patient eval and dx Flashcards
A patient with left hemiparesis left hemiparesis following a stroke, complains of left shoulder pain with ambulation. Which of the following is the most probable cause?
shoulder subluxation
Which of the following is good practice to prevent electrical injury during electrodiagnostic studies?
avoid extension cords
In patients with a history of ventricular arrhythmias and ischemic heart disease, exercise stress tests are:
Used to determine a safe target heart rate that does not provoke arrhythmias
An 18-year-old baseball pitcher presents with posterior elbow pain that is worse during throwing. A differential diagnosis for the patient’s elbow pain includes:
Trochlear chondromalacia, olecranon osteophytes, olecranon stress fracture, and triceps tendinitis.
Which factor is a criterion for hip osteoarthritis?
Acetabular osteophytes
A 5-year-old with spastic diplegic cerebral palsy presents with asymmetric gait, positive Galeazzi sign with limb shortening, decreased hip abduction and decreased knee extension on the left compared to the right. What is the cause of these abnormalities?
hip subluxation
A 47-year-old injured worker with low back pain is near maximum medical improvement (MMI) and is referred for a functional capacity evaluation (FCE). What knowledge can be obtained from FCEs for injured workers with chronic low back pain?
Performance on the floor-to-waist lift are as predictive as the number of failed tasks in the entire FCE protocol
Which electroencephalogram pattern is associated with a better prognosis after traumatic brain injury?
Spindle pattern
A 66-year-old woman with a history of rheumatoid arthritis (RA) presents with a 3-week history of left ankle and calf pain with difficulty walking. She reports that her RA affects her hands, wrists, and ankles the most. Two weeks ago, she fell while walking at home and has been using a manual wheelchair since then. On exam, both ankles have a mild effusion and her left calf is tender to palpation. She has a positive Thompson test on the left, but not on the right. What test/procedure would be most diagnostic?
MRI
Electrodiagnostic findings of marked slowing in nerve conduction velocity (less than 25 meters/second) without conduction block or temporal dispersion would be most consistent with:
CMT1
Clinical symptoms and signs of tethered cord syndrome include:
spasticity in the lower extremities, decline in lower extremity strength, and worsening scoliosis.
A 12-year-old ballerina presents to your clinic with right ankle pain. She was dancing pain-free until this year when she began to dance on pointe. On examination, you note tenderness to palpation at the posterior talocrural joint, pain with end passive ankle plantarflexion range of motion, and no pain with resisted active ankle dorsiflexion or plantarflexion. Which of the following would you anticipate with imaging?
An os trigonum on ankle radiographs
what innervates the gracilis muscle?
obturator nerve (also innervates the adductors)
A patient with multiple myeloma presents with a new pathologic fracture of the right superior pubic ramus. Computed tomography scans and plain radiographs fail to reveal additional myelomatous involvement of the pelvic ring. When consulted regarding weight-bearing recommendations you advise:
Weight bearing as tolerated (does not involve acetabulum)
A 10-year-old track and field athlete presents with tenderness at the inferior pole of the patella. What is the likely diagnosis?
Sinding-Larsen-Johansson disease
During Pre-swing in a normal individual’s gait cycle, which muscle is most active?
iliopsoas (contracting concentrically to flex the hip for momentum)
Which of the following is a treatment strategy for spatial neglect?
Limb activated therapy augmented with electrical stimulation via TENS unit is a treatment strategy for spatial neglect.
You are a physician volunteering at a marathon medical tent and a 30-year-old female presents at the finish line with confusion and dizziness wearing a shirt that feels very damp. She says that he has been drinking water at regular intervals and has been urinating frequently. Which of the following is the most likely cause of her symptoms?
hyponatremia
Which measure evaluates patients’ self-perception of disability specifically for low back pain?
Oswestry Disability Index (ODI) questionnaire
Radiographic findings associated with ankylosing spondylitis include symmetric SI joint narrowing, osteopenia, and a “Bamboo spine.” A “Bamboo spine” refers to ossification of which structure?
annulus fibrosis
A 60-year-old male is noted to have difficulty walking in the rehabilitation gym after a left total knee arthroplasty five days earlier. On examination, he has 70o of active knee flexion and a 20o extensor lag. His distal limb is normal to palpation. You notice that he has trouble clearing his toes during the swing phase of gait. You suspect the major cause of his difficulty walking is due to:
Common fibular nerve palsy
Which of the following finger deformities common in patients with rheumatoid arthritis is characterized by rupture of the terminal portion of the extensor hood and subluxation of the lateral bands?
Boutonnière deformity
