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PAM Semester 1 > Physical Diagnosis Exam 4 > Flashcards

Physical Diagnosis Exam 4 Flashcards

1
Q

Do all “hip clicks” mean DevelopmentalDysplasia of the Hip (DDH)?

A

No

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2
Q

Palmar Grasp

A

Timing: present at birth, disappears by 6 months

Elicitation: stroking of palmar surface with finger

Response: hand will close around finger and tighten

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3
Q

Lordosis

A

anterior curve of lumbar spine just above buttock- seen from lateral view

A small amount of curvature in kyphosis and lordosis is normal

May be congenital, or related to abdominal weight from pregnancy or obesity

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4
Q

Structures in the joint (articular)

A

Joint capsule

articular cartilage

synovium and synovial fluid

intr-articular ligaments

juxta-articular bone

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5
Q

F A S T

A

Facila droop
Arm weakness
Speech difficulty
Time to call 911

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6
Q

Peripheral Nerves

A

31 pairs

8 Cervical

12 thoracic

5 lumbar

5 sacral

1 coccygeal

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7
Q

Level of care

Problem focused

A

1 organ system

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8
Q

Spinal cord length

A

Extends from medulla to L1-L2

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9
Q

Breasts in 2nd trimester

A

growth continues, minor leakage may occur

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10
Q

Hip flexion muscle

A

Iliopsoas (knee to chest)

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11
Q

Moro Reflex (“startle Reflex”)

A

Timing: present at birth, disappears by 6 months

Elicitation: while laying supine gently pull up on arms or hold child and gently allow head to fall back about 3cm, can also occur from loud sound or sudden movement

Response: infant throws back head, extends out the arms and legs, cries, then pulls the arms and legs back in

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12
Q

Which of the following statements regarding reinforcement when assessing reflexes is true?

A. Used when reflexes are symmetrically hyperactive

B Technique involves isometric contraction of other muscles

C. Supports the unsteady patient

D. All of the above

A

B. Technique involves isometric contraction of other muscles

Used when reflexes are symmetrically diminished or absent

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13
Q

Osteoporosis & Osteopenia risk factors

A 
over 50
low bmi
tobacco
alcohol
low physical activity
1st degree relative
some drugs
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14
Q

Murmurs in geriatrics

A

Common to hear systolic aortic murmur – 1/3 over age 60 and 50% of those over 85.

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15
Q

thumb opposition Nerves

A

C8, T1, median nerve

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16
Q

MSK localized vs diffuse

A

Localized is one joint

Diffuse is multiple joints

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17
Q

TRANSVERSE PALMAR CREASE

A

A common variant, found in approximately 5% of newborns

A single palmar creases is also associated with Down’s syndrome (Simian crease)

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18
Q

3 D’s in Neuro

A

“three Ds” – delirium, dementia, and depression

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19
Q

Plantar Fasciitis

A

Plantar pain upon getting out of bed

associated with a bony exostoses on calcaneus i.e. a “spur”

Inflammation of the plantar fascia as it inserts into anterior calcaneus

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20
Q

Elbow: Biceps and triceps, wrist-(radial nerve) – flexion Nerves

A

(C5, C6)

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21
Q

Anal Refelex Nerves

A

S2-S4

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22
Q

Fundal height = Just above symphysis pubis

A

12 weeks

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23
Q

Which Cranial Nerve involves palpation of the temporal and masseter muscles?

CN I
CN III
CN V
CN VII

A

CN V

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24
Q

Club Foot

A

The feet are plantar-flexed and inverted. Because this is a bony deformity, this position is rigid.

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25
Q

Ankle Reflex Nerve

A

S1

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26
Q

What should you never fail to consider in shouldr pain

A

Cardiac issues

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27
Q

Hip Extension Nerves

A

S1 G. maximus

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28
Q

Cobb Angle

A

Theangleformedbytheintersectionoftwolines drawnonaspinalradiograph

Greater than 10° of curvature measured by the Cobb angle defines scoliosis

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29
Q

Osteoporosis & Osteopenia numbers

A

30 million people/12 million are male

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30
Q

4 levels of care

Detailed

A 
HPI = Extended
ROS = Extended
PMH/SH = Petinent
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31
Q

Vertex presentation

A

Head first delivery

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32
Q

Meningeal signs

A

Brudzinkis sign
Supine, neck up

Kernigs sign
Supine leg raised

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33
Q

Meniscus test

A

McMurray

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34
Q

Dysdiadochokinesis

A

The inability to perform rapid alternating movements

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35
Q

Where is the line for posterior superior iliac spine

A

Imaginary line along the posterior–superior iliac spines crosses the joint at S2.

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36
Q

4 levels of care

Expanded problem focused

A 
HPI = Brief
ROS = Problem Pertinent
PMH/SH = N/A
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37
Q

AD CAVA DIMPLS

A

Admit note

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38
Q

Flaccidity or Hypotonia

A

Decreased or loss of muscle tone causing limb of affected place to be loose

(lower motor neuron system lesion or GB, spinal cord injury or Stroke)

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39
Q

TIA

A

acute loss of focal brain or monocular function

less than 24 hours

Temporary / partial blockage

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40
Q

Bursae

A

pouches of synovial fluid that cushion the movement of tendons and muscles over bone or other joint structures

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41
Q

Ankle Jerk reflex nerve

A

S1-S2

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42
Q

Review of Systems – Common Positives

2nd trimester

A

may begin to have intolerance to heat, experience ”hot flashes”,

back discomfort, breast tenderness, abdominal expansion,

hair and nail changes, BP decrease

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43
Q

Stroke

A

acute loss of focal brain or monocular function

Greater than 24 hours

complete blckage

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44
Q

Which Cranial Nerves involves the gag reflex?

CN III and IV
CN IX and X
CN X and XI
CN XI and XII

A

CN IX and X

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45
Q

Bicep reflex nerve

A

C5-C6

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46
Q

Kyphosis

A

posterior curve of thoracic spine at level of ribs- seen from lateral view

A small amount of curvature in kyphosis and lordosis is normal

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47
Q

Galeazzi Sign

A

Knees bent, check height and symmetry of knees

When legs appear symmetric this is a negative Galeazzi sign

Unequal knee height is positive

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48
Q

Review of Systems – Common Positives

3rd trimester

A

increased ligamentous laxity, increased curvature of lower spine,

leg cramps, foot and ankle swelling, slight temperature increase,

shortness of breath, ”colostrum” (yellow watery pre-milk) may leek from nipples.

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49
Q

Iliac Crest level

A

L4

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50
Q

Knee exam for mild effusions

A

Bulge sign

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51
Q

most common chronic disability of childhood

A

Cerebral palsy

most frequent is hip dislocation

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52
Q

4 levels of care

Problem focused

A 
HPI = Brief
ROS = N/A
PMH/SH = N/A
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53
Q

Musculoskeletal disease affect how many people in us

A

1 out of 2

3 out of 4 over 65

10% of ambulatory visits

200 billion in lost wages

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54
Q

oral presentation

A

Pertinent physical exam findings

Offer assessment

Describe plan

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55
Q

problem pertinent ROS

A

inquires about the system directly related to the problem identified in the HPI.

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56
Q

Rooting Reflex

A

Timing: present at birth, disappears by 4 months

Elicitation: stroking the cheek with a finger

Response: infant turns head toward the side being stroked with mouth open

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57
Q

CLINODACTYLY

A

Acongenitaldefectinwhich one ormoretoes or fingers are abnormallypositioned

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58
Q

Plantar Response Nerves

A

L5-S1

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59
Q

Review of Systems in pregnancy

A

Careful attention to mood.

Ask about stressors, sleep, appetite, energy.

GU/Reproductive - last menstrual period, vaginal discharge, pain, vaginal bleeding, dysuria

Skin – pruritic areas, rash, color/texture changes

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60
Q

Stroke prevention

A 
Exercise
Nutrition
No tobacco
Social determinates
Aspirin
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61
Q

Strain

A

injury to the bone-tendon unit at the myotendinous junction or the muscle itself

Mechanism by muscle contraction

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62
Q

Geriatric pulmonary

A

Rales may be present
(crackles) (coarse breath sounds)

Increase in anteroposterior diameter of chest

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63
Q

Types of dystonia

A

Anterocollis (neck bent forward)
Lateroocollis (neck bent sideways)
retrocollis (neck bent backward)
Torticollis ( Neck rotated)

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64
Q

What are some causes of abnormal newborn reflexes?

A 
Low birth weight at birth
Premature birth (<36 weeks)
Traumatic birth 
Severe illness in infancy
Trauma or injury in infancy
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65
Q

SPondylolisthesis

A

Step offs

forward slipping vertebrae

mostly in L4,L5,S1

due to birth defect, degenerative disease, vertebral fracture

backache, nerve root pressure, herniated disc, pain down legs

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66
Q

Knee reflex Nerve

A

L2-L4

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67
Q

Lawton ADL

A 
Phone
Shopping
Food Prep
House Keeping
Laundry
Mode of transportation
Responsibility of own medications
Ability to handle finance
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68
Q

Oligoarticular

A

2 - 4 joints

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69
Q

Geriatric pulse

A

loss of arterial pulsations is not typical and demands further evaluation

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70
Q

Level of care

Expanded problem focused

A

2-7 organ systems

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71
Q

Time fram for acute vs chronic in musculoskeletal

A

Acute = less than 6 weeks

Chronic = 12 weeks

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72
Q

tendons

A

collagen fibers that connect muscel to bone

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73
Q

What is the difference between comprehensive and focused assessments

A

Comprehensive Assessment
For patients that the PA sees for the first time in office or hospital.
Includes all the elements of the health history and complete PE.

Focused Assessment
Problem-oriented assessment
Well visits of returning patients
Urgent care-type or acute concerns such as sore throat or knee pain

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74
Q

Handgrip strength Nerves

A

C7, CG, T1

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75
Q

Documentation for billing
Code that represents

Level of E/M service performed

A

The three key components when selecting the appropriate level of E/M services provided are

history,
examination,
medical decision making.

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76
Q

Pregnancy health counseling

A

1/5 Pregnant women experience some form of partner abuse

Caution re: eating processed meats, raw and undercooked seafood, eggs, smoked salmon, unpasteurized milk

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77
Q

Plantar Grasp

A

Timing: present at birth, disappears by 9 months

Elicitation: stimulation of plantar surface with thumb/object

Response: curling of toes around thumb/object

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78
Q

DTR reflex Grade

A 
0 no response
1 diminshed
2 normal
3 brisk
4 Over brisk, hyperactive
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79
Q

1 reason for stroke in geriatrics

A

Carotid bruits

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80
Q

Arcus Senilis

A

Grey ring around eye

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81
Q

Anterior nerve root

A

Ventral

Motor

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82
Q

Articular

A

Joint

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83
Q

Which dermatome area is involved with Plantar reflex?

L4-L5
L5-S1
S1-S2
S2-S3

A

L5-S1

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84
Q

Musculoskeletal changes in pregnancy

A

Exaggerated lumbar lordosis
Increased ligamentous laxity
Pelvic ligaments relax to prepare for labor and birth.

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85
Q

4 Cardinal features of inflammation

A

swelling, warmth, redness in combination with pain

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86
Q

Delirium

A

Delirium – “a temporary state of confusion”

87
Q

Hip Adduction Nerves

A

L2, L3, L4, adductors

88
Q

complete ROS

A

inquires about the system(s) directly related to the problem(s) identified in the HPI

plus all additional (minimum of ten) organ systems.

89
Q

Glove and stocking pattern Sensory causes

A

Diabetes most common cause

Diabetes
alcohol
B12 def
CRF
Drugs
Leprosy
Paraneoplastic
90
Q

Ankle Flexion Nerves

A

S1, Gastrocnemius

91
Q 
Spherical joint
(ball and socket)
A

Convex surface in concave cavity

Wide-ranging flexion, extension, abduction, adduction, rotation, circumduction

Shoulder, hip

92
Q

Synovial joint

A

Freely movable

Shoulder, Knee

93
Q

Which cranial nerve is involved with corneal reflex?

CN II
CN III
CN IV
CN V

A

CN V

94
Q

Hip Extension muscle

A

Gluteus maximus (stick leg back)

95
Q

Breasts in first trimester

A

swelling of breasts, darker areola, small bumps within the areola

96
Q

Aging changes symmetry

A

changes due to aging are symmetrical – if asymmetry exists in your physical exam of patient – look for alternate cause

97
Q

presbycusis

A

hearing acuity decreases

98
Q

Dermatome

A

band of skin innervated by the sensory root of a single spinal nerve

99
Q

pertinent PFSH

A

is a review of the history areas directly related to the problem(s) identified in the HPI.

100
Q

Geriatric PMI

A

PMI may be displaced do to kyphosis (makes palpation of PMI less reliable as indicator of cardiomegaly)

101
Q

Elbow: Biceps and triceps, wrist extension Nerves

A

(C6, C7, C8)

102
Q

Stepping Reflex

A

Timing: present at birth, disappears by 2 months

Elicitation: hold infant upright and touch feet to solid surface then bring to a forward leaning position

Response: one foot will lift up and then step forward in an apparent walking motion

103
Q

Neuro coordination tests

A 
Point to point
Gait
hop in place
Romberg
pronator drift
toe, heel walk
rapid alternating movements
104
Q

S3 in geriatrics

A

hearing an S3 strongly suggests failure/volume overload,

105
Q

Postural tremors

A

Anxiety, Hyperthyroidism, Essential tremors

tremor when trying to hold limb still against gravity

106
Q

Geriatric History

A

Acute illness present differently – less likely to have a fever with infections, less likely to report CP with MI

Geriatric patients tend to underreport

107
Q

Exercise guidlines

A

150-300 minute per week
moderate

75-150 minutes
vigorous

108
Q

4 levels of care

Comprehensive

A 
HPI = Extended
ROS = Complete
PMH/SH = Complete
109
Q

Hagar sign

A

palpable softening of the cervical isthmus

110
Q

What is Gelling

A

“Gelling” phenomenon – decreased active and passive ROM and stiffness upon awakening (this is a sign of articular pain)

111
Q

cartilage

A

collagen matrix overlying bony surfaces

112
Q

Cardiac changes in pregnancy

A

BP decrease

increased HR
increased blood volume
increased CO

S3 normal in pregnant women
S4 in 15%

Stenosis and murmur may be present

113
Q

Pavlik Harness

A

Treatment for Developmental Dysplasia of the Hip
= Newborn-6 months old

Pavlik Harness is rarely successful after age 6 months and surgery is required

114
Q

Two phases of gait

A

swing 40%

stance 60%

115
Q

LCL test

A

Varus

Knee goes outward
foot goes inward

Bow legged

116
Q

Geriatric fall numbers

A

1 in 3 persons over age 65 fall per year

Leading cause of fatal and nonfatal injuries among older adults

30% will have lasting debility

117
Q

Sucking reflex

A

Timing: present at birth, disappears by 5 months

Elicitation: place finger into infant’s mouth touching lips and gently touch palate

Response: infant begins to suck

118
Q

complete PFSH

A

A review of two or all three of the areas (Past, Family or Social)

119
Q

Rigidity

A

Increased resistance that persists throughout the movement arc.

(Parkinson’s)

120
Q

Genetically determined disorders characterized by progressive degeneration of skeletal muscle leading to atrophy, progressive weakness

A

Muscular dystrophy

9 major types

duchenne/becker most common

121
Q

Chadwick sign

A

Bluish tint to vagina walls/cervix

122
Q

Ankle Extension Nerves

A

L4, L5 tibailis anterior

123
Q

Documentation for billing
Code that represents

Setting of service

A

Office or other outpatient setting: Preventive visits vs. Acute visits

Hospital inpatient: Comprehensive vs. Focused

Emergency department (ED): Emergent visits

Nursing facility (NF) or Assisted Living Facility (ALF): Chronic visits

124
Q

Bilateral weakness in both upper and lower extremities and urinary frequency

A

cervical myelopathy until proven otherwise.

125
Q

Breech Presentation

A

Butt first

126
Q

Systemic symptoms

A

Malar Rash (lupus)

Scaly plaques, pitting of nails in Psoriatic arthritis

Red based papules, pustules, vesicles on distal
extremities – Gonococcal arthritis

Target/Bulls eye patch – Lyme disease

127
Q

Levels of alertness

A

Lethargy (speak loudly)
Obtunded (Shaken patient)
Stupor (painful stimuli)
Coma (no response)

128
Q

Pain and temp nerve tract

A

Spinothalamic tract

129
Q

Determining uterine size

A

Landmarks – symphysis pubis and the umbilicus

Use left hand to palpate the fundus, determining height of the fundus

Fundal height location used to estimate gestation –

Just above symphysis pubis ~12 weeks

Halfway between symphysis and umbilicus ~16 weeks

At umbilicus ~22 weeks

General rule – measurement in centimeters = gestational age

130
Q

leukorrhea of pregnancy

A

Vaginal secretions may become thicker, white

131
Q

Coordinating eye, head, and body movements applies to which area of the nervous system?

Motor System
Cerebellar System
Vestibular System
Sensory System

A

Vestibular System

132
Q

Newborn hand crease

A

Most newborns have two major creases on the palm, neither of which completely extend from one side of the palm to the other.

133
Q

Hip – flexion Nerves

A

(L2, L3, L4, Psoas),

134
Q

Scoliosis

A

lateral curve of spine (always abnormal)

Scoliosis is best seen from posterior view with patient leaning forward

135
Q

Level of care

Detailed

A

2-7 organ systems examined

with an expanded exam of the affected and other symptomatic or related organ systems

136
Q

finger – abduction and adduction Nerves

A

C8, T1, ulnar

137
Q

4 levels of care

A

Problem Focused
Expanded problem focused
Detailed
Comprehensive

138
Q

Fundal height = Halfway between symphysis and umbilicus

A

16 Weeks

139
Q

Recommendation for bone density screening

A

women over 65
post menopausal women under 65
men over 70

140
Q

Resting tremors

A

parkinsons

141
Q

Neck pain with radiation of pain to upper extremity

A

cervical radiculopathy

142
Q

Spacticity

A

Increased muscle tone

upper motor neuron or corticospinal tract system lesions or Stroke

143
Q

Diadochokinesis

A

Ability to perform rapid alternating movements

144
Q

Chorea

A

huntingtons, aids, immune, genetic, pregnancy, neuroleptic, levodopa, rheumatic fever

(dance like movement)

145
Q

Monoarticular

A

1 joint

146
Q

Geriatric vasculature

A

Giant cell arteritis

Temporal arteritis

147
Q

Knee Flexion Nerves

A

L4, L5, S1, S2, hamstrings

148
Q

Tricep Nerve

A

C6-C7

149
Q

Posterior Nerve root

A

Dorsal

Sensory

150
Q

PCL Test

A

Posterior Drawer

151
Q

Newborn reflexes

A 
Rooting
Sucking
Grasp
Moro
Stepping
Tonic Neck
Galant
152
Q

Abdominal reflexes Nerves

A

T8-T10 (upper)

T10-T12 (lower)

153
Q

Extra articular structures

A

periarticular ligamnets

tendons

bursae

muscle, bone, skin

fascia

154
Q

Brief HPI elements

A

one to three HPI elements.

Ex. – location, quality, and duration

155
Q

Hip abduction Nerves

A

L4, L5, S1, GMM

156
Q

Review of Systems – Common Positives

1st trimester

A

frequent urination, lightheadedness, heartburn,

constipation, veins become visible, tender breasts,

pregnancy “glow” to skin, mood changes/lability,

nausea/vomiting

157
Q

Galant Reflex

A

Timing: present at birth, disappears by 6 months

Elicitation: lie infant on stomach and lightly stroke the side

Response: infant will laterally flex toward the stimulation side

158
Q

extended ROS

A

inquires about the system directly related to the problem(s) identified in the HPI

and a limited number (two to nine) of additional systems

159
Q

Breasts in 3rd trimester

A

significant darkening, likely enlarged nipples, stretch marks may be present

160
Q

Pregnancy weight changes

A

gain 25-35 punds

161
Q

Extended HPI

A

at least four elements of the present HPI
or
the status of at least three chronic or inactive conditions

example = five HPI elements – location, quality, duration, context, and modifying factors

162
Q

Cartilaginous joint

A

Slightly moveable

Vertebrae

163
Q

Respiratory changes in pregnancy

A

Increased tidal volume
Increased respiratory rate
Respiratory alkalosis

164
Q

Muscle strength grade

A 
0-5
0 being no muscle contraction
1 barely a trace of contraction
2 active movement with no gravity
3 active movement against gravity
4 active movement with some resistance
5 active movement against full resistance
165
Q

Geriatric Syndromes

A

multifactorial condition that involves the interaction between identifiable situation-specific stressors and underlying age-related risk factors, resulting in damage across multiple organ systems

166
Q

Daily orders

A

Daily orders are used to change any admission order or for further investigation or treatment

167
Q

Knee exam for major effusions

A

Balloon Sign

also ballottement

168
Q

Condylar joint

A

Convex or concave

Movement of two articulating surfaces not dissociable

Knee; temporo-mandibular joint

169
Q

Clonus

A

a hyperactive response required for assigning a reflex grade of 4, usually elicited at the ankle

170
Q

How do you identify scoliosis

A

Inspection
Forward bend test
Use of a scoliometer
Radiographs

171
Q

Glove and stocking pattern Motor causes

A 
Motor causes 
Guillen barre
Palsy
toxicity
porphyria (liver disorders)

Diabetes most common cause (sensory)

172
Q

Tonic neck Reflex

A

Timing: present at birth, disappears by 7 months

Elicitation: turn infants head to one side

Response: the arm on the side the head is turned stretches out and the opposite arm bends up at the elbow, often called the “fencing” position”

173
Q

Documentation for billing
Code that represents

Patient type

A

New patient
not seen by provider in last 3 years

Established patient
seen by provider in last 3 years

174
Q

Level of care

Comprehensive

A

8 or more organ systems

175
Q

Katz ADL

A 
Bathing
Dressing
Toileting
transferring
continence
feeding
176
Q

When do you order Xrays for scoliosis

A

ATR ≥7° in patients with body mass index (BMI) <85thpercentile

ATR ≥5° in patients with BMI ≥85thpercentile

177
Q

Sarcopenia

A

decline in muscle tissue due to aging process

178
Q

GI changes in pregnancy

A 
Increased reflux
Nausea &amp; vomiting (due to hormonal changes)
Increased symptoms of heartburn
Decreased gastric motility
Constipation
179
Q

Skin Changes in pregnancy

A

Pigmentation – areola, inner thighs, labia, neck may darken

Striae gravidarum (stretch marks)

Pruritic urticarial papules and plaques

Pre-existing skin disorders may flair

Linea Nigra – dark line of skin from symphysis pubis to umbilicus due to hormonal changes

occurs in ~80% of pregnancies

180
Q

Fundal height = At umbilicus

A

22 weeks

181
Q

orthopedic trauma in children numbers

A

1 in 3-4

182
Q

Phases of gait

A

Heelstrike
Foot flat
Midstance
Pushoff

183
Q

Ankle Sprain

A

Mechanism: Inversion forces

Most common injury of the ankle

Most common ligament injured—anterior talo-fibular ligament

184
Q

ACL test

A

Lachmans

anterior Drawer

185
Q

Knee Extension Nerves

A

L2, L3, L4, quads

186
Q

MCL test

A

Valgus

Knee goes inward
Foot goes outward

Knock kneed

187
Q

Dystonia

A

Involuntary muscle contraction and spasm

188
Q

AMNIOTIC BAND SYNDROME

A

Amputations of digits or limbs

189
Q

Barlow maneuver

A

A test used to identify an unstable hip that can be passively dislocated.

The infant is placed in a supine position with the hip flexed to 90º and in neutral rotation. The examiner adducts the hip while applying a posterior force on the knee to cause the head of the femur to dislocate posteriorly from the acetabulum.

A palpable clunk or “hip click” may be detected as the femoral head exits the acetabulum.

190
Q

Majortiy of adults tested are deficient for

A

Vitamin D

191
Q

Ortolani maneuver

A

Identifies a dislocated hip that can be reduced.

From an adducted position, the hip is gently abducted while lifting or pushing the femoral trochanter anteriorly.

In a positive finding, there is a palpable clunk or “hip click” as the hip reduces back into position.

192
Q

Neuro prevention and counseling

A

Preventing stroke or TIA

Reducing risk of peripheral neuropathy

Detecting the “three Ds” – delirium, dementia, and depression

193
Q

Most follow-up progress notes (focused assessments) use what format??

A

SOAP Format

194
Q

Documentation for billing

Code that represents

A

Code that represents

Patient type
Setting of service
Level of E/M service performed

195
Q

4 regions of brain

A

Cerebrum
diencephalon
brainstem
cerebellum

196
Q

NAVEL

A 
Nerve (Lateral)
Artery
Vein
Empty Space
Ligament (Medial)
197
Q

Sprain

A

involves collagenous tissue such as ligaments and tendons

Mechanism by twist or stretch

198
Q

Which of the following are not considered a test for sensation?

Asterixis
Stereognosis
Graphesthesia
Two-point discrimination

A

Asterixis

199
Q

Newborn Reflexes

A

Definition: Inborn behavioral patterns that develop in utero

Primitive
Infantile
Infant
Developmental

present at birth then gradually disappear during the first 3-12 months postnatal

200
Q

4 systems of Coordination of muscle movement

A 
Motor system Muscle
Cerebellar system(rhythm, posture)
Vestibular system (balance)
Sensory system (position)
201
Q

Fibrous joint

A

Not moveable

Sutures of skull

202
Q

Polyarticular

A

more than 4 joints

203
Q

Intentional tremors

A

MS

tremor when reaching for something

204
Q

actinic purpura

A

Purple skin patches

205
Q

Hinge Joint

A

Flat, Planar

Motion in one plane; flexion, extension

Interphalangeal joints of hand and foot; elbow

206
Q

Most common ankle injury

A

Ankle sprain

Most common ligament injured—anterior talo-fibular ligament

207
Q

Ankle Eversion

A

Walk on inside of foot

outside of foot is facing up

ankle rolls inwards

208
Q

Ankle inversion

A

walk on outside of feet

ankle rolls outward

medial portion of foot is facing up

209
Q

When to refer pediatrics with scoliosis to ortho

A

Cobb angle between 20 and 29° in premenarchal girls or boys age 12 - 14 years

Cobb angle >30° in any patient

Progression of Cobb angle of ≥5° in any patient

210
Q

WHO most common debilitating injuries

A

Osteoarthritis
Back/neck pain
Fractures due to fragility

211
Q

Brachioradialis (supinator) Nerve

A

C5-C6

212
Q

Newborn Reflexes are Considered Absent

A

Absent during the neonatal period

Asymmetric (suggesting hemiplegia or monoplegia)

Persist beyond the age by which they should have
normally disappeared

213
Q

ligaments

A

ropelike bundles of collagen fibers that connect bone to bone

PAM Semester 1 (16 decks)

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