Phys Dx: Spine/LE

Question 1

Pallor

dependent rubor

distal hair loss

atrophic skin, nail changes

ulcers

necrosis/gangrene

this is concerning for

Answer 1

Peripheral artery insufficiency

Question 2

Dull ache, pressure after prolonged standing

relief with elevation

dependent ankle edema

ankle ulceration

superficial thrombophlebitis

Answer 2

venous insufficiency

Question 3

Trendelenburg test

Answer 3

patient stands, raise one knee

evaluate for hip drop

Question 4

positive trendelenburg indicates…

Answer 4

weak hip abductors on contralateral side (bent leg side)

Question 5

FADIR tests for…

Answer 5

femoroacetabular impingement

Question 6

palpable as fluctuent fullness

may be painful

synovial cyst in the popliteal space

Answer 6

baker’s cyst

Question 7

pulsatile swelling behind knee

male

over 65

bilateral over 50% of time…

Answer 7

popliteal aneurysm

Question 8

what is the most common peripheral vascular aneurysm?

Answer 8

popliteal artery aneurysm

Question 9

(+) bulge sign indicates…

Answer 9

minor effusion

Question 10

(+) ballottment sign indicates…

Answer 10

large effusion

Question 11

what is more useful for ACL tear dx?

Lachman or Anterior drawer?

Answer 11

lachman

Question 12

flat foot is called…

Answer 12

pes planus

Question 13

high arched foot is called…

Answer 13

pes cavus

Question 14

grades of edema…

Answer 14

2mm: grade 1

4 mm: grade 2

6 mm: grade 3

8mm: grade 4

Question 15

grades of pulse

Answer 15

0: absent

1+: diminished

2+: brisk, normal

3+: increased

4+: bounding

Question 16

if apparent discrepancy in spine curvature, what must be ruled out before dx scoliosis

Answer 16

limb length discrepancy

Question 17

What test evaluates for limb length discrepancy?

Answer 17

galeazzi

Question 18

(+) Straight leg raise

Answer 18

L5-S1 radiculopathy or sciatic neuropathy