Neuromusclularskeletal DX

Question 1

increased intrathecal pressure

Answer 1

jolt of back pain in sneeze

Question 2

10 yo female
mild back pain
scoliosis - 15 degrees
apex of curve is T 9/10

Answer 2

Magment = manipulation

Question 3

less than 20 degree scoliosis

Answer 3

monitor and adjust

Question 4

20-40 degree scoliosis

Answer 4

brace - Millwakee

Question 5

greater than 40 degrees

Answer 5

surgery and harington rods

Question 6

13 yo f
constant low grade pain in mid back
aggravated - volley ball
rounded shoulders

Answer 6

Scheuermann’s disease

active teanager - scmorl’s nodes - form of compression fx

Question 7

Reiter’s syndrome

Answer 7

males

Question 8

DISH

diffuse idiopathic skeletal hyperostosis

Answer 8

Middle age

Question 9

tendinitis

Answer 9

O’donoghues

chief complain - reproduced with testing

Question 10

Dizziness with nausea
progressive hearing loss
ringing in the ears

Answer 10

Meniere’s Syndrome
aka endolymphatic hydrops
tinnitus vertigo deafness

Question 11

Photophobia (recent)

severe generalized headache

Answer 11

meningitis

NO leukocytes

Question 12

spondylosis

Answer 12

DJD

Question 13

ambulation difficult

Answer 13

dorsal column , cerebellum

Question 14

ambulation difficult - eyes closed

Answer 14

Cerebellum

Question 15

ambulation difficult - eyes open, lights off

Answer 15

dorsal column

Question 16

ataxia

Answer 16

cerebellar legion

Question 17

Most important part of hx with pat with

post traumatic wrist pain

Answer 17

color or temp changes

vascular change

Question 18

14 yo infra patellar pain

Answer 18

Osgood Schlatter

Question 19

repetitive dropping of unsupported side of pelvis

Answer 19

waddling

Question 20

increased thoracic kyphotic

Answer 20

POTT’s diease

TB of spine

Question 21

L5 herniated disc

Answer 21

S1 nerve root

Question 22

graduate elbow pain - repeated screw driver

Answer 22

lateral epicondylitis

Question 23

anterior chest pain

1 week after a month of coughing

Answer 23

costochondritis

Question 24

rib fracture

Answer 24

lateral chest pain

Question 25

hiatal hernia

Answer 25

epigastric pain

Question 26

pes planus

Answer 26

normal for 1 year old

aka flat foot

Question 27

abnormal gaits

dysdiadochokinesia

Answer 27

ataxia cerebellar

Question 28

dysmetria

Answer 28

past pointing

Question 29

dysdiadochokinesia

Answer 29

coordination

Question 30

ataxic sensory

Answer 30

posterior column

Question 31

anatomic R leg deficiency of 1 cm typically results from a lumbar scoliosis with spinous deviation

Answer 31

toward convexity 
simple scoliosis (point to convexity)

Question 32

righting reflex

Answer 32

occiput and atlas

Question 33

compensate for weak hip flexors by

Answer 33

leg circumference

stroke

Question 34

MC level discopathy in C spine

Answer 34

C5-C6

most motion ing C spine apex of cervical lordosis

Question 35

MC presentation C6-C7 disc syndrome

Answer 35

weak wrist flexors
C6 disc
C7 nerve

Question 36

brachioradialis

Answer 36

C6

Question 37

week wrist extensors

Answer 37

C6

Question 38

cervical fixation caused by bilateral radiating pain to all extremities

Answer 38

myelopathy

myelo = spinal cord

Question 39

subclavian steal syndrome

Answer 39

subclavian steals blood supply causing dizziness

Question 40

anterior scalene muscle is most apt to compromise the content of the thoracic outlet during which maneuver

Answer 40

ipsilateral head rotation and extension

adson’s test