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NPTE Memorization > MSK Advanced DDx > Flashcards

MSK Advanced DDx Flashcards

1
Q

What are the special tests for Subacromial Impingement?

A

Neer
Hawkins-Kennedy
Yocum
Jobe’s

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2
Q

What are the special tests for RTC tear?

A

ER lag sign
Drop arm
Hornblower’s sign
Lift off test
Belly press test
Bear hug

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3
Q

What are the special tests for SLAP tears?

A

Active O’Brien Test
Biceps Load II
Clunk Test
Crank Test

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4
Q

What are the special tests for AC joint injury?

A

Horizontal Adduction
Paxinos sign
AC sheer test

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5
Q

What would be the painful arc for an AC joint injury?

A

170-180 degrees (end range shoulder flexion)

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6
Q

What would be the painful arc of a subacromial impingement?

A

60-120 degrees

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7
Q

What is the main symptom of a rotator cuff tear besides pain?

A

Loss of strength

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8
Q

A patient reports clunking or feeling like her shoulder is locking when she moves it. What condition does this point to?

A

SLAP tear
- clicking/clunking/joint locking are common subjective reports

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9
Q

A step deformity is common with which shoulder injury?

A

AC Joint

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10
Q

Are SLAP injuries usually traumatic or atraumatic?

A

Traumatic

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11
Q

What are the special tests for Bicipital Tendinitis?

A

Speed’s
Yergason’s

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12
Q

What is the capsular pattern associated with loss of range of motion in Adhesive Capsulitis?

A

Especially ER!!
ER/ABD/IR

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13
Q

What movements aggravate Adhesive Capsulitis?

A

ALL shoulder movements (AROM + PROM)

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14
Q

What movements aggravate Bicipital Tendinitis?

A

Overhead movements as well as stretching the biceps

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15
Q

What are the special tests for Lateral Epicondylitis?

A

Cozen’s
Mills
Maudsley

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16
Q

What is another name for Tennis Elbow?

A

Lateral Epicondylitis

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17
Q

What is another name for Golfer’s Elbow?

A

Medial Epicondylitis

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18
Q

What is another name for Student’s Elbow?

A

Olecranon Bursitis

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19
Q

These repeated movements can lead to Lateral Epicondylitis

A

Wrist extension and grasping

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20
Q

This repeated movement can lead to Medial Epicondylitis

A

Wrist flexion

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21
Q

What muscle is involved in Lateral Epicondylitis?

A

Extensor carpi radialis brevis

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22
Q

What muscle is involved in Medial Epicondylitis?

A

Pronator teres + Flexor carpi radialis

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23
Q

A patient with Olecranon Bursitis will have pain with what end range movements?

A

Elbow flexion and extension

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24
Q

What are the special tests for De Quervain’s tenosynovitis?

A

Finkelstein’s (active)
Eichoff’s (passive)

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25
Q

What are the special tests for Carpal Tunnel Syndrome?

A

Phalen’s test
Tinel’s sign

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26
Q

(Thenar/Hypothenar) muscle atrophy is seen in Carpal Tunnel Syndrome

A

Thenar

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27
Q

What two muscles are affected in De Quervain’s tenosynovitis?

A

Abductor pollicis longus (APL)
Extensor pollicis brevis (APB)
“Evidence based practice” to remember that the extensor is brevis while the abductor is longus.

28
Q

What distal radius fracture is a result of a fall on a flexed wrist?

A

Smith fracture

29
Q

What distal radius fracture is a result of a FOOSH?

A

Colle’s fracture

30
Q

What are the special tests for ITB syndrome?

A

Noble compression test
Ober’s

31
Q

What is the special test for piriformis syndrome?

A

FADIR (flexion + adduction + IR)

32
Q

Where will a patient with ITB syndrome report their pain?
What kind of sensation might they report?

A
  • Lateral aspect of thigh and knee
  • Snapping sensation
33
Q

What hip condition presents with pain over the buttock, posterior thigh, and back of leg?

A

Piriformis Syndrome

34
Q

What motions will cause pain in piriformis syndrome?

A

Active ER
Passive IR

35
Q

The risk of which hip condition increases with prolonged corticosteroid use?

A

Avascular necrosis of the hip

36
Q

Avascular necrosis of the hip is called what when it happens in children?

A

Legg Calve Perthes Disease

37
Q

Avascular necrosis can be either unilateral or bilateral, but it is often (unilateral/bilateral)

38
Q

In what condition would a patient report a dull aching/throbbing pain in the groin that increases with activity?

A

Avascular necrosis of the hip

39
Q

At what age range is hip OA most common?
What sex does it affect more?

A

> 50 years
Females > Males

40
Q

With which condition would a patient report anteromedial thigh pain which increases with weight bearing?

41
Q

With which condition would a patient report morning stiffness in their hip that resolves in about an hour?

42
Q

What motion is most limited/painful in patients with Hip Osteoarthritis?

A

IR <20 degrees

43
Q

What are the special tests for ACL injury?

A

Lachman’s
Anterior drawer
Pivot shift test

44
Q

What are the special tests for PCL injury?

A

Posterior drawer test
Posterior sag sign

45
Q

What is the common mechanism of injury for an ACL injury?

A

Hyperextension + Valgus Force + Planted Foot

46
Q

What is the common mechanism of injury for a PCL injury?

A

Hyperflexion or dashboard injury

47
Q

The ACL restricts what motions of the tibia on the femur?

A

Anterior translation of tibia
Medial rotation of tibia

48
Q

The PCL restricts what motions of the tibia on the femur?

A

Posterior translation of tibia
Medial rotation of the tibia

49
Q

Your patient reports a catching sensation in their knee. What type of injury should you be suspicious of?

A

Meniscal Tear

50
Q

What are the 5 signs of a Meniscal Tear?

A
  1. Hx of catching or locking reported by the patient.
  2. Joint line tenderness.
  3. Pain with forced hyperextension.
  4. Pain with maximal passive knee flexion.
  5. Pain or audible clicking with McMurray’s maneuver.
51
Q

Joint line tenderness will be present with (meniscal tear/ACL) injury.

A

Meniscal tear

52
Q

What is the common age range in which Osgood Schlatter disease occurs? (F and M)

A

Female: 8-13 years
Male: 10-15 years

53
Q

What knee condition is aggravated with prolonged sitting?
(Moviegoer’s sign)

A

Patellofemoral Pain Syndrome

54
Q

What are the special tests for Patellofemoral Pain Syndrome?

A

Clarke test
Step down test

55
Q

(Medial/Lateral) patellar tracking will be seen in patients with Patellofemoral Pain Syndrome.

56
Q

What condition presents with anterior knee pain with a visible lump over the site of pain?

A

Osgood Schlatter Disease

57
Q

Using what muscle group will aggravate symptoms in a patient with Osgood Schlatter Disease?

58
Q

What structures are affected in the “unhappy triad” injury?

A

Medial meniscus
ACL
Medial collateral ligament

59
Q

What condition affects the posterior tibial nerve?

A

Tarsal tunnel syndrome

60
Q

Where would a patient with Tarsal Tunnel Syndrome report pain/paresthesia?

A

Over medial malleolus and up the leg
AND/OR
Over the medial malleolus and down into the medial arch, plantar surface of foot and toes.

61
Q

A patient with Tarsal Tunnel Syndrome would have pain with which movements?

A

Passive extreme dorsiflexion and eversion
Active ankle plantarflexion and inversion

62
Q

What is another name for posterior shin splints?

A

Medial tibial stress syndrome

63
Q

Posterior shin splints produce pain with what motions?

A

Active combined plantarflexion and inversion
(Remember that shin splints cause pain in the anteromedial shin, so move your ankle around to see what motions stress that area the most)

64
Q

The Windlass test is for which condition?

A

Plantar Fasciitis

65
Q

Pain with passive overpressure to great toe extension happens in which condition?

A

Plantar Fasciitis

66
Q

T/F: Plantar Fasciitis presents with morning pain

NPTE Memorization (8 decks)

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