Random PCM I Exam 1 Flashcards

1
Q

Central compartment of hip structures?

Peripheral?

Lateral?

A
  • Labrum, ligamentum teres, articular surfaces
  • Femoral neck, Synovial lining
  • Glute medius, Glute minimus, Piriformis, IT band, trochanteric bursae
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2
Q

FABER test 1 vs. 2 vs. 3?

Which compartments for each?

A

1) Apprehension: FABER 1: Pt’s hip is flexed, ABducted and ER. Doc induces further ER. (Central compartment)
2) Patrick’s FABER 2: Pt’s hip is flexed, ABduced, and ER. Doc braces contralateral ASIS, pt ER/ABducts AGAINST resistance (Lateral compartment)
3) Patricks’s FABER 3: Pt’s hip is flexed ABducted, and ER. Doc braces contralateral ASIS. Pt IR/ADducts AGAINST resistance (Anterior/Iliopsoas compartment)

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3
Q

What are the 3 special tests for the meniscus cartilage of the knee?

A

1) McMurray’s Test
2) Apley’s Grind Test - Compression test
3) Apley’s Grind Test - Distraction test

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4
Q

What are the 4 components of the medial longitudinal arch?

A

1) Navicular
2) Cuneiforms (1-3)
3) Talus
4) Metatarsals (1-3)

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5
Q

Primary stabilizer of the medial ankle?

A

Deltoid ligament

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6
Q

3 components of the lateral longitudinal arch?

A

1) Calcaneus
2) Cuboid
3) Metatarsals 4-5

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7
Q

The 3 primary stabilizers of the lateral ankle?

A

1) Anterior talofibular ligament (ATF = always tears first)
2) Calcaneofibular ligament
3) Posterior talofibular ligament

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8
Q

During the monofilament test of the foot where is the monofilament placed?

A

First and fourth pad of toes and at base of first, third, and fifth plantar MTP joints

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9
Q

What is the test for Achilles tendon rupture?

A

Thompson test

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10
Q

What are the 4 muscles of the rotator cuff? (mnemonic)

A

1) Supraspinatus
2) Infraspinatus
3) Teres minor
4) Subscapularis (not palpable)

SITS

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11
Q

Which muscles involved in depression of scapula?

A
  • Lower Trapezius
  • Lower Rhomboids
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12
Q

Golfers Elbow + pt’s direction of force during test?

Tennis Elbow + pts direction of force during test?

A

Medial Epicondylitis (golfers elbow) - flexes wrist

Lateral Epicondylitis (tennis elbow) - extends wrist

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13
Q

What is the most common elbow injury during childhood?

A

Pain over the medial epicondyle - initially after throwing (repetitive valgus distraction forces) = “Little League Elbow”

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14
Q

Which axis runs perpendicular to the coronal/frontal plane?

A

Anterior-Posterior Axis (A-P axis)

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15
Q

Which axis runs perpendicular to the sagittal plane?

A

Transverse axis (Right-left axis)

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16
Q

Which axis runs perpendicular to the transverse plane?

A

Longitudinal axis (Superior-inferior axis)

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17
Q

Lateral flexion (aka sidebending) is movement in what plane and axis?

A

Movement in a coronal (frontal) plane about an anterior-posterior axis

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18
Q

Flexion and extension of the trunk are movements in what plane and axis?

A

Motion in a sagittal plane (AP) of the spine about a transverse axis

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19
Q

Rotation of the trunk (aka twisting) is movement in what plane and axis?

A

Movement in a transverse (horizontal) plane about a superior inferior axis

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20
Q

What are the 7 components of the gravitational line?

A

1) External auditory canal
2) Lateral head of humerus
3) 3rd lumbar vertebra
4) Anterior 1/3 of the sacrum
5) Greater trochanter
6) Lateral condyle of knee
7) Lateral malleolus

21
Q

Which plane affected in scoliosis and kyphosis/lordosis?

A

Scoliosis = Coronal (frontal)

Kyphosis/lordosis = Sagittal (AP)

22
Q

CDC recommends adults get how much exercise?

Children?

A
  • Adults: 150 mins/week of moderate activity (brisk walking) and strength training 2 days/week
  • Children (6 y/o +): get 1 hour a day
23
Q

Safe drinking limits men and women + those over age 65?

A

Men: 14 or fewer drinks per week, no more than 4 drinks/day

Women and those over age 65: 7 per week, no more than 3/day

24
Q

What is the mnemonic for asking about spiritual beliefs?

A

F - faith

I - importance to you

C - community (part of one?)

A - addressing care based on beliefs

25
Q

5 P’s for sexual activity?

A

Partners

Protection from STIs

Prevention of Pregnancy

Practices

Past Hx of STIs

26
Q

What are the 3 fibrous joint types (synarthroses)?

Movement?

A

1) Sutures
2) Syndesmosis
3) Gomphosis

*NO movement

27
Q

2 sub-types of cartilagionous joints?

A

1) Primary: Hyaline (aka synchondroses)
2) Secondary: Fibrocartilage (aka symphyses)

28
Q

2 examples of cartilaginous joints?

A

1) Between vertebral bodies
2) Pubic symphysis

29
Q

Which component of Synovial Joints has no blood vessel or nerve supply?

Found where?

A
  • Articular cartilage
  • Covers the ends of bones
30
Q

Producer of Synovial fluid?

Found where?

A
  • Synovial membrane
  • Vascular CT membrane lining entire joint cavity
31
Q

2 examples of a synovial pivot joint (trochoid)?

A

1) AA joint
2) Radioulnar

32
Q

What are 4 examples of a planar synovial joint?

A

1) AC joint
2) Proximal tibiofibular
3) Intercarpal
4) Sternoclavicular

33
Q

2 examples of condyloid and ellipsoid joints?

A

1) MCP joints
2) Radiocarpal joint

34
Q

Example of a Saddle joint (Sellar)?

A

Carpalmetacarpal (CMC) of thumb

35
Q

Nerve ending supplying a joint are found where?

A

In the articular capsule

36
Q

Hilton’s Law?

A

Nerves supplying a joint also supply the muscle moving the joint and the skin covering the attachments of these muscles

37
Q

Affected cartilage becomes dull with a yellowish discoloration taking a chracteristic ground-glass appearance in what type of joint degeneration?

Due to loss of?

A
  • Fibrillation
  • Loss of proteoglycans in articular cartilage
38
Q

Complete loss (ulceration) of articular cartilage, accompanied by a thickening of the subchondral bone is known as?

What type of appearance?

A
  • Eburnation
  • Hard and polished (ivory like appearance)
39
Q

Joint mice (osteochondromatosis) is what?

Commonly seen in what condition?

A
  • Fragments of cartilage and/or bone floating free in synovial fluid
  • Osteochondrosis Dissecans
40
Q

Technique for diagnosis of benign paroxysmal positional vertigo (BPPV)?

Treatment technique?

A
  • Dix-Hallpike maneuver = diagnosis
  • Epley Manuever = treatment
41
Q

Adapter Centor Criteria for whether sore throat should get antibiotics?

A
  • Score of 3 or more = strong likelihood of strep = antibiotics

One point for:

  • Tonsilar exudates
  • Fever by history
  • Absence of cough
  • Tender anterior cervical adenopathy (swollen LN’s)
  • Add one point for pt’s age 3-14 (start w/ 1)
  • No points for pt’s 15-44 (start w/ 0)
  • Subtract a point for pt’s 45+ (start w/ -1)
42
Q

Diagnosis?

A
43
Q

Diagnosis?

A
44
Q

Diagnosis?

A
45
Q

Diagnosis?

A

Swimmers Ear!

46
Q

Stance phase is defined as being from _____ to ______

A

Heel strike (initial contact) to toe-off (pre-swing)

47
Q

When the right foot is in initial contact (heel strike) the left foot is in?

A

Terminal stance (heel off)

48
Q

When the right foot is in the loading response (foot flat) the left foot is in?

A

Pre-swing (toe off)

49
Q

Ala nasi, Columella, Vestibule, and Bridge are external landmarks of?

A

Nose