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OS Exam II > OSCE > Flashcards

OSCE Flashcards

1
Q

Hip ROM

A 
Flexion- 90
Flexion with knee flexed- 120-135
Extension- 15-30
Internal rotation- 30-40
External rotation- 40-60
Abduction- 45-50
Adduction- 20-30
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2
Q

What are the contents of the central compartment of the hip?

A

Labrum, ligamentum teres of femur, articular surfaces

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3
Q

What makes up the peripheral compartment of the hip?

A

Femoral neck, synovial lining

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4
Q

What makes up the lateral compartment of the hip?

A

Gluteus medius, gluteus minimus, piriformis, IT band, trochanteric bursae

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5
Q

What makes up the anterior compartment of the hip?

A

Iliopsoas insertion, iliopsoas bursae

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6
Q

What is the typical Q-angle? Which sex has a larger q angle?

A

Normal Q angle is about 15º

Females have larger q angle

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7
Q

What is ROM of knee?

A

Flexion- 145-150
Extension- 0
Internal/External Rotation- 10

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8
Q

Describe the test for internal/external rotation of the tibia on the femur?

A

Patient supine with hip and knee flexed to 90
Place both thumbs on tibial tuberosity and wrap hands around calf
Induce internal and external rotation

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9
Q

Describe test for abduction and adduction of tibia on femur?

A

Have patient supine
Grasp distal femur and ankle
Apply Valgus (adduction) and Varus (abduction) stress tests

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10
Q

Describe test for anteroposterior glide of tibia on femur?

A

Patient supine with knee flexed and foot flat on table with you sitting on it
Do the anterior drawer test but with reduced force

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11
Q

Describe test for proximal fibular head dysfunction?

A

Patient supine with knee flexed and foot on table
Pinch fibular head and stabalize knee
Translate head anteriorly and posteriorly to assess ease of motion

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12
Q

What makes up the medial longitudinal arch of the foot?

A

Calcaneus, talus, navicular, cunieforms, and metatarsals 1-3

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13
Q

What makes up the lateral longitudinal arch of the foot?

A

Calcaneus, cuboid, metatarsals 4 and 5

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14
Q

What makes up the transverse distal tarsal arch of the foot?

A

Navicular, cuboid, cunieforms, and proximal metatarsals

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15
Q

Which ligament tears first in a classic ankle inversion?

A

Anterior Talofibular ligament

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16
Q

What is the ROM of ankle?

A 
Dorsiflex- 15-20
Plantarflex- 50-65
Invert- 35
Evert- 20
Adduct- 20
Abduct- 10
Metatarsal flex- 45
Metatarsal extend- 70-90
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17
Q

Describe the test for anterior/posterior lateral malleolus dysfunction?

A

Patients knee flexed and foot flat on table

Pinch lateral malleolus and translate anteriorly and posteriorly

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18
Q

Describe the test for talus dorsi/plantar flexion dysfunction?

A

Stabalize above ankle and grasp foot and bring into plantar and dorsi flexion

19
Q

Describe the test for calcaneus inversion/eversion dysfunction?

A

Place ankle at 90º
Grasp calcaneus and stabilize rest of foot
Bring into inversion and eversion

20
Q

Describe test for navicular plantar/dorsal glide dysfunction? Describe test for cuboid plantar/dorsal glide dysfunction? Is plantar or dorsal dysfunction more common?

A

Grip navicular or cuboid with index and thumb
Stabilize talus for navicular and calcaneus for cuboid
Move bone into dorsal and plantar glide

Plantar dysfunctions more common

21
Q

What is dorsal navicular dysfunction associated with?

A

Tight plantar fascia

22
Q

What is plantar cuboid dysfunction associated with?

A

Posterior fibular head

23
Q

Explain cuneiform plantar/dorsal glide dysfunction? Is plantar or dorsal dysfucntion more common?

A

Grip cuneiforms, stabilize navicular, and move into glide

Plantar dysfunction more common

24
Q

What 3 bones make up the shoulder girdle?

A

Scapula, clavicle, and humerus

25
Q

What 3 synovial joints make up the shoulder girdle?

A

Glenohumeral
Acromioclavicular
Sternoclavicular

26
Q

What are the 2 functional joints of the shoulder girdle?

A

Suprahumeral

Scapulothoracic

27
Q

What are the 2 accessory joints of the shoulder girdle?

A

Costosternal

Costovertebral

28
Q

What joints take part in EARLY shoulder ABduction?

A

Glenohumeral

Suprahumeral

29
Q

What joints take part in MID-LATE shoulder ABduction?

A

Scapulothoracic
Sternoclavicular
Acromioclavicular

30
Q

What is shoulder ROM?

A 
Flex- 180
Extend- 60
Abduction- 180
Horizontal Abduction- 130-145
Horizontal Adduction- 40-50
Internal/External Rotation- 90
31
Q

Explain the test for AC joint dysfunction? What is normal AC rotation expected to be?

A

Bring GH joint into 60 abduction and 60 horizontal adduction
Internally/externally rotate GH joint
Internal rotation of GH causes internal rotation of AC and vice versa for external rotation

Normal AC rotation is 10º

32
Q

Explain flexion/extension test for SC joint dysfunction? What direction does the proximal clavicle move for flexion and extension?

A

Place fingers bilaterally on anterior aspect of SC joint
Have patient reach towards the ceiling

Horizontal flexion- proximal clavicle moves posterior
Horizontal extension- proximal clavicle moves anterior

33
Q

Explain the test for SC joint abduction/adduction dysfunction? What direction does the proximal clavicle move for abduction and adduction?

A

Place fingers bilaterally on superior aspect of SC joint
Have patient shrug shoulders

Abduction- proximal clavicle moves inferiorly
Adduction- proximal clavicle moves superiorly

34
Q

What is the carrying angle? What are the normal ranges for males and females?

A

Angle formed by axis of humerus and axis of forearm
Males- 5º
Females 10-15º

35
Q

What is ROM of elbow joint?

A

Flexion- 140-150
Extend- 0 - (-5)
Supinate/Pronate- 90

36
Q

With regards to somatic dysfunction of elbow joint, is SD found in major or minor gliding motions of joint?

A

SD of elbow joint is found in minor gliding motions

37
Q

With regards to elbow SD, is the ulnohumeral or radiounlar joint primary?

A

Ulnohumeral joint SD is primary to radioulnar joint SD

38
Q

Describe test for ulnar abduction SD? What is the coupled motion?

A

Perform Valgus stress test

Ulnar abduction coupled with wrist adduction/ulnar deviation

39
Q

Describe test for ulnar adduction SD? What is the coupled motion?

A

Perform Varus stress test

Coupled motion is wrist abduction/radial deviation

40
Q

What is ROM of wrist?

A

Flexion- 80-90
Extension- 70
Abduction/ulnar deviation- 20-30
Adduction/radial deviation- 30-40

41
Q

What is wrist flexion coupled with?

A

Wrist flexion couples with dorsal/posterior carpal glide

42
Q

What is wrist extension coupled with?

A

Wrist extension coupled with ventral/anterior carpal glide

43
Q

What is ROM of Thoracic spine?

A

Rotation- 90

Side bending- 40

44
Q

Explain the pneumonic BITE with regards to group rib dysfunction

A 
Inhalation dysfunction (ribs restricted to exhalation and stuck superiorly), the bottom rib involved is the key rib
Exhalation dysfunction (ribs stuck inferiorly), the top rib involved is the key rib

OS Exam II (2 decks)

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