Musculoskeletal Evaluation Final Review

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son850
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188616
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Musculoskeletal Evaluation Final Review
Updated:
2012-12-12 11:36:43
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Biomedicine
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Biomedicine
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  1. The most common ankle sprain injures which ligament?
    • Anterior Talofibular Ligament
  2. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Deltoid?
    C5 primary
  3. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Wrist Extensors?
    C6 primary
  4. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Wrist Flexors?
    C7 primary
  5. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Finger Flexors?
    C8 primary
  6. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Interossei?
    T1 primary
  7. Using reflex tests for upper arm, what are the nerve(s) responsible when testing Bicep?
    C5 primary
  8. Using reflex tests for upper arm, what are the nerve(s) responsible when testing Brachioradialis?
    C6 primary
  9. Using reflex tests for upper arm, what are the nerve(s) responsible when testing Triceps?
    C7 primary
  10. What is the ROM for Ankle?
    • Dorsiflex: 20°
    • Plantar Flex: 50°
    • Inversion: 60°
    • Eversion: 30°
  11. What are the indications of Draw Sign of Ankle?
    • Excessive Ant. Motion: Ant. Talofibular Ligament Damage
    • Excessive Post. Motion: Post. Talofibular Ligament Damage
  12. What are the indications for Lateral / Medial Stability Test of the Ankle?
    • Excessive Lateral Gap: Ant. Talofibular & Calcaneofibular Ligament Damage
    • Excessive Medial Gap: Deltiod Ligament Damage
  13. What are the indications for Thompson's Achilles Test?
    Rupture of Achilles Tendon
  14. What are the nerve roots associated with the Cervical Plexus?
    C1-C4 Nerve Roots
  15. What are the nerve roots associated with the Brachial Plexus?
    • C5-T1 Nerve Roots
    • *innervates all muscles of arm except, Trapezius and Skin near axilla
  16. Which nerve is affected at the site of Protrusion 1? Protrusion 2?
    • Protrusion 1: L5 Nerve Compression
    • Protrusion 2: S1 Nerve Compression
    • *Same rules apply for the Cervical Region
  17. What is the ROM for the Cervical region?
    • Flexion: 90°
    • Extension: 70°
    • R/L Rotation: 90°
    • R/L Lateral Flexion: 45°
  18. What are the indications for Neutral Cervical Compression (10 lbs towards neck)?
    • Cervical Radiculopathy (nerve root problem)
    • Cervical Neuropathy (peripheral nerve problem)
  19. What are the indications for Jackson Compression (45°, push towards neck)?
    Cervical Radiculopathy (nerve root problem)
  20. What are the positive findings and indications of Cervical Distraction Test (pull neck up)?
    • (+) relief of Radiating Pain
    • Indications:
    • Exacerbation of local pain: capsulitis / muscle spasm
    • Remission of local pain: Facet Syndrome
    • Remission of Radiating Pain: Radiculopathy (nerve root problem)
  21. What are the indications for Shoulder Depression Test (applying pressure to shoulder while stabilizing neck)?
    • Cervical Radiculopathy (nerve root problem)
    • Cervical Neuropathy (peripheral nerve problem)
  22. What are the indications of Rust Sign (patient has a need to hold head as if it will fall over otherwise)?
    • Spinal Instability
    • *Refer patient out to hospital
  23. What are the borders of Thoracic Outlet?
    • Scalene (medially)
    • Coracoid process of scapula (laterally)
    • Upper rib (lower border)
    • Clavicle & Skin (upper border)
  24. What are the indications for Allen's Test (closing off circulation of palm)
    • Both Radial / Ulnar diminished on one arm: Thoracic Outlet Syndrome (TOS)
    • Only one vessel diminished unilaterally: Local Fibrosis, Congenital Anomaly, Local Trauma
  25. What are indications for Adson's Test (look towards me)?
    • Scalene Anticus Hypertrophy
    • Cervical Rib Fibrosis
  26. What are indications for Reverse Adson's Test (look away from me)?
    Scalene Medius Entrapment
  27. What are the indications of Costclavicular Test (shoulders up and back)?
    Costoclavicular Syndrome
  28. What are the indications of Wright's Test (bring arms up into abduction while feeling for pulse pressure)?
    Pectoralis Minor Hypertrophy
  29. What are the indications for ROOS Test (abduct elbow 90°, bend elbow 90°, pump fist for 3 mins)?
    Thoracic Outlet Syndrome (TOS) due to vascular insufficiency
  30. What are the muscles associated with the Rotator Cuff?
    • Supraspinatus
    • Infraspinatus
    • Teres Minor
    • Subscapularis
  31. The inflammation of one or more bursae (small sacs) of synovial fluid in the body
    Bursitis
  32. The inflammation and irritation of the tendons and bursa
    Impingement Syndrome (results from unresolved bursitis)
  33. What is ROM for Shoulder?
    • Flexion: 180°
    • Extension: 60°
    • Abduction: 180°
    • Adduction: 75°
    • External Rotation: 90°
    • Internal Rotation: 100°
  34. What are the indications for Dugas Test (hand touches opposite elbow, tuck elbow towards chest)?
    Acute Glenohumeral Dislocation
  35. What are indications for Supraspinatus Press Test (beer can)?
    Supraspinatus strain
  36. What are the indications for Yergaon's Test (arm wrestle)?
    • Bicipital Tendon Instability
    • Laxity / Rupture of Tranverse Humeral Ligament
  37. What are indications of Dawbarn's "Push Button" Test (arm abducts 90°, elbow 90°, push)?
    Subacromial Bursitis
  38. What is ROM for Elbow?
    • Flexion: 150°
    • Extension: 0°
    • Supination: 90°
    • Pronation: 90°
  39. What are indications for Cozen's Test (Tennis Elbow)?
    Lateral Epicondylitis
  40. What are indications for Golfer's Elbow Test?
    Medial Epicondylitis
  41. What is the ROM for Wrist?
    • Flexion: 90°
    • Extension: 90°
    • Radial Deviation: 15°
    • Ulnar Deviation: 45°
  42. A medical condition in which the Median Nerve is compressed at the wrist, leading to pain, paresthesia, and muscle weakness in the forearm and hand.
    Carpal Tunnel Syndrome
  43. What are indications for Phalen's Test?
    Median Neuropathy (peripheral nerve problem)
  44. What are the indications for Prayer's Sign?
    Median Neuropathy (peripheral nerve problem)
  45. When the patient's head is compressed, patient experiences numbness and tingling sensation into the hand.  What condition does the patient have?
    Cervical Radiculopathy
  46. While performing Valsalva's Maneuver (putting thumb in mouth, blowing into it), the patient experienced pain in the lower back.  Which condition does the patient have?
    Disc Herniation
  47. Patient have a positive finding of Anterior Draw Sign of the Knee.  What condition does the patient have?
    Anterior Crutiate Ligament tear
  48. What is the image study for Disc Herniation?
    • 1. MRI
    • 2. CT Scan (patient cannot have MRI if metal is in their body)

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