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PCM1 > PCM1 MT > Flashcards

PCM1 MT Flashcards

1
Q

Diagnosis?

Differential diagnosis?

A

the art/act of identifying a disease from its signs and symptoms

probable causes of the assessment, listed in order of most likely to least likely

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2
Q

empathy acronym?

A 
Name
Understand
Respect
Support
Explore
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3
Q

pack years calculation?

A

(packs/day) x (years) = pack year history

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4
Q

AUDIT?

A

alcohol use disorders identification test

better than CAGE, but more questions and more difficult to score

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5
Q

CAGE?

A

useful to screen and open the door for patients who drink daily or a lot on weekends

anyone suggested you CUT back?
are you ever ANNOYED when people talk about your drinking?
do you ever feel GUILTY about drinking?
Do you ever need a drink to steady you nerves/an EYE opener?

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6
Q

safe drinking limits?

A

women and those 65+ = 3 drinks/day or 7 drinks/week is the limit

men = 4 drinks/day and 14 drinks/week limit

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7
Q

what defines a drink?

A 
beer = 12 oz
wine = 5 oz
liquor = 1 oz
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8
Q

s in fedtacos?

A

spirituality/safety/support/sex

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9
Q

SAFE?

A

stress/safety
afraid/abused
friends/family
emergency plan

for domestic violence

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10
Q

medical model of patient interviews?

A
  • patient = passive
  • patient = recipient
  • physician dominates
  • care is disease centered
  • physician does most of the talking
  • patient may or may not adhere to plan
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11
Q

patient centered model of interviews?

A
  • patient = active
  • patient = partner in treatment
  • physician colaborates w/ patient
  • care is quality-of-life centered
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12
Q

patient centered model of interviews?

A
  • patient = active
  • patient = partner in treatment
  • physician collaborates w/ patient
  • care is quality-of-life centered
  • physician listens more
  • patient more likely to adhere to plan
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13
Q

5 models/approaches to diagnosis?

A 
biomechanical (MsK)
resp-circ (card/resp)
metabolic-energy (GI/GU)
neuro (neuro/endocrine/IS)
behavioral (psych)
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14
Q

types of medications to ask about?

A
  • prescriptions
  • OTC
  • supplements

need dosage, timing, and +/-

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15
Q

types of allergies to ask about?

A
  • medication
  • environmental
  • food

need rxn, +/-

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16
Q

reccomended exercise?

A

adults = 150 min/week and 2 days/week strength

kids = 60 min/day

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17
Q

questions about drug use?

A

type (street/prescription)
quantity
frequency
route of administration

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18
Q

FICA?

A

faith/belief
importance
community
address in care OR assessment/plan

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19
Q

centor score?

A

ROS score for strep (3-5 strep test) (2=optional)

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20
Q

WSW/MSM?

A

women who have sex w/ women

men who have sex w/ men

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21
Q

5 Ps of sexual history?

A 
partners
practices (type of sex, protection, etc)
prevention of pregnancy
protection from STIs
PH of STIs
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22
Q

intersex?

A

congenital abnormalities in sexuality

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23
Q

asexual vs. aromantic?

A

asexual - no sexual attraction, may have emotional, this is a sexual orientation not a choice (unlike celibacy)

aromantic - no romantic attraction

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24
Q

cisgender?

A

someone who feels comfortable w/ gender identiy

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25
Q

bisexual vs pansexual?

A

bi - attraction to their gender and other genders

pan - attraction to people regardless of gender

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26
Q

queer?

A

political and sexual orientation, sees sexual orientation and gender identity as fluid

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27
Q

joint dislocation? subluxation?

A

lack of contact b/w 2 articular surfaces

residual contact b/w 2 articular surfaces

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28
Q

varus/valgus deformities?

A

varus - distal limb directed towards midline

valgus - distal limb direct away from midline

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29
Q

mono/poly articular pain?

A

1 joint vs multiple joints

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30
Q

migratory joint pain?

A

moves from one joint to another

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31
Q

extra-articular joint pain?

A

bones/muscles/tendons/bursa/skin pain

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32
Q

intra-articular joint pain?

A

within joint capsule

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33
Q

myalgia?

A

muscle pain

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34
Q

athralgia?

A

joint pain

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35
Q

tenosynovitis?

A

inflammation of tendon sheath

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36
Q

sprain/strain?

A 
sprain = L, greater blood loss/bruising, may here "pop"
strain = M, grabbing sensation
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37
Q

effusion joint pain?

A

fluid in joint

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38
Q

causes of joint inflammation?

A

trauma
infection
systemic

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39
Q

joint vs extremity exam?

A

joint do TART and specialty tests

extremity do TART, specialty tests, neuro, and vascular

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40
Q

sensitivity vs specificity?

A

sens - proportion of patients w/ diagnosis who have the physical sign (probability a person w/ disease has a positive test)

spec - proportion of patients w/o diagnosis who lack the physical sign (probability a person w/o disease has a negative test)

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41
Q

likelihood ratios?

A

> 1 increase probability of disease

<1 decrease probability of disease

=1 no effect

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42
Q

reflex rating?

A

0-4, +2/4 normal

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43
Q

muscle strength rating?

A

0-5

5/5 normal, 4 w/ resistance, 3 w/ gravity, 2 movement eliminated, 1 barely detectable, 0 = 0 detection

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44
Q

pulse/cap refill rating?

A

0-4, +2/4 normal

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45
Q

vindicate mnemonic of differential?

A 
vascular
inflammatory
neoplastic
degenerative/deficiency
idiopathic/intoxication
congenital
autoimmune/allergic
traumatic 
endocrine
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46
Q

types of joint pain?

A

traumatic = extra-art, extra-art ST, intra-art

atraumatic = extrinsic/referred, intrinsic (overuse)

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47
Q

acute vs chronic vs life threatening shoulder pain?

A

chronic = rotator cuff, adhesive capsulitis, shoulder instability, shoulder arthritis

LT = septic arthritis, referred pain (MI, intraperitoneal hemorrhage, lung pathology)

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48
Q

causes of shoulder pain?

A

trauma = bone, soft tissue, joint

atraumatic = extrinsic/referred, intrinsic

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49
Q

aspects of inspection?

A 
symmetry
erthema
scars/abrasions
inuries
swelling
ecchymosis
splinting
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50
Q

test w/ most positive LR and lowest negative LR of all rotator cuff maneuvers?

A

painful arc test

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51
Q

dislocated shoulder?

A

50% of all major joint discloations, anterior more likely

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52
Q

most common injured M of rotator cuff?

A

supraspinatus

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53
Q

most common cause of shoulder pain?

A

rotator cuff

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54
Q

septic arthritis?

A

swollen, tender, decreased ROM in joint

tachycardia, fever, hypotension seen

Dx: aspiration of synovial fluid
Tx: antibiotics, surgical washout of joint

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55
Q

normal elbow carrying angle?

A

5-15 degrees

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56
Q

subluxation of the radial head?

A

“nursemaids elbow,” seen in kids w/ pulling or falling and twisting arm; annular L slips out of the radial head

presentations = arm clsoe to body w/ elbow slightly flexed or fully extended w/ forearm pronated

Tx: hyperpronation (higher success), sup/flex method

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57
Q

medial epicondylitis?

A

“golfers elbow,” due to overuse of flexor Ms causing inflammaiton of flexor tendons

presentations = pain over medial epicondyle, tenderness w/ passive extension of wrist and resisted flexion of the wrist

Tx: bracing, NSAIDs, PT

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58
Q

lateral epicondylitis?

A

“tennis elbow,” due to overuse of extensor Ms causing inflammation of the extensor Ts

presentations: pain on lateral epicondyle, tenderness w/ resisted wrist extension

Tx: bracing, NSAIDs, PT

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59
Q

olecranon bursitis?

A

“miners/students elbow,” due to arthritis, gout, trauma, hemorrhage, or sepsis

presentation: pain/swelling on bursa
- bursitis w/ effusion = pain w/ extension
- bursitis w/o effusion = no pain w/ extension

Tx: RICE, NSAIDs, aspiration/analysis of fluid

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60
Q

carpal tunnel?

A

compression of the median N w/ repetitive movement

presentations = pain/paresthesia along first 3 1/2 digits
Dx: tinels, phalens

Tx: splint at night, steroid injections if bad enough

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61
Q

de quervain tenosynovitis?

A

inflammaiton of tendon sheath covering EPB and APL

presentation = radial wrist pain at base of thumb
Dx: positive finkelstein test

Tx: thumb splint, NSAIDs, steroids, surgery

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62
Q

trigger finger?

A

stenosing flexor tenosynovitis; thickening of flexor tendon which causes the first annular pulley to not work properly

presentation = pain, locking, and clicking of MCP joint common in later life most common in ring finger

Tx: splint, NSAIDs, steroids, surgery for servere

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63
Q

dupuytren’s contracture?

A

fibrosis of palmar fascia stiffening joint(s)

presentation = cord-like structure and flexed digit w/ palpable cord

Tx: using gloves w/ padding on palm, steroids, sugery

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64
Q

scaphoid fracture?

A

presentation = pain on radial aspect of wrist and reduced grip strength after fall on outstretched hand (FOOSH)
Dx: tenderness on snuff box and w/ scaphoid compression

Tx: XR may not show it, place in brace if no improvement after 2 weeks

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65
Q

boxer’s fracture?

A

fracture of 5th (usually) metacarpal neck due to trauma of clenched fist

presentation = pain on dorsum of hand, swelling/bruising, tenderness
Dx: x ray

Tx: splinting

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66
Q

colles fracture?

A

most common UE fracture, fracture of radius due to FOOSH with wrist in extension

presentation = dinner fork deformity, tenderness of radial wrist, bruising

tx: splint

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67
Q

rheumatoid arthritis?

A

inflammatory autoimmune polyarthrtitis causing deformity of joints through bone damage and cartilage; most common in MCP/PIP joints in fingers

presentation = morning stiffness, swelling of MCP/PIP, 3 or more joints affected, digit deformities

Tx: NSAIDs, steroids, DMARDs

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68
Q

inspection in hip exam?

A

gait/stance
how patient climbs on exam table
leg length discrepancy

C sign

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69
Q

palpation in hip exam?

A

iliac crest
ASIS
greater trochanter
pubic tubercle

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70
Q

mnemonic for painful hip?

A 
Vascular
Inflammatory
Traumatic
Autoimmune
Metabolic (osteoporosis)
Iatrogenic/Idiopathic (chronic steroid use)
Neoplasia

Congenital
Degenerative/Drugs
Endocrine (long term steroid use)

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71
Q

developmental hip dysplasia testing?

A

Ortolani test/Barlow

requires bracing early

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72
Q

trochanteric bursitis?

A

most common cause of lateral hip pain; usually a secondary or associated finding
Dx: may have + Faber/Ober

presentation = lateral hip pain especially when lying on affected side, tenderness

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73
Q

osteonecrosis of the hip?

A

can be caused by medications (steroids), medical conditions, trauma, transplants leading to decreased blood supply

presentation = groin pain w/ activity and rest, may be asymptomatic for a while

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74
Q

Legg-Calve-Perthes disease?

A

idiopathic avascular necrosis of the hip in children 3-12 years old

presentation = acute onset of pain w/ limping, decreased ROM or stiffness

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75
Q

SCFE?

A

slipped capital femoral epiphysis causing pain and limited ROM; due to obesity in adolescence, growth spurts, or endocrine disorders

presentation = hip pain w/ limping and impaired internal rotation, occasionally after trauma and common in obese kids

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76
Q

femoroacetabular impingement?

A

pain on anterolateral hip/groin due to abnormal contact b/w femoral head and acetabular rim
Dx: C sign, faber, fadir tests

presentation = pain w/ sitting, leaning forward, and getting out of the car; insidious pain in groin or sometimes in buttocks

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77
Q

acetabular labral tear?

A

pain on anterior aspect of hip due to trauma or chronic from longterm microtrauma
Dx: thomas test, traction/distraction, faber 1

presentation = anterior thigh pain, C sign

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78
Q

septic arthritis?

A

infection of a joint, after surgery or exposure to bacteria

presentation = joint pain, decreased ROM, inflammation accompanied w/ fever

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79
Q

piriformis syndrome?

A

entrapment of sciatic nerve resulting in pain on buttock due to trauma or piriformis strain
Dx: pace test, fair test, log roll elicits pain

presentation = buttock pain, paresthesia, wallet sign (pain sitting on wallet), normal neuro exam

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80
Q

meralgia paresthetica?

A

compression of LFCN as it passes through IL causing lateral hip/thigh pain; due to obesity/diabetes/pregnancy
Dx: faber

presentation = numbness/tingling/pain over later hip/thigh

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81
Q

hip fracture?

A

presentation = stress fracture may not show deformity, displaced hip fracture seen w/ external rotation and abduction with a shortened leg, pain w/ log roll and axial load

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82
Q

palpation in elbow joint?

A

olecranon process
lateral/medial epicondyle
radial head
cubital fossa

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83
Q

palpation in wrist joint?

A

palmar fascia
DIP/MCP/PIP
flexor tendons

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84
Q

palpation in knee joint?

A 
patella
head of fibula
head of tibia
quadriceps tendon
patellar ligament
patellofemoral compartment
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85
Q

genu varus/genu valgum?

A

bow legs/knock knees

86
Q

ACL tear?

A

Dx: anterior drawer and Lachman

presentation = injury w/ popping, instability in joint

87
Q

PCL tear?

A

Dx: posterior drawer and positive sag sign

presentation = knee dislocation

88
Q

MCL (knee) injury?

A

most common ligament injury; seen w/ sudden change in direction in sports
Dx: valgus stress test shows laxity

presentation = pain/swelling medial

89
Q

LCL (knee) injury?

A

least common injury
Dx: varus stress test

presentation = blow to medial or anteromedial leg w/ lateral knee pain; swelling, locking, and giving out of knee

90
Q

meniscal injury?

A

common, due to twisting injuries
Dx: mcmurray, apley grind

presentation = joint tenderness/effusion/swelling/catching and inability to squat or kneel

91
Q

patellofemoral pain?

A

most common cause of knee pain in primary care due to overuse
Dx: squatting w/ pain, patellar glide

presentation = anterior knee pain around patella, aggrivated in weight bearing

92
Q

osteoarthritis?

A

degenerative wear/tear of joint

presentation = joint pain/stiffness/ROM loss, pain worsens as day progresses

93
Q

osgood schlatter?

A

osteochondritis of tibial tubercle

presentation = adolescent w/ swelling on tibial tubercle and pain

94
Q

rules for those who should undergo radiography after knee trauma?

A

ottawa knee rules

  • age 55+
  • tenderness at head of fibula
  • isolated tenderness of patella
  • inability to flex knee 90 degrees
  • inability to walk 4 weight bearing steps

pittsburgh decision rules

  • blunt trauma/fall w/ age under 12 or over 50
  • inability to walk 4 weight bearing steps
95
Q

ankle palpation?

A 
anterior ankle joint
medial/lateral malleoli
achilles
MP joint
heel
metatarsal heads
96
Q

diabetic neuropathy testing?

A

pressure sensation, vibration, and pain w/ pinprick

97
Q

ankle sprain?

A

most common, usually inversion and sprain of ATFL or CFL
Dx: anterior drawer, inversion stress/talar tilt

presentation = tenderness, swelling, bruising

98
Q

ottawa ankle/foot rules?

A

ankle series w/ pain in malleolar zone AND
-bone tenderness at posterior medial or lateral malleoli
OR
-unable to bear weight for 4 steps

foot series w/ pain in midfoot zone AND
-bone tenderness at base of 5th metatarsal
OR
-unable to bear weight for 4 steps

bearing weight CAN involve limping

99
Q

syndesmotic ankle injury?

A

high ankle sprain, seen in high contact sports
Dx: squeeze test

presentation = tenderness, swelling of ankle

100
Q

common ankle fractures?

A

inversion causes lateral malleolus fracture, eversion causes medial malleolus fracture

101
Q

plantar fascitis?

A

common cause of heel pain in adults

presentation = plantar/heel pain when walking on hard surfaces, pain in morning, pain w/ passive dorsiflexion

102
Q

morton neuroma?

A

pain b/w metatarsal heads due to PDN usually in 3rd web space due to repeated stress w/ tight shoes or high heels
Dx: mulder’s sign - clicking sensation

presentation = burning pain in 3rd metatarsal space, radiates to toes, numbness of toes

103
Q

gout?

A

urate crystals in joint space, commonly 1st metatarsal

presentation = swollen, tender joint; patient complains even bedsheet grazing their toe causes pain, uric acid levels high

104
Q

overuse tendon injuries?

A

tendinopahty
Dx: squeeze test for achilles

presentation = swelling, wearmth, pain

105
Q

hallux rigidus?

A

stiffness of great toe, often due to osteoarthritis

106
Q

hallus valgus?

A

valgus malformation of great toe

107
Q

plantar warts?

A

HPV1 causes this

108
Q

corns/calluses?

A

caused by abnormal pressure over skin from shoes or foot breakdown

109
Q

metatarsal pain?

A

metatarsalgia - pain on plantar surface of 2nd/3rd

morton neuroma

110
Q

tinea pedis?

A

fungal infection of foot

111
Q

onychomycosis?

A

fungal infection of nail

112
Q

locations for edema examination?

A

dorsum of foot
anterior tibia
behind medial malleolus

rate 0-4 (0 normal) (1-4 = 2mm/4/6/8)

113
Q

biceps reflex roots? brachioradialis? triceps?

A
  • c5
  • c6
  • c7
114
Q

apprehension test?

A

force arm into ER; + apprehensive

GH instability

115
Q

sulcus sign?

A

inferior traction on arm; + indention

GH instability

116
Q

yergason’s?

A

supinated hand, ER shoulder against resistance w/ other hand on bicipital groove; + pain or tendon subluxation from groove

unstable bicipital

117
Q

speed’s?

A

flex shoulder against resistance 50-90 degrees; + pain in bicipital groove

bicipital tendonitis of long head of biceps

118
Q

empty can?

A

flex shoulders against resistance;+ pain/weakness

rotator cuff pathology (supraspinatus)

119
Q

drop-arm?

A

abduct to 90 and drop slowly; + arm drops or gentle tap of wrist drops arm

full supraspinatus tear

120
Q

painful arc?

A

abduct from side; + pain b/w 60-120 degrees

subacromial impingement or rotator cuff injury

121
Q

neer impingement?

A

pronated forearm, passively flex shoulder; + pain

subacromial bursa or rotator cuff impingement

122
Q

hawkins test?

A

passively IR humerus; + pain

rotator cuff or subacromial bursa impingement

123
Q

lift off test?

A

IR and extend arm, force into further IR; + weakness

subscapularis weakness

124
Q

cross arm test?

A

passively adduct arm; + pain in AC joint

AC pathology

125
Q

apley scratch test?

A

scratch back and try to touch hands; make note of flexibility

tests ROM

126
Q

arm flexors?

A

anterior deltoid, corachobrachialis

127
Q

arm extenders?

A

lat, teres major

128
Q

arm abductors?

A

deltoid, supraspinatus

129
Q

arm horizontal adductors?

A

pec, lat

130
Q

arm horizontal abductors?

A

supraspinatus, mid-deltoid

131
Q

arm external rotators?

A

infraspinatus, teres minor

132
Q

arm internal rotators?

A

subscapularis, pec minor

133
Q

tinel’s for ulnar nerve?

A

tap b/w olecranon and medial epicondyle; + tingling sensation

ulnar nerve entrapment/cubital tunnel syndrome

134
Q

golfer’s elbow test

A

elbow at 90 and supinated, flex wrist against resistance; + pain near medial epicondyle

medial epicondylitis

135
Q

tennis elbow (Cozen’s) test?

A

elbow at 90 and pronated, extend wrist against resistance; + pain near lateral epicondyle

lateral epicondylitis

136
Q

little league elbow?

A

pain over medial epicondyle

  • medial apophystitis (childhood)
  • medial epicondyle avulsion fracture (adolescence)
  • mcl tear (young adulthood)
137
Q

ok sign test?

A

patient cannot make O

AIN issue

138
Q

tinel’s sign?

A

tap over transverse carpal L/flexor retinaculum; + parasthesia/numbness/tingling/pain in index and middle finger

carpal tunnel

139
Q

phalen’s sign?

A

place dorsal aspects of hands together and force wrist into flexion and hold for 60 seconds; + paresthesia

carpal tunnel syndrome

140
Q

finkelstein test?

A

patient makes a fist and ulnar deviates wrist; + pain in lateral wrist

DQ tenosynovitis

141
Q

handlebar palsy?

A

ulnar N entrapment in Guyon’s canal

142
Q

gamekeepers/skier’s thumb?

A

UCL of MCP tear, pain on medial MCP

143
Q

mallet finger?

A

extensor tendon injury at DIP

144
Q

trigger finger?

A

inflammation/narrowing of flexor tendon sheath

145
Q

jersey finger?

A

avulsion of FDP from fingertip (cant flex)

146
Q

dupuytren’s contracture?

A

abnormal ct thickening in palmar fascia

147
Q

clubbed fingers?

A

bulbous enlargment of fingers due to lung cancer, liver cirrhosis, cyanotic heart disease, bronchiectasis, etc

148
Q

smith fracture?

A

colle’s fracture w/ ventral displacement

149
Q

monteggia fracture?

A

fracture of proximal ulna, dislocation of radial head

150
Q

galeazzi fracture?

A

fracture of distal radius, dislocation of ulna

151
Q

nightstick fracture?

A

isolated fracture of mid shaft/distal ulna from direct blow

152
Q

hip flexion muscles? nerves?

A

iliopsoas

femoral nerve

153
Q

hip extension muscles? nerves?

A

glut max

IGN

154
Q

hip abduction muscles? nerves?

A

glut med/min

SGN

155
Q

hip adduction muscles? nerves?

A

adductor longus

obturator N

156
Q

log roll?

A

roll into IR/ER; + pain

central/peripheral compartment pathology

157
Q

C sign?

A

labral pathology

158
Q

labral loading?

A

flex patients knee/hip to 90, load inwards; + pain

labral/cartilaginous pathology

159
Q

labral distraction?

A

distract femur; + improvement of pain

labral/cartilaginous pathology

160
Q

scour?

A

flex/ER hip, load into socket; + pain

labral/cartilaginous pathology

161
Q

faber 1?

A

hip flexed/abducted/ER, posterior force applied at knee; + anterior subluxation or apprehension/pain

labral pathology or impingement

162
Q

rectus femoris test

A

supin, one hip flexed to chest other bent over the edge of the table; + knee flexion <90

rectus femoris contraction

163
Q

jump sign?

A

pressure applied to greater trochanter; + jump

trochanteric bursitis

164
Q

straight leg raise?

A

supine, passively flex ipsilateral hip w/ knee extended; + pain over lateral leg above 15 degrees

IT band contracture

165
Q

priformis test?

A

supine, cross leg, abduct against resistance; + pain over greater trochanter

piriformis pathology

166
Q

faber 2

A

supine, cross leg, abduct against resistance; + pain or weakness

glut med pathology

167
Q

faber 3?

A

hip flex, abducted, ER, and adducts against resistance; + anterior/medial groin pain/weakness

iliopsoas pathology

168
Q

thomas test?

A

supine, knees to chest, lets one leg go; + inability to fully extend or extended leg raises off table

hip flexor contraction

169
Q

q angle?

A

ASIS to patella to tibial tuberosity

normal = 15
valgum = increased Q angle
varus =decreased Q angle

170
Q

genus recurvatum?

A

knees have backward curvature

171
Q

patellar reflex nerve root?

A

L4

172
Q

achilles relfex nerve root?

A

S1

173
Q

varus/valgus test and mcl/lcl?

A

valgus TEST = MCL disruption

varus TEST = LCL disruption

174
Q

acl/pcl tests?

A

anterior drawer/lachmans

posterior drawer/reverse lachmans

175
Q

mcmurray’s test?

A

medial meniscus = tibia ER, valgus stress applied

lateral meniscus = tibia IR, varus stress applied

176
Q

apley’s grind compression test?

A

knee at 90, rotate and push down on foot; + pain

CL damage

177
Q

apley’s distraction test?

A

knee at 90, pull up, rotate; +pain relief

meniscus injury

178
Q

patellar laxity/apprehension test?

A

laxity - hands on either side of patella and use thumbs to push laterally

apprehension - when testing laxity ask for discomfort

+apprehension, instability

patellar dislocaiton or instability

179
Q

patellar compression/grind test?

A

extended knee, load patella and move it; + pain

inflammation, chondromalacia, injury to patellofemoral articular surfaces

180
Q

patella-femoral grinding test?

A

compress patella and flex quad; + pain

roughness of articulating surfaces

181
Q

patellar glide test?

A

supine patient slowly extends/flexes knee and quality of motion noted; + pain, catching, etc

damage to articular surfaces

182
Q

anterior drawer ankle?

A

+ pain, no springing, laxity

ATFL pathology

183
Q

talar tilt test?

A

invert talus, evaluate ROM; + laxity, increased ROM, pain

CFL pathology, ATFL pathology

184
Q

eversion test?

A

evert foot, evaluate ROM; + laxity, ROM increase, pain

deltoid L pathology (medial sprain)

185
Q

squeeze test?

A

squeeze tibia/fibula near ankle; + pain at syndesmosis

syndesmosis pathology

186
Q

cross leg test?

A

cross affected ankle over knee, apply downward pressure; + pain at distal ankle

syndesmosis pathology (high ankle sprain)

187
Q

thompson test (ankle)?

A

squeez gastroc; + absence of plantar flexion

achilles rupture

188
Q

homan’s sign?

A

passively dorsiflex patient’s foot; + pain

DVT

189
Q

moses sign?

A

compress gastroc; + pain

DVT

190
Q

turf toe?

A

inflammation at base of 1 MTP, caused by hyperextension of great toe damaging joint capsule

191
Q

proper order of exam?

A

inspect, auscultate, percuss, palpate

192
Q

FADIR test?

A

F, Ad, IR leg

tests for labral tear, femoral acetabular impingement

193
Q

Leg roll test?

A

passive supine rotation of leg

tests for piriformis syndrome, SCFE

194
Q

leg raise test?

A

straight leg riase against resistance

tests for sports hernia, SCFE, femoral acetabular impingement

195
Q

ober test?

A

lateral recumbent, hip and knee extended and allowed to passively adduct

tests IT band, greater trochanteric syndrome

196
Q

trendelenburg?

A

patient standing, examiner observes for drop in iliac crest

tests for labral tear, legg-calve-perthes

197
Q

thomas test tests for?

A

tight iliopsoas, tendinopathy, rectus femoris tear, fractures

198
Q

PACE/FAIR tests?

A

f, add, IR

test for piriformis syndrome

199
Q

koilonychia?

A

spoon-shaped nails

200
Q

lanugo?

A

fine, soft hair on newborn

201
Q

mottling?

A

patches of color on skin

202
Q

coronal plane axis?

saggital?

transverse/horizontal?

A

coronal plane - AP axis

saggital plane - RL or transverse axis

t/h - superior/inferior/longitudinal axis

203
Q

lateral gravitational line?

A 
external auditory canal
lateral head of humerus
third lumbar vertebrae
anterior 1/3 of sacrum
greater trochanter
lateral condyle of knee
lateral malleolus
204
Q

monofilament test locations?

A

First and third toe pad + base of first, third and fifth MTP

205
Q

prehypertension?
stage 1 ht?
stage 2 ht?

A

> 120-139/80-89
140/90
160/100

206
Q

normal breaths/minute?

A

12-20

207
Q

hip central compartment structures?

tests?

A

labrum, ligamentum teres, articular surface

log roll, labral load/dis, scour, apprehension-faber

208
Q

hip peripheral compartment structures?

tests?

A

femoral neck, synovial lining

ely’s, rectus femoris

209
Q

lateral hip compartment structures?

tests?

A

Gmin, piriformis, IT, trochanteric bursae

jump sign, straight leg raise, obers, piriformis, trendelenburg, patrick’s faber, log roll

210
Q

anterior hip structures?

tests?

A

illiopsoas insertion and bursae

patricks faber, psoas test, thomas test

PCM1 (2 decks)

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