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WorksheetsN507 Exam 3 (Week 12)
Total questions: 28
Worksheet time: 23mins
Lateral deviation and rotation of the head are seen in _ from contraction of the sternocleidomastoid muscle.
(a)
Splenius capitis and trapezius muscles are involved in neck _.
(a)
Severe pain, localized tenderness, swelling, and dusky redness to a fingertip are signs of _, an infection of enclosed fascial space of the distal pulp or phalanx pad.
(a)
Early diagnosis and I&D of a felon may prevent to development of an _.
(a)
ACL tears are notably more frequent in women, attributed to ligamentous laxity related to
estrogen cycling
differences in anatomy
differences in neuromuscular control
osteoporosis
Symptoms of _ include pain and tenderness over heads of the metatarsals occurring in trauma, arthritis, and vascular compromise.
(a)
Which of the following would suggest Achilles tendon rupture?
defect in muscles (gastrocnemius and soleus), tenderness, and swelling
Absent plantar flexion squeezing calf of patient
Sudden, severe pain like a gunshot, ecchymosis from calf to heel, and flat-footed gait
Gradual onset of pain from heel to knee
Select the appropriate Vit D and Ca supplement recommendations
Vit D 600iu/day until age 71 then 800 iu/day
Ca 1000mg/day until age 50 then 1200mg/day for women
Ca 1000mg/day until age 71 then 1200mg/day for men
Ca 1000mg/day for men
Ca 1200mg/day for women
Tenderness of the plantar surface between the 3rd and 4th toes along with hyperesthesia, numbness, and aching of the metatarsal heads suggest
(a)
Inguinal pain, deep within the hip joint and radiating to the knee point to
achilles tendon rupture
intra-articular pathology
extra-articular causes
sciatica
Pain radiating to the buttocks or posterior trochanteric region points to
extra-articular causes
intra-articular pathology
hip fracture
ruptured achilles tendon
Leg shortening and external rotation are common in (a) .
To evaluate for rotator cuff disorder or adhesive capsulitis, ask the patient to touch the opposite scapula (from above and below), also called the
Drop arm test
Apley scratch test
Painful arc test
Empty can test
Painful arc test, performed by fully adducting the arm from 0-180 degrees, suggest which of the following when pain is reported from 60-120 degrees?
subacromial impingement
rotator cuff tendinitis
adhesive capsulitis
bicipital tendinitis
The drop arm test is performed by asking the patient to fully adduct the arm to shoulder level up to 90 degrees and lower it slowly. Weakness during the maneuver is suggestive of
supraspinatus rotator cuff tear
bicipital tendinitis
subacromial impingement
adhesive capsulitis
Osteoarthritis presentation includes all of the following except
Heberden nodes on dorsolateral aspects of DIP joints
Flexion and deviation deformity
Bouchard nodes on PIP joints (less common)
MCP joint deformity
In addition to the drop arm test, evaluation for suprasinatus rotator cuff tear may include asking the patient to elevate arms to 90 degrees with thumbs down while practitioner applies downward pressure to assess ability to hold arms at shoulder height. This test is called
Empty can test
Painful arc test
Apley scratch test
Drop arm test
A positive crossover test, pain when the patient adducts arm across chest, indicates
Subscapularis disorder
Subacromial impingement
Not diagnostic
Rotator cuff tendinitis
Place the dorsum of the patient's hand on lower back with elbow at 90 degrees then pull the hand away from the back. Inability to hold the hand in this position is a positive internal rotation lag test which suggests
Not diagnostic
Subscapularis disorder
Subacromial impingement
Rotator cuff tendinitis
_ sign is pain with tapping lightly over the course of the median nerve in the carpal tunnel.
(a)
_ sign is numbness and tingling with holding wrists in flexion for 60 seconds or pressing the back of both hands together to form right angles for 60 seconds.
(a)
Risks for osteoporosis include
Age over 40
Postmenopausal females
Low BMI
Long term PPI use
Osteoporosis is indicated by T score less than
(a)
_ is indicated by T score between -1.0 and -2.5.
(a)
Butterfly (malar) rash on cheeks is seen in _
(a)
Expanding erythematous "target" or "bull's eye" patch early in illness followed by CNS involvment (mental status change, facial or other weakness, stiff neck) are symptoms associated with (a) .
Scleritis, oral ulcerations, pneumonitis, and interstitial lung disease are systemic manifestations of (a) .
Presence of palpable purpura is a systemic manifestation of
(a)
