Test 4 Flashcards

1
Q

A complete lesion of the femoral nerve as it leaves the lumbar plexus affects

A

Knee extension

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2
Q

The primary flexor of the hip is

A

Iliopsoas

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3
Q

Paralytic equines during swing phase is often caused by the injury to

A

Common peroneal nerve

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4
Q

A cycle of gait is defined as all activities that occurs b/w

A

Heel strike on one limb and subsequent heel strike on the same limb

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5
Q

Toe out or toe in is the relationship of the long axis of the foot to the

A

Line of progression

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6
Q

The motion of inversion and eversion occurs at which joint

A

Subtalar

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7
Q

A common lesion of the tibial nerve on one leg wil result in what gait deviation

A

Shortened step length on ipsilateral side

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8
Q

____ disease is an osteochondrosis of the capital femoral epiphysis that generally occurs in ____.

A

Leg-calve-perthes; 3-10 year old males

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9
Q

At which part of gaitare the most number of muscles active

A

Heel strike

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10
Q

For correction of genu valgum forces should be applied over the

A

Lateral thigh, distal to the greater trochanter, lateral aspect of the foot and the medial condyle of the femur

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11
Q

The purpose of measuring external rotation of the ankle joint is

A

Insure that the mechanical ankle axis coincide with the anatomical ankle axis in the transverse plane

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12
Q

What is the max acceptable malaligngment of a tibial fx that can be managed with an off the shelf fx orthosis

A

10° varus or valgus, 20° of anterior posterior angulation- (CHECK)

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13
Q

CONGENITAL osteoporosis along with fx before and during birth is indicative of which condition

A

Osteogenesis imperfecta

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14
Q

A flexible varus hindfoot might be corrected using

A

Lateral wedge

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15
Q

Shoe modification that will most likely be used for a fixed equines deformity

A

Heel lift

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16
Q

Metatarsal pads function to____ as well as_______

A

Relieve metatarsal heads/ elevate the transverse arch

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17
Q

What of the following ankle joint control would be indicated for a patient that has paralysis of the pf.

A

Df stop

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18
Q

In relaterion to the apex of the greater troch, where is the mechanics all hip joint located

A

25 mm proximal, 12 mm anterior

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19
Q

T or f quadriceps femoris muscle consists of four parts, only one of which acts across the hip joint

A

True

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20
Q

What motion does a cushioned heel stimulate

A

Pf at heel strike

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21
Q

More ankle joint clearance is allowed for the medial malleolus because

A

The medial malleolus is more prominent

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22
Q

During late stance the hip joint requires how much extension for normal function

A

10°

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23
Q

Which phase of gait does a rocker sole most closely simulate

A

Midstance to toe off

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24
Q

When treating an adult patient with an anterior hip dislocation, it important to

A

Not allow hip to extend pass 30° of flexion

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25
When genu varus is present ton a lower-limb scheme, the mid-sagittal line connects the perineium and the mark made..
30mm medial to the ankle
26
The Coleman lateral block test is used to assess flexibility of which presentation?
Hindfoot varus
27
Which motion would be Lost if the superficial branch of the common peroneal nerve is injured
Eversion of the subtalar joint
28
Tibialis posterior is innervates by which nerve
Tibial nerve
29
At heel strike the ground reaction line pass
Anterior to hip and posterior to knee
30
The greatest amount of DF in gait
Heeloff
31
Hallucis rigidus, which part of stance phase will the patient have the most discomfort
Late stance phase
32
Which of the following muscle groups are responsible for the majority of muscular activity in decelerating the limb at terminal swing
Hamstrings
33
A unilateral pelvic band should be what percentage of the circumference
33%
34
Posterior lean is most commonly seen with paralysis of which muscle group
Hip extensor
35
Tibialis anterior, extensor hallucis longus , peroneus tertius all assist in what
DF
36
A favorable outcome in ox management of a tibial fx is
No more than 5° angulation in any plane
37
The ligament on which the talus rest and which helps support the medial longitudinal arch of the foot is the
Plantar calcaneonavicluar ligament (spring ligament)
38
A patient demonstrates good hip strength but poor quad and poor pf. What settting of a double action AFO would be the most appropriate treatment
Anterior pins maintaining a few degrees pf
39
Weakness of the hip extensors you would expect to see what
Increased lordosis
40
Condition where there is a growth disturbance on the medial proximal aspect of the tibia is
Blount's disease
41
The talocalcaneal or talocalcaneonavicular joint forms which joint
Subtalar
42
Talipes equinovarus can be present in which one of the following pathologies
Arthrogryposis (congenital joint contracture)
43
A spina bifida child presents with s1 intact. The ox indicated at this time would be
UCBL
44
When presented with a 5 year old pediatric patient who has cerebral palsy and pf contracture the best recommendation is
Serial cast
45
Fusion of talocalcaneal, talonavicluar and calcanealcuboid is better known as a
Triple arthrodesis
46
The TLSO: Sagittarius control is best suited to manage
Kyphosis secondary to osteoporosis
47
Recommend an ox for a 20 year old male who has sustained a L1 burst fx
TLSO polymer
48
A patient presents with disruption of the supraspinous ligament, interspinous ligament, posterior longitudinal ligament, ligamentum flavum, capsular ligament and the the intervertebral disc. There is sparing o fthe anterior longitudinal ligament and the patient is neurologically intact. What is the most likely mechanism of injury?
Flexion
49
On which side of the ox should the throchanteric extension be placed
The side of decompensation
50
C1 fracture that is 6 weeks post injury- injury is stable and shoes signs of callous formation with neurologic function:
Rigid cervical orthosis
51
Spine of scapula is at which approximate vertebral level
T3
52
Which biomechanical principle would be most effective in unloading an intervertral disc
Increased intracavitary pressure
53
End point vertebrae in a scoliotic curve are the
Last convergent vertebrae most superior and inferior to null point
54
What condition should be positioned in sagitall flexion when managing with an orthosis?
Spinal stenosis
55
The axillary extension axtension of a boston style scoliosis orthosis for a double curve should extend from the
Window to about T5
56
What does it mean when there is a grade II pedicure rotation
Pedicure is rotated 2/3 towards midline
57
Unilateral contracture of the sternocleidomastoid that is indicative of torticollis would cause what clinical presentation
Lateral head flexion to ipsolateral side and rotation to contralateral side
58
Pt presents with L1 burst fracture. Before taking the impression and maintaining optimal saggital alignment, you would want to know the status of which ligament
Anterior longitudinal ligament
59
In scoliotic curve, the spinous processes rotates towards the
Concavity
60
In scheuermann's disease where should the throacic pad for a CTLSO: MILWAUKEE style be positioned
At apex
61
Traumatic spondylolisthesis of C2 is known as a ______. If its unstable, its best to manage with a____.
Hangman fx, halo
62
What is the method used to ring the baseline for corset measurement
Inferior costal margin to iliac crest divided by two
63
Which cervical level exhibits the most sagittal motion
C0-C1 (check)
64
Another name for a knight ox is
LSO: SAGITTAL/CORONAL CONTROL
65
Milwaukee not recommended for a person with a paralytic spine
The person cannot provide active forces necessary for correction
66
Hypokyyphosis can be defined as having a sagittal curves magnitude in the range of
0-20°
67
What is the most likely mechanism of injury for a seatbelt fx
Flexion and distraction
68
What deformity is most likely to result from ankylosing spondylitis
Flexion
69
A patient presents with a grease III spondylolisthesis and a 45° slip angle. Based on the info what would likely be the most effective treatment
Surgery
70
In lumbar spine where does most of the sagittal motion occur
Between L5 and S1 ( check)
71
What effect does reducing decompensation have on the critical load of the spine
Increase