Musculoskeletal Part Nine Flashcards

1
Q

define each MMT from 0-5 (just names)

A

5 - normal

4 - good

3 - fair

2 - poor

1 - trace

0 - zero

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2
Q

what brings on pain associated with vascular claudication

A

physical exertion

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3
Q

what is a discography

A

radioopaque dye injected into disc to identify abnormalities within the disc (annulus or nucleus)

needle inserted into the disc with assistance of radiography (fluoroscopy)

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4
Q

dermatome level for nipples

A

T4

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5
Q

dermatome level for perineum (dick, b-hole)

A

S2-S4

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6
Q

C5, C6, C7 level dermatomes

A

lateral parts of upper limbs

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7
Q

what does T2 MRI do

A

suppress fat and demonstrates tissue with high water content

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8
Q

effects on mandible secondary to forward head posture

A

elevated

retruded

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9
Q

what happens to the tongue in a forward head postre

A

drops to the floor of the mouth

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10
Q

what is 3/5 MMT

A

lifting or holding against gravity without resistance

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11
Q

what type of movement brings on symptoms of spinal stenosis

A

walking

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12
Q

what patients would be good for bone scans

A

RA

bone cancer

bone infection

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13
Q

muscle fasciculation AKA

A

muscle twitching

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14
Q

what is arthrography

A

injects water soluble dye into an area and observe with a radiograph

(watching how fluid moves within a joint)

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15
Q

slow twitch fibers are Type #?

A

type 1

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16
Q

diagnostic ultrasound looks to assess…

A

soft tissue dysfunctions

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17
Q

in a forward head posture, what happens to the upper cervical spine

A

extended (can compress vascular structures)

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18
Q

bad things about myelography

A

very expensive

more side effects than MRI/CT

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19
Q

what is arthrography used for

A

abnormalities within joints (tendon ruptures)

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20
Q

what is 4/5 MMT

A

lifting or holding against gravity with moderate to minimal resistance

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21
Q

what type of pulses would be demonstrated with vascular claudication

A

decreased/absent

22
Q

dermatome level of umbillicus

A

T10

23
Q

progressive order for the recruitment of muscle fibers during contraction

A

ST

FT

FTA

FTAB

FTB

24
Q

dermatome level for inguinal or groin

A

T12

25
Q

what do radiographs look at

A

“hot spots” of increased metabolic activity

26
Q

how would someone with neoplastic disease describe their pain

A

gnawing

intense

penetrating

27
Q

what color is bone on x-ray

A

white

28
Q

dermatome for the thumb

A

C6

29
Q

what is a bone scan

A

chemicals laced with radioactive tracers are injected

30
Q

for OA, what happens to pain after they wake up

A

pain eases through the morning (4-5 hours)

31
Q

what reduces symptoms of vascular claudication

A

rest

32
Q

for OA, what position might bring on pain for someone

A

pain and stiffness with rising

33
Q

dermatome level for medial side of great toe

A

L4

34
Q

what is myelography

A

dye injected and visualized as it passes through vertebral canal to observe anatomy within region

35
Q

TFL actions at different positions of the knee

A

ABD/IR

0-30 degrees knee flexion: knee ext

45-145 knee flex: knee flex

36
Q

what is 5/5 MMT

A

lift/hold against gravity with max resistance

37
Q

are MRIs expensive?

A

yes

38
Q

two types of muscle fibers

A

slow twitch

fast twitch

39
Q

what muscle group are type 1 muscle fibers more commonly seen in

A

Type 1

40
Q

overall, bone scans look at ____ activity within bones

A

metabolic

41
Q

for facet joint dysfunction, when is pain present and when does it go away

A

present with rising

eases within one hour

42
Q

C8, T1 level dermatome

A

medial sides of upper limbs

43
Q

C5 level cermatome

A

clavicle

44
Q

what does T1 MRI for

A

bony anatomy

45
Q

three major characteristics of lower motor neuron lesions

A

fasciculations

decreased DTRs

hypotonia

46
Q

fast twitch fibers are type #?

A

type 2

47
Q

what is myelography used for

A

discs

stenosis

48
Q

for spinal stenosis, what positions would increase/decrease pain

A

decrease: flexed positions
increase: extended

49
Q

for facet joint dysfunction, what reduces symptoms

A

movement in pain-free range

50
Q

what is 1/5 MMT

A

muscle contraction seen or felt

51
Q

what is 2/5 MMT

A

movement with gravity eliminated

52
Q

dermatome for ring and little fingers

A

C8