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43 Cards in this Set
- Front
- Back
PRICE
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protect, rest, ice, compress, elevate
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PPRICE
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pt progression, relax, inflammation, consult, exercise
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Sites of spondylosis?
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C5,C6
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Sites of herniated disc in neck? Where do 90% of herniated discs occur?
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C6,C7...L4/L5, L5-S1
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What is Hoffman's reflex?
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flick finger and thumb retracts, UMN sign, sign of spinal cord compression, 'finger flexor reflex', equiv of Babinski in upper limb
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What is Spurling sign?
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neck extended, rotation, and laterally flexed. Pain indicates radiculopathy
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Patient with reduced chest expansion may have...
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ankylosing spondylitis
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Knee jerk
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L3,L4
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Ankle jerk
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L5,S1
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What is spinal stenosis and how do you test for it?
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pseudoclaudication, do Phalen test (Sx relieved when patient leans forward and puts foot up)
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What is the difference between shoulder separation and shoulder dislocation?
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separation: AC joint involved
dislocation: humeral head involved (tends to move anterior and inferior) |
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What is another name for 'frozen shoulder'? What needs to be checked?
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adhesive capsulitis, check the biceps groove, will feel abnormal scapular movement
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What is the drop test?
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hold out arm, let go, arm will fall with supraspinatus injury
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What is the impingement test?
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test of biceps tendon pinching on acromion, thumb down? PAIN. Thumb up? no pain
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Tennis elbow causes...
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lateral epicondyle tenderness
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Golfers elbow causes...
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medial epicondyle tenderness
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Nurse maids elbow causes...
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dislocation of radial head, reduce with over pronation
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When does carpal tunnel pain most commonly occur?
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at night
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Where does the tenderness of a scaphoid fracture occur?
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anatomical snuffbox
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What is DeQuervains tenosynovitis? Tx?
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pain in wrist from moving thumb, steroid injections
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Tinel's sign?
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percuss over median nuerve at carpal tunnel causing tingling
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Phalen's sign?
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back of hands pressed together, pain indicates carpal tunnel injury
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Who does a slipped capital femoral epiphysis affect? Tx?
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heavy adolescent male, surgery
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Who does Legg Calve Perthes dz affect? Tx?
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preadolescent white male, osteonecrosis of capital femoral epiphyses, nonoperative treatment
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Localized pain in the hip suggests:
Anterior? Lateral? Posterior? |
Anterior: pain in hip joint itself
Lateral: bursitis Posterior: piriformis syndrome |
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What is piriformis syndrome? Tx?
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compression of sciatic nerve, pain goes down back of leg and stops at knee, treat by sitting on tennis ball
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What is the most important test of intra-articular dysfunction?
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internal rotation
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Faber test?
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test of SI joint pathology, flexion, abduction, external rotation
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Where is the most common location of arthritis in the knee?
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medial compartment
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Osgood Schlatter dz?
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common in adolescent male, tubercle pain in tibia (knee)
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Patellofemoral syndrome?
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runners knee
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Chondromalacia patella? Tx?
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cartilage degeneration, NSAIDS
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Lachman test?
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test ACL, thumbs on either side of patella and pull from behind
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Drawer test?
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ant: to test ACL, pull tibia anteriorly
post: to test PCL, push tibia posteriorly |
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Valgus stress test?
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test for pain in MCL, abduct tibia on femur
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Varus stress test?
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test for pain in LCL, adduct tibia on femur
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What kind of pain will a collateral ligament sprain present with?
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medial pain after acute injury
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McMurray test?
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test checking for click or clunk of knee, snap or pain suggests torn medial meniscus
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What ligaments are least/most likely to be sprained in the ankle?
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least: deltoid (lateral) ligament
most: medial ligament (esp: anterior talofibular) |
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What type of injury tends to cause ankle sprain?
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inversion
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How does plantar fasciitis present?
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heel spur
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How does a neuroma present?
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parasthesia between toes
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How are sprains graded?
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grade 1: pain with minimal damage to ligament
grade 2: more damage to ligament, mild joint looseness grade 3: ligament completely torn, joint very loose |