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NBCOT > Musculoskeletal System Disorders (Ch6) > Flashcards

Musculoskeletal System Disorders (Ch6) Flashcards

1
Q

weakness or paralysis of extensors to the wrist, MCPs, and thumb; wrist drop

A

radial nerve palsy

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2
Q

what is the most common carpal fracture?

A

scaphoid fracture

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3
Q

which protocol for early mobilization of flexor tendon repairs involves passive flexion and extension of the digit?

A

Duran Protocol

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4
Q

which muscle depresses the scapula?

A

lower trapezius

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5
Q

These symptoms characterize what injury? Claw hand, flattened metacarpal arch, Froment’s sign

A

Ulnar nerve laceration

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6
Q

stenosing tenosynovitis of the APL and EPB

A

de Quervain’s

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7
Q

what splint is appropriate for conservative treatment of radial nerve palsy?

A

dynamic extension splint

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8
Q

which extrinsic flexor muscles of the hand are innervated by the median nerve?

A

FDS, FDP, FPL

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9
Q

what does the Finkelstein’s Test look for?

A

de Quervain’s

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10
Q

fusion to repair a fracture

A

arthrodesis

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11
Q

which extrinsic flexors of the hand are innervated by the ulnar nerve?

A

FDP

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12
Q

how is Dupuytren’s treated?

A

surgical release

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13
Q

which muscle performs horizontal abduction of the shoulder?

A

posterior deltoid

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14
Q

name amputation: loss of entire UE

A

shoulder disarticulation

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15
Q

burn classification: involves epidermis and dermis, nerve endings; absence of sensation; requires skin graft

A

full thickness

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16
Q

which muscles perform shoulder flexion?

A

anterior deltoid, supraspinatus, coracobrachialis

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17
Q

fracture of the distal radius with volar displacement

A

Smith’s fracture

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18
Q

degeneration of the wrist extensor tendons (especially ECRB)

A

lateral epicondylitis

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19
Q

which extrinsic extensors of the hand are innervated by the radial nerve?

A

extensor digitiorum communis (EDC), extensor digiti minimi (EDM), extensor indicis, EPL, EPB, APL

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20
Q

which muscles are innervated by the suprascapular n.?

A

supraspinatus and infraspinatus

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21
Q

fracture of the distal radius with dorsal displacement

A

Colles’ fracture

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22
Q

hyperextension of PIP joint and flexion of DIP joint

A

Swan neck deformity

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23
Q

which nerves contribute to shoulder abduction?

A

axillary and suprascapular

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24
Q

which muscle flexes the elbow when the forearm is supinated?

A

biceps

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25
Q

burn classification: involves epidermis and deep portion of dermis; appears red, white, and elastic; heals 21-35 days

A

deep partial thickness

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26
Q

what splint is appropriate for conservative treatment of cubital tunnel syndrome?

A

elbow splint (especially at night)

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27
Q

ulnar nerve compression at the wrist with numbness and tingling, weakness

A

Guyon’s canal

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28
Q

which muscles are part of the rotator cuff?

A

subscapularis, supraspinatus, infraspinatus, teres minor

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29
Q

vasomotor dysfunction with symptoms that include severe pain, edema, discoloration, osteoporosis, sudomotor changes, temperature changes

A

CRPS

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30
Q

These symptoms characterize what injury? inability to extend digits to release objects, wrist drop

A

radial nerve laceration

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31
Q

rupture of the ulnar collateral ligament of the MCP joint of the thumb

A

Skier’s thumb

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32
Q

contraindications for CRPS

A

PROM, joint mobs, dynamic splinting

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33
Q

what is conservative treatment for carpal tunnel?

A

wrist splint in neutral, nerve glides, activity mods

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34
Q

which muscles elevate the scapula?

A

trapezius and levator scapulae

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35
Q

which muscle(s) perform: MCP flexion and IP extension?

A

lumbricals

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36
Q

for conservative treatment of lateral or medial epicondylitis, which splint is appropriate?

A

wrist splint with elbow strap

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37
Q

which nerves innervate elbow extension?

A

radial n.

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38
Q

which nerve innervates teres minor?

A

axillary n.

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39
Q

which muscle(s) perform: abduction and assist with MCP flexion and IP extension (digits 2-5)?

A

dorsal interossei

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40
Q

what splint is appropriate for CMC arthritis?

A

hand-based thumb splint

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41
Q

in which direction is it most common to dislocate a shoulder?

A

anterior

42
Q

which muscles perform shoulder extension?

A

latissimus dorsi, teres minor, posterior deltoid

43
Q

which muscle flexes and radially deviates the wrist?

A

FCR

44
Q

for mallet finger deformity, what splint is appropriate?

A

DIP extension splint

45
Q

which muscle abducts and flexes the shoulder?

A

supraspinatus

46
Q

which dorsal forearm muscles are innervated by the radial nerve?

A

supinator

47
Q

which splint is appropriate for trigger finger?

A

hand based trigger finger splint (MCP extended, IP joints free)

48
Q

what is a functional position for hand splint?

A

wrist in 20-30; MCP in 70 flexion; IPs fully extended; thumb abducted and extended

49
Q

which muscle flexes the elbow when the forearm is pronated?

A

brachialis

50
Q

which muscle extends the MCP joints and contributes to extension of the IP joints?

A

extensor digitorum communis

51
Q

which volar forearm muscles are innervated by the median nerve?

A

pronator teres, pronator quadratus

52
Q

for Boutonniere deformity, what splint is appropriate?

A

PIP extension splint with DIP free

53
Q

what is the rationale for early mobilization of tendon repairs?

A

prevents adhesion formation, facilitates healing

54
Q

joint replacement

A

arthroplasty

55
Q

which muscle(s) perform: adduction and assist with MCP flexion and IP extension (digits 2-5)?

A

palmar interossei

56
Q

which muscles perform shoulder abduction?

A

middle deltoid and supraspinatus

57
Q

this splint would be appropriate following surgical repair of what? volar wrist splint with wrist in 20-30 extension, MCPs in 0-10 flexion, IPs in full extension

A

extensor tendon repair Zone V, VI, or VII

58
Q

which splint is appropriate for Skier’s thumb?

A

thumb splint

59
Q

disorder characterized by malformed bones, insufficient collagen, loose joints, hearing loss, and respiratory problems

A

osteogenesis imperfecta

60
Q

which intrinsic muscles of the hand are innervated by the ulnar nerve?

A

abductor digiti minimi, opponens digiti minimi, flexor digiti minimi, adductor, lumbricals (ulnar side), palmar and dorsal interossei

61
Q

burn classification: involves epidermis only; heals 3-7 days

A

superficial

62
Q

name amputation: loss of clavicle, scapula, and entire UE

A

forequarter

63
Q

which muscle internally rotates the shoulder?

A

subscapularis

64
Q

what splint is appropriate for Dupuytren’s?

A

extension splint

65
Q

Protocol for early mobilization of flexor tendon repairs involving passive flexion using rubber band traction and active extension to the hood of the splint

A

Kleinert Protocol

66
Q

nerve endings adhered to scar tissue that are hypersensitive

A

neuromas

67
Q

fracture of the 5th metacarpal

A

Boxer’s fracture

68
Q

which muscle performs horizontal adduction of the shoulder?

A

pectoralis minor

69
Q

ulnar nerve compression at the elbow with numbness, pain, and weakness

A

Cubital tunnel syndrome

70
Q

name amputation: loss of half of pelvis and entire LE

A

hemipelvectomy

71
Q

tenosynovitis of the finger flexors, most commonly the A1 pulley

A

trigger finger

72
Q

interventions for CRPS

A

weight-bearing, joint distraction, edema management, AROM, splinting to prevent contractures

73
Q

which muscle flexes and ulnar deviates the wrist?

A

FCU

74
Q

which nerves contribute to shoulder flexion?

A

axillary and musculocutaneous nn.

75
Q

what splint treats a Boxer’s fracture?

A

ulnar gutter splint

76
Q

which muscles extend the elbow?

A

triceps and anconeus mm.

77
Q

what splint is appropriate for de Quervain’s?

A

thumb spica with IP free

78
Q

which splint is appropriate after flexor tendon repairs?

A

dorsal block splint

79
Q

degeneration of the wrist flexor tendons

A

medial epicondylitis

80
Q

name amputation: amputation of UE distal to the elbow joint

A

elbow disarticulation

81
Q

which wrist flexors are innervated by the ulnar nerve?

A

flexor carpi ulnaris

82
Q

what splint would be appropriate for someone with an ulnar nerve laceration?

A

MCP flexion block splint

83
Q

compression of the median nerve with symptoms of numbness and tingling in thumb, index, middle, and radial half of the ring finger

A

Carpal tunnel syndrome

84
Q

which nerves innervate elbow flexion?

A

musculocutaneous and radial nn.

85
Q

which muscle flexes the elbow when the forearm is neutral?

A

brachioradialis

86
Q

burn classification: involves epidermis and upper portion of dermis (sunburn); heals 7-21 days

A

superficial partial thickness

87
Q

which tendons are involved in de Quervain’s?

A

APL and EPB

88
Q

which muscle flexes the DIP joints?

A

FDP

89
Q

which muscle flexes the PIP joints?

A

FDS

90
Q

which muscles externally rotate the shoulder?

A

infraspinatus and teres minor

91
Q

burn classification: involves fat, muscle, bone

A

4th degree burn

92
Q

restricted PROM of shoulder; greatest limitation is ER, then abduction, IR, flexion

A

adhesive capsulitis

93
Q

which nerves contribute to shoulder extension?

A

thoracodorsal, subscapular, axillary nn.

94
Q

which wrist flexors are innervated by the median nerve?

A

flexor carpi radialis, palmaris longus

95
Q

which muscles perform upward rotation of the scapula?

A

trapezius and serratus anterior

96
Q

which muscles perform downward rotation of the scapula?

A

levator scapulae, rhomboids, serratus anterior, latissimus dorsi

97
Q

which wrist extensors are innervated by the radial nerve?

A

extensor carpi radialis brevis, extensor carpi radialis longus, extensor carpi ulnaris

98
Q

disease of the fascia of the palm and digits, resulting in flexion deformities of the involved digits

A

Dupuytren’s disease

99
Q

which nerve innervates subscapularis?

A

subscapular n.

100
Q

which muscles contribute to elbow flexion?

A

biceps, brachialis, brachioradialis mm.

101
Q

which intrinsic muscles of the hand are innervated by the median nerve?

A

abductor pollicis brevis, opponens pollicis, flexor pollicis brevis (superficial head), lumbricals (radial side)

102
Q

flexion of PIP joint and hyperextension of DIP joint

A

Boutonniere deformity

NBCOT (14 decks)

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