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25 Cards in this Set
- Front
- Back
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Your patient reports falling on the palm of his hand and now has pain & swelling at the 1st metacarpal.
What is the most likely diagnosis? |
Scaphoid Fracture
Colle's Fracture would be likely if the patient reported wrist pain |
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What type of fracture is caused by falling on the dorsal side of the hand?
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Smith Fracture
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Your 13 yo patient presents w/ spiking fevers of 103.6 which fall rapidly.
The patient also complains of diffuse joint pain. RF & ANA tests are both negative. What is the most likely diagnosis? |
Still Disease
Buzz = Spiking fevers of unknown cause |
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If you patient presents w/ an anterior fibular head.
What would be the treatment position in both dorsiflexion/plantar flexion & inversion/eversion for direct ME? |
Plantar flexion & inversion
Anterior fibular head means the pt. prefers dorsiflexion & eversion Going against the barrier would lead to plantar flexion & inversion |
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You have a 23 yo female who presents to your clinic.
On exam you note a vagina ending in a blind pouch. A karyotype is found to be 46 XY. What is the most likely diagnosis? |
Testicular feminization syndrome
XY males who fail to form external genetalia & instead form a blind vaginal pouch |
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Name the "atypical" ribs
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1, 2, 11, 12 sometimes 10
Atypical ribs have 1's & 2's |
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Name the "typical" ribs
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3, 4, 5, 6, 7, 8, 9
Atypical ribs have 1's & 2's All others are typical |
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When naming scoliotic curves, is the name given to the side of convexity or concavity?
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Convexity
Ex: Right scoliosis would have a prominent rib hump on the right when forward bending |
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What is the difference between a functional and a structural scoliotic curve?
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Functional scoliotic curves will disappear when forward bending and sidebending toward the side of convexity
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Identify which ribs the Anterior, Middle & Posterior Scalenes attach to?
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Anterior: Rib 1
Middle: Rib 1 Posterior: Rib 2 |
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Your patient presents w/ anterior knee pain which is worse when she climbs stairs, jobs, or sits for a long time.
What is the most likely diagnosis? |
Patellofemoral Syndrome
Characteristic anterior knee pain which gets worse when climbing stairs |
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Your patient presents with pain & inflammation located at the tibial tuberosity.
What is the most likely diagnosis? |
Osgood-Schlatter disease
Buzz: Pain & inflammation located at the tibial tuberosity |
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Your patient presents with knee pain located at the insertion of the patellar tendon onto the patella.
What is the most likely diagnosis? |
Patellar tendonitits
Buzz: Pain at patellar tendon insertion on the patella Commonly caused by overuse |
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When treating a patient w/ a cervical somatic dysfunction using facilitated positional release, which activating force is used?
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Compression
FPR utilizes compression in the cervical region & torque in the lumbar & thoracic region |
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A 13 year old male presents w/ heel pain, which worsens while he plays football.
The pain is located on the posterior aspect of the calcaneus. What is the most likely etiology of the patient's heel pain? |
Sever Disease
Sever's is common among young active adolescent males Causes an apophysitis of the calcaneus at the attachment of the Achilles tendon Heel spurs are often PAINLESS |
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A 58 yo tailor comes to your office complaining of right foot pain.
The pain is localized to the lateral head of the 5th metatarsal. What is your diagnosis? |
Bunionette
NOT Bunion A Bunion involves the medial aspect of the 1st metatarsal Bunionette is little Bunion is big |
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Your ICU patient is recovering from a MVA in which he suffered fractures to both femurs.
His urine has turned a ruddy brown color and tests positive for myoglobin. His Creat & K are both increasing. What is the most appropriate treatment for his renal failure? |
Alkalinize the urine
The patient is suffering from Myoglobinemia Myoglobin is a toxic acid By alkalinizing the urine you can trap the toxic chemicals and excrete them in the urine |
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Your 28 yo patient reports to your clinic w/ hand pain, palpable tender nodules in his hand & decreased extension of the 4th & 5th digits.
What is the most likely diagnosis? |
Dupuytren contracture
Dupuytren is associated w/ alcoholism |
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Your patient reports w/ hand pain and enlargement of the proximal interphalangeal joints.
What is the most likely diagnosis? |
Bouchard's nodules
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A 5 yo boy reports to your clinic w/ complaints of weakness after soccer.
His urine tests positive for blood & is very dark. A muscle biopsy indicates floccular degeneration & macrophate ingestion of myofibrils. What is your diagnosis? |
Idiopathic myoglobulinuria
In kids this disorder is linked to congenital enzyme deficiencies Serum studies would indicate elevated Creat Kinase levels Vigorous hydration is needed to prevent kidney damage |
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57 yo male w/ DM is scheduled for mitral valve replacement.
Which of the following skeletal muscle relaxants would be indicated for this patient? Atracurium Doxacurium Mivacurium Pancuronium Tubocuraine |
Atracurium
Atracurium is inactaved by spontaneous degredation & the 1/2 life is not altered in pts. w/ comporomised renal fxn Mivacurium is hydrolyzed exclusively by plasma cholinesterases, which are decreased in pts. w/ renal failure Doxacurium, pancurium, and tubocuraine are all eliminated in the urine & not recommended for pts. w/ renal failure |
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Which test would be best to determine iliosacral dysfunction?
Seated flexion test Standing flexion test Compression test |
Standing flexion test
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Which test would be best to determine sacroiliac dysfunciton?
Seated flexion test Standing flexion test Compression test |
Seated flexion test
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45 yo male presents w/ gluteal right gluteal pain.
He has a positive standing flexion test on the right. What is the most likely dysfunction? Left iliosacral Left sacroilial Right iliolumbar Right iliosacral Right scaroilial |
Right Iliosacral
Standing flexion test is most diagnostic for iliosacral dysfunciton |
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Which test would be best to determine innominate dysfunction?
Seated flexion test Standing flexion test Compression test |
Compression test
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