MCR I Class

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MCR I Class
2011-10-30 21:09:59

MCR I Exam II packet one
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  1. When the subtalar joint moves into inversion, plantarflexion, and adduction.
    Supination (of the foot)
  2. Rotation of the subtalor and talocalcanealnavicular joints moves into eversion, dorsiflexion, and abduction
    Pronation (of the foot)
  3. tallus and calcaneous in dorsiflex position; the heel is down (walking on heels)
    calcaneous (position of the foot)
  4. the upward bending motion of the ankle is limited; one can't bring the top of the foot toward the front of the leg --> fixed in plantar flexed position
    Equinus (position of the foor)
  5. A highly arched foot running from the toes to the heel
    Pes cavus
  6. flat feet where the foot doesn't have a normal arch when standing
    pes planus
  7. clubfoot; where the foot turns inward and downward; it occurs at birth
    Talipes equinovarus
  8. a type of bone fracture when a torque (force) is on the long axis of the bone
  9. tibia is rotated inwardly along its axis making the ankle and foot rotated
    internal tibial torsion
  10. tibia is rotated outwardly along its axis; symptom: anterior knee pain
    external tibial torsion
  11. ?
    Femoral torsion
  12. the hip rotates outward more then it rotates in; aka out-toeing; turning entire limb outward (duck walking)
    femoral retroversion
  13. the hip rotates inward a lot more then it rotates out; aka in-toeing; head points excessively anterior; compensation of rotating limb inwardly to get ball back in the acetabulum (pigeon walk)
    Femoral anteversion
  14. "lateral deviation" of a distal segment with respect to the segment proximal to it
  15. "medial deviation" of a limb segment with respect to the proximal segment
  16. deformity where the extended forearm is towards the middle of the body
    cubital varus
  17. the extended forearm is away from the midline (small degree is normal)
    cubital valgus
  18. distal bone swings away from the midline; aka knock-knee
    genu valgus
  19. distal bone swings in toward the midline; aka bowleg
    genu varus
  20. proximal phallanx deviates laterally on the metatarsal head
    hallux valgus
  21. decrease in the angle between the shaft and the neck of the femur increasing the bending moment done to the neck
    coxa varus
  22. femoral head is more superiorly oriented in the acetabulum (less bending moment); angle between the head and neck of femur and shaft increases
    coxa valgus
  23. inverted rear foot
    calcaneal varus
  24. everted rear foot
    calcaneal valgus
  25. swelling on/around joints and tendons in hand or foot
    Ganglion cyst
  26. a collection of blood larger then 1 cm in size due to trauma
  27. bruise (blood)
  28. inflammation of bursa
  29. inflammation of synovial membrane
  30. accute inflammation of tendon
  31. more chronic form of tendonitis damaging the tendon at a cellular level due to over useuse with time leading to wear and tear
  32. a protective involunatary reaction of musce due to pain or fear of moving it
    muscle guarding
  33. painful and involuntary muscle contraction
    muscle spasm
  34. fibrous bands of scar tissue formed in tissues
  35. adhesions around a joint
    periarticular adhesions
  36. adhesions within a joint
    intraarticular adhesions
  37. shortening and hardening of muscles, tendons, or other tissue resulting in deformed or rigid joints
  38. the death of a portion of bone due to lack of blood supply
    avascular necrosis
  39. broke, seperated completely; full tear
  40. bone fracture where a fragment of bone tears away from the whole bone due to physical trauma
    avulsion fracture
  41. the surgical cutting of a bonen or removal of a piece of bone
  42. surgical repair of a deformed joint
  43. surgical immobilization of a joint by fusion of the adjacent bones
  44. surgically open a joint by incision
  45. partial dislocation
  46. normal joint position is displaced
  47. blood gets into the joint
  48. Describe the Hippocratic Oath
    "do no harm", iotrogenic --> medical professional causes an injury
  49. Based on the ____, your ____ should establish what four things?
    Based on the EXAMINATION, your EVALUATION should establish

    • -diagnosis: explanation and the problem list
    • -prognosis: goals and outcomes based on problem list (must be temporal and measurable --> within 4 weeks and ROM)
    • - goals related to impairments
    • - outcomes related to functional limitations
  50. Name and describe the four things under Plan of Care.
    • - specific interventions: stretching, joint mobilization, heat
    • - duration of care: weeks, months
    • - frequency: 3x a week, how often to do home exercise
    • - criteria for discharge how do we know we're done? depends on goals
  51. What are the 5 main holistic approaches to patient care? What do you need to generally consider
    • - consider the patient as an individual w/unique needs
    • - psychosocal issues
    • - learning style and cognitive abilities
    • - goals and outcomes relative to patient needs
    • - promote wellness

    • Consider: "Girls can lick feet properly"
    • - general health
    • - comorbidities
    • - lifestyle factors
    • - fitness level
    • - previous functional level
  52. What are the many forms of intervention and describe on the one you should be able to
    • - psychological
    • - nutritional counseling
    • - pharmacological
    • - rest (immobilization)
    • - modalities and physical agents
    • - application of external forces
    • - therapeutic exercise
    • - patient education
    • - functional training
    • - relaxation techniques
    • - prevention
    • - wellness
    • - surgery
  53. Describe the forms of rest.
    • - bed rest: accute inflammation; infection
    • - casting: plaster
    • - internal fixation: metal
    • - immobilizers: splints, foam, buckles, straps
  54. Describe applications of external forces.
    • MMSS
    • - manual therapy: massage, joint mobilization, joint manipulation, resistance (exercise and p n f)
    • - mechancial traction: lumbar and cervical
    • - serial casting: use cast to stretch or contract a joint
    • - splinting: to stretch or protect a joint or mobilize or stretch a joint via springs
  55. type of surgery that consists of manipulating bones back into place with hands and then casting; no incision
    manipulation and closed reduction
  56. this type of surgery uses a scalple
  57. type of surgery that doesn't use incision but portals (3); use instrumentation to fix inside; has camera on one end and a drill the other
  58. type of surgery that's done under magnification; ex: vascular surgery
  59. type of procedure is mainly used for infection; used when the pressure of pus (dead neutrophils) increases and it needs to be decreased
    incision and drainage
  60. type of procedure that is mainly for going in and looking around
    explatory or diagnostic
  61. type of procedure where the skin is open to seet it and to realign fracture fragments of bone; usually coupled with internal fixation (screws) to maintain alignment
    open reduction
  62. procedure which includes incision (ex: carpal tunnel surgery) and fasciatomy where a scalpel is used to slice through skin along the fascia (ex: severe compartment syndrome)
  63. procedure that includes excision, debreedment, and lysis/lauvage
  64. to go in, take something out you don't want or isn't supposed to be there
  65. taking dead necrotic tissue out
  66. to inject (usually in a joint) saline; put extra fluid and flushing debris out. pull fluid out pulling debris out as well
    lysis lavauge
  67. what suffix means to take something away?
  68. osteotomy is an example of what procedure?; wedge inserted to make a stright line
  69. what are the three types of grafting?
    autograft, allowgraft, xenograft
  70. tissue comes from own donor
  71. tissue comes from cadaver; advantage that you don't get donor site morbidity (creating a problem in yourself)
  72. tissue comes from a different species
  73. procedure also known as the Ilizarov technique; put screws and pins in bone --> turn external screws --> wolf's law--> expands, grows, and lengthens or...
    immobilization of severe fractures (external fixation)

    adverse reaction--> infection in bone and skin
    surgical lengthening
  74. procedure where you fix things like nerves, vessels, tendon
  75. procedure when a body part was traumatically removed
  76. procedure where a joint is that usually moves is now fused together via internal fixation or bone graft (ex: metal, severe scoliosis)
  77. procedure where something is moved from one place to another (ex: elbow injury --> chronic medial cubital tunnel where you take the ulnar nerver and move it outward)
  78. to cut off a limb
  79. procedure when an amputatin is done directly at the level of the joint
  80. procedure where it has to be repeated over and over; ex: THR due to wearing out or infection