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Missed questions Flashcards

1
Q

Sacroiliitis Clinical Prediction Rule? (6)

A

1,Thigh thrust

  1. Compression
  2. Distraction
  3. Sacral thrust
  4. Gaenslan.

3 of 5 tests positive. Values are based on exclusion of those
patients that centralized. Sensitivity = 0.91 and specificity = 0.87.

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2
Q

What is Trismus?

A

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

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3
Q

What is Posterior disk displacement?

A
  1. Inability to close the mouth
  2. “open lock”
  3. Pt’s may have a clicking noise during mouth closing as the
    disk is reduced back to the top of the condyle
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4
Q

What is the Slocum test?

A
  1. Test anteromedial rotary instability (AMRI) and anterolateral rotary instability (ALRI) of the knee
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5
Q

What pass through the quadrilateral space?

A

1.posterior circumflex artery and Axillary N (C5-C6)

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6
Q

What are true ribs?

What are false ribs?

A
  1. True ribs,1-7, directly attach to stern
  2. False ribs,8-12, attach distally to costochondral cartliage
  3. Ribs 11-12 have no attachments at all
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7
Q

How often is the ACJ injured?(2)

MOI?(3)

A
  1. ACJ approximately 10% of acute shoulder injury
  2. separations of ACJ accounting for 40%

MOI:

  1. falling onto an outstretched hand or elbow
  2. direct blows to the shoulder
  3. falling onto the point of the shoulder
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8
Q

What does a mid shaft clavicle fracture, that is posteriorly displaced, cause?

A

Cupula of the lung will be affected and potential cause a pneumothorax.

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9
Q

What does the anterior interosseous innervate?(3)

A
  1. Flexor pollicus longus (FPL)
  2. Index and long fingers of the flexor digitorum profundus (FDP)
  3. Pronator quadratus (PQ)
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10
Q

What is anterior interosseous (AIN) syndrome?(6)

A
  1. Pure motor neuropathy
  2. Isolated palsy 3 muscles(FDP, FPL, PQ)
  3. Manifests mostly as pain in the forearm accompanied
  4. Characteristic weakness of the index and thumb finger pincer movement.
  5. AIN syndrome arise 2nd to transient neuritis,
  6. nerve compression and trauma are known etiologies as well.
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11
Q

Test for anterior interosseous (AIN) syndrome?(2)

A
  1. Pinch Grip test (Froment’s sign)-inability OK sign

2. Not able to flex the 3rd and 4th finger showing (hand of benediction)

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12
Q

What is the shoulder abduction test?(3)

A
  1. Test used to test for ridiculous symptoms especially involving C4 or C5 N. Roots
  2. Positive test decrease or relief of symptoms
  3. May indicate extradural compression problem like herniated disc, epidural nerve compression or, nerve root compression C4C5 or C5C6
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13
Q

What is Scapholunate dissociation?(4)

A
  1. Most common and most significant ligamentous injury of the wrist
  2. Instability between the scaphoid and lunate
  3. Radiographically as a widened medial-lateral gap between the two carpal bones
  4. MOI-acute stress load of the wrist in extension and ulnar deviation
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14
Q

Clinical presentation scapholunate injury?(5)

A
  1. Hx-wrist that involve a fall onto an extended, ulnarly deviated wrist, FOOSH injury, and repetitive trauma while the wrist is in extension
  2. TTP dorsoradial aspect of wrist
  3. Pain in the anatomic snuffbox or the palmar scaphoid tuberosity.
  4. ‘Click’or ‘pain’ on the dorso-radial aspect of the wrist
  5. Swelling and limited grip strength and range of movement (ROM)
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15
Q

Scapholunate dissociation special tests?(2)

A
  1. Scapholunate Ballotment Test

2. Watson’s Test (scaphoid shift maneuver)

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16
Q

What is Bunnel-Littler test?(2)

A
  1. Tight intrinsics

2. Extend the MCPJ’s & try to passively flex the PIPJ

17
Q

What is Postherpetic neuralgia?(3)

A
  1. 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.
18
Q

What is the terrible triad injury of the elbow?(3)

MOI

A
  1. Posterior elbow dislocation(Lateral collateral ligament injury)
  2. Radial head fracture
  3. Type I coronoid fracture
  4. Fall on a out stretched hand
19
Q

What does suprascapular notch entrapment cause?(2)

What does spinoglenoid notch entrapment cause? (2)

A

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)
20
Q

What type of splint is used for elbow terrible triad injury?(3)

A
  1. 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

21
Q

What are Musculoskeletal Disorders in Down Syndrome?(4)

A
  1. Atlantoaxial instability,looseness between the 1st and 2nd vertebrae of the neck.
  2. Hip instability-combination of laxity of the connective tissue and together along with the low muscle tone found in DS
  3. Instability of the patella
  4. Foot flat and Metatarsus primus varus (front part of the foot behind the big toe bends inward)
22
Q

What muscles does the dorsal scapular nerve innervate? (2)

Level?

A
  1. Rhomboids
  2. Levator Scapulae

3.C4-C5

23
Q

What s/s of arterial injury?(3)

A
  1. Diminished pulses
  2. Skin Discoloration
  3. Stocking glove paresthesia
24
Q

What innervates the gluteus Maximus?

What innervates the gluteus Medius and minimus?

A
  1. Inferior gluteal N (L5,S1,S2)

2. Superior gluteal N (L5 S1)

25
Q

What is Superior gluteal N entrapment?(6)

A
  1. compression by A/P tendinous fibers of the piriformis
  2. aching claudication-type buttock pain
  3. weakness of abd and ER
  4. waddling and/or Trendelenburg gait
  5. TTP of the buttock
  6. Atrophy glute medius, minimus, and TFL
26
Q

When is a solid ankle orthosis recommended for posterior tibialis dysfunction?

When is a hinged ankle orthosis recommended for posterior tibialis dysfunction?

A
  1. Arizona brace-Solid ankle design better for stage III and IV due to midfoot instability
  2. Hinged ankle brace-Prevent weakness of ankle plantar flexors good for stage I or early stage II
27
Q

What is the timeframe for a patient to undergo surgical intervention with cauda equine syndrome for the best optimal outcomes?(2)

A
  1. The sooner the better, <48 hours

2. 72 hours seems to be the cut off for minimizing the likelihood of permanent neurological

OCS (18 decks)

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