Lec Final

Question 1

which vitamin is needed for DNA synthesis

Answer 1

B12

Question 2

Which of the following tests/signs is LEAST likely to be positive for shoulder tendonitis

Answer 2

Dawbarn

Question 3

the ___muscle externally rotates the femur

Answer 3

piriformis

Question 4

upper motor neuron lesion would result in dysfunction of

Answer 4

corticospinal

Question 5

construction worker who wears heavy belt notices tingling on anterolateral surface of thigh this is ____

Answer 5

meralgia paresthetica

Question 6

in injuries of the knee, the medial meniscus is frequently torn because it is firmly attached to?

Answer 6

tibial collateral

Question 7

what muscle is innervated by branches of both the median and ulnar nerves

Answer 7

flexor digitorum profundus

Question 8

doc tells football player he has pulled a hamstring muscle. this results from tearing of the origin of a hamstring muscle from the

Answer 8

ischial tuberosity

Question 9

19 year old female presents with neck pain, nausea and vomiting of 6 hours duration. brudzinskis sign is present upon cervical flexion

Answer 9

meningitis

Question 10

while performing Allis sign you notice that the height of the right leg is lower than the left. there is no translation AP. what is the most likely indication?

Answer 10

right anatomical short leg

Question 11

which of the following is the most common factor for pancreatitis?

Answer 11

alcohol abuse

Question 12

what will occur if the right lateral spinothalamic tract is severed

Answer 12

pain impulses from the left side of the body will be blocked

Question 13

a 42 year old male patient presents with sudden excruciating chest pain. he denies dyspnea or a cough and tells you he has been on bed rest for 3 weeks following knee injury. what is the most likely diagnosis?

Answer 13

pulmonary embolism

Question 14

while falling on an outstretched hand (FOOSH) the most commonly dislocated carpal bone is _____

Answer 14

lunate

Question 15

a patients left pupil does not respond to direct light reflex, though indirect light reflex (on the right) causes the left pupil to constrict. this is most likely due to a lesion in ___

Answer 15

CN II on the left

Question 16

in a patient with an infection, you would expect to find a ____ and ____ lymph node

Answer 16

moveable and tender

Question 17

52 yr old male is sitting in office. complaints of sudden onset of sharp chest pain that began a few min ago. he denies any radiating pain, sweating or dizziness. he does note fairly severe calf pain that past 2 days that has since disappeared. what diagnosis should you be most concerned about

Answer 17

pulmonary emboli

Question 18

shingles if associated with what antigen

Answer 18

varicella virus

Question 19

which of the following findings would you expect to be present with pneumonia

Answer 19

increased tactile fremitis

decreased respiratory excursion

Question 20

a 45 yr old presents with cough, hemoptysis night sweats and weight loss. you suspect which condition

Answer 20

oat cell carcinoma

Question 21

with signs symptoms will be present with cervical myleopathy and not with cervical radiculopathy

Answer 21

increased deep tendon reflex

Question 22

optic neuritis is associated with

Answer 22

MS

Question 23

huntingtons chorea is a hypokinetic disorder of the basal ganglia

Answer 23

false

Question 24

patient presents to your office after ice skating injury. what component of the case history would best describe how the tissue was injured

Answer 24

mechanism of injury

Question 25

patient has high iliac crest on the right leg with the left knee and hip flexed due to pelvic unleveling. this would indicate a weak

Answer 25

gluteus medius on the right

Question 26

A 35 year-old male patient presents with knee pain, right sided leg pain on the lateral aspect of the leg, dorsum of the foot and numbness and tingling is noted between the 1st and 2nd toes of 3 days duration. He denies any low back pain. Examination findings include: hypoesthesia between the 1st and 2nd digits of the foot; resisted dorsiflexion and extension of great toe is graded 3/5, hip abduction is graded 5/5. Deep tendon reflexes of the lower extremity are WNL. The SLR and Kemp’s are negative. the ability to abduct the hip is due to functioning of the ___ nerve

Answer 26

superior gluteal

Question 27

A 35 year-old male patient presents with knee pain, right sided leg pain on the lateral aspect of the leg, dorsum of the foot and numbness and tingling is noted between the 1st and 2nd toes of 3 days duration. He denies any low back pain. Examination findings include: hypoesthesia between the 1st and 2nd digits of the foot; resisted dorsiflexion and extension of great toe is graded 3/5, hip abduction is graded 5/5. Deep tendon reflexes of the lower extremity are WNL. The SLR and Kemp’s are negative. which of the following is the most likely source of these findings?

Answer 27

peroneal neuropathy

Question 28

A 68 year-old male patient presents with neck pain, an altered gait, unsteadiness on his feet and he seems to slaps his feet on the ground as he walks. He notes this problem is worse at night when he gets up to go the bathroom or when his eyes are shut. He denies pain or any other symptoms. What is the most likely diagnosis of this condition?

Answer 28

cervical myleopathy

Question 29

A 68 year-old male patient presents with neck pain, an altered gait, unsteadiness on his feet and he seems to slaps his feet on the ground as he walks. He notes this problem is worse at night when he gets up to go the bathroom or when his eyes are shut. He denies pain or any other symptoms. Where is the most likely location of the lesion?

Answer 29

dorsal column

Question 30

Jeff is a 42 year-old male who presents to your office complaining of right-sided lower back pain that began 3 days ago after working on his car. He describes the pain as a dull ache in his lower back as well as a sharp shooting pain that travels down the back of leg to his little toe (5th digit). Which of the following muscles would you expect to be weak?

Answer 30

peroneus longus

Question 31

Jeff is a 42 year-old male who presents to your office complaining of right-sided lower back pain that began 3 days ago after working on his car. He describes the pain as a dull ache in his lower back as well as a sharp shooting pain that travels down the back of leg to his little toe (5th digit). Which of the following tests would you expect to be positive?

Answer 31

Elys heel to buttock

Question 32

42 yr old male, right sided lower back and leg pain. presents with left antalgic lean (lean to the left) this is consistent with a ___ herniation on the ___side

Answer 32

lateral, right

Question 33

which of the following muscles is a supinator of the forearm that is NOT innervated by radial nerve

Answer 33

biceps brachii

Question 34

athetoid movements are rapid, abrupt, highly complex jerky movements that appear to be well coordinated but are performed involuntarily

Answer 34

false

Question 35

62 yr old female presents with complaints of a right sided throbbing headache which is increased when she combs her hair. this is most consistent with ___

Answer 35

temporal arteritis

Question 36

intermittant claudication is due to which of the following conditions

Answer 36

athersclerosis

Question 37

ape hand is associated with a lesion to ___ nerve

Answer 37

median

Question 38

the fast component of nystagmus will be in the direction of the spin in whirling chair test

Answer 38

true

Question 39

muscular dystrophy generally affects the ___

Answer 39

larger and proximal muscle groups

Question 40

although myofascial pain and fibromyalgia have some overlapping features. fibromyalgia is considered to be a regional pain pattern and not a widespread pain problem as seen with myofascial pain

Answer 40

false

Question 41

35 yr old male presents with repeated episodes of ulilateral severe headaches which are increased by alcohol consumption. other findings include lacrimation and rhinorrhea. what type of headache is it?

Answer 41

cluster

Question 42

loss of patellar reflex could be due to a lesion in the _____ nerve

Answer 42

femoral

Question 43

the first heart sound is created by the closure of the _____ valves

Answer 43

mitral and tricuspid

Question 44

lack of response (toes do not curl) while performing the plantar reflex would indicate

Answer 44

tibial nerve lesion

Question 45

which of the following is considered a red flag sign that is seen with cauda equina syndrome

Answer 45

urinary retention

Question 46

kidney stones are most commonly caused by excessive intake of

Answer 46

calcium

Question 47

which question would be best to ask a patient to help identify a spinal cord lesion

Answer 47

any changes to bathroom habits

Question 48

the pitch of vesicular breath sounds are

Answer 48

low

Question 49

which of the following is NOT a positive finding for Roos test

Answer 49

decreased or absent pulse

Question 50

the cubital tunnel is formed by the

Answer 50

flexor carpi ulnaris muscle

Question 51

patient presents with localized chest pain that is aggrevated by lying on thier side and side bending. history includes recent pneumonia without trauma. the most appropriate diagnosis is ____

Answer 51

pleurisy

Question 52

which of the following is not a cause of carpal tunnel syndrome

Answer 52

posterior lunate subluxation

Question 53

abdominal reflex reveals deviation of the umbilicus to superiorly this indicates

Answer 53

spinal cord lesion at T11

Question 54

which procedure is not part of the clinical evaluation of cranial nerve III

Answer 54

testing visual acuity

Question 55

inability to internally rotate the shoulder could indicate a tear in the ____ tendon

Answer 55

subscapularis

Question 56

upon general auscultation of the heart you hear an additional sound at Erbs point, the next appropriate procedure would be to have the patient

Answer 56

seated and listen with the diaphragm while having them flex forward at the waist

Question 57

emphysema would most likely demonstrate a positive finding on one side with ___

Answer 57

diaphragmatic excursion

Question 58

diastole is defined as the period of

Answer 58

ventricular relaxation

Question 59

increased amylase levels will most likely be seen in ____

Answer 59

pancreatitis

Question 60

a 25 yr old male presents with foot pain and tingling on the inside and bottom of his foot, without the presence of low back pain. this would inidcate

Answer 60

tibial neuropathy

Question 61

21 yr old male presents with peri umbilical pain with nausea and vomiting for 2 days. examination reveals muscle guarding and pain in the RLQ on palpation, she is febrile and pain worsens on hip flexion

Answer 61

appendicitis

Question 62

in lower crossed syndrome which of the following muscle are expected to be weakened

Answer 62

gluteal

Question 63

a shortened anterior scalene muscle would most likely present with a positive ____

Answer 63

halstead

Question 64

which of the following tests would not test positive for a pt with SI sprain

Answer 64

patrick

Question 65

nerve to serratus anterior

Answer 65

long thoracic

Question 66

nerve to pectoralis minor

Answer 66

medial pectoral

Question 67

nerve to teres minor

Answer 67

axillary

Question 68

nerve to levator scapula

Answer 68

dorsal scapular

Question 69

``` integrating center for: corneal gag accomodation direct light ```

Answer 69

pons medulla occiptal cortex midbrain

Question 70

Pallesthesia crude touch light touch

Answer 70

dorsal column anterior spinothalamic dorsal column