B2 OPC

Question 1

Golfers elbow

Answer 1

overuse of flexors
pain at medial epicondyle
worsen with rersisted wrist flexion

Question 2

De Quervain Tenosynovitis

Answer 2

Abductor Pollicis Longus & Extensor Pollicis Longus tendons
pain/swell base thumb
hard to move thumb with grasping
Finkelstein test for passive
Eichoff test for patient

Question 3

Osteoarthritis

Answer 3

asymmetric
hip, knee, DIP, PIIP
wear/tear
worse after activity
Heberden Node @DIP
Bouchard node @PIP

Question 4

rheumatoid arthritis

Answer 4

symmetric
MCP, PIP, hips, elbow, spine
worse after rest
swan neck deform (flex MCP/PIP, ext PIP)
Boutoniiere deform (ext MCP/DIP, flex PIP)
Ulnar deviation MCP

Question 5

Carpal Tunnel Syndrome

Answer 5

median nerve entrap
parasthesia of 3.5 digits, palmar weak
Tinel tap test
prayer test
tunnel made from tubercles of scaphoid/trapezium & pisiform/hook hammate

Question 6

posteror radial head dysfunction

Answer 6

prefer pronation
restrict supination
due to fall on pronated arm

Question 7

anterior radial head dysfunction

Answer 7

prefer supination
restrict pronation
due to fall on supinated arm

Question 8

subdeltiod joint injury

Answer 8

potential impinge of rotator cuff
tendon of supraspinatur pass beneath

Question 9

Thoracic inlet

Answer 9

T1, 1st rib, manubrium
viscera, vascular, nerves, Sibon Fascia
does not have a syndrome

Question 10

Thoracic outlet

Answer 10

scapula, 1st rib, clavicle
subcalvian artery, subclavian vein, brachial plexus
Thoracic outlet syndrome

Question 11

AC joint separations

Answer 11

Grade 1: strain of AC ligament
Grade 2: rupture AC ligament
Grade 3: rupture AC & coracoclavicular ligaments
XRAY with weight
most dislocate anterior

Question 12

Iliopsoas syndrome

Answer 12

runner, dancer, jumpers, people sit a lot
groin pain, lumbosacral paiin, catch/slip groin with knee flexion, pain with transition sit to stand
can cause side bending, don’t like extension

Question 13

piriformis syndrome

Answer 13

if hypertonic can impinge sciatic nerve
numbness, tingle, pain back of leg and foot
like externa rotation

Question 14

SCFE

Answer 14

weakness of growth plate, femur slips off joint or completely slide off
most common overweight boys especially if spoirt with jumping

Question 15

developmental dysplasia

Answer 15

unlevel ossification center of hip joints
Barlow test causes break (int rotate)
Ortolani test brings into orignial position/ fix dislocation (ext rotate)
treat with straps or SPIKA

Question 16

Tibial rotation

Answer 16

examine seat & supine
thumb lateral to midline then external rotate
thumb medial to midline internal rotate

Question 17

Shin Splints

Answer 17

traction causes inflammation of tib anterior on tibia & interosseous membrane
tibialis posterior & soleus
pain along distal tibia with running
may have flat feet ir tight achilles

Question 18

Parameniscal/Baker Cyst

Answer 18

meniscal tear make one way valve for synovial fluid
semimembranous & gastrocnemius medial head
from truma, lock joint, knee mass in popliteal

Question 19

Osgood Schlatter

Answer 19

during growth periods
traction on apophysitis of tibial tubercle before fuse
pain anterior of knee

Question 20

prepatellar bursitis

Answer 20

from pressure on bursa
people who kneel a lot like gardners/prayers

Question 21

patellofemoral syndrome

Answer 21

could be due to damage undersurface patella
due to weakness of vastus medialis
diffuse pain, palpable crepitus, maltracking

Question 22

O’Donoghue Triad

Answer 22

injury to ACL, MCL, Medial meniscus
from forced flexion and abduction of knee with foot omn ground

Question 23

Sprain

Answer 23

injury to ligament

Question 24

strain

Answer 24

injury to tendon

Question 25

common ankle sprain

Answer 25

most happen in supination with posterior fibular head (most to least common sprain) anterio talofibular calcaneofibular popsterior talofibular resist eversion

Question 26

pronation ankle sprain

Answer 26

least common sprains deltoid ligament resist inversion

Question 27

Talar tilt test

Answer 27

laxity of anterior talofibular and calcaneofibular (lateral ligament)

Question 28

eversion stress test

Answer 28

laxity of deltoid ligament (medial ligament)

Question 29

1st degree ankle sprain

Answer 29

good strength, no tear, no laxity, minimal swell, normal weight bear

Question 30

2nd degree ankle sprain

Answer 30

decrease strength, partial tear, mild/moderate laxity, moderate swell, mild pain with weight bear

Question 31

3rd degree ankle sprain

Answer 31

no strength, complete tear, severe laxity, severe swell, severe pain with weight bear

Question 32

Ottawa Rules - Ankle

Answer 32

only need xray if pain with malleolus & 1 of: - bone tender at tip of lateral malleolus - bond tender at tip of medial malleolus - inability to bear weight (not just unwilling)

Question 33

Ottawa Rules - Foot

Answer 33

only need xray if pain in midfoot & 1 of: - bone tender base 5th metacarpal - bone tender navicular - inability to bear weight (not just unwilling)

Question 34

Transverse arch of foot

Answer 34

navicular, 3 cuneiforms, cubois, base of metatarsal

Question 35

medial longitudinal arch of foot

Answer 35

calcaneus, talus, navicular, 3 cuneiforms, 1-3 metatarsals

Question 36

lateral longitudinal arch of foot

Answer 36

calcaneus, cuboid, 4 & 5 metatarsals

Question 37

navicular dysfunction

Answer 37

from poor arch support with weight bearing flat of medial arch with pain

Question 38

cuboid dysfunction

Answer 38

cuboid drop inferior/ext rtoate plantar tender, 4/5 metatarsal pain, prominent cuboid inferior motion restrict 5th metatarsal-cuboid, cuboid-calcaneal joint

Question 39

Plantar Fasciitis

Answer 39

heel pain worse in morning from overstretch fascia, calcaneal spur, dysfunction medial longitudinal arch treat with stretching of foot/achilles