Pathology 4 - MSK

Question 1

SAPS - cause

Answer 1

microtrauma from the UE performance above the horizontal plane

humeral head and the associated RC attachments mirgration proximally and becoming impinged on the under surface of the acromion and the corcacohumeral ligamant

Question 2

SAPS - pop

Answer 2

throwing athletes

Question 3

SAPS - signs and sym

Answer 3

pain with over head activites

pain in ant lateral shoulder

painful arc motion

pain over the greater tub and biccipetal groove

Question 4

what are the tests for SAPS

Answer 4

hawkins kennedy

neers

apprehension test

painful arc

Question 5

Juvenile RA - causes

Answer 5

unknown

thought that an infetion, virus, or trauma introduces autoimmune repsonse triggering JRA

Question 6

Juvenile RA - signs and sym systemic RA

Answer 6

least common

acute onset

highfever

rash

enlargement of the spleen and the liver

inflammation of the lungs and heart

Question 7

Juvenile RA - signs and sym of polyarticular JRA

Answer 7

more commmon

female

> 4 joints

sym joint involved

Question 8

Juvenile RA - what is the most common

Answer 8

oligoarticular (pacuarticular)

Question 9

what is RA

Answer 9

chronic autoimmune disease that causes inflammation in the joints and surrounding tissues

stiffness

period greater the six weeks

Question 10

Juvenile RA - meds

Answer 10

immunosuppresents

NSAIDS

corticosteriods

antiheumatics

Question 11

Juvenile RA - what age group

Answer 11

16 and younger

Question 12

Juvenile RA - cause

Answer 12

when the immune system being to attack the joint and organs causing local and systemic effects throughout the body

Question 13

Juvenile RA - oligoarticular (pacuarticular)

Answer 13

asymmetrical

<4 joints

Question 14

Juvenile RA - lab tests

Answer 14

no single test

blood test

Question 15

lateral epi - what is it

Answer 15

irration or inflammation of the common extensor tendon at there common orgin of the lateral epicondyle

Question 16

lateral epi - pop

Answer 16

racquet sport individuals

throwing

Question 17

lateral epi - cause

Answer 17

eccentrics loading of the wrist ext muscles - ECRB, resulting in mirco trauma

Question 18

lateral epi - signs and sym

Answer 18

pain of the lateral epicondlye - with activtiy and at night

worsen with wrist flex and elb ext

worsen with resisted wrist ext

hard time holding and grasping objects

ROM remains normal

may have localized swelling

Question 19

lateral epi - is also known as

Answer 19

tennis elbow

Question 20

lateral epi - population

Answer 20

men

30-40

Question 21

what is the test for lateral epi

Answer 21

cozens

mill’s test

lateral epi test

Question 22

what is another name for medial epicondylatis

Answer 22

golfer’s elb

Question 23

medial epi - cause

Answer 23

micro trauma of the ECR or the humeral head of the pronator teres

Question 24

what is legge-calve-perthes disease

Answer 24

degeneration of the femoral head 2/2 a distrubance of the blood supply (AVN)

Question 25

legge-calve-perthes disease - four stages

Answer 25

condensation fragmnetation re-ossification remodeling

Question 26

legge-calve-perthes disease - cause

Answer 26

trauma genetics synovitis vascular abnormalities postive trandelenburg sign

Question 27

legge-calve-perthes disease - sign and sym

Answer 27

pain decreased ROM antalgic gait positive trandelenburg gait

Question 28

legge-calve-perthes disease - treatment

Answer 28

primary focus relieve pain maintain femoral head in place improve ROM

Question 29

MCL sprain knee - lig run from where to where

Answer 29

medial epicondyle to medial aspect of the tibia

Question 30

MCL sprain knee - cause

Answer 30

NC or C valgus force to the knee ER of the tibia

Question 31

MCL sprain knee - signs and sym

Answer 31

knee pain and swelling - tender to palpation antaglic gait decreased ROM - unable to fully extend and flex knee instability

Question 32

MCL sprain knee - treatment

Answer 32

RICE strengthening exercises

Question 33

function of the MCL knee

Answer 33

resists ER of the tibia Valgus forces on the knee

Question 34

what is the test for MCL sprain II

Answer 34

valgus stress test tested at 0 and 30-deg of flexion

Question 35

MCL sprain knee - imaging

Answer 35

MRI - used fro soft tissues structures - expensive not used without other extenuating circumstances

Question 36

what is the healing time for MCL injuries

Answer 36

4-8 weeks

Question 37

what is more common MCL or lCL knee injuries

Answer 37

MCL

Question 38

medial epi - causes

Answer 38

ligament s are fatigued and overwork - they become inflammed can also be traumatic

Question 39

medial epi - movement cuase

Answer 39

rep wrist or elb motions gripping

Question 40

medial epi - what tendon are most often affected

Answer 40

FCR pronator teres

Question 41

medial epi - patient has pain with what movements

Answer 41

resisted pronation and wrist flexion and gripping there may also be weakness with these movements

Question 42

medial epi - lab tests

Answer 42

imaging is not often used

Question 43

what is cock up splint wrist

Answer 43

a splint designed to immobilize the hand in the position of function (dorsal extension) during healing (as of a fracture)