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Cardiovascular and Lymphatic PT > MSK I > Flashcards

MSK I Flashcards

1
Q

Hip angle of inclination typically is..

A

115-125

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2
Q

coxavalgaof the hip is..

A

> 125 deg

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3
Q

anteversion is.. & is consideredexcessivewhen?

A

> 25-30 deg excessive; anteversion is when thefemoral neck angles too far anteriorly

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4
Q

the extensor hood assists with..

A

ext of PIP and DIP jts

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5
Q

the ACL limits..

A

ant glide of tibia and limits tibial IR during flex

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6
Q

LCL and MCL are taut when?

A

extension

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7
Q

hip ER/IR ROM is..

A

40-60/30-40 deg

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8
Q

1st MTP normal ROM

A

45-70 deg

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9
Q

T2 vs T1 weighted MRI?

A

T1 typically used to assess bony anatomy

T2 usually used to assess soft tissue structures

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10
Q

posterior internal impingement test IDs..

A

an impingement b/t RTC & greater tuberosity OR posterior glenoid & labrum

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11
Q

4 tests for thoracic outlet syndrome:

A

Adson’s, Roos , Wright (hyperabduction), costoclavicular syndrome test

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12
Q

pronator teres syndrome test tells you..

A

if there is entrapment of the median nerve in the pronator teres ms

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13
Q

Finkelstein;s tells you about.

A

deQuervein’s

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14
Q

Bunnel-Littler test IDs..

A

tightness in structures surrounding the MCP jt - differentiates b/t capsular and instrinsic tightness
–IF flexion is lmtd in BOTH stabilization of the MCP & flex MCP/flex PIP, then it’s a capsular issue

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15
Q

IF when performing the Bunnel Littler test, there is more PIP flexion with MCP flexion, then..

A

the intrinsic ms are tight (not the capsule)

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16
Q

what two tests are used to determine hip flexor tightness?

A

Thomas’s test THEN Ely’s used to differentiate rec fem vs iliopsoas

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17
Q

Phalen’s test is used for..

A

carpal tunnel

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18
Q

Froment’s sign indicates..

A

weakness of abductor pollicis 2/2 ulnar nerve dysfxn

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19
Q

Allen’s test is used to determine..

A

vascular compromise (distal ulnar and radial arteries)

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20
Q

Craig’s test tells you..

What are norms?

A

if hip is anteverted or retroverted

-norms: 8-15 deg of hip IR

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21
Q

Normal Q angle is..

A

13 for men

18 for women

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22
Q

Noble compression test tells you about..

A

IRB friction syndrome (distally)

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23
Q

anterior drawer test of the ankle indicates..

A

laxity of ligaments, specifically the ATFL

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24
Q

what special test is used to tell if there is laxity of the calcaneofibular or deltoid ligaments?

A

talar tilt

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25
Q

what test evals the integrity of the Achille’s

A

Thompson’s

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26
Q

How do you differentiate b/t vascular and vestibular causes of dizziness/vertigo?

A

Hautant’s test: palms up at 90 deg, close eyes, if wobbles - vestib

  • -can add on head/neck ext to test for vascular compromise
  • hold both for 30 sec
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27
Q

Lhermitte’s sign IDs..

A

dysfunction of SC or UMN lesion

-p/w pain down spine and into UE/LE

28
Q

Lasegue’s test IDs..

A

dysfxn of neuro structures that supply the LE

-SLR –> shooting pain –> DF foot; IF pain reproduced with DF then it’s neurological

29
Q

to test for IV foramen vs facet dysfunction in quadrant testing..

A

IV foramen: SB/Rot same side then ext

facet : SB/Rot opposite sides then ext

30
Q

Stork standing test IDs:

A

spondylolisthesis : stand on 1 LE then go into trunk ext: LBP indicates spondy

31
Q

McKenzie’s slide glide test differentiates.

A

b/t scoliosis & neurological dysfunction

-IF when shift is corrected, neuro sx reproduced = neuro dysfxn

32
Q

Bicycle (van Gelderen’s test) differentiates b/t

A

spinal stenosis & intermittent vascular claudication

33
Q

Goldthwait’s test differentiates b/t

A

dysfxn in lumbar spine vs SIJ

34
Q

during stance phase of gait, when do the glute max & h/s begin to contract concentrically?

A

foot flat

35
Q

what is the position of the knee from heel strike thru toe off?

A

HS: full ext, flexing as foot hits ground
foot flat: 20 deg flex
midst: 15 deg flex
Toe-off : full ext –> 40 deg flexion

36
Q

what controls the rapid knee flexion during heel strike and prevents buckling?

A

quads contracting eccentrically

37
Q

during foot flat, what are the quads doing?

A

concentrically contracting to bring femus over tibia

38
Q

PF ms activity peaks at..

A

toe off

39
Q

during push-off, what is the position of the foot?

A

supination (windlass effect)

40
Q

when is max DF achieved during gait?

A

acceleration (initial Swing) to MidSwing (20 deg)

41
Q

lumbar spinal flexion is coupled with what at the ilium?

A

posterior rotation

42
Q

tibial ER is associated with what motion at the foot?

A

supination (and upward glide of the talus)

43
Q

ankylosing spondylitis is..

A

progressive inflammatory disease affecting axial skeleton

44
Q

typical onset of ankylosing spondylitis?

A
45
Q

meds used for ankylosing spondylitis?

A

NSAIDs, corticosteroids, cytotoxic drugs, TNF inhibitors

46
Q

what exercises should be emphasized for ankylosing spondylitis?

A

flexibility - especially to improve EXTENSION - aerobic exercise, respiratory exercises to improve FVC

47
Q

gout pathology:

A

genetic ? elevated serum uric acid;

crystals deposited into peripheral jts & other tissues incl kidneys

48
Q

gout usually found in..

A

knee and great toe

49
Q

psoriatic arthritis is..

A

chronic erosive inflammatory disorder (erosion in jts of digits and axial skeleton)

50
Q

what are DMARDs?

A

disease modifying antirheumatic drugs

51
Q

characteristics of RA?

A

digis usually affected
-pannus formation (inflammatory granulation tissue), ulnar drift, volar subluxation, possible swan neck & boutinneire deformity

52
Q

what will blood tests show for someone with RA?

A

Hgb & Hct = anemic; rheumatoid factor elevated; incr WBCs & ESR

53
Q

postmenopausal osteoporosis directly related to..

A

decr estrogen

54
Q

osteomalacia is..

A

decalcification of bones 2/2 vit D deficiency

-severe pain, fx, weakness & deformities

55
Q

osteomyelitis is..

A

inflammatory response within bone typically caused by an infection

56
Q

anthrogryposis is characterized by..

A

a limitation in jt motion & sausage like appearance of limbs; emphasis on flexibility exercises, AE, jt protection, adaptive devices, etc.

57
Q

OI is characterized by..

A

abnormal collagen synthesis, leads to an imbalance b/t bone deposition & reabsorpotion;
BONES ARE VERY THIN, serious risk of fx & deformity of WBing bones

58
Q

osteochondritis dissecans is..

-typically involves:

A

a separation of articular cartilage from underlying bone , typically involves the medial femoral condyle

59
Q

MPS vs FMS

A

myofascial pain syndrome characterized by localized or regional pain in TPs, densensitization is key in tx via manual P, task performance training

60
Q

tendinosis vs tendonitis

A

tendinosis NOT inflammatory

61
Q

during the early stages of recovery from tendinosis, what strengthening shoudl be emphasized? q

A

ECCENTRIC

62
Q

When do pts w bursitis c/o pain?

A

at REST, also during P/AROM but not in capsular pattern

63
Q

myositis ossificans is..

-PRECAUTIONS:

A

abnormal calcification within a ms belly

-PRECAUTIONS include AVOIDANCE of being overly aggressive w ms flexibility exercises/STM, which could worsen condition

64
Q

Paget’s disease involves..

A

caused by viral infection and/or enviornmental factors

-results in SPINAL STENOSIS, FACET ARTHROPATHY, POSSIBLE SPINAL FX

65
Q

Structural vs functional scoliosis?

A

structural has a rotational component and is irreversible

66
Q

when should conservative mgmt be used for a structural scoliosis?

A

less than 25 deg

67
Q

when is surgery advised for structural scoliosis?

A

curves greater than 45 deg

Cardiovascular and Lymphatic PT (5 decks)

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