Spring Final Exam

Question 1

What are the anteriorn and posterior ring of the shoulder composed of?

Answer 1

ant: manubrium, SC joint
post: scapula, muscles to spine

Question 2

What is the only true attachment of the upper extremity to the body?

Answer 2

SC joint

Question 3

where are the axial components fo UE pain usually found?q

Answer 3

1) lower cervical
2) upper thoracic
3) TL junction

Question 4

What is significant of the cervicothoracic junction?

Answer 4

site of muscle attachments:

• levator scap
• rhomboid
• trap

Question 5

What are the viscerosomatic reflexes of UPPER Extremity pain?

Answer 5

sd-> increased symp tone and output -> decreased blood flow and lymph congestion-> pain

Question 6

What are the actions of the lats? what is a possible somatic dysfunciton associated w it?

Answer 6

adduction, extension, internal rotation, raises pelvis

-possible glenohumeral dysfu.

Question 7

List the shoulder joints?

Answer 7

glenohumeral
acromioclavicular
sternoclavicular
scapulothoracic (pseudo)

Question 8

Describe the scapulothoracic rhythm

Answer 8

first 30 deg: all gleno

after that: 2:1 gleno to scap

Question 9

What are the dynamic stabilizesr of the shoulder?

Answer 9

deltoid
rotator cuff muscles
(also biceps)

Question 10

When is the supraspiatus tendon maximally impinged?

Answer 10

when shulder is abducted and internally rotated

• normally at 90 deg
• with int. rot., 60 deg

Question 11

Where does the tendon of the long head of the biceps attach?

Answer 11

glenoid labrum

Question 12

What are the ligaments of the AC joint?

Answer 12

acromioclavicular
coracoclavicular
coracoacromial

Question 13

What are the degress of SC joint injury?

Answer 13

1: simple sprain, incomplete tear
2: ant/post sublux
3: complete rupture, dislocation

Question 14

Describe an anterior dislcation of the SC iont?

Answer 14

compressive force

anterior and medial

Question 15

3 osteopathic dysfuctinos of AC joint

Answer 15

anterior rotoation
posteiror rotation
AC separatoin

Question 16

What ahppens to the humerus w an anterior roation dysfunction of the SC jiont?

Answer 16

humerus resists flexion

Question 17

spain vs strain?

Answer 17

sprain: ligament injury
strain: muscle or tendon injury

mild-micro tearing
moderate-definite tearing
severe- complete tear

Question 18

what is the main action of the radiohumeral joint?

Answer 18

supination.pronation

Question 19

describe carrying angles

Answer 19

males: 5 deg
females: 10-15
cubitus valgus
caubitus varus=gunstock deform

Question 20

how might an anterior radial head occur?

Answer 20

falling backward on an outstretched hand

Question 21

what rae the 3 functional jionts of the wrist?

Answer 21

radiocarpal (true)
midcarpal
distal radioulnar (TFCC)

Question 22

What is the tunnel of Guyon?

Answer 22

formed by hook of hamate and pisiform

ulnar n and a pass

Question 23

What do the carapl bones do w a flexion dysfuncitno fo the wrist?

Answer 23

glide posteriolry

Question 24

What are metabolic causes of carpal tunnel?

Answer 24

diabetes
pregnancy
hypothyroidism

Question 25

What other aresas should you look at if you suspect carpal tunnel sydnrome?

Answer 25

carpal tunnel pronator teres spasms brachial plexus upper thoracics

Question 26

What goes bw the LCL and lateral meniscus

Answer 26

popliteal tendon

Question 27

menisci

Answer 27

fibrocartilage coronary ligaemnts popliteal (genicular) a and synovial MCL and menisci tear together

Question 28

Where does the tibial collateral ligament attach?

Answer 28

medial epicondyle of femur to | medial conduyle of tubia

Question 29

What actions may cause and ACl tear? and what tests can you do for it?

Answer 29

hyperextension, femur postierorly | lateal pivot shift, lachmans...

Question 30

what innervates the quads and hamstings?

Answer 30

quad: L2,3,4 ham: L5, S1, S2

Question 31

what can excessive tenison in the knee joint lead to?

Answer 31

degenerative joint disease

Question 32

What type of motino does knee flexion lead to?

Answer 32

anteriomedial glide

Question 33

Deep tendon reflexes of patellar tendon, hamstring, achilles

Answer 33

patellar: L2,3,4 ham: L5 ach: S1

Question 34

how many compartments are there in the lowe leg?

Answer 34

4

Question 35

What forms the mortise of the ankle>

Answer 35

distal tibia and fibula | talus fits into it

Question 36

name the lateral ankle ligaments

Answer 36

anterior talofib calcaneocib posterior talofib (torn from fornt to back)

Question 37

What bones does the deltoid ligament of the ankle attach?

Answer 37

tibia, navicular, talus, calcaneus | medial maleous tears before deltiod

Question 38

what si the sinus tarsi?

Answer 38

indentation bw calcneous and talus on lateral side of foot

Question 39

What is the main shock absorber of the foot

Answer 39

subtalar joint | via talocalcaneal lig

Question 40

What is the longitundinal arch on foot supported by?

Answer 40

posterior tibialis muscle

Question 41

What is the transverse arch supported by?

Answer 41

finularis longus | tinialis anterior

Question 42

Tom Dick and a Very Nervous Harry

Answer 42

tibialis posterior flexor Digitorum longus artery,vein,nerve Flexor hallicus

Question 43

blood uspply of foot

Answer 43

anterior and posteior tibilal aa | saphenous v

Question 44

an anterior lateral maleoulus can lead to a ....

Answer 44

flattened arch

Question 45

talar tilt test

Answer 45

calcanefibular ligament