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NPTE > NPTEFF Reading Week 1 > Flashcards

NPTEFF Reading Week 1 Flashcards

1
Q

SLR basic - sciatic and tibial nn.

A

hip flexion and ADD
knee extension
ankle DF

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2
Q

SLR2 - tibial n.

A

hip flexion
knee extension
ankle DF, eversion
toe extension

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3
Q

SLR3 - sural n.

A

hip flexion
knee extension
ankle DF, inversion

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4
Q

SLR4 - common peroneal n.

A

hip flexion, IR
knee extension
ankle PF, inversion

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5
Q

SLR5 - crossed SLR - disc hern.

A

hip flexion
knee extension
ankle DF

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6
Q

Neuropraxia

A

Nerve injury that causes a transient and focal loss of function (sensory or motor)

Related to compressive forces

dysfunction is rapidly reversible or can persist for weeks to months

Mildest form; positive prognosis if compression removed

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7
Q

Axonotmesis

A

focal damage to axon, myelin, varying degree of peripheral tissue

increased duration compression, crush injury, traction forces

prognosis is related to degree of connective tissue damage

axonal regrowth: 1-3 mm/day; 1 in/month

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8
Q

Neurotmesis

A

Severing of axon, myelin, connective tissue

complete LOF, requires surgery

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9
Q

Axonal regeneration

A

axons that undergo regeneration do not remyelinate to preinjury levels

impacts nerve conduction velocity, speed/coordination of movement

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10
Q

collateral sprouting

A

intact axons can pick up denervated terminal targets (muscle)

often results in switching of fiber types (type I > type II)

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11
Q

mononeuropathy

A

involvement of single nerve

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12
Q

mononeuropathy multiplex

A

involvement of 2 or more nerves without clear pattern of polyneuropathy

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13
Q

plexopathy

A

involvement of brachial or lumbosacral plexus

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14
Q

Exam of peripheral nerve disorders

A

Sensory, motor, autonomic symptoms (occurs stocking/glove pattern; hair loss, vascular changes)

Autonomic dysfunction (vasodilation and loss of vasomotor tone)

Balance and fall risk

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15
Q

Slump test 2 (ST2)

A

cervical flexion
thoracic/lumbar flexion
hip flexion and ABD
knee extension
ankle DF

bias: obturator n.

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16
Q

Side-lying slump test (ST3)

A

cervical flexion
thoracic/lumbar flexion
hip flexion 20 deg
knee flexion
ankle PF

bias: femoral n.

17
Q

long-sitting slump test (ST4)

A

cervical flexion, rotation
thoracic/lumbar flexion
hip flexion
knee extension
ankle DF

bias: spinal cord, cervical/lumbar nerve roots, sciatic nerve

18
Q

concave on convex arthrokinematics

A

roll and glide in SAME direction

concAve = sAme

19
Q

convex on concave arthrokinematics

A

roll and glide in OPPOSITE directions

20
Q

CMC radial adduction and abduction arthrokinematics

A

saddle joint
concave on convex
roll/glide in same direction

radial adduction (flexion) = ulnar roll/glide

radial abduction (extension) = radial roll/glide

*thumb points in direction of roll/glide

21
Q

CMC palmar adduction and abduction arthrokinematics

A

saddle joint
convex and concave
roll/glide opposite directions

palmar adduction = volar (anterior) glide, dorsal roll

palmar abduction = dorsal (posterior) glide, volar roll

22
Q

Swayback posture

A

neutral or posterior tilt pelvis
increased pelvic inclination to ~40
thoracolumbar spine exhibits kyphosis

short/strong:
- hip extensors
- lower lumbar extensors
- upper abdominals

weak/elongated:
- hip flexors
- lower abdominals
- lower thoracic extensors

23
Q

patellar tendinitis

A
  • age 15-50
  • gradual onset
  • inflammation of patellar tendon
  • tenderness at tendon
  • pain with passive end range knee flexion
  • agg w/ squatting jumping
24
Q

osgood schlatter disease

A
  • age: 8-13 F, 10-15 M
  • sudden onset
  • traction apophysitis of tibial tubercle
  • visible lump at site
  • pain with running, jumping, squatting, kneeling, acute knee impact, stairs ascent/descent
  • agg w/ resisted knee ext or quad stress
25
Q

1st degree ligament sprain

A

Few torn fibers

minor weakness, swelling, disability, LOF

pain w/ stretch

normal joint play

no palpable defect

decreased ROM

26
Q

2nd degree ligament sprain

A

half of ligament torn

min-mod weakness

mod disability and swelling

mod-maj LOF

pain w/ stretch

normal joint play

no palpable defect

decreased ROM

27
Q

3rd degree ligament sprain

A

full tear/rupture

min-mod weakness

mod-maj disability, LOF (instability), swelling

no pain on stretch

norm-excessive joint play

palpable defect if early

ROM may increase/decrease based on swelling

NPTE (10 decks)

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