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Flashcards in Ambulatory: MSK section Deck (23):
1

factors that exacerbate pain in disc herniation

cough and sneeze
forward flexion

2

patients with spinal stenosis have leg pain on what movement

back extension

3

pain with external rotation indicates what

infraspinatus defect

4

test for subscapularis defect

lift off test

5

neer test

pts arm fully pronated with thumb down and focibly flex above their head

pain = rotator cuff impingement

6

hawkins test

abduct arm 90 degrees and internal rotation

pain means rotator cuff impingement

7

cross arm test

flex arm 90 degrees then cross over

pain at AC jiont can mean AC joint dysfunction

8

mcmurray test

technique

knee passively flexed then externally rotated with varus stress

repeat with internal rotation

9

injury: patient has feeling of giving way when ifting heavy object and then back pain

musculoligamentous strain

10

neoplasms that metastasize to spine

breast, lung, prostate, kidney, thyroid

11

infection of bones, what pts to suspect in

most common organism

IV drug use, dialysis, indwelling catheter

most common organism is S aureus

12

innervation

hip flexion
knee extension
ankle dorsiflexion

great toe dorsiflexion

ankle plantar flexion

hip flexion: L2

Knee extension: L3

ankle dorsiflexion: L4-L5

great toe dorsiflexion: L5

ankle plantar flexion: S1

13

when is MRI indicated in back pain

failed conservatie treatment for at least 3 months

or neuro signs and sx

14

best test to diagnose nerve root compression is what

MRI

15

cervical myelopathy is what and sx

tx

what not common

neuro dysfunction 2ndary to spinal cord compression

sx: gait disturbance, loss of hand dexterity, bowel and bladder dysfunction later

pain is not common

gradual deterioration

tx: surgery to decompress SC

16

knee pain that is worse with climbing and descending stairs

patellofemoral pain

17

anterior knee pain at inferior pole patella

running and jumping sports overuse injury

what is and tx

paterlla tendinitis

rehab

18

ankle sprain classification

grade 1
grade 2
grade 3

grade 1: partial rupture of ATF lig
grade 2: complete rupture of ATF and part CF Lig
grade 3: complete rupture of both

19

definitive diagnosis of carpal tunnel syndrome

EMG and nerve conduction velocity study

20

hip osteoarthritis causes pain where

in groin not lateral hip or buttock

21

colle fracture is what and more common in what

distal radius fracture in osteoperotic postmenopausal women

22

who needs a DEXA

all women over 65

postmenospausal women under 65 with one or more risk factor for fracture

medn with risk factors for fracture

23

what pharm therapy in pts with severe osteoperosis who cannot tolerate bisphosphonates

PTH therapy