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29 Cards in this Set

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the shoulder is comprised of 3 bones, all of the following except?

-clavicle
-humerus
-acromion
-scapula
not the acromian
which of the following is not a true joint?

-sternoclavicular
-scapulothoracic
-acromioclavicular
-glenohumeral
scapulothoracic is a functional joint
which of the following is the primary restraint to anterior dislocations?

-IGHL
-MGHL
-SGHL
IGHL
what is the MCC of shoulder pain?

-AC joint sprain
-AC osteoarthritis
-adhesive encapsulitis
-subacromial bursitis
AC osteoarthritis
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
a pt comes in with c/o shoulder pain with overhead motions, what are you thinking?
bursitis/tendonitis
pain with movements across the body is typical with impingement or _ pathology.

-AC
-tendonitis
-infectious
AC
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
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
the drop arm test may indicate ?
rotator cuff tear
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
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
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
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
_ 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
yergason's test and speed's test are used to diagnose ?

-biceps tendinitis
-adhesive capsulitis
-rotator cuff injury
-labral tears
biceps tendinitis
the crossover test and the AC distraction/compression test are used to diagnose?

-AC injury
-labral tears
-impingement
-rotator cuff injury
AC injury
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
after plain shoulder films, what is the next best test to dx soft tissue injury?

-emg
-ct
-mri
mri
t/f

standard imaging with the T2-weighted sequence inthe oblique coronal and sagittal planes are the gold standard for shoulder evaluation
true
the MC type of shoulder dislocation is ?

-anterior
-posterior
-labral
anterior 90% of the time
_ is a looseness of the tissue inherent in the individual.

-laxity
-instability
laxity
_ is laxity that has become symptomatic.
instability
_ dislocations typically occur when the arm is forcibly externally rotated and extended.

-anterior
-inferior
-posterior
anterior
a _ lesion is a tear of the anterior labrum most commonly after anterior dislocation of the humerus.

-SLAP
-Bankart
-swiethart
-obrien
bankart
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
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
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
what is the typical treatment of grade I or II AC injury?
sling it