cpd lab midterm spring

Question 1

define crepitus

Answer 1

grating cracking or popping sounds in joints

Question 2

tests for non organic low back pain

Answer 2

Waddell signs:
Flip Test: Able to sit up with leg extended
Hoovers: Doesn’t push heel into hand when raising other leg

Question 3

Gout term

Answer 3

podagra

Question 4

Osgood Schlatter

Answer 4

inflammation of the patellar ligament at the tibial tuberosity

Question 5

test most sensitive for acl tear

Answer 5

Lachman’s sign 20-30 degrees flexion vs anterior drawer 90 degrees

Question 6

tests for knee effusion

Answer 6

Bulge sign

Ballottement

Question 7

Tenderness in meniscal injuries

Answer 7

tibial plateau

Question 8

Valgus stretch

Answer 8

distal bone is lateral: + MCL injury

Question 9

varus

Answer 9

distal bone is medial + LCL injury

Question 10

Apley’s compression/distraction

Answer 10

knee bent 90 degrees medial/laterally rotate tibia first with compression then with distraction

+ meniscus and collateral ligament damage

Question 11

Patellar entrapment

Answer 11

chondromalacia patella

Question 12

Mcmurray’s test

Answer 12

valgus stretch, flexed knee while externally rotating leg and extending knee…popping clicking or guarding = medial meniscus tears

Same with varus: lateral meniscus tears

Question 13

patrick faber

Answer 13

Flexion, abduction, external rotation

+ hip/sacroilliac dz

Question 14

Gaenslens test

Answer 14

hip extension psoas tenderness sacroilliac dz

Question 15

bragards

Answer 15

do is Straight leg raise +

lower leg to no pain then dorsiflex foot

Question 16

valsava

Answer 16

+ lumbar disc sx

Question 17

KEMPS

Answer 17

roation extension lateral bending: + facet dz; lumbar disc herniation

Question 18

DJD and RA in hand

Answer 18

redness, deformity, atrophy, limited range of motion, nodules

PIP changes in RA
Bouchards nodes osteoarthritis: PIP
Heberdens nodes DIp osteoarth. DIP joints involved in psoriatic arthritis

Question 19

Rate muscle strength

Answer 19

0-5

0: No contraction/no joint movement
1: visible contraction without strength to move joint
2: Strength sufficient to move joint, not enough to overcome gravity
3: Sufficient to overcome gravity, not able to withstand active resistance
4: against gravity, overcome some resistance
5: normal strength, active movement against full resistance without fatigue

Question 20

muscle tone

Answer 20

flaccidity, rigidity, spasicity: assess while patient is passive