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Physical Medicine > Week 1 Material > Flashcards

Week 1 Material Flashcards

1
Q 
STRETCHING 
TEARING
DRAWING
CRAMPING 
DULL
A

Quality of pain for MUSCLE

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2
Q

PINCHING
CRUSHING
SHARP
STIFFNESS

A

Quality of pain for LIGAMENT/TENDON

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3
Q

KNIFELIKE

STABBING

A

Quality of pain for JOINTS

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4
Q

PINCHING
CRUSHING
KNIFELIKE
STABBING

A

Quality of pain for FACIA

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5
Q 
PRICKLING
NUMBNESS
BURNING
PINCHING
CRUSHING
A

Quality of pain for NERVES

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6
Q

BURNING

A

Quality of pain for PERIOSTEUM

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7
Q

DULL

BORING

A

Quality of pain for BONE

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8
Q

SHARP
THROBBING
HOT

A

Quality of pain for INFECTION

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9
Q

THROBBING

A

Quality of pain for VASCULAR

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10
Q

Arises from superficial soft tissues, usually well localized (eg. cut in skin)

A

DERMAL PAIN

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11
Q

Deep somatic tissues typically deep, aching & somewhat localized (eg. muscle strain)

A

SCLEROTOMIC PAIN

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12
Q

Internal organ capsule distention or ischemia, deep achy, cramping pain that may be sharp at times, often poorly localized and may be immobilizing in more severe cases (eg. intestinal cramps, PMS, heart attack, appendicitis)

A

VISCERAL PAIN

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13
Q

Nerve roots, often described as shooting, electrical and/or burning and in a dermatomal pattern (nerve root compression)

A

RADICULAR PAIN

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14
Q

Nerve compression distal to the nerve roots

A

PERIPHERAL NERVE PAIN

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15
Q

Arises from direct changes in neural pathways & perception of the brain, felt by amputees in the area of the missing limb

A

PHANTOM PAIN

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16
Q

Pain felt at a site other than where the cause is situated; pain in internal organs or myofascial trigger points (MFTP) is often referred to other locations.

A

REFERRED PAIN

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17
Q

Refers to pain associated with the acute stage of inflammation, however can be described as pain that is unbearable, usually first 48-72 hours.

A

ACUTE PAIN

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18
Q

Pain after the acute stage but not yet chronic (>72 hrs)

A

Sub Acute

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19
Q

Refers to pain associated with the stages healing after the resolution of the inflammatory response. commonly used in reference to pain of long duration more than 3 months.

A

CHRONIC PAIN

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20
Q

TRUE OR FALSE:

Inspection begins AFTER you see the patient

A

FALSE - inspection begins THE MOMENT you see the patient

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21
Q

(increase in tenderness, decrease in sensitivity, anesthetic quality, paresthesias, etc.) result following palpation

A

SENSORY CHANGES

22
Q

(spasm, boggy muscle, ropy muscle, atrophy, edema, oiliness, dryness, hyperhidrosis, pigment changes, etc.)

A

TISSUE TENSION CHANGES

23
Q

(positional findings where one side does not compare to the other)

A

ASYMMETRY

24
Q

(A form of asymmetry where motion testing results in findings of relative limitation of motion in at least one direction and the components of other directions can be concluded or implied)

A

RESTRICTION OF MOTION

25
Q

Likely indicates a soft tissue origin the patient’s concern

A

Full pROM and limited aROM

26
Q

Likely indicates an osseous origin to the patient’s concern

A

Limited pROM and limited aROM:

27
Q

Likely indicates a muscular origin to the patient’s concern

A

Painful rROM

28
Q

No muscle contraction is seen

A

Zero - 0

myotome testing

29
Q

Flicker or trace of contraction is seen

A

1- TRACE

Myotome testing

30
Q

Active movement only with gravity eliminated

A

2 - POOR

Myotome testing

31
Q

Active movement against gravity but not resistance

A

3- FAIR

Myotome testing

32
Q

Active movement against gravity with some resistance

A

4- GOOD

Myotome testing

33
Q

Active movement against gravity with full resistance

A

5- NORMAL

Myotome testing

34
Q

ASIA Acronym

A

American Spinal Cord Injury Association

35
Q

nerve roots that span multiple sensory nerves (in most cases)

A

DERMATOMES

36
Q

TRUE OR FALSE:

Dermatomal distribution of sensory loss or pain indicates a NERVE ROOT problem

A

TRUE

37
Q

cutaneous nerves that innervate the skin around their path.

A

SENSORY NERVES

38
Q

TRUE OR FALSE

Sensory distribution of sensory loss or pain indicates a specific NERVE PROBLEM

A

TRUE

39
Q

REFLEX ABSENT

A

0

DEEP TENDON REFLEX

40
Q

1

A

Reflex diminished but present

41
Q

2 - DEEP TENDON REFLEX

A

Normal

42
Q

3 - DEEP TENDON REFLEX

A

Reflex increased

43
Q

4- DEEP TENDON REFLEX

A

Reflex increased with clonus present

44
Q

UPPER EXTREMITY REFLEXES

A

C5, C6, C7

45
Q

LOWER EXTREMITY REFLEXES

A

L4, L5, S1

46
Q

UPPER EXTREMITY TEST

A

HOFFMAN’S SIGN

47
Q

LOWER EXTREMITY TEST

A

Babinski Sign

48
Q

damage to neuron at the brain or spinal cord

A

upper motor neuron lesion

49
Q

damage to a neuron at the ventral horn or after

A

lower motor neuron lesions

50
Q

Inhibitory effect on muscle stretch reflex (Function)
Spastic (Paralysis)
Hyperreflexia with clonus (Deep Tendon Reflex)
Hypertonic (Muscle Tone)
Disuse atrophy (Muscle Mass)
None (Fasciculations)
Positive (Babinski Sign)
Abdominal & cremasteric lost (Other Reflexes)
Decreased speed (Voluntary Movement)
Large area (Area Involved)

A

UPPER MOTOR NEURON LESION

51
Q 
Motor component of muscle reflex (function 
Flacid (paralysis) 
Hyporreflexia (deep tendon reflex) 
Hypotonic (muscle tone) 
Wasting atrophy (Muscle mass) 
Present (fasciculations)
Negative (Babinski sign)
Present (other reflexes) 
Not present (voluntary movement) 
Small area (Area involved)
A

LOWER MOTOR NEURON LESION

Physical Medicine (2 decks)

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