Nonarticular rheumatism (Postlethwatie, pathophys)

Question 1

Common location of calcific deposits in shoulder

Answer 1

supraspinatus tendon insertion

Question 2

key finding: pain 60-120 deg
increasing with active abduction vs resistance
impingement +
less pain on passive

Answer 2

rotator cuff tendinitis

Question 3

yergason’s sign

Answer 3

supination of forearm vs resistance

Question 4

speed’s test

Answer 4

shoulder flxn vs resistance

Question 5

popeye’s sign

Answer 5

ruptured long head of biceps

Question 6

associations of adhesive capsulitis

Answer 6

DM, prolonged immobilization

Question 7

golf ball on the helbow

Answer 7

olecranon bursitis

Question 8

bursitis - when in doubt?

Answer 8

aspirate

Question 9

tennis elbow

Answer 9

lateral epicondylitis. inflammation or small tendon tear,

Question 10

golfer’s elbow

Answer 10

medial epicondylitis

Question 11

numbness and parasthesia of little finger and adjacent side of 4th digit

Answer 11

ulnar nerve entrapment

Question 12

Finklestein test tests

Answer 12

de Quervain’s tenosynovitis: sheath inflammation of of extensor pollicis brevis and abd pollicis brevis

Question 13

ganglion

Answer 13

cyst arising around joint or tendon - lined with synovium w/fluid

Question 14

tinel phalen’s tests

Answer 14

for carpal tunnel

Question 15

hip pain - lateral thigh pain ending at knee.

Answer 15

trochanteric bursitis

Question 16

lateral femoral cutaneous nerve L2-L3 entrapment

Answer 16

Meralgia paresthetica

Question 17

popliteal cyst

Answer 17

baker’s cysts

Question 18

pes planus

Answer 18

flat feet
heredetary component
look for posterior tibialis rupture

Question 19

Morton’s neuroma

Answer 19

entrapment of interdigital plantar nerves (3rd & 4th most common)

Question 20

most common cause of LBP

Answer 20

degenerative changes in lumbar spine

Question 21

fate of 90% of LBP pts

Answer 21

pain free in 8 weeks

Question 22

% for which no precise etiological agent is found

Answer 22

85%

Question 23

big toe dermatome

Answer 23

L4

Question 24

middle toes dermatome

Answer 24

L5

Question 25

little toe dermatome

Answer 25

S1

Question 26

criteria for fibromyalgia

Answer 26

widespread pain >3 mos
bilateral
upper & lower
nonrestorative sleep pattern
tender points

Question 27

who’s more likely to be dx w/FM

Answer 27

women

Question 28

Why aren’t males dx with FM

Answer 28

pain threshold

Question 29

location of dysfunction possible in FM

Answer 29

hippocampus

Question 30

fibromyalgia management

Answer 30

aerobic exercise
improve sleep
behavioral/psych therapy
analgesics when necessary
tricyclic/tetracyclic antidepressants

Question 31

use of analgesics in FM

Answer 31

usually not effective