lower ext and back Flashcards

(41 cards)

1
Q

what are the components of the MSK exam

A

inspection, palpation, ROM, neurologic, special testing and osteopathic findings

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2
Q

how is the gait broken down into stance and swing

A

stance is 60% and swing is 40%

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3
Q

what thoracic spine level is the spine of the scapula a landmark for

A

T3

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4
Q

What thoracic spine level is the inferior angle of scapula a landmark for

A

T7

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5
Q

what lumbar spine level is the iliac crest a landmark for

A

L4

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6
Q
what are spinal nn are involved in the following Viscero-somatic reflexes
SI
Colon
Bladder
Ovaries/Testes
Uterus
Prostate
A
SI- T10-11
Colon- T12-L2
Bladder- T12-L2
Ovaries/testes- T10-11
Uterus T12-L2
Prostate T12- L2
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7
Q

Where is the most common area of injury or source of pain from lumbar spine

A

L5-S1

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8
Q

Pathology of the spine assoc with HLA B27 is most likely what

A

ankylosing spondylitis

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9
Q

What is known as the degenerative disc disease

A

osteoarthritis

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10
Q

what is the disease classified by thinning of the bone

A

osteoporosis

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11
Q

how do you test for osteoporosis

A

dexa scan

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12
Q

what is varus valgus of leg/hip

A

moving lower leg medially so varus will cause external rotation of hip
moving lower leg laterally so valgus will cause internal rotation of the hip

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13
Q

how do you inspect the inguinal lig

A

patient supine and place heel on opp knee then palpate ASIS

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14
Q

Where is true hip pain

A

deep inguinal not lateral

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15
Q

What is the trendelenbrug gait

A

when gluteus medius has lost its function

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16
Q

what is the ober test

A

IT band

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17
Q

what is the thomas test

A

poor flexion contractures due to tight iliopsoas

18
Q

what is a buldge sing, balloon? and ballotting

A

buldge- minor effusion
balloon- large effusion
ballotting- large effusion

19
Q

dome swelling over patella with tenderness is indicative of what

A

prepatellar bursitis

20
Q

tenderness with active ROM compared to tenderness with active and passive ROM is what?

A

with active is tendonitis

with bursits is with equal active and passive

21
Q

what is a cyst in the knee

A

bakers cyst in popliteal fossa

22
Q

what is the patellofemoral grind test

A

compress patella against femur and have patient contract quad and assess for roughness of motion

23
Q

what is the apprehension test of the knee

A

tests for dislocation or subluxation of patella, attempt to move patella laterally and observe patients face

24
Q

how do you test ACL

A

anterior draw test

25
what is the lachman test
knee flexed at 15 degrees and externally rotated move in opp directions
26
how do you check for PCL tear
posterior drawer test
27
What is the apley compression test
patient prone with knee flexed 90 | add compression and rotate heel to see if pain reproduced
28
How do you test the medial collateral ligament
valgus stress test which involves pushing knee medially and ankle laterally
29
How do you test the lateral collateral ligament
varus stress test which involves pushing knee laterally and ankle medially
30
What is the test to evaluate for DVT
Homan's sign
31
How do you determine achilles rupture within 48 hours
thompson test by patient pron and leg bent at 90, squeeze calf and check for normal plantar flexion
32
What are the most common ankle sprains
Anterior talofibular and calcaneofibular
33
dorsiflexion and plantar flexion are around what joint
tibiotalar
34
inversion and eversiona re around what joint
talocalcaneal and subtalar
35
How are sprains ranked
first, second and third degree sprains | third is a full tear
36
What is the ottowa rule for suspicion of fracture
inability to bear weight after 4 steps or tenderness over posterior aspect of either malleolus
37
What is the difference of kleiger's test and kleiger test
keliger's test for syndesmosis | kleiger test is for deltoid
38
loss of longitudinal arch of foot is called what
pes planus
39
painful thickening of the skin from abnormal pressure on the toes is called what
corns
40
what are hammertoes
hyperextension of MTP join and flexion of IP joint
41
McMurrays tests for what
medial and lateral menisci