Musculoskeletal

Question 1

A classic finding in ________ or ______ is pain with abduction.

Answer 1

rotator cuff tendonitis or tear of the rotator cuff

Question 2

To assess the ____ joint, see if the patient experiences pain while crossing arms across the chest. The examiner feels for ___. This is called the _____.

Answer 2

pain at the acromioclavicular joint
feel for crepitus
cross arm test

Question 3

Drop Arm Test is a test for a _______. It is done by having the patient slowly ________.

Answer 3

Drop arm test: tests for a supraspinatus muscle tear.
Pt slowly loses arm from abducted position. If arm drops quickly once supraspinatus kicks in –> may have supraspinatus tear

Question 4

Painful Arc Sign is a finding in ________ or _____. The patient has pain on ________.

Answer 4

Painful arc sign: rotator cuff tendonitis or tear. Patient has pain on abduction of arm > 90 degrees

Question 5

When a patient presents w elbow pain, palpate at the ____ and _____ epicondyles. Tenderness at the ______ epicondyle indicates ______. Tenderness at the _______ indicates ______.

Answer 5

medial and lateral epicondyles.
lateral epicondyle: tennis elbow = lateral epicondylitis
medial epicondyle: golf elbow

Question 6

In advanced carpal tunnel syndrome, may see atrophy of the_______.

Answer 6

thenar eminence

Question 7

Two tests for carpal tunnel syndrome?

Answer 7

1. Tinnel test: precuss over the carpal tunnel, assessing for pain or paresthesia over median nerve distribution.
2. Phalen test: + test = numbness or pain upon maximally flexing wrists and holding for 1 min

Question 8

_______ nodes are deformities at the PIP joint of the hand.

Answer 8

Bouchard’s nodes

Question 9

_______ nodes are deformities at the DIP joint of the hand, which are associated with ______.

Answer 9

Heberden’s nodes; associated w osteoarthritis.

Question 10

In a patient with a scaphoid fracture, one might note________.

Answer 10

tenderness on anatomical snuff box.

Question 11

When a pt has acute ankle injury and pain, check for tenderness in 4 discrete areas:
1.
2.
3.
4.
(Ottawa ankle rules).
Tenderness in any of these 4 areas suggests the need to ______.

Answer 11

1. posterior aspect of medial malleolus
2. posterior aspect of the lateral malleolus
3. base of the 5th metatarsal
4. navicular bone
   Tenderness in these areas suggests a need to get an ankle film.

Question 12

a painful gate is referred to as an _____

Answer 12

antalgic gait

Question 13

The wrist is a common site of injury when a pt falls on an outstretched arm. This can include fractures of the ____ or ___.

Answer 13

distal radius or scaphoid.

Question 14

carpal tunnel syndrome is a condition in which the ____ nerve is compressed in the carpal tunnel

Answer 14

median nerve

Question 15

_______ for Dequervian’s tenosynovitis (inflammation of the extensor pollicis brevis or abductor pollicis longs - muscles which abduct the thumb) instructs patients to:

Answer 15

Finkelstein’s test: with fingers wrapped around thumb, move thumb to the ulnar side

Question 16

Hip osteoarthritis often presents with _______ or _____ pain that in some cases may radiate to the _______. The patient may also have pain with _______ action at the hip.

Answer 16

inguinal or groin pain
in some cases may radiate to the knee.
may have trouble with internal rotation

Question 17

Lachman test detects_______.With the pt supine and knee bent 30 degrees, stabilize the femur and move the lower leg anterior. A laxity in movement greater than the unaffected leg suggests an _______.

Answer 17

ACL tear; ACL tear

Question 18

Thompson test detects_______.

Answer 18

rupture of the acchiles tension.

Question 19

Tenderness upon dorsiflexing the toes with one hand and palpating the ___ from heel to forefoot with the other hand strengths the suspicion for ______.

Answer 19

plantar fascia

plantar fasciitis.

Question 20

_____ tests for sciatica (sciatic nerve root irritation/compression). The patient often complains of pain radiating from the back down the lateral or posterior leg, often to below the knee. With the pt supine, leg straight, and ankle dorsiflexed, lift leg. A positive test occurs when ______.

Answer 20

the straight leg raise

+ test occurs when the pain radiates down the leg past the knee when the leg is lifted 10-60 degrees

Question 21

ulnar nerve pathology can result in numbness or pain along the ulnar nerve distribution that can be localized to the ______ and _____digits

Answer 21

ulnar nerve pathology: 4th and 5th digits

Question 22

____ fractures will present with pain localized to the distal radius.

Answer 22

radial fractures:

extension fractures = colles’ fracture and flexion fracture = smith’s fracture

Question 23

______ fractures or more common when younger people fall on an outstretched hand and _______ fractures are more common when older people fall on an outstretched hand

Answer 23

scaphoid fractures more common in younger people

distal radius fractures more common in older people