Office Ortho Adult Med

Front 1

Office Ortho Adult Med

Back 1

Office Ortho Adult Med

Front 2

Define DeQuervain's stenosing tenosynovitis

Back 2

pain over palm. Radial side. tenosynovitis of 1st dorsal extensor of wrist. Dx with Finklestein's test. Tx with spica splint, nsaids

Front 3

Define Dupuytren's contracture

Back 3

hyperplasia of palmer fascia, Nodular thickening leading to contractures. Affects 2 little fingers most, hard laborers, hx etoh. Tx surgical release. Doesn't allow to pull fingers back

Front 4

Define flexor tenosynovitis "trigger finger"

Back 4

finger locks in bent position, nodular thickening in lagament on flexor surface ' pully system, thumb or ring finger or middle finger, hear snapping, pathology in MCP joint

Front 5

Define lateral epicondylitis

Back 5

"tennis elbow", overuse (electricians, carpenters, etc.) px with gripping, extension, supination. tx ice, arm band

Front 6

Define carpal tunnel syndrome

Back 6

compression of median nerve, px and parasthesias of median nerve distribution, atrophy of thenar. Phalen's, tinnel's, compression and EMG tests. tx ice, nsaids, splint, surgery

Front 7

Define subacromial bursitis

Back 7

sudden onset, tender, swelling, px, ROM okay but worse 60-100*, inflamation below acromian in bursa. Dx MRI

Front 8

Define rotator cuff tendonitis

Back 8

non specific px, abduction impaired, more nocternal, chronic impingement. Dx MRI

Front 9

Define calcific tendonitis

Back 9

ca+ deposits in rotator cuff tendons (supraspinatus), more females than males. Dx x-ray

Front 10

Define shin splints

Back 10

micro tears of muscular fibers at bony insertions of distal 1/3 of leg. Over use, running on hard surfaces. Tx rest, ice, etc.

Front 11

Define Osgood-Schlatter

Back 11

partial avulsion or micro fx causing tibial tuberosigy or apophysis growths in young athletes, more males. Tx stop aggravating factors, rest, ice, nsaids

Front 12

Define chondromalacia patellae

Back 12

degenerative or softening of cartiledge in knees. anterior knee pain, patellar subluxation

Front 13

Define ligamentous ankle injuries

Back 13

most common anterior talio-fibular lig. Inversion injury from rolling or turning out. Test by anterior drawer.

Front 14

Define plantar fascitis

Back 14

inflammation of plantar fascia on sole of foot. worse in morning. sometimes splints, orthotics rarely surgery helps.

Front 15

Define morton's neuroma

Back 15

perineural fibrosis of digital nerve as it passes between metatarsal heads and 3rd web space. px when walking, plantar px, dysethesias.

Front 16

Define radiculopathy

Back 16

px that radiates along dermatones; segmental motor or sensory sings associated with a nerve root disorder.

Front 17

Define Myelopathy

Back 17

syns and symptoms of spinal cord disease (hyper DTR's and + babinski, spastic muscles)

Front 18

Explain what the following PE findings may indicate during ROM of the neck: localized ipsilateral neck px towards side of head

Back 18

zygoapophyseal (facet) irritation

Front 19

Explain what the following PE findings may indicate during ROM of the neck: ipsilateral radiating pain to the shoulder

Back 19

radicular

Front 20

Explain what the following PE findings may indicate during ROM of the neck: contralateral neck pain

Back 20

ligamentous or muscular source of pain

Front 21

Explain what the following PE findings may indicate during ROM of the neck: loss of triceps relex

Back 21

DTR C7

Front 22

Explain what the following PE findings may indicate during ROM of the neck: loss of biceps reflex

Back 22

DTR C5-6

Front 23

Identify different 1. mechanisms of cervical soft tissue injuries 2. complications, and 3. tx strategies

Back 23

1. MVC's, hyper-extension, hyperflexion. 2. dislocatoins, fx, avulsions, traumatic spondylolesthesis, facet dislocations, compression fxs 3. collar's, ice, heat, early mobilization, meds

Front 24

Identify the following regarding acute cervical disk herniation: 1. frequency by sex 2. most common age 3. most frequent spinal level involved

Back 24

1. Males more than females 5:1 2. 40's 3. C6-7 on left and C5-6 on right

Front 25

Identify symptoms of acute cervical disk herniation and PE findings that support dx.

Back 25

neck px, radicular sxs, fasiculations, atrophy, weakness in myotome distribution of spinal root, loss of DTR's

Front 26

What is tx for acute cervical disk herniation

Back 26

analgesics, soft collars, cervical traction, surgery if MRI shows collapse cervical disc with root compression

Front 27

Identify the following regarding the thoracic spine: 1. frequency/nature of fx due to osteoporosis 2. managment

Back 27

1. T-10-12, wedge shaped and stable. 2. ?

Front 28

Define spinal stenosis with causes

Back 28

facet joint degeneration Narrowing of spinal canal: with spurring, multi-level disc degeneration, spondylolesthesis, congenitally narrowed canal.

Front 29

Define pseudoclaudication

Back 29

pain with standing, walking and extension of spine

Front 30

What are red flags from hx that suggests it's serious:

Back 30

1. fx 2. tumor 3. infection 4. cauda equina syndrome