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54 Cards in this Set
- Front
- Back
Your patient experiences radial deviation of the hand at the wrist when flexing the wrist, and altered sensation in the skin covering the hypothenar eminence. What might be the cause of these symptoms?
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fracture of the medial epicondyle of the humerus
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A patient develops a significant clawing of the fourth and fifth digits secondary to nerve injury. The clawing is the result of weakening of which muscles?
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Lumbricals
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A patient has suffered a fracture of the surgical neck of the humerus.
What muscle might be weakened? |
Deltoid
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A person who uses hand tools for a living begins to develop pain and paresthesia in the right hand at night. The altered sensation is most evident on the palmar aspects of the index and middle fingers. What else might you expect to see in the patient?
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atrophy of the thenar eminence
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The axillary artery has become progressively occluded deep to the pectoralis minor muscle. Which pair of blood vessels might provide a significant collateral circulation around the blockage?
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Subscapular artery and suprascapular artery
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Your patient has fallen on their outstretched hand and dislocated the lunate. The patient does not seek treatment and several weeks later begins to exhibit signs of nerve compression. What might the patient present with?
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Weakness in the ability to oppose the thumb
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A 13 year old gymnast who practiced 20 hours per week complained of low back pain. A physical and radiographic examination reveal a stress fracture of the L5 vertebra. What repetitive movement of the vertebral column may result in a stress fracture of the vertebral column?
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repetitive hyperextension of the vertebral column
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The most commonly torn part of the rotator cuff is:
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the tendon of the supraspinatus muscle
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The most frequently fractured bone in the wrist is the
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scaphoid
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Where is origin of the palmaris longus?
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medial epicondyle of the humerus
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What does opposition of the thumb consist of?
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a rotational movement of the 1st metacarpal around the long axis of its shaft
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What forms the floor of the anatomic snuffbox?
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Scaphoid and trapezium bones
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What forms the proximal border of the anatomic snuffbox?
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the styloid process of the radius
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What gives rise to the common interosseous artery?
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Ulnar artery
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What pass through the carpal tunnel?
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Flexor digitorum profundus tendons, flexor digitorum superficialis tendons, median nerve, and flexor pollicis longus tendon
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What nerves innervate the lumbricals of the hand?
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Ulnar two: ulnar nerve via deep branch
Radial two: median nerve via palmar digital nerves |
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What muscles extend the fingers at the IP joints?
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Lumbricals, interosseous muscles, and extensor digitorum
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What muscles does the superior gluteal nerve innervate?
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gluteus medius, gluteus minimis, and tensor fasciae latae
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What muscles does the inferior gluteal nerve innervate?
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Gluteus maximus
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What are the actions of the sartorius muscle?
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flexes, abducts and laterally rotates the thigh; flexes leg
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What are the actions of the iliacus?
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flexes the thigh; if the thigh is fixed it flexes the pelvis on the thigh
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What are the actions of the rectus femoris?
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extends the leg, flexes the thigh
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Innervation of rectus femoris?
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femoral nerve
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Action of vastus intermedius?
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extends the leg at knee
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What arteries form the principal blood supply of the muscles in the posterior compartment of the thigh?
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perforating branches of the profunda femoris
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What muscle is innervated by both the obturator and tibial nerves?
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Adductor magnus
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What does the adductor canal contain?
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Femoral artery and vein, and branches of femoral nerve (saphenous nerve, and the nerve to the Vastus medialis)
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What nerves must be intact to keep the right side of the pelvis from sagging as weight is born by the left lower limb exclusively during stride?
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left superior gluteal
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What are the actions of the superior gemellus?
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laterally rotates the femur
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What are the actions of the obturator internus?
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Laterally rotates extended thigh and abducts flexed thigh
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What are the actions of the piriformis?
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laterally rotates and abducts thigh
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What type of fracture is most likely to result in avascular necrosis of the femoral head?
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femoral neck
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In what plane do the cruciate ligaments cross?
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Both sagital and coronal planes
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Lateral rotation of the femur on the tibia (unlocking of the knee), prior to flexion of the knee joint, is produced by which muscle?
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popliteus
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What are the actions of the peroneus brevis?
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extends (plantar flexes) and everts the foot
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Innervation of peroneus brevis?
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superficial fibular (peroneal) nerve
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Extensor digitorum brevis lies __________ to dorsal interossei?
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Superficial
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What nerve supplies the skin of the 1st interspace (between toes 1 and 2)?
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Deep peroneal
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branches of what nerve supply the entire plantar surface?
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Tibial
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What nerve supplies the medial aspect of the dorsum of the foot?
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Saphenous
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What bones participate in the talocural joint?
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tibia, fibula, talus
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the medial plantar artery is a branch of what?
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the posterior tibial artery
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the great saphenous vein passses anterior to ____________ as it leaves the foot
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the medial malleolus
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what is a direct continuation of the anterior tibial artery?
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the dorsalis pedis
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the small saphenous vein passes posterior to what?
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the lateral malleolus
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what does the lateral plantar artery derive from?
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Posterior tibial artery
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What happens to abduction of the thumb if the radial nerve is injured as it crosses the elbow?
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Partially lost
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What is the medial attachment site for the flexor retinaculum?
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Pisiform bone and hamulus of the hamate bone
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Five muscles that originate in the common flexor tendon:
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Pronator teres
Flexor carpi radialis Palmaris longus Flexor digitorum superficialis Flexor carpi ulnaris |
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The majority of all intrinsic muscles of the foot are innervated by the:
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lateral plantar nerve
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All the muscles of the flexor compartment of the forearm are supplied by the median nerve EXCEPT
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flexor carpi ulnaris and medial part of flexor digitorum profundus
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The tip of the conus medularis is usually found at which vertebral level?
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L2
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What muscles function during walking to prevent the unsupported side of the pelvis from tilting significantly inferiorly?
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hip abductors on the supported side
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Compression of what nerve would result in foot drop (the inability to dorsiflex the foot during the swing phase of walking)?
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common peroneal nerve
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