Cheung Part 3

Question 1

cubital tunnel syndrome is due to what

Answer 1

compression of the ulnar nerve at elbow (b/w medial epicondyle and olecranon)

Question 2

what are the symptoms of cubital tunnel syndrome

Answer 2

numbness and tingling to the 4th and 5th digits

Question 3

what exams should be done for cubital tunnel syndrome

Answer 3

flexion elbow test

tinels at elbow (taping on elbow shoots pain to digits)

Question 4

what EMG results are seen in cubital tunnel syndrome

Answer 4

reduction of 30% velocity

Question 5

what is the treatment for cubital tunnel syndrome

Answer 5

behavior modification surgical transposition

Question 6

carpal tunnel syndrome is due to what

Answer 6

compression of the median nerve at the wrist

Question 7

what are the symptoms of carpal tunnel syndrome

Answer 7

numbness and tingling to the 1-3rd digits

NIGHT PAIN

Question 8

EMG results in carpal tunnel syndrome show what

Answer 8

30% reduction in velocity

Question 9

what is the reattempt for carpal tunnel syndrome

Answer 9

night splints
steroid injections
carpal tunnel release

Question 10

what is contained in the carpal tunnel

Answer 10

median nerve
flexor pollicis longus
flexor digitorum profundus
flexor digitorum superficialis

Question 11

what exam results are seen in carpal tunnel

Answer 11

postitive phalens
tinels (taping sends shooting pain)
compression test

Question 12

what is trigger finger

Answer 12

inflammation of flexor tendon gets it snapping through pulleys in hand

Question 13

what are the symptoms of trigger finger

Answer 13

catching of finger when actually flexing finger

Question 14

what exam results are seen in trigger finger

Answer 14

palpable knot that moves with tendon at distal palm

Question 15

what treatments are there for trigger finger

Answer 15

NSAIDs
steroid injections
A1 pulley release

Question 16

what is mallet finger

Answer 16

laceration of extensor tendon at base of the DP

inability to straighten fingertip

Question 17

what tests are done for mallet finger

Answer 17

Xray may show avulsion fracture at base of DP

Question 18

what is the treatment for mallet finget

Answer 18

Stack splinting for 6 weeks

Question 19

what is dequervian tenosynovitis

Answer 19

swelling and inflammation of the tendons that run though the 1st dorsal compartment (APL,. EPB)
forms a border of the anatomic snuff box

Question 20

what are the symptoms of de quervian tenosynovitis

Answer 20

pain over radial styloid

Question 21

what exam is done for dequervian tenosynovitis

Answer 21

Finklestein’s test

Question 22

what is Dupuytren disease

Answer 22

nodular thickening of palmar fascia (northern european descent)

Question 23

what are the symptoms of dupuytren disease

Answer 23

painless nodules that eventually draw the 4th and 5th digits

Question 24

what exam is done for dupuytren disease

Answer 24

cords may form, causing flexion of the digits, table top test (can’t flatten hand on table)

Question 25

what is the treatment for dupuytren disease

Answer 25

splinting collagenase injections fasciotomies

Question 26

what is the cause of 80% of low back pain

Answer 26

no cause

Question 27

low back pain radiates where

Answer 27

buttocks

Question 28

what exams are done for LBP

Answer 28

diffuse LBP to palpation, stiff ROM | relexes and neuro exam is normal

Question 29

what is a herniated nucleus pulposis

Answer 29

extrusion of center of disc posteriorly, comprising nerve roots most common at L4-5 and L5-S1

Question 30

what are the symptoms of herniated nucleus pulposis

Answer 30

usually abrupt, may be insidious unilateral radicular pain worse with activity

Question 31

what tests are done for a herniated nucleus pulposis

Answer 31

X-rays may demonstrate narrowed disk space | MRI is diagnostic

Question 32

what is spondylothisthesis

Answer 32

forward slippage of lumbar vertebral body

Question 33

what are the symptoms of spondylolisthesis

Answer 33

back pain when bending | may cause claudication

Question 34

what is the exam for spondylolisthesis

Answer 34

dermatomal weakness, may feel spinous process stepoffs

Question 35

what tests are done for spondylolisthesis

Answer 35

flexion/extension | X-rays of spine show slippage

Question 36

what treatments are there for spondylolisthesis

Answer 36

NSAIDs | surgical fusion

Question 37

slippage of a disc is more likely to occur with what kind of spinal defect

Answer 37

pars (where the transverse process meets the body)

Question 38

what is spondylosis

Answer 38

degenerative changes in the facets or discs leading to osteophytes and possible nerve compression

Question 39

what are the symptoms of spondylosis

Answer 39

achy pain in spine | worse with ROM

Question 40

what exam results are seen in spondylosis

Answer 40

tender to palpation, stiffness, radicular or myelopathy may be present

Question 41

what test results are seen in spondylosis

Answer 41

X-rays shows osteophytes and sclerosis | MRI can show pinched nerve

Question 42

what is the treatment for spondylosis

Answer 42

NSAIDS steroids traction surgical decompression and fusion

Question 43

the bottom half of the ear is what dermatome

Answer 43

C2

Question 44

the neck under the ear is what dermatome

Answer 44

C3

Question 45

there dermatome covering the lower neck is what

Answer 45

C4

Question 46

the dermatome going from the deltoid to the thumb is what

Answer 46

C6

Question 47

the dermatome covering most of the front of the bicep down to the wrist is what

Answer 47

C5

Question 48

the dermatome covering the front bottom half of the bicep is what (when arm is stretched out with thumb up)

Answer 48

T1

Question 49

the dermatome covering the bottom of an outstretched arm with thumb up down to pink is what

Answer 49

C8

Question 50

the dermatome covering the middle portion of the back of the arm down to the 2nd and 3rd digits is what

Answer 50

C7

Question 51

the dermatome covering the back bottom half of the arm and 4th and 5th digits is what

Answer 51

C8