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78 Cards in this Set
- Front
- Back
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What are the other tests that are performed as part of a musculoskeletal exam?
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Muscle strength
DTR Sensory Testing Special Senses |
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What is effusion
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swelling inside a joint
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Describe the muscle strength scale
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0-5,
5 is normal muscle strength (active movement against resistance 3- Active movement against gravity 0-no muscle contraction |
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Describe the DTR scale
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0-4
2+ = normal 4+ = very brisk with clonus 0 = no response |
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Which nerve is being tested on the biceps?
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C5
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Which nerve is being tested on the Brachioradialis
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C6
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Which nerve is being tested on the Triceps?
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C7
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How should sensory testing be compared?
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Bilaterally and proximal to distal. Look for dermatomes and peripheral nerves.
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Where do you test sensation of c5 nerve?
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Lateral arm
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Which muscles do c5 inervate?
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Deltoid and Biceps
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where do you test sensation of c6 nerve?
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lateral forearm
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which muscles do c6 innervate?
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wrist extenders and biceps
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which nerve is associated with the c5 nerve?
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Axiliary nerve
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which nerve is associated with the c6 nerve
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musculocutaneous nerve
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where do you test sensation for the c7 nerve
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middle finger
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which muscles do c7 innervate
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wrist flexors, finger extension and triceps
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where do you test sensation of c8 nerve
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medial forearm
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which nerve is associated with c8
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cutaneous nerve
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which muscles do c8 innervate
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finger flexors and hand intrinsics
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where do you test sensation of T1 nerve
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medial arm
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which nerve is associated with T1
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cutaneous nerve
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where do you test sensation of radial nerve
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web space between thumb and index finger
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what motor test do you do for the radial nerve?
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wrist extension and thumb extension
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if you are not having luck with DTR's of upper extremity what should the patient do?
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Grit teeth
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where do you test sensation for the ulnar nerve
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distal portion of little finger
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what motor test do you perform for the ulnar nerve?
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abduction of little finger
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where do you test sensation for median nerve?
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distal radial aspect of index finger
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what motor test do you perform for the median nerve?
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thumb pinch, opposition of thumb, abduction of tumb
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where to you test sensation for axilary nerve
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lateral arm-deltoid patch
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what motor test is performed for the axiliary nerve
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deltoid
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where do you test sensation for musculocutaneous nerve
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Lateral forearm
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what motor test is performed for the musculocutaneous nerve
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biceps
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How do you test shoulder range of motion
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lift arms above head and apley scratch
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What strength testing is performed on the shoulder
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flexion, extension, abduction, adduction, external rotation, internal rotation, scapular elevation, scapular retraction
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Which DTR's corespond to the shoulder
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Biceps (C5) and Triceps (C7)
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Which nerves associated with the shoulder should be tested for sensory testing?
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Axillary nerve (C5&6) and Dermatomes C5-T1
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Neck extended laterally, bent and rotated to symptomatic side
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Spurling's
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Cervical nerve root compression
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Spurling's
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patient touches superior and inferior aspects of opposity scapula
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Apley scratch
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Pt can't perform apley scratch
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rotator cuff tear
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90 degree shoulder abduction and forward flexion (thumbs down)
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empty can
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pt can't perform empty can
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rotator cuff tendonitis/tear
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Forward flexion of the shoulder to 90 degrees and internal rotation
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Hawkin's test
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pt can't perform Hawkin's test
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Supraspinatus tendon impingement
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Arm lowered slowly to waist
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Drop-Arm test
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pt can't perform drop arm test
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rotator cuff tear
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anterior pressure on humerus while externally rotating the arm
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apprehension test
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pt has apprehension during apprehension test
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anterior glenohumeral instability
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elbow flexed to 90 degrees with forearm pronated
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Yergason test
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pt can't perform yergason test
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biceps tendon instability or tendonitis
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what should be palpated on the elbow
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medial and lateral epicondyles, radial head, cubital tunnel, olecranon
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strength testing of elbow?
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flexion and extension at elbow and wrist, and supination and pronation
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flex elbow and push forearm medially and laterally to test for gapping
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Varus/Valgus stress
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pt has gapping during varus/valgus stress test?
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instability of medial or lateral collateral ligaments
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tap groove between olecranon and medial epicondyle
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tinel sign (elbow)
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pain during tinel sign (elbow)
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ulnar nerve neuroma
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What should be palpated at the wrist
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Anatomical snuffbox (scaphoid bone), distal ulna, distal radius
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strength testing at wrist
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flexion and extension
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tap over volar carpal ligament
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tinel sign (wrist)
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pt experiences reproduction of symptoms during tinel sign (wrist)
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carpal tunnel syndrome
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flex wrist to maximum and hold for one minute
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Phalen's test
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pt experiences pain during Phalen's test
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carpal tunnel syndrome
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make fist with thumb tucked in, deviate wrist to ulnar side
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Finkelstein Test
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pt experiences pain during Finkelstein Test
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Stenosing tenosynovitis = DeQuervains Disease
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What causes atrophy of thenar eminence
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carpal tunnel syndrome
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What causes swan neck and boutonniere deformity
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Rheumatoid arthritis
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Bouchard's nodes are found where
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proximal joint
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heberden's nodes are found where
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distal joint
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bouchard's nodes and heberden's nodes are due to
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osteoarthritis
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What causes ulnar deviation
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rheumatoid arthritis
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What are the SITS muscles
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supraspinatus, infraspinatus, teres minor and subscapularis
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arthralgia
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joint pain
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arthrosis
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junction of two bones
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arthropathy
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disease of the joints
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bursitis
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inflamation of bursa
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crepitus
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noise in the joint
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hemarthrosis
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hemhorage into a joint
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tenosynovitis
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inflamation of tendon sheath
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