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Principles of Clinical Medicine > Old Shit > Flashcards

Old Shit Flashcards

1
Q

Coronal plane axis

A

A/P - sidebend R and L around axis

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2
Q

Sagittal plane axis

A

Transverse plane - F/E around axis

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3
Q

Transverse plane axis

A

Superior/inferior axis - rotation around axis

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4
Q

Axis is ________ to the plane

A

Perpendicular

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5
Q

Kyphosis

A

Normal AP curve of the spine

Thoracic spine

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6
Q

Scoliosis

A

Lateral curvature in coronal plane

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7
Q

daVinci

A

center of gravity

anatomy in context of machines

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8
Q

Galilei

A

Strength of bones

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9
Q

Borelli

A

Mechanical framework, even heart

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10
Q

3 Types of machines

A
  1. Levers - most common, 3rd most common
  2. Wheel-axes (form of lever)
  3. Pulley - change direction
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11
Q

Moment arm

A

Distance from center of joint to where muscle is attached

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12
Q

Joint reaction force

A

Sum of separate movements

Stress to joint during movement

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13
Q

Difference between internal and external forces?

A

Internal - move limb
External - OMT
Both types of forces can cause tissue deformation

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14
Q

Wolff’s law

A

Bone increased where needed, reabsorbed where not needed

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15
Q

SAID principle

A 
(muscle will have)
Specific
Adaption
Imposed
Demands
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16
Q

3 joint classifications and examples

A

Fibrous - sutures or joints
Cartilaginous - hyaline c, no cavity, epiphyseal plate
Synovial - diarthrosis, most common, fluid filled cavity

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17
Q

Ginglymus joint

A

Hinge

-ex. elbow

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18
Q

Sellar joint

A

Thumb

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19
Q

Ball and socket

A

Ellipsoid (radioulnar)

Condylar (MC-phalangeal)

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20
Q

Plane joint

A

Sliding

ex. triquetum-pisiform

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21
Q

Hilton’s law

A

What is supplying is also supplying skin and muscles moving it

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22
Q

3 forms of arthritis

A
  1. Inflammatory (RA) - immune attacks
  2. OA - older
  3. Traumatic - injury or lack of blood
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23
Q

Drinkin’ limits?

A

(NOT for medical students)

Men - 4/day (<7/week)

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24
Q

What are the 5 P’s?

A 
Partners
Prevention
Prego practices
Prevent STDs
Past hx of STDs
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25
Q

If a patient is brought to the ER in the middle of an aortic dissection, with a low grade fever and you suspect they have HIV. Should you ask a sexual history right then?

A

I know you are tempted, but NO

Wait until they are stable.

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26
Q

3 ways to test scapula?

A

Shoulder shrug
Retraction
Protraction

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27
Q

Apley scratch test

A

Hand up and down back of the back to check ROM

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28
Q

Apprehension and sulcus sign are for testing what?

A

Glenohumoral instability

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29
Q

Cross arm/cross over test is for testing what?

A

AC joint pathology

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30
Q

Yergason test?

A

Bicipital tendon inflammation or instability

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31
Q

Speeds test is for what dx?

A

Bicipital tendonitis

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32
Q

Neer impingement tests for what?

A

Subarachnoid bursa or rotator cuff impingement

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33
Q

Lift off test is for which muscle?

A

Subscapularis

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34
Q

Empty can test is for which muscle?

A

Supraspinatous

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35
Q

Hawkins is for which dx?

A

Rotator cuff impingement

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36
Q

Scoliosis is named for what?

A

The convexity

37
Q

The curve pattern of scoliosis is defined by what?

A

The vertebra that is most deviated and rotated from midline

38
Q

Most common scoliosis curve is?

A

Right thoracic

39
Q

What makes a patients scoliosis more likely to progress?

A

Females
Cobb angle 20-29
Double thoracics
Pts younger than 12

40
Q

How does back brace benefit scoliosis pt?

A

Prevents progression

NOT correct

41
Q

What does the Harrington rod do?

A

Corrects in the coronal plane only

42
Q

Thumb sensory?

A

C6

43
Q

Index sensory?

A

C7

44
Q

Pinky sensory?

A

C8

45
Q

Tinel’s test

A

At elbow, testing ulnar nerve

46
Q

Tennis elbow is?

A

Lateral epicondylitis

47
Q

Golfers elbow is?

A

Medial epicondylitis

48
Q

Ligament associated with radial head subluxation?

A

Annular

49
Q

Where do you get pain if you have a scaphoid fracture?

A

Snuffbox

50
Q

OK sign for what?

A

Median n entrapment

51
Q

Ulnar n sensory?

A

Pinky, 1/2 of rink and dorsal aspect of medial hand

52
Q

Median n sensory?

A

1/2 of pinky and palmar aspect of hand and most of dorsal aspect of fingers

53
Q

Radial n sensory?

A

Dorsal aspect of lateral hand

54
Q

Where is the Tinels sign done?

A

At wrist, between hypothenar and thenar eminence

55
Q

Carpal tunnel syndrome is which nerve?

A

Median

Tinel’s sign

56
Q

Phalens test

A

Median n entrapment

+ sign is paresthesia

57
Q

Allen test checks what?

A

Radial and ulnar a

58
Q

Finkelstein’s test

A

Tensosynovitis of thumb

aka Dequervains dz

59
Q

Colle’s fx

A

FOOSH

60
Q

5 tests for central compartment of the hip?

A 
Log roll
Labral loading
Labral distraction
Scour
Apprehension
61
Q

3 tests for peripheral compartment of the hip?

A

Log roll, Ely’s test, rectus femoris test

62
Q

6 tests for lateral compartment of the hip?

A

Bursitis, straight leg, Obers, piriformis, trendelenberg, FABER

63
Q

3 tests for iliopsoas

A

FABER, psoas, thomas test

64
Q

2 Phases of gait?

A

Stance - foot in contact with ground

Swing - foot not in contact

65
Q

Stride

A

Same foot to same foot

Avg - 14-16 inches

66
Q

Average cadence

A

90-120 steps per minute

67
Q

Requirements of gait

A 
Stability in stance
Foot clearance in swing
Pre-position for initial contact
Adequate step length
E conservation
68
Q

Test for MCL of the knee

A

Valgus

69
Q

Test for LCL of the knee

A

Varus

70
Q

Test for the ACL/PCL

A

Ant/post drawer
Lachmans and reverse Lachmans
Pivot shift
Sag test

71
Q

Ways to test patella?

A

Laxity and apprehension

Compression and glide

72
Q

Test medial and lateral meniscus

A

Apley grind and McMurrays

73
Q

Which meniscus has adequate blood supply to heal?

A

Lateral

*medial cannot, surgical to fix

74
Q

Drawer test

A

Tests anterior talofibular ligament

**Always Tears First

75
Q

Talar tilt

A

Supination evaluates calcaneofibular ligament

76
Q

Eversion

A

Evaluates deltoid ligament

77
Q

Thompson test

A

Absence of plantar flexion indicates Achilles tendon

78
Q

Squeeze test

A

Pain indicates a high ankle sprain or syndesmosis injury

79
Q

Cross leg test

A

Cross affected side onto opposite knee

Pain indicates high ankle sprain

80
Q

Moses sign

A

Specific test for tibial v DVT

81
Q

Homans sign

A

Pain is positive for DVT

82
Q

Ability to dorsiflex ankle with knee flexed is for?

A

Gastrocnemius

83
Q

Inability to dorsiflex ankle with knee flexed is?

A

Soleus

84
Q

What 2 things does high ankle sprain involve?

A

Anterior inferior talofibular ligament and syndesmosis

85
Q

Plantar fascitis

A

Improves throughout the day
Worse in the morning
Tender at the calcaneous

86
Q

Morton neuroma

A

Walking on a marble

87
Q

Turf toe

A

Presents as pain and bruising at base of great toe

88
Q

Achilles tendonitis

A

Micro tears in tendon causing swelling and thickening

89
Q

Medial ankle sprain

A

Deltoid ligament injury

Principles of Clinical Medicine (13 decks)

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