Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCM I final > upper limb and neck > Flashcards

upper limb and neck Flashcards

1
Q

What are common cervical symptoms

A

hoarseness, enlarged lymph nodes, enlarged thyroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the borders of the anterior neck triangle

A

superior is the mandible
medial is the midline of the neck
lateral is the sternocleidomastoid m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the borders of the posterior neck triangle

A

inferior- clavicle
posterior- trapezius
anterior- sternocleidomastoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where do most of the cervical lymph nodes drain

A

deep to sternocleidomastoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If the thyroglossal duct into the neck does not close before birth what may happen

A

a thyroglossal duct cyst may form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the first step of the structural neck exam

A

palpation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the normal ROM for flex/extend rotation and side bending of the neck

A

flexion- 45
extension- 85
rotation- 90
side bending- 40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what muscles are used in rotation of the neck

A

trapezius, scalene, sternocleidomastoid, splenius, longissimus, semispinalis, and olbliqus capitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what muscles are used in side bending of the neck

A

trapezius, scalene, Sternocleidomastoid, splenius longissimus, semispinalis, obliqus, longus and rectus capitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is spurlings maneuver checking for

A

cervical foraminal compression test, side bending to affected time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the distraction test

A

used to alleviate radicular symptoms to support Dx radiculopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

pain in the neck and numbness in the last 3 fingers and forearm are symptoms of what

A

thoracic outlet syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is Roos test

A

tests for thoracic outlet syndrome and what you do is abduct and flex to 90 degrees and open close hands for 3 minutes, if weakness or numbness- positive test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the Adson’s test

A

thoracic outlet syndrome
palpate radial pulse then move arm into external rotation and abduction and turn head away if pulse diminishes- positive test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the rotator cuffs

A

supraspinatus
infraspinatus
teres minor
subscapularis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is a winged scapula indicative of

A

long thoracic nerve injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the ROM for the shoulder

A 
Abduction- 180
ADduction- 75
Felxion- 180
Extension- 60
External rotation- 90
Internal rotation- 100
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the apley scratch test

A

touch fingers behind back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Action of trapezius

A

superior-elevation
middle- retraction
inferior- depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Action of levator scapula

A

elevation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

action of rhomboids

A

retraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

action of pectoralis

A

depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

action of biceps

A

flexes humerus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

action of coracobrachialis

A

flexes and ADducts the humerus

25
Q

action of latissimus dorsi

A

extends and medially rotates humerus

26
Q

action of deltoid

A

anterior- flexes
middle- ABducts after 90
posterior- extends

27
Q

action of supraspinatus

A

ABducts up to 90

28
Q

action of infraspinatus

A

externally rotates

29
Q

action of subscapularis

A

internally rotates

30
Q

action of teres minor

A

externally rotates

31
Q

action of teres major

A

internally rotates

32
Q

What side do you test first when patient has pain on one side for strength testing

A

the unaffected side first

33
Q

What is the strength testing scale

A 
0/5 nothing
1/5 twitch without joint movement
2/5 can move without gravity
3/5 can move against gravity
4/5 against gravity and some resistance
5/5 good
34
Q

How do you test supraspinatus

A

patient ABducts against resistance

35
Q

How do you test subscapularis

A

patient rotates forearm medially against resistance

36
Q

how do you test infraspinatus and teres minor

A

patien rotates forearm laterally against resistance

37
Q

how do you isolate infraspinatus

A

hold resistance medially while patient tries to rotate forearm laterally

38
Q

What is the empty can test for

A

supraspinatus, abduct arms to 90, forward flex to 45 internally rotate to point downward ans add resistance

39
Q

how do you isolate subscapularis

A

lift off test off back

40
Q

how do you test for AC joint disruption

A

Crossover test

41
Q

pain inferior to the anterior border of the acromion and referred pain to anterior deltoid insertion on the humerus are symptoms of what

A

rotator cuff injuries

42
Q

pathology of rotator cuff injuries

A

acromial spurring, subacromial impingement and bursitis, microtears of supraspinatus or complete tear

43
Q

What is the drop arm test

A

abduct arm to 90 and ask patient to lower arm, supraspinatus

44
Q

apprehension test

A

abducted to 90 and externally rotated and have them add resistance and look for pain

45
Q

O’Briens test

A

flex arm and adduct across chest, internally rotate and push down arm- pain is positive for labral tear

46
Q

Speed’s test

A

flex straight arm to 90 with palm facing upward. resist student pushing down, pain occurs in bicipital groove- biceps tendonitis

47
Q

Hawkin’s impingement sign

A

passively externally rotate shoulder and see if pain is reproduced

48
Q

elbow ROM

A

extension- 0 degrees
flexion- 150 degrees
pronation 70 degrees
supination- 90 degrees

49
Q

what is nursemaids elbow

A

radial head dislocation

50
Q

what is posterior elbow

A

ulnar dislocation

51
Q

What are the nodes called in someone with osteoarthritis of the distal interphalangeal

A

heberdens

52
Q

what are the nodes called in someone with osteoarthritis of the proximal interphalangeal

A

bouchards

53
Q

What is tinnel’s sign

A

tap over median n in carpal tunnel using reflex hammer and see if pain is reproduced for carpal tunnel syndrome

54
Q

What is a colles fracture

A

when you fracture distal radius usually by falling on outstreched hand and broken piece moves posteriorly

55
Q

What is dupuytren’s contracture

A

inflammation, thickening and contracture of the palmar fascia most commonly in 4th and 5th digits

56
Q

what is a trigger finger

A

inflammation of the flexor digitorum tendon sheath which becomes trapped under retinaculum

57
Q

What is a good test for carpometacarpal osteoarthritis

A

grind test

58
Q

how do you test for tenosynovitis of the externesor pollicis brevis and Abductor pollicis longus

A

put patients thumb in fist and gently ulnar deviate, finkelsteins test

PCM I final (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions