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Physical Diagnosis (Lauren) > UE > Flashcards

UE Flashcards

1
Q

What two parts of the AC joint must you palpate?

A
  1. Acromion process

2. Coracoid process

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2
Q

WHat is this test: arm extended in full supination with shoulder flexed. Elevate arm against resistance?

A

Speeds

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3
Q

What epicondyle is involved in golfers elbow?

A

Medial

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4
Q

What are the muscles of the rotator cuff

A

Supraspinatus
Infraspinatus
Teres minor
Subscapularis

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5
Q

What muscle group attaches to the medial epicondyle?

A

Flexor/pronator group

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6
Q

What causes a winged scapula?

A

Paralysis of serrated anterior due to long thoracic nerve lesion

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7
Q

What is broken in a colle’s fracture

A

Distal radius (dinner fork abnormality)

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8
Q

What is this test:Passive flexion with arm probated and scapoula is stabilized

A

Neers “near to the ear”

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9
Q

What is finkelstein’s test?

A

Fist over thumb and ulnar deviation

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10
Q

What score would movement with full resistance receive?

A

5

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11
Q

What is this test: flexion of elbow and shoulder to 90* in pronation, then assist patient into internal rotation assessing for pain?

A

Hawkins test (chicken wing)

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12
Q

What score would movement against gravity only receive?

A

3

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13
Q

What score would visible contraction, no joint movement receive?

A

1

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14
Q

How would you test median nerve motor function?

A

Making three sign or OK sign]

👌

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15
Q

What score would no muscle contraction receive?

A

0

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16
Q

What two tests test for glenohumeral instability?

A

Sulcus sign

Apprehension and Relocation Test

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17
Q

What rotator cuff muscle does internal rotation

A

Subscapularis

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18
Q

What nerve does most of the back of the hand and the side of the thumb (minus finger tips)

A

Radial

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19
Q

What nerve does sensory for the whole pinky finger and half of the 4th finger

A

Ulnar

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20
Q

What is nursemaids’ elbow

A

Subluxation/dislocation of radial head

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21
Q

What are the bony landmarks of the shoulder

A

Clavicle
AC joint
Humerus
Bicipital groove

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22
Q

What type of arthritis usually involves radial deviation?

A

OA

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23
Q

What direction are glenohumeral joints dislocated in 95% of the time?

A

Anterior

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24
Q

heberden’s nodes are characteristic of which type of arthritis

A

OA

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25
Q

What is a Boutonnière deformity?

A

Flexion of PIP joint with hyperextension of DIP joint

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26
Q

What tests are done to assess for rotator cuff tears

A

Empty Can
Gerber’s lift off
Drop Arm

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27
Q

What causes de Quervain’s tenosynovitis/

A

Repetitive gripping

Commonly seen in students, athletes, and moms

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28
Q

How would you test motor function of ulnar nerve?

A

Spreading fingers apart

29
Q

What two tests are for the biceps tendon?

A

Yergason

Speeds

30
Q

What is a postive Finkelstein test indicative of

A

De Quervain’s Tenosynovitis

31
Q

What epicondyle is involved in tennis elbow?

A

Lateral

32
Q

What nerve is in the carpal tunnel

A

Median

33
Q

How would you test motor function of radial nerve

A

Wrist extension (revving motorcycle)

34
Q

What might indicate a scaphoid fracture?

A

a tender anatomical snuffbox

35
Q

What score would joint movement but only without gravity receive?

A

2

36
Q

What is olecranon bursitis?

A

Inflammation of the bursa with fluid accumulation due to trauma or infection. May be hot/painful.

37
Q

What are the borders of the anatomical snuffbox

A 
Lateral: 
Extensor pollicis brevis 
Abductor Pollicis longus
Medial:
Extensor pollicis longus
38
Q

What would a positive empty can test indicate?

A

Supraspinatus injury/tear

39
Q

What test might you do if you suspected adhesive capsulitis?

A

Apley scratch test

40
Q

What is this test: provider passively abducts arm to 120 degrees and asks patient to slowly lower it

A

Drop Arm test

41
Q

What type of arthritis usually involves ulnar deviation?

A

RA

42
Q

What is a Swan neck deformity

A

Hyperextensin of PIP joint and flexion of DIP joint

43
Q

What is a normal capillary refill time

A

Under 2 seconds

44
Q

What are ganglion cysts

A

Collection of synovial fluids within a joint or tendon sheath

45
Q

Which type of node is more common with RA but can appear in both RA and OA?

A

Bouchards

46
Q

What does a positive Hawkins test indicate

A

Supraspinatus tendon impingement

47
Q

What is adhesive capsulitis

A

Frozen shoulder. Pt literally can’t move arm that way, has nothing to do with pain.
Mechanical restriction

48
Q

What rotator cuff muscles do external rotation

A

Infraspinatus 80%

Teres minor 20%

49
Q

What is the scoring range fro muscle strength?

A

0-5

50
Q

Who gets nursemaid’s elbow

A

Kids age 1-4

51
Q

What test is this: place hand on back with shoulder internally rotated. Then have pt push against your hand.

A

Gerber’s Lift Off Test

52
Q

What is this test: elbow flex at 90* with forearm pronated. Supinate forearm and externally rotate humerus against resistance

A

Yergason (ask them to try to hit you while they supinate)

53
Q

What muscle group attaches to the lateral condyle

A

Extensor/supinator group

54
Q

What does a positive gerbers lift off test indicate

A

Subscapularis injury tear

55
Q

What does a positive drop arm test indicate

A

Rotator cuff tear

56
Q

What Rotator cuff muscles does abduction

A

Supraspinatus

57
Q

Where are Bouchard’s nodes?

A

PIP joints

“BNP”

58
Q

What nerve is usually assessed with Tinel’s sign?

A

Median nerve to assess for carpal tunnel

59
Q

What is Tinel’s sign

A

tapping over a nerve and looking for tingling in the distribution of that nerve

*tinel-“tingle”

60
Q

What is de Quervain’s tenosynovitis

A

Inflammation of the 1st Dorsal Compartment involving sheaths of APL and EPB

61
Q

What part of the hand will atrophy with carpal tunnel syndrome?

A

Thenar eminence

62
Q

What score would movement with some resistance receive?

A

4

63
Q

What test is this: elevate arms to 90*, slightly away from midline, rotate arms medially (thumbs down). Pt asked to resist providers downward pressure.

A

Empty Can test

64
Q

What nerve does most of the palm and the tips of first 3.5 fingers?

A

Median

65
Q

Where are Heberden’s nodes

A

Dorsolateral aspects of DIP joints

66
Q

What two tests are done for carpal tunnel

A

Tinel’s

Phalen’s

67
Q

What is Phalen’s test

A

Flexing the wrists together in “praying” or backs of hands together for 30-60 seconds assessing for tingling in the median nerve distribution

68
Q

What does a positive Neer’s sign mean

A

Sub acromion impingement

Physical Diagnosis (Lauren) (3 decks)

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