Missed questions Flashcards
Sacroiliitis Clinical Prediction Rule? (6)
1,Thigh thrust
- Compression
- Distraction
- Sacral thrust
- Gaenslan.
3 of 5 tests positive. Values are based on exclusion of those
patients that centralized. Sensitivity = 0.91 and specificity = 0.87.
What is Trismus?
1.Acute close lock of jaw
2.Spasm of the masseter muscle after prolonged jaw opening and
results in limited range of motion
3. H/x, limited opening range (< 25mm) & palpable tenderness/tightness over masseter muscle
belly
What is Posterior disk displacement?
- Inability to close the mouth
- “open lock”
- Pt’s may have a clicking noise during mouth closing as the
disk is reduced back to the top of the condyle
What is the Slocum test?
- Test anteromedial rotary instability (AMRI) and anterolateral rotary instability (ALRI) of the knee
What pass through the quadrilateral space?
1.posterior circumflex artery and Axillary N (C5-C6)
What are true ribs?
What are false ribs?
- True ribs,1-7, directly attach to stern
- False ribs,8-12, attach distally to costochondral cartliage
- Ribs 11-12 have no attachments at all
How often is the ACJ injured?(2)
MOI?(3)
- ACJ approximately 10% of acute shoulder injury
- separations of ACJ accounting for 40%
MOI:
- falling onto an outstretched hand or elbow
- direct blows to the shoulder
- falling onto the point of the shoulder
What does a mid shaft clavicle fracture, that is posteriorly displaced, cause?
Cupula of the lung will be affected and potential cause a pneumothorax.
What does the anterior interosseous innervate?(3)
- Flexor pollicus longus (FPL)
- Index and long fingers of the flexor digitorum profundus (FDP)
- Pronator quadratus (PQ)
What is anterior interosseous (AIN) syndrome?(6)
- Pure motor neuropathy
- Isolated palsy 3 muscles(FDP, FPL, PQ)
- Manifests mostly as pain in the forearm accompanied
- Characteristic weakness of the index and thumb finger pincer movement.
- AIN syndrome arise 2nd to transient neuritis,
- nerve compression and trauma are known etiologies as well.
Test for anterior interosseous (AIN) syndrome?(2)
- Pinch Grip test (Froment’s sign)-inability OK sign
2. Not able to flex the 3rd and 4th finger showing (hand of benediction)
What is the shoulder abduction test?(3)
- Test used to test for ridiculous symptoms especially involving C4 or C5 N. Roots
- Positive test decrease or relief of symptoms
- May indicate extradural compression problem like herniated disc, epidural nerve compression or, nerve root compression C4C5 or C5C6
What is Scapholunate dissociation?(4)
- Most common and most significant ligamentous injury of the wrist
- Instability between the scaphoid and lunate
- Radiographically as a widened medial-lateral gap between the two carpal bones
- MOI-acute stress load of the wrist in extension and ulnar deviation
Clinical presentation scapholunate injury?(5)
- Hx-wrist that involve a fall onto an extended, ulnarly deviated wrist, FOOSH injury, and repetitive trauma while the wrist is in extension
- TTP dorsoradial aspect of wrist
- Pain in the anatomic snuffbox or the palmar scaphoid tuberosity.
- ‘Click’or ‘pain’ on the dorso-radial aspect of the wrist
- Swelling and limited grip strength and range of movement (ROM)
Scapholunate dissociation special tests?(2)
- Scapholunate Ballotment Test
2. Watson’s Test (scaphoid shift maneuver)
What is Bunnel-Littler test?(2)
- Tight intrinsics
2. Extend the MCPJ’s & try to passively flex the PIPJ
What is Postherpetic neuralgia?(3)
- most common complication of shingles
2.Symptoms-
-Pain that lasts three months or longer
—SENSITIVITY to light touch
—-Itching and numbness
3.Risk factors
-Age. You’re older than 50.
—Severity of shingles. You had a severe rash and severe pain.
—-Other illness. You have a chronic disease, such as diabetes.
——Shingles location. You had shingles on your face or torso.
What is the terrible triad injury of the elbow?(3)
MOI
- Posterior elbow dislocation(Lateral collateral ligament injury)
- Radial head fracture
- Type I coronoid fracture
- Fall on a out stretched hand
What does suprascapular notch entrapment cause?(2)
What does spinoglenoid notch entrapment cause? (2)
1.weakness of both supraspinatus and infraspinatus
-compression from:
•ganglion cyst (often associated with labral tears)
•transverse scapular ligament entrapment
2.weakness of infraspinatus only compression from: •posterior labral tears causing a cyst •spinoglenoid ligament •spinoglenoid notch ganglion •traction injury (seen in 45% of volleyball players)
What type of splint is used for elbow terrible triad injury?(3)
- Mobilization at 90° of elbow flexion with posterior splint
- Lateral ligament repair forearm position in pronation
—If no ligaments or both ligaments were repaired neutral position
What are Musculoskeletal Disorders in Down Syndrome?(4)
- Atlantoaxial instability,looseness between the 1st and 2nd vertebrae of the neck.
- Hip instability-combination of laxity of the connective tissue and together along with the low muscle tone found in DS
- Instability of the patella
- Foot flat and Metatarsus primus varus (front part of the foot behind the big toe bends inward)
What muscles does the dorsal scapular nerve innervate? (2)
Level?
- Rhomboids
- Levator Scapulae
3.C4-C5
What s/s of arterial injury?(3)
- Diminished pulses
- Skin Discoloration
- Stocking glove paresthesia
What innervates the gluteus Maximus?
What innervates the gluteus Medius and minimus?
- Inferior gluteal N (L5,S1,S2)
2. Superior gluteal N (L5 S1)
What is Superior gluteal N entrapment?(6)
- compression by A/P tendinous fibers of the piriformis
- aching claudication-type buttock pain
- weakness of abd and ER
- waddling and/or Trendelenburg gait
- TTP of the buttock
- Atrophy glute medius, minimus, and TFL
When is a solid ankle orthosis recommended for posterior tibialis dysfunction?
When is a hinged ankle orthosis recommended for posterior tibialis dysfunction?
- Arizona brace-Solid ankle design better for stage III and IV due to midfoot instability
- Hinged ankle brace-Prevent weakness of ankle plantar flexors good for stage I or early stage II
What is the timeframe for a patient to undergo surgical intervention with cauda equine syndrome for the best optimal outcomes?(2)
- The sooner the better, <48 hours
2. 72 hours seems to be the cut off for minimizing the likelihood of permanent neurological
