Shoulder / Test 3 Flashcards

0
Q

can get a good idea of a patient’s physical state by observation in blank

A

the waiting room

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1
Q

gold standard for standardized tests for shoulder

A

DASH

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2
Q

four things to observe when you have contact with a patient

A

posture, protecting arm?, head position, demeanor

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3
Q

hand on top of head reduces symptoms is blank sign for blank

A

lhermettes, nerve

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4
Q

lhermettes sign is often a precursor to blank

A

ms

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5
Q

adducted or ir or cradled are the most common positions for shoulder blank

A

pathology

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6
Q

most common age for atraumatic instability of the shoulder

A

20

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7
Q

frozen shoulder is most common in this age

A

50

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8
Q

frozen shoulder can take blank to blank to get better

A

6 months, 3 yrs

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9
Q

djd is most common at blank age

A

70

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10
Q

tendinosis age range

A

40-60

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11
Q

calcium deposits in muscles between these ages

A

20-40

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12
Q

highest risk population of people with frozen shoulder

A

women with diabetes

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13
Q

primary impingement can be blank or blank

A

intrinsic, extrinsic

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14
Q

intrinsic primary impingement can be due to these changes in the rotator cuff

A

vascularity, degeneration, degeneration of bone

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15
Q

extrinsic primary impingements are more related to

A

posture, muscle imbalances, motor control, training, occupation

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16
Q

clicking, snapping, grinding can all be from some sort of blank

A

djd

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17
Q

achy pain could be blank

A

muscle

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18
Q

sharp pain could be

A

fracture

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19
Q

numbness or burning pain can be

A

nerve

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20
Q

dead arm can be blank

A

thoracic outlet syndrome

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21
Q

origin of pain is coming from a nerve root (central)

A

radiculopathy

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22
Q

origin of pain of nerve is peripheral

A

neuropathy

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23
Q

causes of pain during adls for shoulder

A

night pain/laying on shoulder, reaching overhead, deodorant, washing back of head, push up from chair, push open doors

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24
Q

Djornes triad is blank and indicates a blank and can be tested by blank

A

Coughing, sneezing, straining, space occupying lesion, valsalva maneuver

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25
Q

rare genetic disorder with a defect in collagen synthesis, can be mild to life threatening

A

ehlers-danlos

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26
Q

ehlers danlos is when skin can be blank

A

stretched really far

27
Q

ehlers danlos index that checks for global hypermobility

A

brighton

28
Q

autosomal dominant genetic disorder of connective tissue, disproportionate long limbs, fingers, tall stature, predisposed to cv disorders

A

marfan syndrome

29
Q

hypothesis - patient reporting lateral shoulder pain with overhead activities or demonstration of painful arc

A

bursitis, impingement subacromial, tendonitis

30
Q

hypothesis - patient reports instability, apprehension, and pain with activities most often when shoulder is abducted and externally rotated

A

shoulder instability, labral tear if there is clicking

31
Q

hypothesis - decreased rom and pain with resistance

A

possible rc tear or long head of biceps tendonitis

32
Q

Hypothesis - patient reports of pain and weakness with muscle loading, night pain, age > 60

A

possible rc tear

33
Q

Hypothesis - shoulder pain radiating to elbow, aggravated by movement not bad at rest. > 45 years old and more female than males

A

adhesive capsulitis

34
Q

visceral pathology will present with blank pain

A

constant

35
Q

visceral pathology may be blank onset

A

insidious

36
Q

rest does not relieve pain or symptoms in blank pathologie

A

visceral

37
Q

impaired smoothness signs of shoulder arom and prom is characterized by blank

A

clicking

38
Q

shoulder arom and prom where instability shows up during mid rom

A

pathology is NOt capsuloligamentous

39
Q

end rom instability means pathology is

A

capsuloligamentous

40
Q

if assisting scapular assist increases pain during raising arm

A

ac pathology

41
Q

if using scapular assist decreases pain then there is a blank

A

rotator cuff tendonitis/reactivity

42
Q

if pain does not change during raising arm overhead then there is a possible blank

A

capsuloligamentous inextensibility

43
Q

capsular inextensibility of shoulder capsular pattern… most limited top 3

A

external rotation, abduction, internal rotation

44
Q

flexion glide to assess

A

posterior/inferior

45
Q

extension glide to assess

A

anterior

46
Q

abduction glide to assess

A

inferior glide humeral head

inferior glide clavicle on sternum (ac joint)

47
Q

internal rotation glide to assess

A

posterior

48
Q

external rotation glide to assess

A

anterior glide

49
Q

horizontal abduction glide to assess

A

anterior

50
Q

horizontal adduction glide to assess

A

posterior

51
Q

highly sensitive rules people blank

A

out (true negatives)

52
Q

highly specific rules people blank

A

in (true positives)

53
Q

internal rotation lag sign has a high blank

A

sensitivity and specificity

54
Q

shift in probability that favors the existence of a disorder

A

positive likelihood ratio

55
Q

weak er, ir, and positive empty can test and drop arm test then there is probably blank

A

rotator cuff tear

56
Q

hawkins kennedy and neer’s tests are for blank and are more blank so should be used at blank of exam

A

impingement, specific, beginning

57
Q

patient internal impingement test with anterior instability to produce symptoms

A

gh apprehensions

58
Q

patient internal impingement test with anterior instability to reduce symptoms

A

gh relocation

59
Q

empty can is aka

A

jobe’s test

60
Q

four common shoulder pathologies

A

hypomobility, hypermobility, compressive load intolerance, tensile load intolerance

61
Q

tendonitis and rc tear can show up as these kind of pathologies

A

tensile/compressive load intolerance

62
Q

a muscle imbalance is when

A

one muscle is much stronger than the other in a force couple

63
Q

effective treatment for hypomobility of shoulder during overhead activities

A

non thrust manipulations to posterior/inferior capsule

64
Q

decreased rom in ac or sc joint pathology is usually at the end range of blank movement….. presents most often with limited blank or blank

A

overhead, adduction, horizontal abduction

65
Q

most active muscle during press up

A

pec major