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Orthopedics Lab > Ortho I Midterm > Flashcards

Ortho I Midterm Flashcards

1
Q

main nerve root tested for deltoid

A

C5

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2
Q

main nerve root tested for biceps

A

C6

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3
Q

main nerve root tested for triceps

A

C7

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4
Q

main nerve root tested for wrist extensors

A

C6

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5
Q

main nerve root tested for wrist flexors

A

C7

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6
Q

main nerve root tested for finger extensors

A

C7

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7
Q

main nerve root tested for finger flexors

A

C8

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8
Q

main nerve root tested for finger ab/adductors

A

T1

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9
Q

main nerve root tested for REFLEX- deltoid

A

C5

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10
Q

main nerve root tested for REFLEX- brachioradialis

A

C6

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11
Q

main nerve root tested for REFLEX- tricep

A

C7

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12
Q

Bakody’s Sign

A

pt raises arm overhead and reports relief –> indicates nerve root irritation

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13
Q

Cluster Dx for cervical radiculopathy

A

99% specificity, 30.3 +LR with:
* very high chance that if you don’t have cervical radiculopathy, these tests will be negative. very high chance that pt has the dz.

+ ULTT of median nerve
Cervical rotation

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14
Q

Xrays for cervical spine

A

Canadian C-spine rules (99-100% sensitive, 40-90% specific, adults only)

positive indicators–> confitive awareness, 65+, fearful of movign head when asked, axial load injury, midline palpatory pain

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15
Q

Cervial regional flow

A
  1. First 3 First: observe, AROM of neck, fracture screen
  2. Standing
  3. Seated
  4. SUpine
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16
Q

Test for scoliosis

A

Adam’s Test: forward bend test

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17
Q

Thoracic Outlet Syndrome Tests: neurogenic

A

Neurogenic: Upper Limb Tenson Test (median nerve)

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18
Q

TOS tests: vasculogenic

Scalene syndrome/cervical rib tests

A

Adson’s and Reverse Adson’s

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19
Q

TOS tests: vasculogenic

Costoclavicular Syndrome

A

Eden’s, Roos’

20
Q

TOS tests: vasculogenic

Hyperabduction syndrome

A

Wright’s test

21
Q

TOS tests: vasculogenic

General vascular check

A

Allen test

22
Q

Breathing pattern test

A

hand on ab and chest, deep breath- look for diaphragmatic vs thoracic breathing –> thoracic breathing strains scalenes and can iiritate brachial plexus

23
Q

Shoulder test -> painful arc

A

patient activrly abducts the shoulder in the scapular plane -> pain between 60 and 120.

24
Q

Fracture/Dislocation screen

A

Olecranon-manubrium percussion test

25
Q

Olecranon-manubrium percussion test

positive, sens, spec, rationale

A

Positive: fracture/dislocation possible if difference in quality of sound on involved and non-involved side

Sensitivity: 84%
Specificity: 99%

test rationale: xray upper extremity if positive

26
Q

Muscle tests/specific movements - shoulder

A

Abduction: supraspinatus (empty can)
External rot: teres minor and infraspin (trumpeter)
internal rot: subscapularis

27
Q

Adhesive Capsulitis (Frozen Shoulder Contracture Syndrome)

A

capsular pattern of movement

restricted shoulder motion: 
external rot (most restricted), abduction, flexion, internal rot (least restricted)
28
Q

Bicipital tendinopayhy tests

A

Speed’s test

29
Q

rotator cuff tests

A

Supraspinatus: drop arm, empty can

infraspin/teres minor: muscle test for shoulder external rotation

Subscapualris: gerber’s lift off, muscle tests for internal rot

30
Q

diagnostic test cluster for rotator cuff tear

A

+ drop arm
+ painful arc
+ infraspinatus strength test (external rot)

+LR 15.6, -LR 0.16 for full thickness rotator cuff tear

60+ LR=28, -=0.09

31
Q

Impingement tests

A

empty can test
hawkin’s kennedy test
neer’s test *bicep tendon impingmenet

32
Q

Diagnostic cluster for subacromial impingement

A

+ Hawkins Kennedy
+ Painful Arc
+ Infraspinatus Strength Test

+LR= 10.6, -LR=.17 for any degree of impingement

33
Q

Acromioclavicular Joint Tests

A

AC crossbody adduction and AC Resisted exension tests, AC compression test

34
Q

Dx cluster for AC pathology

A

AC cross body adduction + AC resisted extension + AC compression tests

81% sensitivity, 89% specificity
+LR=7.36, -LR=.21

35
Q

Anterior glenohumeral instability tests

A

apprehension test

relocation test

36
Q

Dx cluster for shoulder apprehension and relocation

A

80% sens, 98-100% specific

LR=37 -=.19

37
Q

Labrum Lesions tests

A

O’briens
Shoulder passive compression test
modified dynamic labral shear test
passive distraction test

38
Q

elbow fracture tests

A

elbow extension test, elbow flexion test, pronation, supination, scaphoid fracture test, bracelet test

39
Q

Lateral epicondylitis tests

A

Cozens and Mills

40
Q

Medial epicondylitis tests

A

reverse cozens and reverse mills

41
Q

elbow sprain and instability tests

A

Valgus and Varus stress tests

42
Q

cubital tunnel tests

A

Tinel’s Sign over ulnar nerve
Froment’s Pinch
Active Ulnar Tension Test

43
Q

carpel tunnel tests

A

Phalens
Modified Phalens
Median nerve compression test
Tinel’s over median nerve

44
Q

Median Nerve compression test for CTS

A

Positive: median nerve sxs in hand
Sensitivty: 42-100, spec 68-100
LR+ 1.7-42, LR- 7-0

45
Q

ECB/APL tenosynovitis/ Intersection syndrome tests

A

finkelstein’s

Orthopedics Lab (1 decks)

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