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Orthopedic Exam 1

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ortho quiz

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Orthopedic Exam 1Version en ligne

ortho quiz

par kenneth thomas
1

When using the Jackson Compression test, what procedure is used?

2

When completing the Soto Hall test, what procedure is used?:

3

50% of flexion and extension occurs between occiput and C1.50% of rotation occurs between C1 and C2.

4

What cervical spine condition is characterized by cervical injury damaging sympathetics, aggravated by rotation?

5

Which cervical spine condition involves "PICA" mimicking TIA with mostly motor involvement?

6

Vertigo with quick motion, often associated with swelling post trauma

7

What thoracic spine conditon of primarily elderly women often results in hyperkyphosis of the thoracic spine?

8

A dexa scan revealing a 12 percent bone density reduction in a 62 year old female would necessitate a diagnosis of

9

complete range of motion against gravity with full resistance is characterized as_____when grading the muscle strength

10

When grading muscle ability, Complete range of motion against gravity only is characterized as

11

Evidence of slight contractility with No joint motion is graded as a

12

The O’Donohue test is specifically to differentiate between sprain and strain in the cervical spine only.

13

A __________ is identified by pain during passive ranges of motion indicates ligamentous problem

14

A positive _______ is when a patient reports that pain is brought on by coughing, sneezing or straining at the stool.

15

The examiner bilaterally compresses the internal jugular veins for about 30-45 seconds, observe the face for flushing which will indicate proper positioning. Contraindicated in cardiac patients.

16

The patient is seated and asked to pump the blood from the hand while the examiner occludes the radial and ulnar arteries. The examiner instructs the patient to slowly open the hand. Look for flushing of the palm as you release the radial artery. The same procedure is repeated except releasing the ulnar artery.

17

Which is being described by the procedures below? The patient is seated while the examiner monitors the radial pulse as the patient actively moves the arm through 180°. The procedure is then repeated passively.

18

The radial deviation of the wrist is 20 degrees.

19

The external rotation of the shoulder is 30 degrees.

20

The seated patient actively rotates the head from side to side. The examiner notes any pain and its location. With the patient seated and the head and neck in a neutral position, the examiner exerts progressively increasing downward pressure on the head and neck. The head is rotated toward the side of complaint and similar compression is applied. The test is repeated for the opposite side.

21

While in the seated position, the patient actively rotates the headc and hyperextends the neck toward the side of complaint. The test is performed bilaterally. If there is no reproduction of pain, the test can be varied with rotation and maximum flexion of the neck toward the side of complaint.

22

When performing this test the patient is seated, the examiner slightly abducts and slightly extends the arm and takes the radial pulse. The patient is then instructed to rotate the head toward the affected shoulder and extend the head. The patient is told to take a deep breath and hold it while the examiner checks for an alteration in the pulse. If the maneuver is negative, it is repeated by having the patient turn the head to the opposite side and look for the same results.

23

To perform this test the patient is seated while the examiner palpates the patient's radial pulse. Both arms, in turn, are passively abducted to 180 degrees. The examiner notes the angle of abduction at which the radial pulse diminishes or disappears on the affected side.

24

When performing this test the patient is seated and is instructed to place the affected hand behind the head and touch the opposite superior angle of the scapula. The patient is then instructed to place the hand behind the back and attempt to touch the opposite inferior angle of the scapula.

25

The examiner abducts and slowly externally rotates the affected shoulder.

26

Slight flexion of elbow, wrist in extension, doctor holds hand, resisting flexion at wrist.

27

The patient's forearm, fingers, and wrist are passively flexed. The forearm is pronated and extended. This test can also be done actively.

28

Percuss over the flexor retinaculum. A positive test causes tingling in the thumb, index finger, forefinger, and the middle and lateral half of the ring finger (along the median nerve distribution.) distal to the point of pressure.

29

The patient flexes the patient's wrists maximally and holds this position for 1 minute by pushing both the wrist together. A positive test is indicated by a tingling sensation that radiates into the thumb, the index finger, and the middle and lateral half of the ring finger. The presence of this sensation indicates carpal tunnel syndrome caused by pressure on the median nerve.

30

Which shoulder procedure is being described? The examiner passively abducts the involved arm to above the level of the shoulder, then suddenly removes support

31

Which shoulder procedure is being described? Patient’s elbow flexed to 90°. Examiner stabilizes the elbow with one hand and resists active supination by the patient.

32

Which shoulder condition is described below? S/S: Persistent (nighttime too), dull, nagging pain, progressive restriction of motion (active and passive). Dx: ROM exam Tx: Adjust, massage, exercise TENS, moist packs

33

What shoulder condition is explained below? S/S: Pinpoint pain, pain in one or two directions usually Dx: Xray (calcification)

34

What elbow condition is described below? S/S: Wrist extensors, weak grip, forearm atrophy, painful resisted extension, painful hyperflexion stretch (posterior radial head) Dx: Mill's, Cozen's, dynamometer

35

Posterior fat pad sign present in:

36

What meningeal irritation test uses the following procedure? Examiner stands behind and slowly approximates the chin to the chest.

37

What meningeal irritation test uses the following procedure? Examiner flexes thigh to 90° and then tries to extend leg.

38

What wrist condition is often worse at night, and is suggested by both Tinel's and Phalen's?

39

Which wrist condition is described below? Pain in the last two digits usually following humerus fracture, MRI is diagnostic

40

The examiner lowers the leg just below the point of pain in Lasegue’s and strongly dorsiflexes the foot

41

The _______ nerve is pathologically entrapped in the tunnel of guyon.

42

The _______ nerve is pathologically entrapped in the carpal tunnel.

43

The _______ nerve is pathologically entrapped in the cubital tunnel

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