Ortho Flashcards

1
Q

Actions of the Temporalis

A
  • Elevation
  • Retraction
  • Side to side
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2
Q

Actions of the Masseter

A
  • Elevation
  • Retraction
  • Protrusion
  • Side to side
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3
Q

What muscles do depression of jaw

A
  • Lateral ptyergoid
  • Suprahyoid
  • Infrahyoid
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4
Q

What muscles do elevation of jaw

A
  • Temporalis
  • Masseter
  • Medial ptyergoid
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5
Q

What muscles do protrusion of jaw

A
  • Masseter
  • Lateral ptyergoid
  • Medial pterygoid
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6
Q

What muscles to retraction of jaw

A
  • Temporalis
  • Masseter
  • Digastric
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7
Q

What does digastric muscle do

A

Retraction of jaw

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8
Q

Which side will the jaw deviate toward when there is a restriction

A

it will deviate toward the restricted side

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9
Q

How to improve opening of TMJ

A

anterior glide and distraction

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10
Q

When laterally bending will C1 go in the opposite or same direction

A

opposite

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11
Q

When laterally bending will C2-T12 go in the opposite or same direction

A

Same

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12
Q

If IL rot/ IL SB is the issue then what is the problem

A

Disc

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13
Q

If CL rot/ CL SB is the issue then what is the problem

A

Brachial plexus

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14
Q

Is traction better for a cervical disc or brachial plexus issue

A

Disc

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15
Q

Open packed at the GHJ

A

55 abduction
30 horizontal add
neutral rotation

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16
Q

Closed packed at the GHJ

A

Max abd and max ER

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17
Q

Open packed at the hip

A

30 flex
30 abd
slight ER

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18
Q

Open packed at knee

A

25 flex

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19
Q

Closed backed at knee

A

full ext

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20
Q

Open packed at vertebrae

A

halfway between flex/ext

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21
Q

Closed packed at veretbrae

A

max ext

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22
Q

Capsular pattern at shoulder (think frozen shoulder)

A

ER most limited
Abd moderately limited
IR little bit limited

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23
Q

Open packed for the talocrural joint

A

10 PF

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24
Q

Closed packed for talocrual joint

A

full DF

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25
Q

If trap innervation is lost then what will happen

A

lateral winging of scapula

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26
Q

If serratus innervation is lost then what will happen

A

medial winging of scapula

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27
Q

What glide should you perform for frozen shoulder to improve IR/ER

A

posterior glide

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28
Q

Open packed for elbow

A

70 flex

10 supination

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29
Q

How much is normal femoral anteversion

A

8-15 degrees

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30
Q

Pain at 60-120 degrees of painful arc =

A

subacromial impingement syndrome

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31
Q

Pain at 170-180 degrees of painful arc =

A

ACJ injury

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32
Q

What 3 muscles are involved in upward rotation of scapula

A

upper trap
lower trap
serratus anterior

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33
Q

What is a swan neck deformity

A

Flex of MCP/DIP

Ext of PIP

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34
Q

Flex of MCP/DIP

Ext of PIP

A

Swan neck deformity

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35
Q

What is a Boutonniere deformity

A

Ext of MCP/DIP

Flex of PIP

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36
Q

Ext of MCP/DIP

Flex of PIP

A

Boutonniere deformity

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37
Q

What 2 tendons are involved with DeQuervain’s syndrome

A

Abductor pollicis longus

Extensor pollicis brevis

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38
Q

Thumb UCL injury

A

Gamekeeper’s thumb

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39
Q

MCP hyperextneded and PIP/DIP flexed

A

Claw hand

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40
Q

What can lead to claw hand

A

Klumpke’s palsy (C8-T1)

Ulnar n pathology

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41
Q

What nerve is the issue if someone has ape hand

A

median n

42
Q

Froment’s sign tests for what

A

Adductor pollicis

Ullnar n

43
Q

What is the Galeazzi sign and what is it used to assess

A

Flex both knees until ankles touch butt
Seeing if it is the same on both side
Looks for hip dysplasia in kids

44
Q

Who is SCFE most common in

A

adolescents (males more often)

45
Q

Who is Legg-Calve Perthes most common in

A

young kids (2-13 years old)

46
Q

What are sx of legg-calve perthes

A

limp and toe out

47
Q

What are sx of SCFE

A

groin/medial thigh pain that is dull and aching

48
Q

What position to test medial meniscus for mcmurrays test

A

ER and valgus

49
Q

What position to test lateral meniscus for mcmurrays test

A

IR and varus

50
Q

What glide to improve pronation at proximal radioulnar

A

dorsal

51
Q

What glide to improve supination at proximal radioulanar

A

volar

52
Q

What glide to improve supination at distal radioulnar

A

dorsal

53
Q

What glide to improve pronation at distal radioulanr

A

volar

54
Q

What glide to improve eversion at subtalar

A

medial

55
Q

What glide to improve inversion at subtalar

A

lateral

56
Q

What glide to improve flex at MCP/IP

A

volar

57
Q

What glide to improve ext at MCP/IP

A

dorsal

58
Q

What glide to improve wrist flex

A

dorsal

59
Q

What glide to improve wrist ext

A

volar

60
Q

What glide to improve ulnar dev

A

radial

61
Q

What glide to improve radial dev

A

ulnar

62
Q

Leg longer in supine

Shorter in sitting

A

anterior rotated innominate

63
Q

Leg shorter in supine

Longer in sitting

A

posterior rotated innominate

64
Q

What 3 muscles are involved in downward rotation of scapula

A

Levator scap
Rhomboid
Pec minor

65
Q

ASIS lower, PSIS higher

A

Stuck in anterior rotation

66
Q

ASIS higher, PSIS lower

A

Stuck in posterior rotation

67
Q

Capsular pattern at hip

A

Flex
Abd
IR

68
Q

Valgus force at the knee could lead to what type of injury

A

MCL

69
Q

Sx of patellofemoral syndrom

A
anterior knee pain
pain with prolonged standing
pain with stairs
creptitus
swelling
progressive
70
Q

Sx of Osgood Schlatter

A
  • point tenderness over the patellar tendon and tibial tuberosity
  • antalgic gait
  • pain with incr activity
  • **pain often subsides with rest
71
Q

What dermatomes are affected with Pancoast tumor

A

C8, T1, T2

72
Q

Difference between TOS and pancoast tumor

A

Pulmonary sx and Horner’s syndrome

73
Q

Who is osteosarcoma most common in

A

boys 10-25 years old

74
Q

What should you be cautious about doin with someone with RA

A

Stretching across swollen joints

Forcing motion to distended capsule……this can lead to hypermobility and subluxation

75
Q

Difference between OA and RA

A

RA is usually bilateral

OA stiffness usually gets better with movement

76
Q

What should you be cautious about doing with someone who has OA

A

Max resistance exercises should not be performed thru painful ROM

77
Q

What should water temp of pool be

A

26-33 C (78-98F)

78
Q

CI for aquatic therapy

A
Infectious dz
Open wounds
Vital capacity less than 1L
Severe peripheral dz
Severe kidney dz
Bleeding/hemorrhage
Cardiac failure
Unstable angina
Uncontrolled bowel or bladder
79
Q

How much WB at C7 in water

A

10%

80
Q

How much WB at Xiphoid process in water

A

33%

81
Q

How much WB at ASIS in water

A

50%

82
Q

What will be seen in someone with Psoriatic arthritis

A

Silvery scales/rash
Systemic distal arthritis
Iritis, mouth ulcer, colitis, urethritis, aortic valve dz

83
Q

How long does stiffness last with RA

A

More than 30 min

84
Q

What will be seen with reactive arthritis

A

“Can see, pee, or climb a tree” (con

Polyarthritis
Change in SIJ
Low back/buttock pain
Low grade fever
***Brown nodules on the feet, nails, etc
85
Q

AROM and PROM will be painful with bursitis or tendonitis

A

Bursitis

86
Q

Will PROM be painful with tendonitis

A

No

87
Q

How is cellulitis treated

A

Antibiotics

88
Q

What can Congenital Hip Dysplasia lead to if no treated

A

Arthritis

89
Q

Is Duchenne MD dominant or recessive

A

recessive

90
Q

What is the cause of Osgood-Schlatter Dz

A

Repetitive traction on the tibial tuberosity aophysis

91
Q

Positioning with Talipes Equinovarus

A

Forefoot adduction
Hindfoot varus
Equinus at ankle

92
Q

Knee pain with prolonged sitting =

A

PFPS

93
Q

MOI for PCL injury

A

hyper-flexion

94
Q

What is osteogenesis imperfecta

A

brittle bone dz

95
Q

Cylinder/sausage-like limbs will be seen with what

A

Arthrogryposis Multiplex Congentia

96
Q

Gowers sign, inability to ambulate by 10, proximal mm weakness, and pseudohypetrophy of calf mm will be seen with what

A

Duchene MD

97
Q

Type of SLAP lesion:

Degnerative fraying. Biceps intact

A

Type 1

98
Q

Type of SLAP lesion:

Detachment of superior labrum/biceps from glenoid

A

Type 2

99
Q

Type of SLAP lesion:

Bucket handle tear of labrum. Biceps still attached

A

Type 3

100
Q

Type of SLAP lesion:

Intra substance tear of biceps tendon. Bucket-handle tear of superior aspect of labrum

A

Type 4

101
Q

Type of SLAP lesion: Most common

A

Type 2