MS 3

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  1. outer 1/3 of annulus fibrosis is innervated by
    branches from sinovertebral nerve
  2. alar ligament
    • from sides of dens to tubercles on occipital condyles
    • limit rotation
  3. tectorial membrane in the spine
    sup continuation of PLL going from C2 to occiput
  4. coupled motions in c-spine C2-C7
    SB and rot go ipsilat whether spine is in neutral, flex, or ext
  5. coupled motions occiput - C1
    SB with contralat rot
  6. lumbar/thoracic coupled motions
    neutral/ext: SB and rot contralatflex: SB and rot ipsilat
  7. Adson's test
    for what
    which structures
    • thoracic outlet syndrome
    • compression btwn ant and middle scalenes
  8. Adson's test - how
    • pt sitting
    • PT find radial pulse
    • rot head toward that arm
    • extend and ER UE, ext head
    • looking for neuro a/o vascular symptoms
  9. costoclavicular syndrome (military brace) (eden's) test -- how
    • pt sitting, find radial pulse
    • move shoulder down and back, lift chest "at attention"
    • for compression btwn clavicle and 1st rib
  10. wright / hyperabduction test -- how
    • sitting, find radial pulse
    • move shoulder into max abd and ER
    • deep breath and rot head to opposite side
  11. wright/hyperabduction test -- looks at which structures
    is there compression under pec minor
  12. Roos elevated arm test - how, aka
    • standing, shoudler in full ER, 90 abd and slight horiz abd, elbows flexed 90
    • pt opens and closes hands for 3 min
    • EAST - elevated arm stress test
  13. ULTT 1
    for what?
    • median n
    • shoulder abd (110) and depressed
    • elbow ext
    • foream sup
    • wrist and fingers ext
    • head SB to opp side
  14. ULTT 2/3
    for what
    • 2 - median
    • 3 (or other 2) - radial
    • Median: shoulder depressed and abd to 10, ext elbow, foream sup, ext wrist and fingers, shulder in ER, head in SB to opp side
    • Radial: same except do pronation, shoulder IR,  and flex the fingers/wrist w ulnar dev
  15. ULTT 3/4
    for what
    • ulnar n
    • shoulder abd 90 and depressed
    • elbow flexed
    • forearm pron
    • wrist/fingers in ext and radial dev
    • shoulder in ER
    • head in contralat SB
  16. arm pos for med/lat stress test
    • 0-20 flex
    • fully supported
  17. how to test for lateral epicondylitis (tennis elbow)
    • sitting w elbow in 90 flexion while supported/stabilized
    • resist wrist ext, radial dev, forearm pron while fingers are fully flexed (fisted)
  18. how to test for medial epicondylitis (golpher's elbow)
    sitting w elbow in 90 flex, passively supinate, extend elbow, extend wrist
  19. the misnomer about the itis in med/lat epicondylitis testing
    the tests are assessing what is currently referred to as an epicondylosis/epicondylopathy
  20. pronator teres syndrome test - looking for what? how?
    • median nerve entrapment within pronator teres
    • sit w elbow in 90 flex, resist forearm pronation and elbow ext simultaneously
    • pos: tingling or paresthesia in median nerve distribution
  21. de Quervain's tenosynovitis is id'd by which test and is an impairment of which tendons?
    • Finklestein's
    • EPB a/o APL
  22. grind/scour test
    id's what
    • supine, hip at 90 flex, knee in max flex
    • compress femur to load the hip while moving around
    • DJD, but really ids practically everything at that joint
  23. 4 characteristics of DJD/OA in the back
    • pain/stiff in AM
    • eases thru morning (4-5 hours)
    • pain increases w repetitive flexion
    • pain is "soreness" and "nagging"
  24. characteristics of facet dysfunction
    • stiff in AM but eases within an hour
    • loss of ROM accompanied by pain
    • pain is sharp with specific motions
    • mvmnt in pain free range reduces symptoms
    • stationary positions increase pain
  25. describe discal pain w nerve rot compromise
    • eased in reclined or semireclined pos
    • increased w wt bearing activities
    • shooting, burning, stabbing
    • decreased strength, ability to perform ADL
  26. describe pain in spinal stneosis
    • increased w ext, decreased w flex
    • numbness, tightness, cramping
    • worse w amb
    • persists for hours after assuming a resting pos
  27. describe pain of vascular claudication
    • consistent in all spinal pos
    • brought on by exertion
    • relieved w rest (in 1-5 min)
    • numbness
    • decreased or absent pulses
  28. pain in neoplastic disease
    • constant, gnawing, intense, penetrating
    • won't resolve w changes in position, time, activity
    • wakes the pt
  29. Ely's test
    for what?
    • rectus femoris
    • prone, flex knee and see if it can happen w/o hip flexing
  30. 90-90 hamstring test
    • pt supine, hip at 90 flex, try to extend the knee from 90 to 0
    • pos if the pt lacks >10 degrees ext
  31. piriformis test - how
    • supine, testing foot lat to contralat knee
    • see if testing knee can adduct past other knee (or if there's pain in butt or along sciatic n)
  32. implications of findings in Craig's test
    • < 8 degrees = retroversion
    • > 15 = anteversion
  33. knee position for valgus and varus stress tests
    20-30 degrees flexion
  34. Lachman's stress test -- how, for what
    • supine, knee at 20-30 flex, try to glide tibia anteriorly
    • ACL integrity
  35. pivot shift test
    for what?
    • ACL
    • supine, knee extended, hip flexed and abd 30 w slight IR
    • put valgus force thru knee and flex the knee (can add a valgus force)
    • pos: tibia relocates, clunking backwards, at 10-40 flex as the ITB pulls on it
  36. position for posterior sag test and for post drawer test
    hip flexed to 45, knee flexed to 90
  37. Reverse Lachman - for what? how?
    • PCL
    • prone, knee flexed to 30, stabilize femur and passively glide tibia posteriorly
  38. McMurray's - for what? how?
    • meniscal tears
    • supine, knee in max flex
    • passively extend while doing IR w varus to test lat meniscus
    • passively extend while doing ER w valgus for med meniscus
  39. Apley's test - for what? how
    • mensicus
    • prone, knee flexed to 90, distract and do IR/ER, then compress and do IR/ER
    • pain during compression = meniscal
    • pain during distraction = ligamentous
  40. Hughston's plica test - how
    • supine,knee flexed 90 w tibial IR (hip is flexed to 90, so the calf is in mid air parallel to table)
    • glide patella medially while extending knee (and maintain IR)
    • palpate plica, looking for popping/snapping (usually at 30-60 degrees)
  41. patellar apprehension test -  indicates what? how?
    • history of dislocation
    • supine, glide it laterally, look for fear or not allowing/disliking this
  42. Clarke's sign - for what? how?
    • indicates patellofemoral dysfunction
    • supine, knee in ext, push post on sup opole of patella and have pt do active contraction of quads
Card Set
MS 3
license exam
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