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npte study decks > more msk > Flashcards

more msk Flashcards

1
Q

the Ortolani test is for

A

hip dysplasia

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2
Q

Wells Clinical Decision Rule for Deep Vein Thrombosis

A

previously diagnosed DVT (1)
active cancer (1)
paralysis, paresis, or recent immobilization of LE (1)
bedridden for more than 3 days or major surgery
within the previous 12 wks (1)
localized tenderness in the center of the posterior calf , the popliteal space, or along the femoral vein in the anterior thigh/groin (1)
entire LE swelling (1)
u/l calf swelling (more than 3cm than other side) (1)
u/l pitting edema (1)
collateral superficial veins (1)
an alternative dx is as likely (or more likely) than DVT like cellulitis, postoperative swelling, calf strain (-2)

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3
Q

a score greater or equal to ____ means a DVT is likely

A

2

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4
Q

what are the Ottawa Ankle Rules used for?

A

determines if a pt needs imaging

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5
Q

and ankle radiograph should be performed if there is pain in the malleolar region with any of the following (3 things):

A
  1. bone tenderness at the posterior edge of the distal 6cm/tip of lateral malleolus
  2. bone tenderness at the posterior edge of the distal 6cm/tip of medial malleolus
  3. inability to WB for at least 4 steps immediately after injury at the time of eval

ottawa ankle rules

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6
Q

a foot radiograph should be performed if there is pain in the mid foot region with any one of the following (2 things):

A
  1. bone tenderness at navicular bone
  2. bone tenderness at the base of the 5th metatarsal

ottawa ankle rules

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7
Q

name the TOS special tests

A

CHARAW

costoclavicular / military brace
halstead
adsons
roos
allens
wright

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8
Q

toe in, subtalar pronation, medial femoral and tibial torsion are all associated with what at the hip?

A

anteversion

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9
Q

what is the normal range for anteversion in adults?

A

8-15 degrees

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10
Q

what test determines the angle of anteversion

A

Craig’s test

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11
Q

which shoulder diagnosis is most commonly characterized by painful arc 60-120 degrees, and pain at night?

A

shoulder impingement

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12
Q

you have tingling into 4th and 5th digits and muscle wasting over the hypothenar eminence. what test would best assess integrity of the nerve?

A

froment’s sign

will show weak adductor pollicis, innervated by ulnar nerve

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13
Q

What does Finklestein’s test look for?

A

deQuervain’s

make a fist around the thumb, ulnar deviation

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14
Q

what is the special test for lateral epicondylitis, where the patient extends third digits against examiner resistance?

A

Maudsleys’s

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15
Q

what mob should I do to improve wrist extension?

A

volar (palmar) glide of carpal bones

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16
Q

what special test identifies tightness of hip flexors?

A

thomas test

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17
Q

a + Froment’s sign will mean (pinching paper with thumb and thumb flexes)

A

ulnar nerve palsy

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18
Q

name the shoulder impingement special tests

A

hawkins
neers
jobes empty can
yocum

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19
Q

name the RTC special tests

A

ER lag
belly press (subscap)
lift off sign (subscap)
drop arm
IR lag
hornblowers test (teres minor)

20
Q

SLAP special tests?

A

biceps load II
crank
clunk test
active obriens

21
Q

AC joint injury special tests

A

horizonal add
paxinos (press AC joint and pain)
AC sheer test

22
Q

following a bankart repair, what shoulder movements should you avoid?

A

abduction and ER

23
Q

for TMJ, is popping/clicking a sign of disc displacement with reduction or without reduction?

A

with

24
Q

what muscle opens the mouth?

A

lateral pterygoid

25
Q

what muscles close the mouth?

A

masseter
medial pterygoid
temporalis

26
Q

what muscles protrude the mandible?

A

lateral pterygoid
medial pterygoid

27
Q

what muscles retract the mandible

A

temporalis

28
Q

what muscles perform lateral deviation of the mandible

A

lateral ptery
medial ptery

29
Q

if a patient cannot open their mouth that much and there is deviation to the same side, what is the diff dx?

A

hypomobility

30
Q

if a patient has increased mouth opening and deviating to the opposite side, what is the diff dx?

A

hypermobility

31
Q

TMJ: if clicking is heard, but there is no deviation or difficulty with mouth opening, what is the diff dx?

A

disc displacement with reduction

32
Q

TMJ: if a pt has pain and limited mouth opening, no deviation, what is the diff dx?

A

synovitis

33
Q

if a patient has pain, limited mouth opening, and deviation to the same side, what is the diff dx?

A

capsulitis

34
Q

a 5 year old m patient has worsening hip pain with activity and limited extension, abd, and IR. what is the likely dx and how would you treat it?

A

legg-calve-perthes

conservative treatment and bracing (scottish rite brace)

35
Q

a 13 year old overweight pt has worsening hip pain with activity, limping, and limited flexion, abduction, and IR. what is the likely dx and how would you treat it?

A

slipped capital femoral epiphysis

surgical treatment to stabilize

36
Q

what two braces can be used for congenital hip dysplagia?

A

frejka pillow and pavlik harness

37
Q

list the post ACLR precautions

A

graft is most vulnerable at 6-8 wks
no knees over toes with CKC/squats
avoid CKC 60-90
no ankle weights distal to tibia
no OKC 0-45*

38
Q

name the knee diff dx: a patient has popping, locking, catching of the knee during movement with joint line tenderness, as well as pain with knee hyperextension and full flexion

A

meniscus

39
Q

name the knee diff dx: a 25 y/o f patient has peripatellar pain, lateral patellar tracking, pain with squatting, prolonged sitting

A

PFPS

40
Q

name the knee diff dx: pain at tibial tuberosity, due to excessive activity in adolescents and poor flexibility

A

osgood schlatter

41
Q

if my patient had an achilles tendon repair surgery, i need to avoid __________ stretching for _____ weeks

A

plantarflexion

12

42
Q

diff dx: pt has heel pain that is worse with the first steps in the morning and after periods of inactivity. medial calcaneal tubercle TTP and pain with DF of great toe

A

plantar fasciitis

43
Q

what movements should you avoid with osteoporosis?

A

rotation and flexion

44
Q

what is the T-score range for osteoporosis and osteopenia?

A

osteoporosis: below -2.5

osteopenia betwen -1.1 and -2.5

-1 or higher is normal bone density

45
Q

what are the loose packed positions for:

hip
GH joint
elbow
knee

A

hip: 30 degrees of flexion
GH joint: 55 degrees abduction
elbow: 70 degrees flexion
knee: 25 degrees of flexion

npte study decks (19 decks)

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