MSK Upper body Flashcards
(102 cards)
0
Q
Full ROM in TMJ is demonstrated when the patient is able to open mouth wide and insert ______ fingers vertically between the front teeth
A
Three
1
Q
Most used joint in the body
A
TMJ
2
Q
If only two fingers are inserted vertically between front teeth indicates _____ ROM
A
Adequate
3
Q
When asking the patient to jut the lower jaw forward, _____ ROM is demonstrated when the bottom teeth are easily and smoothly placed in front of the top teeth
A
Full
4
Q
Limitations of TMJ (3)
A
Brushing of teeth
Chewing
Dental procedures
5
Q
Beginning at the base of the skull, the first ____ bones of the spine are identified as the ____
A
Seven
Cervical spine
6
Q
Numbers of vertebrea: Total: Cervical: Thoracic: Lumbar: Sacral: Coccygeal:
A
33 7 12 5 5 4
7
Q
ROM in cervical rotation
A
60-80 degree
8
Q
ROM in Lateral cervical flexion
A
45
9
Q
To flex the hand and wrist you will:
A
Make a fist
10
Q
To extend the hand and wrist:
A
Straighten and stretch the fingers
11
Q
Ability to grasp objects between thumb and index finger or the index finger and other finger
A
Fine precision pinch
12
Q
Skills using the hands
A
Dexterity
13
Q
The diseases found in the following joints:
- DIP
- PIP
- MCP
- Wrist joint
- 1st CMC
A
- OA, REACTIVE, PSORIATIC
- OA, SLE, RA, PSORIATIC
- RA, PSEUDOGOUT, HEMOCHROMATOSIS
- RA, PSEUDOGOUT, GONOCOCCA ARTHRITIS, JUVENILE ARTHRITIS, CARPAL TUNNEL SYNDROME
- OA
5.
14
Q
Prevention of normal mobility of a joint due to abnormal formation of fibrous tissue
A
Contracture
15
Q
Partial or incomplete displacement of bones of the joint
A
Subluxation
16
Q
Complete joint displacement with no contact
A
Dislocation
17
Q
Slowly over an extended period of time (chronic synovitis)
A
Dislocation
18
Q
Supernumerary fingers
A
Polydactyly
19
Q
Associated with syndromes and congenital problems
A
Polydactyly
20
Q
Flexion deformity in the tightness of the skin
A
Sclerodactyly
21
Q
Associated with Raynaud’s phenomenon nearly always present with skin calcinosis
A
Sclerodactyly
22
Q
Tight skin may be due to Scleroderma
A
Sclerodactyly
23
Q
Webbed fingers
A
Syndactyly
24
This is the test in which you ask the patient to grasp 2-3 fingers of each of the examiner hands
Grip strength
25
PIP bone enlargement
Bouchard's node
26
Bouchard's node usually associated with _____
Osteoarthritis
27
DIP joints bony enlargement
Heberden's node
28
Hard nodules 2-3mm dm. One on either side of the dorsal midline
Heberden's node
29
Usually painless, motion slightly limited, progressive deformity, but function is preserved
Heberden's node
30
Heberden's node is more pronounced on the ___
Dominant hand
31
If only a single heberden's node this is just usually due to ____
Trauma
32
Despite active flexion, index finger DIP still rests in flexion
Mallet's finger
33
Lateral aspect of the wrist and the thumb
De quervain's tenosynovitis
34
Inflammation of the tendon sheath of the extensor pollicis brevis and abductor pollicis longus
De quervain's tenosynovitis
35
The test for De quervain's tenosynovitis
Finkelstein test
36
Extension deformity of the PIP joint
Swan neck deformity
37
Chronic swelling at the PIP which cause the displacement and pulling of extensor tendon
Swan neck
38
PIP is hyperextended and DIP develops flexion contracture
Swan neck
39
Disease associated with swan neck
RA and SLE
40
Flexion deformity of the PIP
Boutonniere
41
Chronic swelling weakens the supporting structures
Boutonniere
42
Extensor tendon slides to the palmar aspect of the finger, PIP develops a flexion contracture
Boutonniere
43
DIP is hyperextended
Boutonniere
44
Patient unable to extend the fingers actively but can passively
Extensor tendon rupture
45
This is the result of bony changes and inflammation at the wrist
Extensor tendon rupture
46
Tendon sheath which pass the wrist, become swollen and tender
Extensor tendon rupture
47
In extensor tendon rupture, chronic inflammation of arthritis causes ______ to become jagged
Ulnar styloid
48
Thumb is flexed into the palm and wrist and MCP flexed
Carpal spasm
49
IP is hyperextended
Carpal spasm
50
Carpal spasm is associated with ____
Tetany
51
Hyperextension of the MCP with flexion of the PIP and DIP
Claw hand
52
Claw hand is associated with:
Ulnar nerve and Brachial plexus injuries
53
Chronic fibrotic process of palmar fascia in one or both hands with resulting contracture of the ring finger and the little finger
Dupuytren's contracture
54
Is Dupuytren hereditary? Yes / No
Yes
55
Painless nodule devlops on a flexor tendon in the palm of the hand near the head of metacarpal
Trigger finger
56
Patient tries to extend the fingers from a flexed position, nodule is too big to enter easily into the tendon sheath
Trigger finger
57
With extra effort or assistance, the finger extends with a audible snap
Trigger finger
58
Trigger finger this usually affects the _____, _____ finger
Middle and ring
59
Cause of trigger finger:
Inflammation
| Repetitive trauma
60
Long axis of the fingers deviate or drift in an ulnar direction from the MCP joints
Ulnar deviation
61
In ulnar deviation, due to _______ this leads to the atrophy of the supportive muscles, tendons and ligaments
Chronic synovitis
62
Pronated wrist drop is due to the weakness of the ______
Extensors
63
Wrist drop is usually seen in _____
Radial nerve palsy
64
In hypothenar atrophy this includes the following muscles:
Bellies of palmaris brevis
Abductor digiti quinti
Flexor digiti quinti
Opponens digiti quinti
65
Hypothenar atrophy is caused by:
Ulnar nerve lesion
66
If both thenar and hypothenar it is considered:
Cervical myelopathy
67
Thenar atrophy this includes the wasting of:
Opponens pollicis
Abductor pollicis brevis
Flexor pollicis brevis
68
Flattening or wrinkling of the muscle mass
Thenar atrophy
69
Thenar atrophy is due to:
Median nerve damage
70
Thenar atrophy os associated with:
Carpal tunnel syndrome
Severe OA
Aging
71
Palpable bulge of muscle on palm of the hand at the base of the thumb
Thenar eminence
72
When examiner presses on ulnar styloid it lowers and bounces back
Piano key sign
73
Piano key sign suggest ligaments and tendons weakened by:
Synovitis
| Arthritis
74
Tingling or numbness along distributiin of median nerve when examiner taps over the median nerve
Tinel's sign
75
Tinel's sign is diagnositic of:
Carpal tunnel syndrome
76
The range of motion of the elbow
Flexion
Extension
Pronation
Supination
77
The normal carrying angle of the elbow is at:
170 degrees
78
Less than 170 degrees, forearm is angled away from the body
Cubitus valgus
79
More than 170 degrees, forearm deviated towards the midline fo the body
Varum
80
Accumulation fo fluid in the Olecranon bursa
Olecranon bursitis
81
Injury of ulnar nerve which cause pain on the little finger and ulnar half of ring finger and palm
Ulnar tunnel syndrome
82
Tenderness over the common extensor origin at the lateral epicondyle , resisted active wrist extension
Tennis elbow
83
Tenderness over the medial epicondyle at the common origin of wirst flexors, resisted active wrist flexion with the hand supinated
Golfer's elbow
84
Multi axial spheriodal joint with spherical head and and shallow glenoid cavity
Shoulder
85
```
Insert the degree of the shoulder per ROM:
Flexion
Adduction
Abduction
Internal rotation
External rotation
Forward flexion
Extension
```
```
90
45
180
90
90
180
50
```
86
Pain located on anterior and lateral aspect of the shoulder and may radiate into the lateral deltoid
Rotator cuff tendinitis
87
Impingement catch as arm is brought to overhead position
Roattor cuff tendinitis
88
Painful arc between 70-110 degree abduction
Rotatir cuff tendinitis
89
May be initiated by ischemia or degeneration of the tendon
Calcific tendinitis
90
Common on the right side with 6% bilaterality in DM cases
Calcific tendinitis
91
Pain is out of proportion to the physical findings, often with associated difficulty of sleeping on the shoulder or falling asleep
Calcific tendinitis
92
Palpated between acromion process and head of the humerus at the tipof the shoulder
Subdeltois bursa
93
Generally, only visible when inflamed and swollen
Subdeltoid bursa
94
Pain, swelling and or tenderness over the shoulder tip suggest
Busitis
95
Shoulder pain that radiates down the biceps into to the forearm
Bicipital tendon
96
Just below the bicipital head in the bicipital groove
Bicipital tendon
97
The test: anterior shoulder pain may be due to bicipital tendonitis.
Abduction and external rotation of the arm is painful and limited
Yergasen's test
98
Pain is generalized and referred to the upper arm, back and neck
Adhesive capsulitis
99
Three disease associated with adhesive tendonitis:
Diabetics
Thyroid disease
Parkinson
100
Diffuse inflammatory synovitis with subsequenrt adherence of the capsule and loss of joint volume
Adhesive capsulitis
101
Deposition of calcium salts primarily hydroxyapatite within a tendon
Calcific tendinitis
