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PCM > 10/9 Elbow, Wrist, and Hand Competency (Completed) > Flashcards

10/9 Elbow, Wrist, and Hand Competency (Completed) Flashcards

1
Q

What nerve root do you test to test the reflex of the biceps brachia?

A

C5

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2
Q

What nerve root do you test to test the reflex of the Brachioradialis?

A

C6

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3
Q

What nerve root do you test to test the reflex of the triceps brachia?

A

C7

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4
Q

How do you test the biceps reflex?

A

hitting the inner arm (elbow region)

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5
Q

How do you test the brachioradialis reflex?

A

hitting the lateral antebrachium

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6
Q

How do you test the triceps reflex?

A

hit the posterior tendon above the olecranon of the ulna

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7
Q

How do you perform the Tinel’s test? What’s a positive test? What are you testing for?

A

pt. elbow flexed

Tap the medial olecranon while holding the wrist with the other hand

pain, 4th/5th finger numbness = + test

testing for Ulnar nerve entrapment

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8
Q

How do you perform the Golfer Elbow test? What’s a positive test? What are you testing for?

A

pt. sitting

upper extremity suppinated

pt. makes fist

SD cephalid hand supports pt. elbow

SD caudal hand applies resistance to pt. flexion of wrist

pain = + test

testing for medial epicondylitis

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9
Q

How do you perform the Tennis Elbow test (Cozen’s test)? What’s a positive test? What are you testing for?

A

pt. sitting

upper extremity supinated

pt. makes fist

SD cephalid hand supports pt. elbow

SD caudal hand applies resistance to pt. flexion of wrist

pain = + test

testing for lateral epicondylitis

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10
Q

How do you perform the Varus Stress test? What’s a positive test? What are you testing for?

A

pt. sitting

upper extremity supinated

flew elbow to 15°

cephalid hand on elbow

caudal hand on wrist

cephalid hand pulls elbow outwards for varus

pain = + test

Testing for radial (radial) collateral ligament

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11
Q

How do you perform the Valgus Stress test? What’s a positive test? What are you testing for?

A

pt. sitting

upper extremity supinated

flew elbow to 30°

cephalid hand on elbow

caudal hand on wrist

cephalid hand pushes elbow inwards for valgus

pain = + test

Testing for Medial (ulnar) collateral ligament

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12
Q

what happens to the ulna when the forearm is supinated and pronated?

A

supinated antebrachium –> ulna adducts

Pronated antebrachium –> Ulna abducts

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13
Q

What happens to the radius when the forearm is supinated and pronated?

A

supinated –> radial head anterior

Pronated –> radial head posterior

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14
Q

What are the borders of the anatomical snuff box?

A

proximal border - radial styloid

lateral border:
abductor pollicis longus tendon
extensor pollicis brevis tendon

Medial border:
Extensor pollicis longus tendon

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15
Q

What coupled motion do you get with wrist flexion?

A

dorsal carpal glide

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16
Q

What coupled motion do you get with wrist extension?

A

ventral carpal glide

17
Q

How do you perform the “OK” Sign test? What’s a positive test? What are you testing for?

A

have pt. perform finger opposition on both hands

failure to make an “O” = + test

testing for median n. entrapment

18
Q

How do you perform the Carpal Tunnel Syndrome (CTS) test? What’s a positive test? What are you testing for?

A

pt. sitting

hand supinated

tap on the flexor retinaculum

tingling/pain = + test

testing for median n. entrapement

19
Q

How do you perform the Phalen’s Sign test? What’s a positive test? What are you testing for?

A

pt. sitting
pt. presses dorsal aspects of both hands together

hold for 15 seconds

pain/tingling = + test

testing for carpal tunnel syndrome

20
Q

How do you perform the Allen test? What’s a positive test? What are you testing for?

A

pt. sitting

hand supinated

occlude radial and ulnar a.

pt. makes/opens a fist

release EITHER the radial or ulnar a.

do twice to check both arteries

persistent blanching = + test

testing for radial/ulnar arteries function

21
Q

How do you perform the Finkelstein’s test? What’s a positive test? What are you testing for?

A

pt. encloses thumbs within fingers and makes a fist

radius superior and ulna inferior

flex wrist downwards

pain = + test

testing for De Quervain’s Disease (tenosynovitis of the thumb)

22
Q

What is a Colles fracture?

A

falling on an extended hand = hyperextension

fracture of distal Radius/Ulna “dinner fork”

23
Q

How do you test for a Scaphoid fracture?

A

push on the snuff box

pain = + test

24
Q

What is a Monteggia fracture?

A

fracture of proximal ulna

dislocation of radial head

25
Q

What is a Galeazzi fracture?

A

fracture of the distal radius

dislocation of the ulna

26
Q

What is a nightstick fracture?

A

isolated fracture

mid shaft ulna fracture due to direct blow

27
Q

What’s a Smith Fracture

A

hyperflexion upon landing

distal radius displaced anteriorly “spade deformity”

PCM (8 decks)

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