and occiput pt forehead on delto-pectoral groove
32
how long to hold traction mob?
5-10 sec repeat until sx reduce
33
what is the SNAG for?
increase rotation at C1-2
34
MET rx for AA rotation
hold 6 sec for 3-5 reps SB away, rotate towards look with eyes only away
35
cervicogenic HA treatment
1) oscillatory mob at C1 lamina 2) rotate head 30 deg ipsi, mob C2 lamina 3) neutral, mob C2 lamina
36
where to place hands for prone CT manip?
PT pisiform on pt's TP of T1 (contra; ex: R pisiform on L TP) stabilize head with other hand
37
how to position neck for prone CT manip?
SB away and rotate towards
38
where is force directed for prone CT manip?
downward/inferior
39
which segments are assessed for thoracic exam spring testing?
C7-L1
40
T/F: for UPAs (vertebra and rib), test unaffected side 1st
F
41
what is a good test to diff dx costochondritis of upper and anterior chest?
AP rib springing
42
which levels are assess for AP rib springing?
T1-T7
43
4 criteria to dx 1st rib dysfunction
- 1/2 in elevation superior - (+) spring test - (+) ipsilateral increased scalene tone - (+) cervical rotation lateral flexion test
44
cervical rotation lateral flexion test procedure
flex head maximally rotate head AWAY from tested side
45
+ cervical rotation lateral flexion test
flexion blocked with head rotated contralaterally
46
normal width of aortic pulse
2-3 cm
47
organs in R UQ
liver gallbladder duodenum pancreas R kidney
48
organs in R LQ
appendix R ovary and tube
49
organs in L UQ
stomach spleen L kidney pancreas
50
organs in L LQ
sigmoid colon L ovary and tube
51
+ test for TOS special tests
diminished/disappearance of pulse reproduction of neuro S&S
52
Where is force applied for supine thoracic gapping HVLAT?
Posterior
53
Where is force for prone upper t spine gapping HVLAT?
Anterior-inferior PT pisiforms at both TPs of targeted segment
54
Where is force applied for prone thoracic spine gapping HVLAT?
Anterior (using screw mechanism)
55
How is pt’s head positioned for seated 1st rib joint play and mob? Force?
SB towards affected side Inferno-lateral (towards opposite hip)
56
How is pt’s head positioned for seated 2nd rib joint play and mob? Force?
Head in neutral Inferior force
57
indications to perform mandibular neurodynamic testing
numbness/tingling tinnitus
58
direction of force for distraction mob of TMJ
anterior inferior
59
which mob should be done for TMJ lateral deficits?
anteromedial rotation
60
which mob should be done for TMJ protrusion deficits?
anterior mob
61
education on resting position of mouth
teeth apart lips closed tongue at roof of palate

MSK UQ (15 decks)

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