UL Exam

Question 1

Hot, swollen, red, painful (especially with passive motion) - r/o:

Answer 1

septic joint

Question 2

night pain, especially w/ weight loss, r/o:

Answer 2

tumor

Question 3

deformity and loss of motion, r/o:

Answer 3

dislocation and/or fracture

Question 4

rapidly progressing neurologic changes in forearm or leg with pallor, weak/absent pulse, pain with passive motions, r/o:

Answer 4

compartment syndrome

Question 5

significant sudden onset of limb swelling, pain and bluish skin changes, r/o:

Answer 5

DVT

Question 6

morning stiffness, better with rest, worse with prolonged use:

Answer 6

suspicious for arthritis

Question 7

pain only with active motion or resistance:

Answer 7

suspicious for muscle or tendon injury

Question 8

pain with both active and passive motion:

Answer 8

suspicious for articular injury

Question 9

instability is suspicious for:

Answer 9

ligament injury

Question 10

On the basic strength grading scale, 5/5 means:

Answer 10

normal

Question 11

on the basic strength grading scale, 3/5 means:

Answer 11

can only move against gravity

Question 12

on the basic strength grading scale, 1/5 means

Answer 12

muscle contractions but no motion

Question 13

on the basic reflex grading scale, 4+ means:

Answer 13

clonus and hyperactive

Question 14

on the basic reflex grading scale, 3+ means

Answer 14

hyperactive, no clonus

Question 15

on the basic reflex grading scale, 2+ means

Answer 15

normal

Question 16

on the basic reflex grading scale, 1+ means:

Answer 16

hypoactive

Question 17

on the basic vascular grading scale, 4+ means

Answer 17

bounding

Question 18

on the basic vascular grading scale, 3+ means

Answer 18

normal

Question 19

on the basic vascular grading scale, 2+ means

Answer 19

diminished

Question 20

on the basic vascular grading scale, 1+ means

Answer 20

faint, but detectable

Question 21

a positive full can test indicates pathology in which muscle

Answer 21

supraspinatous

Question 22

a positive lift-off test indicates pathology in which muscle:

Answer 22

subscapularis

Question 23

apprehension test simulates:

Answer 23

shoulder dislocation

Question 24

Regarding the elbow, the valgus stress test will be testing which ligament?

Answer 24

ulnar collateral

Question 25

describe tinel’s sign

Answer 25

tapping over the median nerve in the carpal tunnel

Question 26

a positive phalen’s sign is dx for

Answer 26

carpal tunnel

Question 27

a pt fell directly onto their shoulder, they probably have what injury:

Answer 27

AC sprain

Question 28

pt presents with pain with overhead motions and shoulder deformity (superior) and a positive cross-body test. dx?

Answer 28

AC sprain

Question 29

in a pt with an anterior shoulder dislocation, which nerves are you worried about?

Answer 29

axillary and musculocutaneous

Question 30

is pain positive for the apprehension test? if not, what is?

Answer 30

no, instability in the joint. test is performed when dislocation is reduced

Question 31

what tx do you consider after initial shoulder dislocation?

Answer 31

immobilization with sling for 3-4 wks for young adult

consider surgery for athletes

Question 32

what tx for recurrent non-traumatic shoulder dislocations?

Answer 32

PT and early mobilization

Question 33

Neer’s, Hawkin’s, and empty can all test for what injury?

Answer 33

rotator cuff injury

Question 34

what tx do you consider for rotator cuff injuries?

Answer 34

small tears/tendinopathies > non-operative

surgical for large tear or in young athletic pts

Question 35

what is the etiology of medial epicondylitis?

Answer 35

over use of wrist flexors

Question 36

what is the etiology of lateral epicondylitis?

Answer 36

overuse of wrist extensors

Question 37

which nerve is irritated in carpal tunnel syndrome?

Answer 37

median n.

Question 38

Snuffbox contents:

Answer 38

Radial a/n, scaphoid, cephalic v.