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Capstone Test 2 > Shoulder Pain > Flashcards

Shoulder Pain Flashcards

1
Q

what muscle is responsible for flexion and supination of the arm?

A

biceps brachii

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2
Q

what muscle adducts, extends and internally rotates the arm?

A

latissimus dorsi

also an accessory muscle of respiration

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3
Q

what muscle is responsible for overhead abduction of the arm (> 90°)?

A

trapezius

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4
Q

what muscle is responsible for the first 0-15 degrees of arm abduction?

A

supraspinatus

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5
Q

what muscle is responsible for 15-90 degrees of arm abduction?

A

deltoid

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6
Q

what rotator cuff muscle is responsible for external rotation?

A

infraspinatus

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7
Q

what rotator cuff muscle is responsible for adduction and external rotation?

A

teres minor

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8
Q

what rotator cuff muscle is responsible for adduction and internal rotation?

A

subscapularis

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9
Q

what rotator cuff muscle is the most commonly injured?

A

supraspinatus

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10
Q

what rotator cuff muscle is being tested during the empty can test?

A

supraspinatus

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11
Q
A

AC separation

(structures that may be damaged: acromioclavicular ligament,
coracoclavicular ligament)

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12
Q

what is this biopsy depicting?

A

SCC

Solid, epithelial tumor
Intercellular bridges (arrowheads)
Keratin pearls (blue circles)

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13
Q

where is SCC located in the lung?

A

central

Naylor: “hint, it will be central and pearly white due to keratin production”

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14
Q

what is the MoA of cisplatin?

A

platinum compound that cross-links DNA

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15
Q

adverse effects of cisplatin [3]

A

nephrotoxicity
peripheral neuropathy
ototoxicity

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16
Q

compression of the […] ganglion of the oculo-sympathetic pathway causes Horner’s syndrome

A

stellate

(via mass effect from tumor)

17
Q

cushing syndrome and SIADH are paraneoplastic syndromes associated with what cancer?

A

SCLC

18
Q

Edema of the upper extremities and face (facial plethora)

Prominent venous pattern on the chest, face, and upper extremities

Jugular venous distension

are symptoms of…

A

SVC syndrome

19
Q

Sudden onset of severe, sharp tearing chest or abdominal pain that radiates to the back

Asymmetrical blood pressure, pulse deficit

New diastolic murmur

A

aortic dissection

20
Q

Heavy, dull, pressure/squeezing sensation

Substernal pain with radiation to left shoulder

Nausea, vomiting, diophoresis

A

MI

21
Q

constitutional symptoms
(fever of unknown origin)

new/change in heart murmur

A

endocarditis

22
Q

Sharp, pleuritic, retrosternal chest pain

Exacerbated by lying down; improved by leaning forward

high pitched friction rub

A

pericarditis

23
Q

Pleuritic chest pain

Acute onset dyspnea, hypoxemia

Cough, hemoptysis

A

PE

24
Q

Associate […] features with aortic dissection risk

A

marfanoid

tall stature, long limbs (with an increased limb length to body height ratio), overcrowded dentition with a high-arched palate, arachnodactyly (long, slender fingers), and joint hypermobility.

(past medical history items may include retinal detachment, CNS aneurysm)

25
Q

A high-pitched, blowing, diastolic murmur is a typical finding in patients with […]

A

aortic regurgitation

(can occur in aortic dissection because aortic dilatation prevents leaflets from closing properly)

26
Q

Deformity of the chest wall (pectus carinatum or pectus excavatum) is a common finding in patients with […] syndrome

A

Marfan

27
Q

Aortic dissection most commonly occurs secondary to […]

A

hypertension

28
Q

An aortic dissection is typically caused by a tear in the […]

A

tunica intima

29
Q

externally rotate the humerus [2]

A

infraspinatus
teres minor

30
Q

innervates the supraspinatus muscle and infraspinatus muscle

A

suprascapular n.

31
Q

deltoid is innervated by

A

axillary

32
Q

trapezius is innervated by

A

accessory

33
Q

serratus anterior is innervated by

A

long thoracic

34
Q

main internal rotator of the shoulder

A

subscapularis

35
Q

immunohistochemical markers for neuroendocrine tumors [3]

A

enolase
synaptophysin
chromogranin A

36
Q

most common lung cancer among those who have never smoked

A

adenocarcinoma

37
Q

most common type of lung cancer
more prevalent in women

A

adenocarcinoma

38
Q

Round nodules of varying sizes scattered throughout the lungs (“cannonball lesions”) suggest […]

A

pulmonary metastases

39
Q

The types of lung cancer most strongly correlated with cigarette smoking are [2]

A

SCC
SCLC

Capstone Test 2 (5 decks)

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