Test 3 Flashcards

1
Q

Ankylosing spondyitis (rheumatoid spondylitis) most common abnormality seen?

A

This primarily affects cervical spine- causing atlantoaxial instability

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2
Q

Tibialis anterior function

A

DF, inversion

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3
Q

Poliomyelitis results from an acute viral infection of the:

A

Dura mater of brain and spinal cord

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4
Q

MSDS stands for

A

Material safety data sheet

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5
Q

Halo sizing: ring, vest

A

Ring- measure largest circumference of skull

Vest- measure chest circumference at xiphoid preocess, men’s jacket size, women’s bra size

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6
Q

Halo ring placement

A

As subequatorial as possible wi/out interfering with anatomy- ears, eyes, etc. (Kyle)
1/4” Superior to ears (HANGER TEST)
.5 cm above the eyebrows and .5-1cm above top of ears( Jerome)

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7
Q
Quad patient with a functioning C7 will lose which of the following?
A. Wrist extension
B. Elbow flexion
C. Finger flexion
D. Shoulder abduction
A

C. Finger flexion- C8 level - interosseus muscles

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8
Q
Example of congenital spinal deformity is? 
A. Infantile scoliosis 
B. Hemivertebrae 
C. Thoracic hypokyphosis
D. Anterior vertebral wedging
A

Hemivertebrae

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9
Q

Which nerve supplies the peroneus brevis

A

Superficial peroneal nerve

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10
Q

ACL attaches to the non-articulated aspects of the tibia and the posterior aspect of the..

A

Medial surface of the lateral femoral condyle

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11
Q

Presentation of combined median ulnar nerve lesion

A

Wrist is slightly hyperextended and inclined to radial side
Ape hand- thumb in the plane of the hand and slightly abducted.
MCPj- hyperextended
IP-slightly flexed
Patient can not abduct or adduction finger

Sensory symptoms are lost in hand

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12
Q

Mot appropriate orthosis for a patient with a median and ulnar nerve laceration at the wrist

A

WHO w/ spring wire wrist flexion assist

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13
Q

Brachioradialis primary and secondary function

A

1°- flex elbow

2°- supination

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14
Q

What nerve innervates the gastrocnemius and soleus

A

Tibial nerve

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15
Q
Which of the following muscles BEST substitutes for a non-functional tibialis anterior
A. Tibialis posterior
B. Extensor hallucis longus
C. Extensor digitorum brevis
D. Peroneus longus
A

B. Extensor hallucis longus

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16
Q

Inflammation anterior to the flexor retinaculum is called

A

Carpal tunnel

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17
Q

The greatest advantage that a dorsal style WHO has over a volar style WHO is that it

A

Allow tactile sensation

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18
Q

The extensor carpi ulnaris works synergistically with the _____ to provide wrist extension

A

Extension digitorum

19
Q

A patient presents with no volitional strength to the thumb. What component will you recommend

A

Thumb post

20
Q

Which of the following deformity in the fingers is most similar to a hammer toe

A

Boutonniere

21
Q

The volar surface of the forearm contains the ____muscles, which as a group originate at the ____humeral epicondyle

A

Wrist flexor, medial

22
Q

Most common etiology of a stroke is

A

Embolic

23
Q

A dynamic IP extension assist with an MP extension stop should be used if a patient

A

Has lumbrical weakness and has hyperextended MPs

24
Q

A 68year old female presents with RA. What deformity is most likely occurring at her MPs

A

Volar subluxation and ulnar deviation

25
Q

The correct distal trimline of the thumb adduction stop (C-bar) bar is

A

Proximal to 1st MCP

26
Q

MOST likely use a balanced forearm orthosis?

A

Quadriplegic with fair shoulder power

27
Q

Swan neck deformity, the pip joint is

A

Hyperextended and the DIP is flex

28
Q

C6 quad, which muscles will the patient use to manipulate a WHOwrist driven for prehension

A

Extensor carpi radialis longus and brevis

29
Q

The 1st CMC is what type of joint

A

Saddle joint

30
Q

Most important motor acquisition of the c5 quad is

A

Shoulder/ elbow flexion

31
Q

A boutonnière deformity consists of PIP

A

Flexion and DIP hyperextension

32
Q

C1- atlas characteristics

A
Atypical
 No spinous process
No body
Can move independent of other vertebrae
Yes-yes motion
Atlanto-occipital joint
Atlanta-axial joint
33
Q

C2 axis characteristics

A
Atypical 
Spinous process
Body
Odontoid process
Greatest transverse motion
No no motion
34
Q

3 stabilities of spine

A

Nerve stability
Mechanical- ligament (passive)
Musculoskeletal- muscle

35
Q

C3-7 characteristics

A
Bifid spinous process
Typical 
C4-5 and C5-6 most mobile segments w/i cervical spine
C7 most prominent spinal process
Mobility allowed from facet orientation
36
Q

Jefferson fx C1

A
Burst fx
3-4 fx lines in atlas
MVA common
Axial loading of head
HALO
37
Q

Odontoid fx C2

A

Type I- odontoid tip only (moderate)
Type II-odontoid fx at base (sever)- fusion, Halo
Type III-fx in to body of axis still have ligament stability- halo or ridge CO

38
Q

Compression fx failure of

A

Anterior column

39
Q

Burst fx- failure

A

Anterior and mid column

40
Q

Seatbelt fx failure

A

Posterior and middle column

41
Q

Dislocation fx failure

A

All 3 column fail

42
Q

Lower cervical spine trauma- rotation w/ dislocation

A

Unilateral facet dislocation- halo

43
Q

Lower cervical spine trauma- flexion distraction

A

Bilateral facet dislocation-true spondylolisthesis- very unstable: surgery

44
Q

Lower cervical spine trauma- extension

A

Fx of Pars interarticular…ox?