MSK/Derm II Flashcards

1
Q

erb palsy

A

traction upper brachial

waiters tip

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2
Q

klumpke palsy

A

traction lower brachial

total claw hand

loss intrinsic hand muscles

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3
Q

thoracic outlet syndrome

A

compression lower trunk

and subclavian bessels

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4
Q

winged scapula

A

long thoracic n

axillary node dissection after mastectomy

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5
Q

distal lesion of hand

A

median/ulnar nerve

see clawing of hand

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6
Q

deficit proximal hand

A

seen with flexion

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7
Q

lumbricals

A

flexion MCP and extension DIP and PIP

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8
Q

ape hand

A

unopposable thumb

-median n lesion

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9
Q

atrophy thenar eminence

A

median n

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10
Q

atrophy hypothenar eminence

A

ulnar n

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11
Q

ok gesture

A

prox ulnar n

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12
Q

popes blessing

A

prox median n

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13
Q

obturator n

A

L2-L4

injured pelvic surgery

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14
Q

thigh sensation - medial

adduction of leg

A

obturator n

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15
Q

thigh flexion and leg extension

A

femoral n

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16
Q

femoral n

A

L2-L4

pelvic fx

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17
Q

loss of eversion and dorsiflexion of foot

A

common peroneal n

18
Q

common peroneal n

A

foot drop

L4-S2

19
Q

tibial n

A

L4-S3

knee trauma

20
Q

baker cyst

A

prox tibial lesion

21
Q

dorsal interossei

A

abduct fingers

22
Q

palmar interossei

A

adduct fingers

23
Q

lumbricals

A

flex MCP

extend PIP and DIP

24
Q

landmark for local anesthetic for pudendal block

A

ischial spine

25
Q

pudendal n

A

S2-S4

26
Q

sciatic nerve

A

L4-S3

posterior thigh innervation

27
Q

superior gluteal n

A

gluteus medius and minimus

28
Q

inferior gluteal n

A

gluteus maximus

29
Q

herniation of L3/L4 disc

A

affect L4 spinal n

herniate posterolateral

thin posterior long ligament and thick anterior long ligament

along midline of vertebral bodies

30
Q

weak knee extension

loss patellar reflex

A

L3/L4

patella L4

31
Q

weak dorsiflexion and difficulty heel walking

A

L4/L5

32
Q

weak plantar flexion, difficulty toe walking

loss achilles reflex

A

S1 is achilles

L5-S1

33
Q

surgical neck humerus

A

axilalry

34
Q

midshaft humerus

A

radial

35
Q

distal humerus - cubital fossa

A

median

36
Q

popliteal fossa

A

tibial

37
Q

posterior to medial malleolus

A

tibial

38
Q

muscle contraction

A

depolarization - down T-tubule

  • DHPR - coupled to ryanodine receptor on SR
  • release of Ca - from SR

Ca bind troponin C
-tropomyosin moves out of way on actin

myosin release bound ADP and moves to bind actin - power stroke

binding new ATP - detach myosin from actin - myosin cocks head for next contraction

39
Q

type I muscle

A

1 slow fat red ox

red - mitochondria and myoglobin

ox phos - sustained contraction

postural mm

40
Q

type II muscle

A

fast twich
white
hypertrophy with weight training

41
Q

cardic m

A

1 T-tubule and 1 terminal cisternae

diad

42
Q

skeletal m

A

1 T tubule and 2 terminal cisternae

triad