MK

Question 1

Scapulohumeral Group muscles and job

Answer 1

deltoid, lat dorsi, subscap, supraspinatus, teres minor, infraspinatus
Rotate shoulder and depress/rotate head of humerus

Question 2

Axioscapular group muscles and job

Answer 2

trap, rhomboids, serratus anterior and levator scapulae

pulls shoulder back and rotate scapula

Question 3

Axiohumeral group muscles and job

Answer 3

pec major and minor+ lat dorsi

rotate shoulder internally

Question 4

Where are biceps and triceps most involved?

Answer 4

shoulder ABduction

Question 5

What lines the shoulder capsule?

Answer 5

synovial membrane w/ 2 outpouchings which are the subscapular bursa and synovial sheath of the long head of the biceps

Question 6

What compresses the subacromial bursa? Where it it located?

Answer 6

Abduction of the shoulder and it is located between the acromion and head of humerus

Question 7

Subacromial bursitis

Answer 7

Tenderness below acromion tip and pain with abduction +rotation and loss of smooth movement

Question 8

Shoulder inspection

Answer 8

swelling, deformity, abnormal position, atrophy, color changes, skin alteration, fasiculations

Question 9

Where to palpate the shoulder

Answer 9

A- anterior tip of the acromion
B- greater tubercle of the humerus
C- coracoid process

Question 10

Shoulder Range of Motion

Answer 10

Flex
extend
ABduct
ADduct
Internal rotation (hands behind small of back)
External rotation (hands behind neck)

Question 11

Who is most likely to get “frozen shoulder”?

Answer 11

Diabeties
Sometimes hypothyroid, trauma
more likely in females
Medical name: adhesive capsulitis

Question 12

To appropriately assess shoulder what 4 structures should be looked at?

Answer 12

1. Acromioclavicular joint
2. Subacromial + subdeltoid bursae
3. Rotator cuff
4. Biceps tendinitis

Question 13

Test the acromioclavicular joint

Answer 13

Crossover or crossed body adduction test- Move pt’s arm across the chest

Question 14

Test overall shoulder rotation

Answer 14

Apley scratch test

Difficulty w/ test suggests a rotator cuff d/o or adhesive capsulitis

Question 15

Neer’s impingement

Answer 15

Press on pt’s scapula and raise pt’s arm
pain= positive test
possible inflammation or rotator cuff tear

Question 16

Hawkin’s impingement

Answer 16

Flex pt’s shoulder+ elbow to 90 degress with palm facing down. Place one hand on the forearm and the other on the arm and rotate internally
pain=positive test
possible inflammation or rotator cuff tear
*test compresses the greater tuberosity against the coracoacromial ligament

Question 17

Empty Can Test

Answer 17

Assess supraspinatus

pain w/test= positive

Question 18

How to test the infraspinatous and teres minor

Answer 18

Pt w/arms at side, thumbs up and elbows at 90 degrees–>resistance to pt pressing FOREARM out
+ test= weakness
Possible rotator cuff tear or bicipital tendinitis

Question 19

Subscapularis Test

Answer 19

Internally rotate shoulder to low back region

Question 20

Drop Arm sign

Answer 20

+ test= unable to hold the arm fully abducted at shoulder level or cannot control the limb possible rotator cuff tear

Question 21

Elbow articulations (3)

Answer 21

1. humeroulnar joint
2. radiohumeral joint
3. radioulnar joint

Question 22

What 2 bumps can happen on the elbow?

Answer 22

olecranon bursitis

rheumatoid nodules

Question 23

Elbow range of motion

Answer 23

flex
extend
pronate
supinate

Question 24

Test for lateral epicondylitis

Answer 24

Cozen’s test- pain at lateral epicondyle with resisted wrist extension

Question 25

Test for medial epicondylitis

Answer 25

pain immediately distal to medial epicondyle with resisted wrist flexion

Question 26

Ulnar Neuropathy (cubital Tunnel)

Answer 26

palpate ulnar nerve within the ulnar groove posterior to medial epicondyle and Elbow flexion test

Question 27

3 wrist joints

Answer 27

1. radiocarpal 2. distal radioulnar 3. intercarpal

Question 28

Carpal Tunnel

Answer 28

Median nerve runs under the parlmar carpal ligament and flexor retinaculum. When they become inflamed carpal tunnel syndrome occurs

Question 29

Syndactyly

Answer 29

conjoined fingers

Question 30

Wrist ROM

Answer 30

flex extend ulnar and radial deviation

Question 31

Fingers ROM

Answer 31

flex extend ABduct ADduct

Question 32

Thumb ROM

Answer 32

``` flex extend ABduct ADduct opposition ```

Question 33

What should be considered with decreased grip strength?

Answer 33

de quervain's tenosynovitis, arthritis, carpal tunnel syndrome, epicondylitis, cervical radiculopathy

Question 34

Dupuytren's Contracture

Answer 34

Thickening in palmar fascia usually seen in men as they age Will see firm cord in hard with contracture of ring finger/sometimes middle

Question 35

Characteristics of RA

Answer 35

ulnar deviation Swan neck deformity- extension of PIP and flexion of DIP boutonniere deformity- flexion PIP and extension of DIP

Question 36

Characteristics of OA

Answer 36

Buchard's nodes- PIP | Heberden's nodes-DIP

Question 37

Trigger finger

Answer 37

Finger in fixed flexed position

Question 38

Felon

Answer 38

infection of the pulp of the finger on the distal phalanx

Question 39

de Quervain's tenosynovitis

Answer 39

- wrist pain | - decreased grip strength d/t pain w/ movement

Question 40

What is Finkelstein's test for? How is it done?

Answer 40

To test for de quervain's tenosynovitis Make a fist with thumb wrapped by other fingers and radial/ulnar deviate wrist -pain secondary to abductor pollicis longus and extensor pollicis brevis tendons and sheaths

Question 41

What do you look for with carpal tunnel syndrome?

Answer 41

1. Thenar atrophy 2. Weak abduction of the thumb 3. Tinel's sign 4. Phalen's sign