Shoulder Flashcards

(92 cards)

1
Q

radial innervation of the hand

A

dorsal thumb to middle

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2
Q

ulnar innervation of the hand

A

middle to pinky on both sides

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3
Q

medial innervation of the hand

A

palmar thumb to middle and wraps to the dip om dorsal side

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4
Q

radial nerve functon is

A

thumb ext, thumbs up

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5
Q

medial nerve function is

A

thumb touches pink

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6
Q

ulnar function test is

A

criscross finger

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7
Q

superficial peroneal sensry is?

A

lower lateral calf

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8
Q

deep peroneal nerve sensory is

A

lateral calf and webspace. Motor = dorsiflex

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9
Q

tibial nerve function is

A

planter flex

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10
Q

Inversion of the foot is

A

Tibial

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11
Q

Eversion of the foot is

A

superficial peroneal

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12
Q

salter classification with Meta/physis/epiphysis? S1-5

A
S1= on physis
S2 = above* MC
S3 = below
S4= all three
S5 = crushing
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13
Q

impingement syndrome muscle?

A

supraspinatus, inflammation/ overhead motion+ subacromial bursitis

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14
Q

impingement syndrome pain is

A

decreased adduction and pain after 70-120 degrees, night pain

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15
Q

impingement syndrome tx

A

HK, Neers, Empty Can, rest, PT, NSAID, ICS, Steroid

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16
Q

Rotator cuff injury mech

A

overhead motion = SITS

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17
Q

Rotator cuff injury complications

A

AC DJD

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18
Q

Rotator cuff injury sxs

A

same as impingement + night pain too

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19
Q

Rotator cuff injury test?

A

drop arm test

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20
Q

Rotator cuff injury tx?

A

rest, PT, NSAID, ICS, surgery

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21
Q

AC joint tear cause

A

direct blow
1 = AC minor
2= complete tear with same position
3= AC and coricoclavicular tear +lift off

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22
Q

AC joint tx?

A

Sling, PT - surgery

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23
Q

Shoulder dislocation causes

A

Foosh, abduction (glenohumeral)

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24
Q

What do you look at with a Shoulder dislocation

A

Axillary nerve - wrap around humeral neck - sensory

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25
Shoulder dislocation diagnoses?
Y view, AP | O'Brien test -SLAP lesion
26
Shoulder dislocation has 2 deformities...
Hillsach - humoral head | Bankart - labrum tear
27
Shoulder dislocation tx
Closed reductionand XRAY
28
Seizure, lighting, ECT and will have a
posterior shoulder dislocation.
29
Adhesive Capsulitis is
thickening and scaring = decreased range of motion
30
DM, Thyroid, prolonged immobility lead to
Adhesive Capsulitis
31
the cycle of pain, stiff, thawing is
Adhesive Capsulitis
32
Adhesive Capsulitis is treated with
Codman, PT, moving
33
Clavicle Fx is a FOOSH and diagnosed with? Tx
Xray, Figure 8 sling.
34
MCC clavicle fx section is ?
middle third
35
Thoracic outlet syndrome sxs?
decreased sensory/motor, with 1st rib encroaching/
36
Thoracic outlet syndrome tests?
Adson (pull are and deep breath)/Roos (open and close fists)
37
Thoracic outlet syndrome tx?
joint protection
38
Thoracic outlet syndrome diagnoses?
Xray and CXR (pancoast tumor)
39
MC shoulder dislocation is?
Anterior
40
Flexor dig SF vs flexor dig Profund?
``` FDS = PIP FDP = DIP ```
41
Dupuytren’s disease is associated with?
Nodule, band and DM
42
What chronic finger deformity can result from an untreated mallet finger?
Swan neck deformity.
43
Which of the following fractures is most commonly non-operative in adults?
Radial head fx
44
Blue sclerea and recurrant fx is
osteogenesis imperfecta
45
Benzo antagonist is?
Flumazenil
46
spinal injury that affects upper extremities more than lower?
Central Cord Syndrome
47
All function is lost except position and vibration. What cord injury is it?
Anterior cord Syndrome
48
Rare , loss of positional and vibratory sense?
Posterior cord
49
Ongoing burning after a crushing injury is?
Reflex sympathetic dystrophy
50
herniated disc tx is?
pain killer and avoid activity
51
risk factor for congenital hip dysplasia?
female, 1st born
52
XS ICS in SLE need? why?
Calcium, osteopenia
53
Anti-DNA topoisomera, skiny epidermis, , claw hand,
Scleroderma
54
Kids with oligouria, rashes/petechia, diarrhea
Henoch-Schonlein purpura
55
Gout tx?
NSAID, colchicine, Indo, allo
56
unequal joint space or joint erosions for OA?
OA, RA = erosion
57
Herniated dics MC position?
posteriolateral
58
What bacteria can trigger Reactive Arthritis?
HLA-B27 | Chlamydia
59
Telangectasias, raynauds, HTN, esophageal hypomotility are associated with
Scleroderma
60
what nerves keep the diaphram alive?
C3,4,5
61
MC shoulder injury with epilepsy or seizures is?
posterior shoulder dislocation.
62
Femoral head replacements from OA will have?
small cartilage fractures, due to mechanial trauma
63
pannus formation is with?
RA
64
pain that is bilateral and from 3-10 year old, | and relieved with rubbing?
Growing pains
65
Long bone fractures, petechia in the brain can be caused by?
fat embolism
66
septic embolism spares the ___ mater int he brain
White
67
Watershed infarct is due to
circle of Willis ->atherosclerotic changes
68
Pain with supination
bicep tendinopathy
69
SLAP tear is
Bicep tendonitis (Yergason test)
70
Marfan, scoliosis, SOB leads to?
Pectas excavatum
71
Paradoxical chest segment movement
Flail chest
72
SCM short or neuro dz. elevated shoulder on the same side
Torticollis
73
APAP SE is?
Hepatotoxic
74
APAP antidote
NAC
75
Indomethocin is used in?
PDA, Gout
76
CI of celecoxib is?
Sulfa allergy
77
semi-reversible antocoag?
Celebrex
78
Reyes is?
kids, URI, ASA
79
Tinnitis, hyperpnea (resp alk) is due to
ASA
80
SE of tramdol?
seizure risk
81
MU agonists
Oxycodone, fentanyl, Morphine, Codiene
82
MU agonists side effects
Miosis, resp depress, HoTN, Brady,
83
MOA of colchicine
Stops immunie attack
84
Allopurinol MOA
stops urate productoin
85
Probenecid MOA
Pee out urate
86
worsen or cause acute flair?
probenecid & allopurinol
87
MXT MOA
stop folic acid
88
MXT SE
hepatotox, pregnancy, renal disease
89
Hydroxycholoquine is used in?
RA, malaria, SLE
90
Biologic (A, E, I) are CI in
CHF
91
Anakinra is used in?
RA
92
What med can reactive TB
Rituximab