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NMS 1-3 > NMS 3 | Final Study > Flashcards

NMS 3 | Final Study Flashcards

1
Q

A 40 year old patient was playing Softball. He was running as fast as he could to first base trying not to spill his beer when he felt a severe pain in the back of his leg. He had to hop on his good leg the rest of the way to first and all most spilt his beer. (Lucky he took a good chug before he hit the ball) He could hardly walk after. But felt better after icing it and drinking 4-5 beers. What is your most likely diagnosis?

A. Bursitis
B. Calcific tendonitis
C. Groin Strain
D. Hamstring Strain
E. Degenerative Joint Disease

A

D Hamstring Strain

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2
Q

With full extension at the knee, the tibia is ______ on the femur and the cruciates are _____

A. Externally rotated - uncrossed
B. Internally rotated crossed
C. Externally rotated - crossed
D. Internally rotated uncrossed

A

A. Externally rotated - uncrossed

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3
Q

“Metatarsal tap” is primarily:

A. A new canadian Brew
B. Used to reproduce symptoms of Morton’s Law
C. Used to reproduce symptoms of metatarsalgia
D. Used to determine if there is a fracture of the metatarsal base(s)
E. None of the above

A

C. Used to reproduce symptoms of Metatarsalgia

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4
Q

Which orthopedic test would you expect to find “positive” with a severe inversion ankle grade 2 to 3 injury:

A. Eversion Stress
B.Anterior Drawer
C.Bob’s Test
D.Gerdy’s Test

A

B. Anterior Drawer

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5
Q

Which orthopedic test would stress the ligament most commonly torn with a grade 1 ankle sprain?

A. Talar Tilt
B. Eversion Stress
C. Squeeze Test
D. Anterior Drawer

A

D. Anterior Drawer

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6
Q

Patellar Ballottement test assesses for the presence of:

A: Joint effusion
B. Meniscus tear
C. Chondromalacia patellae
D. Meniscus loose body
E. Popliteus spasm

A

A. Joint effusion

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7
Q

Which orthopedic test would you expect to find “positive” with a severe inversion ankle grade 2 to 3 injury:

A Eversion Stress
B Gerdy’s Test
C Anterior Drawer
D Bob’s Test

A

C. Anterior Drawer

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8
Q

Which orthopedic test below would assist in differentiating between Medial collateral ligament and medial meniscus involvement?

A. Apley’s
B. Ober’s
C. Drawer
D. Jones
E. Lachman’s

A

A. Apley’s

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9
Q

Which structure in the knee is more likely to be damaged when the knee is bent?

A. Lateral collateral ligament
B.Patellar tendon
C. Anterior cruciate ligament
D. Medial collateral ligament

A

C. Anterior cruciate ligament

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10
Q

All of the following tests would assess for damage to collateral ligaments or ACL except:

A. McMurray
B. Apley’s
C. Lateral Pivot Shift
D. Anvil
E Slocum’s

A

D. Anvil

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11
Q

An example of injury at the knee occurring as a result of the force opposite coupled motion (MARK ALL THAT APPLY):

A. Flexion with internal rotation
B. Extension with internal rotation
C. Extension with external rotation
D. Flexion with external rotation

A

B. Extension with internal rotation, D. Flexion with external rotation

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12
Q

What muscles insert into the Pes Anserine of the tibia?

A. Sartorius, semimembranosus, gracilis
B. Sartorius, gracilis, ITB
C. Gracilis, semitendinosus, Sartorius
D. Semitendinosus, semimembranosus, gracilis

A

C. Gracilis, semitendinosus, Sartorius

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13
Q

Hip orthopedic test checking for iliotibial band contracture/tension:
A. Nachlas
B. THomas
C. Hibb’s
D. Ober’s
E. Lewin-Gaenslen’s

A

D. Ober’s

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14
Q

With a patella tracking disorder, what muscle would you want to strengthen?

A. Gracilis
B. Rectus femoris
C. Vastus lateralis
D. Sartorius
E. Vastus medialis

A

A. Vastus medialis

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15
Q

Your patient presents with a sore ankle and foot. She was walking to the mailbox and rolled her ankle on the curb. Her pain is along the lateral part of the foot over the fifth metatarsal and cuboid. What is you most likely diagnosis?

A. Fracture of the fifth metatarsal
B. Fracture of the Talus
C. Strain of the Calcaneofibular ligament
D. Sprain of the Deltoid ligament
E. Sprain of the anterior talofibular ligament

A

A. Fracture of the fifth metatarsal

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16
Q

A patient has an inversion sprain of her ankle. What muscle in the most likely to be strained?

A. Anterior Tibial
B. Posterior Tibial
C. Gastroc
D. Peroneus Longus
E. Soleus

A

D. Peroneus Longus

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17
Q

Inversion stress of the calcaneus with plantarflexion of the ankle stresses which of the following ligaments most significantly:

A. Anterior tibiotalar ligament
B. None of the above
C. Calcaneofibular ligament
D. Plantar calcaneocuboid ligament
E. Anterior talofibular ligament

A

E. Anterior talofibular ligament

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18
Q

Male patient presents with a small patch of hair loss on the posterior surface of his gastrocs that is bilateral and symmetrical. Heel and toe walk are negative, patella and Achilles DTR’s are 2+ bilaterally. What would your diagnosis be?

A. Alopecia gastrocca bummera
B. LMN lesion
C. Patient wears tight jeans
D. Peripheral entrapment

A

C. Patient wears tight jeans

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19
Q

T/F
The presence of heel spurs upon radiographic examination is a precursor to the development of plantar fascitis.

A

False

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20
Q

T/F
ACL injury is the most commonly injured ligament of knee.

A

True

21
Q

The iliotibial band inserts into what structure in the knee?

A. External Occipital Protuberance
B. Pes anserine
C. Tibial tuberosity
D. Gerdy’s tubercle
E. Medial epicondylar corticle tubular tuberosity

A

D. Gerdy’s tubercle

22
Q

ACL injury is most commonly non-sports related.
A. True
B. False

A

B. False

23
Q

A 60 Year old female patient presents with chronic hip pain for one year duration. Patient has not had any recent trauma but did have a car accident in which she did not have on her seat belt and slid forward hitting her knees. What is your most likely diagnosis.

A. Slipped Capital Epiphysis
B. Groin strains
C. Bursitis
D. Degenerative joint Disease.
E. Calcific tendonitis

A

A. Slipped Capital Epiphysis

24
Q

Trendelenburg test determines weakness of
A. Gluteus maximus
B. Gluteus medius
C. Gluteus minimus
D. TFL

A

B. Gluteus medius

25
Q

Patient has a “dumbbell” shaped swelling on the knee. What would you have as your primary differential?

A. Deep infrapatellar bursitis
B. Prepatellar bursitis
C. Superficial infrapatellar bursitis
D. Pes anserine bursitis

A

A. Deep infrapatellar bursitis

26
Q

The study quizzes worked better having one quiz per section such as knee conditions compared to one quiz for each condition in the knee.

A. Strongly Dissagree
B. Agree
C. Dissagree
D. Strongly Agree

A

B. Agree

27
Q

What are the main stabilizing ligaments that resist external rotation of the tibia on the femur when the knee is fully extended?
A. Cruciates
B. Joint cpasule
C. Meniscus
D. Collaterals
E. Patellar tendon

A

D. Collaterals

28
Q

A 30-year-old overweight patient presents with complaints of the left thigh. Direct pressure about 1 inch inferior to the ASIS causes tingling down the anterolateral aspect of the thigh. Passive hip extension and resisted hip flexion also increase the symptoms. The most likely and most specific diagnosis is:

A Meralgia paresthetica
B. Hip capsulitis
C Iliopsoas bursitis
D. Lumbar radiculopathy
E. Diabetes mellitus

A

A. Meralgia paresthetica

29
Q

The second most commonly sprained ligament in the ankle is the:

A. Calcaneofibular
B. Deltoid
C. Anterior talofibular
D. Anterior talotibial

A

A. Calcaneofibular

30
Q

This palpable structure is the common origin of the plantar aponeurosis and it is often tender in plantar fascitis:

A Peroneal tubercle
B Distal tib-fib syndesmosis
C Medial calcaneal tubercle
D Navicular tubercle

A

C. Medial calcaneal tubercle

31
Q

What nerve is compressed in Meralgia paresthetica?

A. Lateral Femoral Cutaneous
B.Central Femoral nerve
C. Peroneal nerve
D.Medial Femoral Cutaneous

A

A. Lateral Femoral Cutaneous

32
Q

What test below is very similar to Patrick’s in patient positioning

A. Thomas
B. Laguerre’s
C. Allis
D. Gaenslen’s

A

B. Laguerre’s

33
Q

An example of injury at the knee occurring as the result of force opposite coupled motion (MARK ALL THAT APPLY):

A. Extension with internal rotation
B. Extension with external rotation
C. Flexion with external rotation
D. Flexion with internal rotation

A

A. Extension with internal rotation
C. Flexion with external rotation

34
Q

T/F
NMS3 has been the best class this term but I can’t wait to electrocute someone in PT1 this Winter.

A

True

35
Q

An example of injury at the knee occurring as the result of force opposite coupled motion (MARK ALL THAT APPLY):

A. Extension with internal rotation
B. Extension with external rotation
C. Flexion with external rotation
D. Flexion with internal rotation

A

A. Extension with internal rotation
C. Flexion with external rotation

36
Q

What is the primary positive finding with McMurray’s test?

A. None of the above
B. The patient thrashing about on the table
C. The tibia rotating excessively on the femur
D. Excessive motion of the knee joint
E. Audible click(s) and/or pain

A

E. Audible click(s) and/or pain

36
Q

Which orthopedic test below would assist in differentiating between Medial collateral ligament and medial meniscus involvement?

A. Apley’s
B. Lachman’s
C. Jone’s
D. Drawer
E. Ober’s

A

A. Apley’s

36
Q

The test that is associated with rupture of the Achilles tendon is:
A. Hoover’s
B. Ankle Drawer
C. Thompson’s
D. Thomas’s
E. Homan’s Sign

A

C. Thompson’s

36
Q

A 34-year-old female patient has been on her hands and knees laying tile for the past week. She presents with a large painful swelling on her knee cap. What would your diagnosis be?

A. Housemaid’s Knee
B. Osgood Schlatter’s
C. Lateral epicondylitis
D. Parson’s Knee

A

A. Housemaid’s Knee

36
Q

A patient presents to your office with a recent history of a severe/Grade III ankle inversion sprain injury. You would most likely find the following except:

A. Mortis joint involvement
B. Deltoid ligament tear
C. Anterior talofibular ligament tear
D. Calcaneofibular ligament tear
E. Peroneus longus involvement

A

B. Deltoid ligament tear

37
Q

The most common hip condition in adolescents is:
A. Transient synovitis
B. Groin strains
C. Bursitis
D. Calcific tendonitis
E. Slipped Capital Epiphysis

A

E. Slipped Capital Epiphysis

38
Q

Most commonly strained groin muscle is the
A. Gracilis
B. Adductor Shortus
C. Biceps Femoris
D. Pectineus
E. Adductor longus (Magnus)

A

E. Adductor longus (Magnus)

39
Q

With a complete rupture of the long head of the bicep how much strngth would a patient lose?

A. 20%
B. 30%
C. 50%
D. 10%

A

A. 20%

40
Q

What muscles insert into the Pes anserine of the tibia?
A. Sartorius, gracilis, ITB
B. Sartorius, semimembranosus, gracilis
C. Gracilis, semitendinosus, Sartorius
D. Semitendinosus, semimembranosus, gracilis

A

C. Gracilis, semitendinosus, Sartorius

41
Q

The _______________ articulates with 2 metatarsal bases.

A. Calcaneous
B. 1st. Cuniform
C. Navicular
D. Talus
E. Cuboid

A

E. Cuboid

42
Q

With palpation of the femoral triangle, the order of structures from lateral to medial would be femoral

A. Artery - vein - nerve
B. Nerve - vein - artery
C.Artery - nerve - vein
D. Nerve - artery - vein
E. Vein - artery - nerve

A

D. Nerve - artery - vein

43
Q

What orthopedic would you most likely NOT use in practice?
A. Apley’s
B. Ober’s
C. Anvil
D. Drawer’s

A

C. Anvil

44
Q

A positive Talar Tilt test AKA Inversion stress test would best implicate injury of which of the following ligaments? (Pick two)

A. Anterior tibiofibular
B. Deltoid
C. Calcaneofibular
D. Posterior tibiofibular
E. Posterior talofibular

A

A. Anterior tibiofibular
C. Calcaneofibular

NMS 1-3 (27 decks)

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