Skeletal and ST Conditions

Question 1

Women:Men Osteoporosis

Answer 1

10:1

Question 2

Common sites of fx with osteoporosis

Answer 2

Thoracic/Lumbar Spine
Femoral Neck
Proximal Humerus
Proximal Tibia
Pelvis
Distal Radius

Question 3

Cause of senile osteoporosis

Answer 3

Decreae in bone cell activity due to genetics or acquired abnormalities

Question 4

Diagnositc test for Osteoporosis

Answer 4

CT Scan

Question 5

Osteomalacia

Answer 5

Decalcification of bones ue to Vitamin D deficiency

Question 6

What is calciferol

Answer 6

Vitamin D2 Injection for Osteomalacia

Question 7

Osteomyelitis

Answer 7

Infection of bone due to Staphylococcus Aureus (usually)

Question 8

Arthogryposis multiplex Congenita Causes….

Answer 8

Limitation in joint motion and sausage like appearance

Question 9

IQ of children with Arthrogryposis Multiplex Congenita

Answer 9

Normal

Question 10

Osteogenesis Imperfecta is caused by (genetically)

Answer 10

Autosomal dominant gene

Question 11

Osteogenesis Imprefecta is caused by (in bone):

Answer 11

Abnormal collagen synthesis leading to imbalance between bone depositions and reabsorptions

Question 12

What becomes thin in Osteogenesis Imprefecta?

Answer 12

Cortical and Cancellous bons

Question 13

Diagnostic tests for Osteogenesis Imperfecta

Answer 13

Bone Scan and plain films show old fx

Serological testing

Question 14

Osteochondritis Dissecans

Answer 14

Seperation of articular carilage from underlying bone

Question 15

Where does osteochondritis dissecans usually happen?

Answer 15

Medial femoral condyle near intercondylar notch and humeral capitellum

Question 16

Myofascial Pain Syndrome onset by:

Answer 16

Sudden overload, over stretching and/or repetitive/sustained muscle activities

Question 17

Medical interventions of trigger points

Answer 17

Dry needling and/or injection of analgesic

Question 18

Tendonosis/Tendonopathy Histological characteristics

Answer 18

Hypercellularity
Hypervascularity
No inflammation
Poor organization and loosening of collagen fibrils

Question 19

Bursitis

Answer 19

Inflammation of bursa secondary to overuse, trauma, gout or infections

Question 20

Sx of Bursitits

Answer 20

Pain at rest

Limited AROM and PROM not in normal capsular pattern

Question 21

Muscle Strain

Answer 21

Inflmmatory response within a muscle following a traumatic event that caused microtearing of musculotendinous fibers

Question 22

Myositis Ossificans is:

Answer 22

Abnormal calcification within muscle belly

Question 23

What causes Myositis Ossificans?

Answer 23

Direct trauma or early mobilization/stretching following trauma to a muscle

Question 24

Common locations for myositis ossificans

Answer 24

Quad, Brachilais, Biceps Brachii

Question 25

When does myositits ossificans warrant sx?

Answer 25

Once lesion is mature (6-24 months and if interfering mechanically or impacting nerves

Question 26

Special tx for myositis ossificans

Answer 26

Avoid aggressive ST massage and stretching

Question 27

CRPS 1 vs CRPS 2

Answer 27

CRPS 1 has no known nerve damage | CRPS 2 has nerve damage

Question 28

CRPS results in:

Answer 28

Dysfunction of sympathetic nervous system

Question 29

Medical interventions for CRPS

Answer 29

Sympathetic nerve bloc Surgical sympathectomy SC stimulation Interthecal drug pumps

Question 30

Paget's Disease (Osteitis Deformans) initially caused by:

Answer 30

Viral infection

Question 31

What does the viral infection in Paget's Disease cause?

Answer 31

Metabolic bone disease involving abnormal osteoclastic and osteoblastic activity

Question 32

3 results of Paget's Disease

Answer 32

Spinal stenosis Facet arthropathy Spinal Fx

Question 33

Drugs for Paget's Disease

Answer 33

Calcitonin and Etidronate Disodium limit osteoclast activity

Question 34

Lab Tests for Paget's Disease

Answer 34

Increased levels of serum alkaline phosphatase and urinary hydroxyproline

Question 35

Which type of scoliosis is irreversible?

Answer 35

Structural

Question 36

Which type of scoliosis does not have a rotational component?

Answer 36

Non-structural

Question 37

What type of scoliosis straightens with flexion of spine?

Answer 37

Non-structural

Question 38

Guidelines for tx of Scoliosis

Answer 38

Less than 25* = conservative 25-45* = Spinal Orthoses >45 = Surgery

Question 39

For plain films of scoliosis, what view do you use?

Answer 39

Cobb's Method

Question 40

Torticollis is side bending ______ and rotation _____

Answer 40

Sidebending towards | Rotation away