Ortho Flashcards
(101 cards)
1
Q
Actions of the Temporalis
A
- Elevation
- Retraction
- Side to side
2
Q
Actions of the Masseter
A
- Elevation
- Retraction
- Protrusion
- Side to side
3
Q
What muscles do depression of jaw
A
- Lateral ptyergoid
- Suprahyoid
- Infrahyoid
4
Q
What muscles do elevation of jaw
A
- Temporalis
- Masseter
- Medial ptyergoid
5
Q
What muscles do protrusion of jaw
A
- Masseter
- Lateral ptyergoid
- Medial pterygoid
6
Q
What muscles to retraction of jaw
A
- Temporalis
- Masseter
- Digastric
7
Q
What does digastric muscle do
A
Retraction of jaw
8
Q
Which side will the jaw deviate toward when there is a restriction
A
it will deviate toward the restricted side
9
Q
How to improve opening of TMJ
A
anterior glide and distraction
10
Q
When laterally bending will C1 go in the opposite or same direction
A
opposite
11
Q
When laterally bending will C2-T12 go in the opposite or same direction
A
Same
12
Q
If IL rot/ IL SB is the issue then what is the problem
A
Disc
13
Q
If CL rot/ CL SB is the issue then what is the problem
A
Brachial plexus
14
Q
Is traction better for a cervical disc or brachial plexus issue
A
Disc
15
Q
Open packed at the GHJ
A
55 abduction
30 horizontal add
neutral rotation
16
Q
Closed packed at the GHJ
A
Max abd and max ER
17
Q
Open packed at the hip
A
30 flex
30 abd
slight ER
18
Q
Open packed at knee
A
25 flex
19
Q
Closed backed at knee
A
full ext
20
Q
Open packed at vertebrae
A
halfway between flex/ext
21
Q
Closed packed at veretbrae
A
max ext
22
Q
Capsular pattern at shoulder (think frozen shoulder)
A
ER most limited
Abd moderately limited
IR little bit limited
23
Q
Open packed for the talocrural joint
A
10 PF
24
Q
Closed packed for talocrual joint
A
full DF
25
If trap innervation is lost then what will happen
lateral winging of scapula
26
If serratus innervation is lost then what will happen
medial winging of scapula
27
What glide should you perform for frozen shoulder to improve IR/ER
posterior glide
28
Open packed for elbow
70 flex
| 10 supination
29
How much is normal femoral anteversion
8-15 degrees
30
Pain at 60-120 degrees of painful arc =
subacromial impingement syndrome
31
Pain at 170-180 degrees of painful arc =
ACJ injury
32
What 3 muscles are involved in upward rotation of scapula
upper trap
lower trap
serratus anterior
33
What is a swan neck deformity
Flex of MCP/DIP
| Ext of PIP
34
Flex of MCP/DIP
| Ext of PIP
Swan neck deformity
35
What is a Boutonniere deformity
Ext of MCP/DIP
| Flex of PIP
36
Ext of MCP/DIP
| Flex of PIP
Boutonniere deformity
37
What 2 tendons are involved with DeQuervain's syndrome
Abductor pollicis longus
| Extensor pollicis brevis
38
Thumb UCL injury
Gamekeeper's thumb
39
MCP hyperextneded and PIP/DIP flexed
Claw hand
40
What can lead to claw hand
Klumpke's palsy (C8-T1)
| Ulnar n pathology
41
What nerve is the issue if someone has ape hand
median n
42
Froment's sign tests for what
Adductor pollicis
| Ullnar n
43
What is the Galeazzi sign and what is it used to assess
Flex both knees until ankles touch butt
Seeing if it is the same on both side
Looks for hip dysplasia in kids
44
Who is SCFE most common in
adolescents (males more often)
45
Who is Legg-Calve Perthes most common in
young kids (2-13 years old)
46
What are sx of legg-calve perthes
limp and toe out
47
What are sx of SCFE
groin/medial thigh pain that is dull and aching
48
What position to test medial meniscus for mcmurrays test
ER and valgus
49
What position to test lateral meniscus for mcmurrays test
IR and varus
50
What glide to improve pronation at proximal radioulnar
dorsal
51
What glide to improve supination at proximal radioulanar
volar
52
What glide to improve supination at distal radioulnar
dorsal
53
What glide to improve pronation at distal radioulanr
volar
54
What glide to improve eversion at subtalar
medial
55
What glide to improve inversion at subtalar
lateral
56
What glide to improve flex at MCP/IP
volar
57
What glide to improve ext at MCP/IP
dorsal
58
What glide to improve wrist flex
dorsal
59
What glide to improve wrist ext
volar
60
What glide to improve ulnar dev
radial
61
What glide to improve radial dev
ulnar
62
Leg longer in supine
| Shorter in sitting
anterior rotated innominate
63
Leg shorter in supine
| Longer in sitting
posterior rotated innominate
64
What 3 muscles are involved in downward rotation of scapula
Levator scap
Rhomboid
Pec minor
65
ASIS lower, PSIS higher
Stuck in anterior rotation
66
ASIS higher, PSIS lower
Stuck in posterior rotation
67
Capsular pattern at hip
Flex
Abd
IR
68
Valgus force at the knee could lead to what type of injury
MCL
69
Sx of patellofemoral syndrom
```
anterior knee pain
pain with prolonged standing
pain with stairs
creptitus
swelling
progressive
```
70
Sx of Osgood Schlatter
- point tenderness over the patellar tendon and tibial tuberosity
- antalgic gait
- pain with incr activity
* **pain often subsides with rest
71
What dermatomes are affected with Pancoast tumor
C8, T1, T2
72
Difference between TOS and pancoast tumor
Pulmonary sx and Horner's syndrome
73
Who is osteosarcoma most common in
boys 10-25 years old
74
What should you be cautious about doin with someone with RA
Stretching across swollen joints
| Forcing motion to distended capsule......this can lead to hypermobility and subluxation
75
Difference between OA and RA
RA is usually bilateral
| OA stiffness usually gets better with movement
76
What should you be cautious about doing with someone who has OA
Max resistance exercises should not be performed thru painful ROM
77
What should water temp of pool be
26-33 C (78-98F)
78
CI for aquatic therapy
```
Infectious dz
Open wounds
Vital capacity less than 1L
Severe peripheral dz
Severe kidney dz
Bleeding/hemorrhage
Cardiac failure
Unstable angina
Uncontrolled bowel or bladder
```
79
How much WB at C7 in water
10%
80
How much WB at Xiphoid process in water
33%
81
How much WB at ASIS in water
50%
82
What will be seen in someone with Psoriatic arthritis
Silvery scales/rash
Systemic distal arthritis
Iritis, mouth ulcer, colitis, urethritis, aortic valve dz
83
How long does stiffness last with RA
More than 30 min
84
What will be seen with reactive arthritis
"Can see, pee, or climb a tree" (con
```
Polyarthritis
Change in SIJ
Low back/buttock pain
Low grade fever
***Brown nodules on the feet, nails, etc
```
85
AROM and PROM will be painful with bursitis or tendonitis
Bursitis
86
Will PROM be painful with tendonitis
No
87
How is cellulitis treated
Antibiotics
88
What can Congenital Hip Dysplasia lead to if no treated
Arthritis
89
Is Duchenne MD dominant or recessive
recessive
90
What is the cause of Osgood-Schlatter Dz
Repetitive traction on the tibial tuberosity aophysis
91
Positioning with Talipes Equinovarus
Forefoot adduction
Hindfoot varus
Equinus at ankle
92
Knee pain with prolonged sitting =
PFPS
93
MOI for PCL injury
hyper-flexion
94
What is osteogenesis imperfecta
brittle bone dz
95
Cylinder/sausage-like limbs will be seen with what
Arthrogryposis Multiplex Congentia
96
Gowers sign, inability to ambulate by 10, proximal mm weakness, and pseudohypetrophy of calf mm will be seen with what
Duchene MD
97
Type of SLAP lesion:
| Degnerative fraying. Biceps intact
Type 1
98
Type of SLAP lesion:
| Detachment of superior labrum/biceps from glenoid
Type 2
99
Type of SLAP lesion:
| Bucket handle tear of labrum. Biceps still attached
Type 3
100
Type of SLAP lesion:
| Intra substance tear of biceps tendon. Bucket-handle tear of superior aspect of labrum
Type 4
101
Type of SLAP lesion: Most common
Type 2
