UL Exam Flashcards

(38 cards)

1
Q

Hot, swollen, red, painful (especially with passive motion) - r/o:

A

septic joint

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2
Q

night pain, especially w/ weight loss, r/o:

A

tumor

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3
Q

deformity and loss of motion, r/o:

A

dislocation and/or fracture

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4
Q

rapidly progressing neurologic changes in forearm or leg with pallor, weak/absent pulse, pain with passive motions, r/o:

A

compartment syndrome

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5
Q

significant sudden onset of limb swelling, pain and bluish skin changes, r/o:

A

DVT

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6
Q

morning stiffness, better with rest, worse with prolonged use:

A

suspicious for arthritis

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7
Q

pain only with active motion or resistance:

A

suspicious for muscle or tendon injury

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8
Q

pain with both active and passive motion:

A

suspicious for articular injury

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9
Q

instability is suspicious for:

A

ligament injury

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10
Q

On the basic strength grading scale, 5/5 means:

A

normal

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11
Q

on the basic strength grading scale, 3/5 means:

A

can only move against gravity

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12
Q

on the basic strength grading scale, 1/5 means

A

muscle contractions but no motion

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13
Q

on the basic reflex grading scale, 4+ means:

A

clonus and hyperactive

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14
Q

on the basic reflex grading scale, 3+ means

A

hyperactive, no clonus

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15
Q

on the basic reflex grading scale, 2+ means

A

normal

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16
Q

on the basic reflex grading scale, 1+ means:

17
Q

on the basic vascular grading scale, 4+ means

18
Q

on the basic vascular grading scale, 3+ means

19
Q

on the basic vascular grading scale, 2+ means

20
Q

on the basic vascular grading scale, 1+ means

A

faint, but detectable

21
Q

a positive full can test indicates pathology in which muscle

A

supraspinatous

22
Q

a positive lift-off test indicates pathology in which muscle:

A

subscapularis

23
Q

apprehension test simulates:

A

shoulder dislocation

24
Q

Regarding the elbow, the valgus stress test will be testing which ligament?

A

ulnar collateral

25
describe tinel's sign
tapping over the median nerve in the carpal tunnel
26
a positive phalen's sign is dx for
carpal tunnel
27
a pt fell directly onto their shoulder, they probably have what injury:
AC sprain
28
pt presents with pain with overhead motions and shoulder deformity (superior) and a positive cross-body test. dx?
AC sprain
29
in a pt with an anterior shoulder dislocation, which nerves are you worried about?
axillary and musculocutaneous
30
is pain positive for the apprehension test? if not, what is?
no, instability in the joint. test is performed when dislocation is reduced
31
what tx do you consider after initial shoulder dislocation?
immobilization with sling for 3-4 wks for young adult consider surgery for athletes
32
what tx for recurrent non-traumatic shoulder dislocations?
PT and early mobilization
33
Neer's, Hawkin's, and empty can all test for what injury?
rotator cuff injury
34
what tx do you consider for rotator cuff injuries?
small tears/tendinopathies > non-operative surgical for large tear or in young athletic pts
35
what is the etiology of medial epicondylitis?
over use of wrist flexors
36
what is the etiology of lateral epicondylitis?
overuse of wrist extensors
37
which nerve is irritated in carpal tunnel syndrome?
median n.
38
Snuffbox contents:
Radial a/n, scaphoid, cephalic v.