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29 Cards in this Set
- Front
- Back
the shoulder is comprised of 3 bones, all of the following except?
-clavicle -humerus -acromion -scapula |
not the acromian
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which of the following is not a true joint?
-sternoclavicular -scapulothoracic -acromioclavicular -glenohumeral |
scapulothoracic is a functional joint
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which of the following is the primary restraint to anterior dislocations?
-IGHL -MGHL -SGHL |
IGHL
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what is the MCC of shoulder pain?
-AC joint sprain -AC osteoarthritis -adhesive encapsulitis -subacromial bursitis |
AC osteoarthritis
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A pt. comes in c/o 10 days of left shoulder pain at night, especially when he lies on the left side. what are you thinking?
-rotator cuff tear -rotator cuff tendonitis -bursitis -AC joint pathology |
rotator cuff tendonitis
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a pt comes in with c/o shoulder pain with overhead motions, what are you thinking?
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bursitis/tendonitis
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pain with movements across the body is typical with impingement or _ pathology.
-AC -tendonitis -infectious |
AC
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the 'lift off test'; the pt internally rotates the arm placing the back of his hand at his lower back, then ask him to move his hand away from his back against resistance, this is testing what muscle?
-supraspinatous -subscapularis -infraspinatous -teres minor |
subscapularis
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the 'full can' test; arm is abducted to 90 degrees with the thumb in the up position, then they should resist downward force. Weakness here is indicative of what muscle damage?
-supraspinatous -subscapularis -infraspinatous -teres minor |
supraspinatous
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the drop arm test may indicate ?
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rotator cuff tear
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neer's sign, neer's test, hawkins-kennedy, and painful arc tests are all for the testing of ?
-rotator cuff problems -impingement -AC joint -apprehension |
impingement
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if you have the pt maximally forward flex the shoulder with the arm internally rotated, and they experience pain, what is the test?
-Neer's sign -Neer's test -hawkins-kennedy -painful arc |
neer's sign
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if you have a + Neer's sign, and then you inject 5cc's of 1% lidocain into the subacromial space and the pain decreases or is relieved, what is this called?
-Neer's sign -Neer's test -hawkins-kennedy -painful arc |
neer's test
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by placing one hand uder the elbow and the other holding the wrist, and you abduct the shoulder to 90 degrees and then internally roates the shoulder and the pt c/o pain, what is the test?
-Neer's sign -Neer's test -hawkins-kennedy -painful arc |
hawkins-kennedy; positive for impingement of the rotator cuff
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_ is used for testing for subacromial impingement synrome which is a mechanical pinching of th rotator cuff tendons between the humeral head and the undersurface of the acromion or the coracoacromial ligament.
-AC testing -impingement testing -laxity testing |
impingement testing
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yergason's test and speed's test are used to diagnose ?
-biceps tendinitis -adhesive capsulitis -rotator cuff injury -labral tears |
biceps tendinitis
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the crossover test and the AC distraction/compression test are used to diagnose?
-AC injury -labral tears -impingement -rotator cuff injury |
AC injury
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the apprehension test, relocation test, load and shift test, and sulcus sign are used to diagnose?
-joint instability -adhesive capsulitis -rotator cuff injury -biceps tendinitis |
joint instability
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after plain shoulder films, what is the next best test to dx soft tissue injury?
-emg -ct -mri |
mri
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t/f
standard imaging with the T2-weighted sequence inthe oblique coronal and sagittal planes are the gold standard for shoulder evaluation |
true
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the MC type of shoulder dislocation is ?
-anterior -posterior -labral |
anterior 90% of the time
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_ is a looseness of the tissue inherent in the individual.
-laxity -instability |
laxity
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_ is laxity that has become symptomatic.
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instability
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_ dislocations typically occur when the arm is forcibly externally rotated and extended.
-anterior -inferior -posterior |
anterior
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a _ lesion is a tear of the anterior labrum most commonly after anterior dislocation of the humerus.
-SLAP -Bankart -swiethart -obrien |
bankart
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A _ lesion is a tear of the labrum at its superior most aspect where the biceps anchor is attached.
-SLAP -Bankart -FOOSH -o brien |
SLAP
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a 17 y.o. pt comes into the ER holding his right arm across his body, as it 'hurts like hell' to move the arm at all. neuro's CV intact, no obvious deformity is noted. the pain began at football practice when he fell rather nondramatically onto the top of his shoulder. what is at the top of your list?
-labral tear -ac joint injury -dislocation -fractured clavicle |
ac joint injury
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the test of choice if you suspect AC injury is?
-xray -mri -u.s -ct |
xray only if you need to try to grade it
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what is the typical treatment of grade I or II AC injury?
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sling it
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