more msk

Question 1

the Ortolani test is for

Answer 1

hip dysplasia

Question 2

Wells Clinical Decision Rule for Deep Vein Thrombosis

Answer 2

previously diagnosed DVT (1)
active cancer (1)
paralysis, paresis, or recent immobilization of LE (1)
bedridden for more than 3 days or major surgery
within the previous 12 wks (1)
localized tenderness in the center of the posterior calf , the popliteal space, or along the femoral vein in the anterior thigh/groin (1)
entire LE swelling (1)
u/l calf swelling (more than 3cm than other side) (1)
u/l pitting edema (1)
collateral superficial veins (1)
an alternative dx is as likely (or more likely) than DVT like cellulitis, postoperative swelling, calf strain (-2)

Question 3

a score greater or equal to ____ means a DVT is likely

Answer 3

2

Question 4

what are the Ottawa Ankle Rules used for?

Answer 4

determines if a pt needs imaging

Question 5

and ankle radiograph should be performed if there is pain in the malleolar region with any of the following (3 things):

Answer 5

1. bone tenderness at the posterior edge of the distal 6cm/tip of lateral malleolus
2. bone tenderness at the posterior edge of the distal 6cm/tip of medial malleolus
3. inability to WB for at least 4 steps immediately after injury at the time of eval

ottawa ankle rules

Question 6

a foot radiograph should be performed if there is pain in the mid foot region with any one of the following (2 things):

Answer 6

1. bone tenderness at navicular bone
2. bone tenderness at the base of the 5th metatarsal

ottawa ankle rules

Question 7

name the TOS special tests

Answer 7

CHARAW

costoclavicular / military brace
halstead
adsons
roos
allens
wright

Question 8

toe in, subtalar pronation, medial femoral and tibial torsion are all associated with what at the hip?

Answer 8

anteversion

Question 9

what is the normal range for anteversion in adults?

Answer 9

8-15 degrees

Question 10

what test determines the angle of anteversion

Answer 10

Craig’s test

Question 11

which shoulder diagnosis is most commonly characterized by painful arc 60-120 degrees, and pain at night?

Answer 11

shoulder impingement

Question 12

you have tingling into 4th and 5th digits and muscle wasting over the hypothenar eminence. what test would best assess integrity of the nerve?

Answer 12

froment’s sign

will show weak adductor pollicis, innervated by ulnar nerve

Question 13

What does Finklestein’s test look for?

Answer 13

deQuervain’s

make a fist around the thumb, ulnar deviation

Question 14

what is the special test for lateral epicondylitis, where the patient extends third digits against examiner resistance?

Answer 14

Maudsleys’s

Question 15

what mob should I do to improve wrist extension?

Answer 15

volar (palmar) glide of carpal bones

Question 16

what special test identifies tightness of hip flexors?

Answer 16

thomas test

Question 17

a + Froment’s sign will mean (pinching paper with thumb and thumb flexes)

Answer 17

ulnar nerve palsy

Question 18

name the shoulder impingement special tests

Answer 18

hawkins
neers
jobes empty can
yocum

Question 19

name the RTC special tests

Answer 19

ER lag
belly press (subscap)
lift off sign (subscap)
drop arm
IR lag
hornblowers test (teres minor)

Question 20

SLAP special tests?

Answer 20

biceps load II
crank
clunk test
active obriens

Question 21

AC joint injury special tests

Answer 21

horizonal add
paxinos (press AC joint and pain)
AC sheer test

Question 22

following a bankart repair, what shoulder movements should you avoid?

Answer 22

abduction and ER

Question 23

for TMJ, is popping/clicking a sign of disc displacement with reduction or without reduction?

Answer 23

with

Question 24

what muscle opens the mouth?

Answer 24

lateral pterygoid

Question 25

what muscles close the mouth?

Answer 25

masseter medial pterygoid temporalis

Question 26

what muscles protrude the mandible?

Answer 26

lateral pterygoid medial pterygoid

Question 27

what muscles retract the mandible

Answer 27

temporalis

Question 28

what muscles perform lateral deviation of the mandible

Answer 28

lateral ptery medial ptery

Question 29

if a patient cannot open their mouth that much and there is deviation to the same side, what is the diff dx?

Answer 29

hypomobility

Question 30

if a patient has increased mouth opening and deviating to the opposite side, what is the diff dx?

Answer 30

hypermobility

Question 31

TMJ: if clicking is heard, but there is no deviation or difficulty with mouth opening, what is the diff dx?

Answer 31

disc displacement with reduction

Question 32

TMJ: if a pt has pain and limited mouth opening, no deviation, what is the diff dx?

Answer 32

synovitis

Question 33

if a patient has pain, limited mouth opening, and deviation to the same side, what is the diff dx?

Answer 33

capsulitis

Question 34

a 5 year old m patient has worsening hip pain with activity and limited extension, abd, and IR. what is the likely dx and how would you treat it?

Answer 34

legg-calve-perthes conservative treatment and bracing (scottish rite brace)

Question 35

a 13 year old overweight pt has worsening hip pain with activity, limping, and limited flexion, abduction, and IR. what is the likely dx and how would you treat it?

Answer 35

slipped capital femoral epiphysis surgical treatment to stabilize

Question 36

what two braces can be used for congenital hip dysplagia?

Answer 36

frejka pillow and pavlik harness

Question 37

list the post ACLR precautions

Answer 37

graft is most vulnerable at 6-8 wks no knees over toes with CKC/squats avoid CKC 60-90 no ankle weights distal to tibia no OKC 0-45*

Question 38

name the knee diff dx: a patient has popping, locking, catching of the knee during movement with joint line tenderness, as well as pain with knee hyperextension and full flexion

Answer 38

meniscus

Question 39

name the knee diff dx: a 25 y/o f patient has peripatellar pain, lateral patellar tracking, pain with squatting, prolonged sitting

Answer 39

PFPS

Question 40

name the knee diff dx: pain at tibial tuberosity, due to excessive activity in adolescents and poor flexibility

Answer 40

osgood schlatter

Question 41

if my patient had an achilles tendon repair surgery, i need to avoid __________ stretching for _____ weeks

Answer 41

plantarflexion 12

Question 42

diff dx: pt has heel pain that is worse with the first steps in the morning and after periods of inactivity. medial calcaneal tubercle TTP and pain with DF of great toe

Answer 42

plantar fasciitis

Question 43

what movements should you avoid with osteoporosis?

Answer 43

rotation and flexion

Question 44

what is the T-score range for osteoporosis and osteopenia?

Answer 44

osteoporosis: below -2.5 osteopenia betwen -1.1 and -2.5 -1 or higher is normal bone density

Question 45

what are the loose packed positions for: hip GH joint elbow knee

Answer 45

hip: 30 degrees of flexion GH joint: 55 degrees abduction elbow: 70 degrees flexion knee: 25 degrees of flexion