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-msk > msk review session 1/13 > Flashcards

msk review session 1/13 Flashcards

1
Q

parts of a msk exam

A
  • Detailed History/Review of Systems
  • VisualObservation
  • Range of Motion
  • MMT’s
  • NeurologicalTests- Dermatome/Myotome
  • Special Tests
  • Function Testing
  • Psych Testing
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2
Q

C1/2 myotomes and muscles

A

neck flex/ext
rectus lateralis, rectus capitis ant
longus capitis, longus coli, longus cervicis, SCM

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3
Q

myotomes and muscles - C3

A

neck lateral flexion
longus capitis, longus cervicis
trapezius
scalenes

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4
Q

myotomes and muscles - C4

A 
shoulder elevation
trapezius
levator scapulae
scalenus anterior and medius
diaphragm
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5
Q

myotomes and muscles - C5

A 
shoulder abduction
rhomboid major, minor
deltoid, supraspinatus
infraspinatus, teres minor
biceps
scalene anterior, scalenus medius
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6
Q

myotomes and muscles - C6

A 
elbow flex, wrist extend
serratus anterior, latissimus dorsi
subscapularis, teres major
pec major
biceps, coracobrachialis, brachialis, brachioradialis
supinator
Extensor carpi radialis longus
scalenus anterior, medius, and poserior
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7
Q

myotomes and muscles - C7

A 
elbow extend, wrist flex
serratus anterior, latissimus dorsi
pec major, minor
triceps
pronator teres
flexor carpi radialis, flexor digitorum superficialis
extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi
scalenus medius, scalneus posterior
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8
Q

myotomes and muscles - C8

A

thumb extension, thumb abduction, ulnar deviation
pec major, minor
triceps
FDS, FDP, FPL
pronator quadratus
FCU
abductor pollicis longus, extensor pollicis longus, extensor pollicis brevis
extensor indicis, abductor pollicis brevis, flexor pollicis brevis, opponens pollicis
scalenus medius and posterior

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9
Q

myotomes and muscles - T1

A

intrinsic hand abduction, adduction

flexor digitorum profundus, intrinsic hand muscles, flexor pollicis brevis, opponens pollicis

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10
Q

myotomes and muscles - L1/L2

A

hip flexion
psoas, iliacus
sartorius, gracilis, pectineus, adductor longus, adductor brevis

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11
Q

myotomes and muscles - L3

A

knee extension
quads
adductor longus, magnus, brevis

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12
Q

myotomes and muscles - L4

A 
ankle DF
tibialis anterior
quads
tensor fasciae latae
adductor magnus
obturator externus
tibialis posterior
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13
Q

myotomes and muscles - L5

A 
toe extension
extensor hallucis longus, extensor digitorum longus
glute med, min
obturator internus
semimembranosus, semitendinosus
peroneus tertius
popliteus
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14
Q

myotomes and muscles - S1

A 
ankle PF, eversion
hip extension
knee flexion
gastroc, soleus
glute max
obturator internus, piriformis
biceps fem, semitendinosus, semimembranosus
popliteus
peroneus longus, brevis
extensor digitorum brevis
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15
Q

myotomes and muscles - S2

A 
knee flexion
biceps fem
piriformis
gastroc, soleus
flexor dig longus, flexor hallucis longus
intrinsic foot muscles
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16
Q

myotomes and muscles - S3

A

rectal sphincter tone
intrinsic foot muscles
flexor hallucis brevis, flex dig brevis, ext dig brevis

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17
Q

DTR biceps reflex - spinal level? normal response?

A

C5-6

contract biceps

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18
Q

DTR brachioradialis reflex - spinal level? normal response?

A

C5-6

elbow flex, forearm pronation

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19
Q

DTR triceps reflex - spinal level? normal response?

A

C7-8

elbow extension, contract triceps

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20
Q

DTR patellar reflex - spinal level? normal response?

A

L3-4

knee extension

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21
Q

DTR tib post reflex - spinal level? normal response?

A

L4-5

PF, inversion foot

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22
Q

DTR achilles reflex - spinal level? normal response?

A

S1-2

PF foot

23
Q

DTR grading min to max? what is normal?

A

min 0 absent
max 4+ clonus, very brisk, hyperactive
normal 2+

24
Q

shoulder ROM

A 
Flexion = 0-180 
Extension = 0-60 
Abduction = 0-180 
Internal rotation = 0-90 
External rotation = 0-90
25
Q

Elbow ROM

A 
Flexion = 0-150 
Extension = 0
26
Q

Forearm ROM

A 
Pronation = 0-80 
Supination = 0-80
27
Q

Wrist ROM

A

Flexion = 0-80
Extension = 0-70
Radial deviation = 0-20
Ulnar deviation = 0-30

28
Q

hip ROM

A 
Flexion = 0-120 
Extension = 0-30 
Abduction = 0-45 
Adduction = 0-30 
Internal rotation = 0-45 
External rotation = 0-45
29
Q

knee ROM

A 
Flexion = 0-135 
Extension = 0
30
Q

subtalar ROM

A 
Inversion = 0-5 
Eversion = 0-5
31
Q

ankle ROM

A

Dorsiflexion = 0-20
Plantar flexion = 0-50
Inversion = 0-35
Eversion = 0-15

32
Q

MMT grade?

complete ROM, against gravity, no resistance

A

3/5 fair

33
Q

MMT grade?

complete ROM, against gravity, moderate resistance

A

4/5 good

34
Q

MMT grade?

complete ROM, against gravity, minimum resistance

A

3+/5 fair +

35
Q

MMT grade?

>1/2 ROM not complete, against gravity, no resistance

A

3-/5 fair -

36
Q

MMT grade?

initiates but <1/2 ROM, against gravity, no resistance

A

2+/5 poor+

37
Q

MMT grade?

complete ROM, gravity eliminated, no resistance

A

2/5 poor

38
Q

MMT grade?

contraction but no movement, gravity eliminated position

A

1/5 trace

39
Q

MMT grade?

no contractions, gravity eliminated position

A

0/5 zero

40
Q

glenohumeral jt

open pack? closed pack?

A

open: 55-70deg abduction, 30deg horizontal adduction, neutral rotation
closed: max abduction, ER

41
Q

humeroulnar

open pack? closed pack?

A

open: 70deg flexion, 10deg supination
closed: full extension, supination

42
Q

humeroradial

open pack? closed pack?

A

open: full extension, supination
closed: 90deg flexion, 5deg supination

43
Q

proximal radioulnar

open pack? closed pack?

A

open: 70 deg flexion, 35deg supination
closed: full extension, 5 deg supination

44
Q

distal radioulnar

open pack? closed pack?

A

open: 10deg supination
closed: 5 deg supination

45
Q

radiocarpal

open pack? closed pack?

A

open: neutral
closed: full extension, radial deviation

46
Q

vertebral

open pack? closed pack?

A

open: midway flexion and extension
closed: max extension

47
Q

hip

open pack? closed pack?

A

open: 30deg flexion, 30 deg abduction, slight ER
closed:
- ligamentous: full extension, abduction, IR
- bony: 90 deg flexion, slight abduction, slight ER

48
Q

knee

open pack? closed pack?

A

open: 25 deg flexion
closed: full extension, ER (screw home)

49
Q

talocrural

open pack? closed pack?

A

open: 10deg PF
closed: full DF

50
Q

Scapulohumeral rhythm for elevation

A
  • First 30-60 elevation GH, then 2:1 ratio

* Total = 120 GH + 60 scapulothoracic

51
Q

obrien test

what for? patient position? + result?

A

for SLAP lesion
position: standing, begin 90 flexion, max IR then max ER
+

52
Q

Signs of what nerve entrapment?

  • Tibialis anterior weakness, drop foot
  • Sensory loss along the anterior leg below the knee
A

L4

53
Q

outcome measures for functional ambulation status, determining function in a community ambulator

A

TUG or 6 MWT

-msk (28 decks)

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