The Upper Extremities Exam Version (: Flashcards

1
Q

growth plates are what type of joints

A

synchondrosis or primary cartilagenous

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2
Q

What type of joint is the sternoclavicular joint

A

synovial and saddle

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3
Q

What type of joint is the acromioclavicular joint

A

synovial, plane/gliding

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4
Q

What type of joint is the glenoid joint

A

synovial, ball and socket

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5
Q

What type of joint is the is the elbow joint

A

synovial and hinge

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6
Q

What type of joint is the proximal and distal radioulnar joint

A

synovial and pivot

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7
Q

What type of joint is the radiocarpal joint

A

synovial and condyloid

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8
Q

What type of joint is the intercarpal joint

A

synovial and plane/gliding

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9
Q

What type of joint is the carpometacarpls 2-5

A

synovial, plane/gliding

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10
Q

What type of joint is the carpometacarpal 1 joint

A

synovial saddle

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11
Q

What type of joint is the intermetacarpal joint

A

synovial, plane/gliding

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12
Q

What type of joint is the intermetacarpal joint ?

A

synovial, condyloid

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13
Q

What type of joint is the the distal interphalangeoul and the proximal interphalngeal joint

A

synovial and hinge

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14
Q

C6 dermatome is unequviocally where

A

thumb

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15
Q

c7 dermatome is unequivacoally where

A

middle finger

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16
Q

c8 dermatome is unequivacoally where

A

pinky

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17
Q

T1 dermatome is unequivacoally where

A

medial forearm and (distal arm)

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18
Q

referred pain for peritonitis, gall bladder inflammation, hepatic abcess

A

should pain c3-c5

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19
Q

referred pain for heart GVA pain accompanying symapthic innervation to heart

A

chest wall and medial aspect of LEFT upper limb

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20
Q

Dupuytrens Contracture

A

pathological thickening and shortening of the bundles of the palmar aponeurosis which draws fingers into the palm to such a degree they become useless (commonly affects digit 4 and 5 and can appear as ulnar claw hand

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21
Q

What structures are in danger when the calvical breaks

A

suprascapular vein, artery, nerve, supraclavicular nerve, brachial plexus and subclavein

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22
Q

Complete separation of the AC joint results in rupture of what

A

acromioclavicular and coracoclaviular ligaments

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23
Q

bursitis

A

inflammation of the subdeltoid and subacromial bursa

24
Q

what is the most commonly injured rotator cuff muscle

A

supraspinatus

25
Q

What are the rotator cuff muscles

A

Supraspinatus
infraspinatus
teres minor
subscapualris

26
Q

What is the drop arm test

A

testing supraspinatus muscle
going down from 90 degree abduction is supposed to be a smooth controlled motion
if not it usually means the supraspiinatus muscle is injured

27
Q

What is a boxers fracture

A

fracture of the 5th metacarpal (pinky mentacarpal)

28
Q

Golfers wrist

A

fracture of hook of hamate

29
Q

What is the most commonly fractured carpal bone

A

scaphoid

30
Q

If you fall on an outstretched hand

A

youth- displacement of distal radial epiphysis
adolescent-clavicular fracture
elederly-colles fracture

31
Q

what is the most commonly dislocated carpal bone

A

lunate

32
Q

What is the terrible triad

A

injury to the elbow charcterisized by disocation, radial head fracture and avulsion to coronoid process

33
Q

What is Tommy John Surgery

A

reconstruction of a torun ulnar collateral ligament

34
Q

tearing of the annular ligament causes what

A

dislocation of the radial head common in children

35
Q

colles fracture

A

transverse fracture of distal radius with dorsal displacement off the handl

36
Q

What is the Allen’s Test

A

pale hand test, testing the radial and ulnar arteries

37
Q

if the axillary vein is lacerated what must be preserved in order to maintain blood return

A

cephalic vein

38
Q

Characteristics of Erb’s Duchenne Palsy

A

injury to C5 and C6
paralysis to flexors, abductors and LATERAL rotators of the arm
arm is adducted, medially roatted and extendedq

39
Q

Klumpke’s Palsy

A

injury to c8/t1 nerve root
catching oneself while hanging on to something
paralysis of intrinsic hand muscles

40
Q

loss of long thoracic nerve result in

A

winged scapular do to serratus anterior muscle innervated by it

41
Q

dorsal scapular nerve injury

A

protracted scapula due to loss of innervation of the rhomboid muscles

42
Q

axillary nerve injury

A

wasting of deltoid muscle

43
Q

radial tunnel syndrome

A

entrapment of posterior interosseous nerve which innervates the extensors and supinators of wrist and hand

44
Q

musculocutaneous nerve injury

A

muscle wasting of biceps, coracobrachialis and brachilais

45
Q

injury to median nerve

A

ape hand or hand of benediction

46
Q

pronator syndrome

A

entrapment of median nerve

47
Q

anterior interosseous injury

A

weakness in FDP, fpl and pronator teres

48
Q

million dollar nerve

A

recurrent branch of median nerve results in paralysis of thenar muscles

49
Q

ulnar nerve injuries injur what two fingers

A

medial two lubricals digits 4 and 5

50
Q

Finkelsteins test

A

thumb under 2 and 3 and medially rotate

tests for tenosynovitis

51
Q

de Queverians stenosing tendosynovitis

A

pain in thumb

from thinkening of sheat for APB and EPB

52
Q

raynaud syndrome

A

idopathic symathetic innervation dysregulation

53
Q

thoracic outlet syndrome

A

decreased blood flow to c8 and t1 roots

54
Q

boutineere deformity

A

damage to extensor expansion

results in flection of middle and extension of distal phalange

55
Q

jersey finger

A

tearing of flexor digitorum profundus tendon , stuck in extensoin

56
Q

mallet finger

A

avultion o extensor tendon, flextion of distal phalanx

57
Q

trigger finger

A

stenosing tenosynovitis involving flexor tendon; clicking during flextion and extension