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NPTE
omg 1 month
131
Medical
Graduate
07/02/2013

Additional Medical Flashcards

 


 

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Term
How do you perform Yergason's Test?
Definition
Patient sitting with shoulder in neutral stabilized against trunk, elbow at 90, and forearm pronated. Resist supination of forearm and external rotation of shoulder.

Tendon of biceps will pop out of groove or may reproduce pain in long head of biceps tendon
Term
What does Yergason's test for?
Definition
Integrity of transverse ligament
Bicipital tendonosis
Term
How do you perform Speed's Test?
Definition
Patient sitting or standing with upper limb in full extension and forearm supinated. Resist shoulder flexion. may also place shoulder in 90 flexion and push upper limb into extension, causing an eccentric contraction of biceps.

Reproduces symptoms in long head of biceps tendon
Term
What does Speeds test for?
Definition
Bicipital tendonosis
Term
How do you perform Neer's Impingement Test?
Definition
Patient sitting, and shoulder is passively internally rotated and fully abducted.

Reproduces symptoms of pain within shoulder region.
Term
What does Neer's test for?
Definition
Impingement of soft tissue structures of shoulder complex
Term
How do you perform the Drop Arm Test?
Definition
Patient sitting with shoulder passively abducted to 120. Patient instructed slowly to bring arm down to side. Guard patient's arm from falling in case it gives way.
Term
What does the Drop Arm test for?
Definition
Tear or full rupture of rotator cuff
Term
How do you perform the Posterior Internal Impingement Test?
Definition
Patient supine. Move shoulder into 90 abduction, maximum external rotation, and 15-20 horizontal adduction.

Reproduces pain in posterior shoulder during test
Term
What does the Posterior Internal Impingement test for?
Definition
Impingement between rotator cuff and greater tuberosity or posterior glenoid and labrum
Term
How do you perform the Clunk Test?
Definition
Patient supine with shoulder in full abduction. Push humeral head anterior while rotating humerus externally.

Audible clunk is heard while performing test
Term
What does the Clunk test for?
Definition
glenoid labrum tear
Term
Name the 3 tests for thoracic outlet syndrome
Definition
Adson's
Wright's
Costoclavicular
Term
How do you perform Adson's Test?
Definition
Patient sitting. Find radial pulse. Rotate head toward extremity being tested and then extend and externally rotate the shoulder while extending the head.
Term
How do you perform the Costoclavicular Syndrome Test?
Definition
Patient sitting. Find radial pulse. Move involved shoulder down and back.
Term
How do you perform the Wright (hyperabduction) test?
Definition
Patient sitting. Find radial pulse. Move shoulder into maximal abduction and external rotation. Taking deep breath and rotating head in opposite direction of side being tested.
Term
What does the Roos Elevated Arm test?
Definition
Pathology of structures that pass through the thoracic inlet
Term
How do you perform the Roos Elevated Arm Test?
Definition
Patient standing, shoulders fully externally rotation, 90 abducted, and slightly horizontally abducted. Elbows flexed to 90 and patient opens and closes hands for 3 minutes softly.

Neurological symptoms will be reproduced in UE.
Term
How do you test for lateral epicondylitis (tennis elbow)
Definition
Patient sitting with elbow in 90 flexion and supported. Resist wrist extension, radial deviation, and pronation with fingers fisted.
Term
How do you test for medial epicondylitis (golfer's elbow)?
Definition
Patient sitting with elbow in 90 flexion and supported. Passively supinate, extend elbow and wrist.
Term
How do you perform the Pronator Teres Syndrome Test?
Definition
Patient sitting with elbow in 90 flexion and supported. Resist pronation and elbow extension simultaneously.
Term
What does the Bunnel-Littler test for?
Definition
Tightness in structures surrounding the MCP joints
Term
How do you perform the Bunnel-Littler Test?
Definition
MCP joint stabilized in slight extension while PCP is flexed. Then MCP is flexed and PCP is flexed.

Capsule is tight if flexion is limited in both cases.
Term
What does Froment's Sign test for?
Definition
Ulnar nerve dysfunction
Term
How do you perform Froment's Sign?
Definition
Have pt grasp paper with index finger and thumb and if they can pull without flexing thumb they are fine.
Term
What does Patrick's (FABER) test for?
Definition
Dysfunction of hip, such as mobility restriction
Term
How do you perform Patrick's (FABER) test?
Definition
Patient lies supine. Passively flex, abduct, and externally rotate test leg so that foot is resting just above knee on opposite leg. Slowly lower testing leg down toward table surface.

Positive test when involved knee is unable to assume relaxed position and/or reproduction of painful symptoms.
Term
What does the Grind (Scouring) test for?
Definition
DJD of hip joint
Term
How you perform the Grind (Scouring) Test?
Definition
Patient supine with hip in 90 flexion and knee maximally flexed. Place compressive load into femur via knee joint, thereby loading hip joint.

May reproduce pain in hip or refer to knee.
Term
What does the Thomas test for?
Definition
Tightness in hip flexors
Term
What does Ober's test for?
Definition
Tightness of TFL and/or IT band
Term
What does Ely's test for?
Definition
Tightness of rectus femoris
Term
How do you perform Ely's test?
Definition
Patient prone, with knee of testing limb flexed. Observe hip of testing limb. Positive if hip of testing limb flexes.
Term
How do you perform the piriformis test?
Definition
Patient supine, with foot of test leg passively placed lateral to opposite limb's knee. Testing hip is adducted. Observe position of testing knee relative to opposite knee.

Positive if testing knee is unable to pass over resting knee, and/or reproduces pain in but or along sciatic nerve.
Term
What does Craig's test for?
Definition
Abnormal femoral antetorsion angle
Term
How do you perform Craig's Test?
Definition
Patient prone with knee flexed to 90. Palpate greater trochanter and slowly move hip through IR/ER. When greater trochanter feels most lateral, stop and measure the angle of the leg relative to a line perpendicular with table surface.

Based on findings, patient may have an anteverted or retroverted hip. Normal angle is between 8 and 15 hip IR. Less than 8 indicates retroverted hip and more than 15 is anteverted.
Term
What does McMurray's test for?
Definition
Meniscal tears
Term
How do you perform McMurray's?
Definition
Patient supine, with testing knee in maximal flexion. Passively IR and extend knee. This tests lateral meniscus.
Term
What does Apley Test test for?
Definition
Helps differentiate between meniscal tears and ligamentous lesions
Term
How do you perform Apley Test?
Definition
Patient prone, with testing knee flexed to 90. Stabilize patient's thigh to table, then slowly rotate tibia internally and externally. Next, apply a compressive load to knee joint and again slowly rotate tibia IR and ER.
Term
How do you perform Hughston's Plica Test?
Definition
Patient is supine and testing knee is flexed with tibia internally rotated. Passively glide the patella medially, while palpating the medial femoral condyle. Feel for popping as you passively flex and extend the knee.
Term
What does Clarke's sign indicate?
Definition
Patellofemoral dysfunction
Term
Patient supine, with knee in extension resting on table. Push posterior on superior pole of patella then ask patient to contract quads.
Definition
Clark's Test
Term
What does Noble Compression Test indicate?
Definition
if IT band friction disorder is present
Term
How do you perform Noble Compression Test?
Definition
Patient supine with hip flexed to 45 and knee flexed to 90. Apply pressure to lateral femoral epicondyle then extend knee.
Term
Pain with flexion and internal rotation due to compression of glut max
Definition
Deep Trochanteric Bursae
Term
This is attached to the MCL and semimembranosus
Definition
Medial Meniscus
Term
Results from valgus, flexion, and external rotation when foot is planted
Definition
Unhappy Triad (acl, mcl, and medial meniscus)
Term
Coxa Valga
Definition
>125 degrees
Term
Coxa Vara
Definition
<115
Term
Medication to treat osteoporosis
Definition
Fosamax
Term
Classic presentation is pain in the lower limb when walking and relief when sitting.
Definition
Intervertebral Stenosis
Term
A form of arthritis that mainly affects the spine and causes joint inflammation.
Definition
Ankylosing Spondylitis
Term
Adverse effects of Digitoxin
Definition
Confusion/Memory Loss
Term
Hot, red, swollen skin over both shins with mild fever
Definition
Cellulitis
Term
Which joint may restrict Dorsiflexion
Definition
Talocrural
Distal TibFib
Term
A patient diagnosed with lumbar spondylosis without discal herniation or bulging has an L5 neural compression. What is the most likely structure compressing the nerve root?
Definition
Ligamentum Flavuum
Term
What symptoms will you likely see with a LMN lesion?
Definition
Muscle weakness with fasciculations
Hypotonia
Flaccidity
Hyporeflexia
Neurogenic Atrophy
Term
Ipsilateral weakness and loss of position sense and vibration below the lesion level, with contralateral loss of pain and temperature sensation
Definition
Brown-Sequard Syndrome
Term
What are some causes of increased subcostal angle?
Definition
1. Flattened Diaphragms
2. Blunted Costophrenic Angle
3. Increased amount of air causing hyperinflated lungs.
Term
Why discourage W sitting?
Definition
Femoral anteversion
Medial Knee stress
Term
What's a good exercise to break up synergies?
Definition
Bridging with pelvic elevation
Term
What does gallbladder pain typically refer?
Definition
Thorax
Term
This test is used to determine if there is a restriction at the PIP joint
Definition
Retinacular Test
Term
This test is used to assess for tenosynovitis of the abductor pollicis longus and/or extensor pollicis brevis.
Definition
Finkelstein's Test
Term
This test is utilized to identify an ulnar nerve dysfunction.
Definition
Froment's Sign
Term
What all is increased by heat?
Definition
1. Cardiac Output
2. Metabolic Rate
3. Pulse Rate
4. Respiratory Rate
5. Vasodilation
Term
What all is decreased by heat?
Definition
1. Blood Pressure
2. Muscle Activity (sedentary effect)
3. Blood to internal organs
4. Blood flow to resting muscle
5. Stroke Volume
Term
Classic symptoms of Addison's Disease.
Definition
Asthenia (weakness)
Term
Side effects of Atropine
Definition
Increased heart rate and contractility at rest
Term
Where does spleen and diaphragmatic pain typically refer?
Definition
Shoulder
Term
Signs and Symptoms of Metabolic Syndrome
Definition
1. Abdominal Obesity
2. Elevated Triglycerides (150+)
3. Low HDL (<40)
4. Elevated BP
5. Fasting glucose level >100
Term
Random assignment to experimental or control group
Definition
True Experimental Design
Term
Subjects are followed over time for changes following an intervention
Definition
Cohort Design
Term
A generalization that predicts an expected relationship between variables
Definition
Directional Hypothesis
Term
The degree to which the differences in the dependent variable were affected by the independent variable
Definition
Internal Validity
Term
The degree to which the differences in the dependent variable were affected by the people or external environment.
Definition
External Validity
Term
A shortened stride length may be due to what?
Definition
Contracted hip flexors
Term
Normal Hematocrit
Definition
36-53%
Term
Normal Hemoglobin
Definition
12-16 g/dL
Term
Pathway:
Proprioception, Vibration, Tactile Discrimination
Definition
DCML
Term
Pathway:
Pain, Temp, and Crude Touch
Definition
Spinothalamic
Term
Pathway:
Proprioception, Touch, Pressure, and Voluntary Movements
Definition
Spinocerebellar
Term
Pathway:
Deep, Chronic Pain
Definition
Spinoreticular
Term
Pathway:
Voluntary muscle control
Definition
Cortiospinal
Term
Pathway:
Muscle tone control, antigravity muscles, and postural reflexes
Definition
Vestibulospinal
Term
Pathway:
Motor Function
Definition
Rubrospinal
Term
Pathway:
Transmission of sensation, spinal reflexes
Definition
Reticulospinal
Term
Pathway:
Head-turning responses to visual stimuli
Definition
Tectospinal
Term
What does increased peripheral resistance result in?
Definition
Increased arterial blood volume and pressure
Term
This can cause muscle weakness, arrhythmias, and ECG changes
Definition
Hyperkalemia
Term
This can cause muscular weakness, fatigue, and leg cramps
Definition
Hypokalemia
Term
This medication could cause arrhythmias at rest and with exercise along with t-wave changes.
Definition
Lithium
Term
This results in confusion, decreased mental alertness, sleepiness, anorexia
Definition
Hyponatremia
Term
This results in pitting edema, pulmonary edema, HTN, restlessness, and convulsions
Definition
Hypernatremia
Term
What are normal sodium levels
Definition
135-146
Term
What are normal calcium levels
Definition
8.4-10.4
Term
This results in muscle cramps, tetany, spasms, parasthesias, anxiety, twitching, and hypotension
Definition
Hypocalcemia
Term
This results in fatigue, depression, N&V, increased urination, and confusion.
Definition
Hypercalcemia
Term
This results in leg and foot cramps, irritability, and confusion
Definition
Hypomagnesemia
Term
This results in hyporeflexia, muscle weakness, lethargy, confusion, bradycardia, and hypotension
Definition
Hypermagnesemia
Term
What are normal magnesium levels
Definition
1.8-2.4
Term
This medication decreased airway resistance by decreasing bronchospasm
Definition
Albuterol (sympathomimetic)
Term
A pt diagnosed with lumbar spondylosis without discal herniation or bulging has a L5 neural compression. What is the likely structure that is compression the nerve root?
Definition
Ligamentum Flavuum
Term
Overweight BMI
Definition
25 - 29.9
Term
Patient with this will be more likely to have atrial fibrillation and myocardial infarction after prolonged bed rest.
Definition
Hyperthyroidism
Term
2 adverse side effects of diuretics
Definition
Orthostatic Hypotension
Dizziness
Term
Causes of increased subcostal angle
Definition
1. Flattened diaphragms
2. Blunted costophrenic angle
3. Increased amount of air causing hyperinflated lungs
Term
A bronchodilator used to reverse airway obstruction
Definition
Theophylline
Term
Signs of theophylline toxicity
Definition
Irregular HR
Feeling jittery
Gastric Upset
Seizures
Arrhythmias
Term
The valsalva maneuver is known to do what?
Definition
Slow down pulse rate
Increase venous pressure
Term
2 Side effects of Atropine
Definition
Increased HR and contractility at rest
Term
A sign of posterior column damage in the spinal cord. Flexion of the neck produces and electric-shock sensation down the spine and into the LEs
Definition
Lhermitte's Sign
Term
Assesses disability that includes balance, ROM, sensation, and pain in the UE and LE
Definition
Fugel-Meyer
Term
Assesses balance and gait in the elderly population
Definition
Performance Oriented Mobility Assessment
Term
Measures impairment, not disability, related to spasticity
Definition
Modified Ashworth Scale
Term
Assesses fatigue in persons with multiple sclerosis
Definition
Modified Fatigue Impact Scale
Term
What percentage of body weight is appropriate traction to reduce muscle spasm?
Definition
25%
Term
If a patient is dehydrated when blood work is taken what will likely be elevated?
Definition
BUN because it assesses kidney function
Term
What is a normal BUN level?
Definition
10-20 mL/dL
Term
What position should the elbow be in to perform a MMT of the supinator without having to worry about the biceps helping out?
Definition
Terminal elbow flexion so the bicep is maximally shortened
Term
What muscles tend to weaken first in children diagnosed with Duchenne's Muscular Dystrophy?
Definition
Proximal musculature of the lower extremities and pelvis followed by muscles of the shoulder and neck then upper extremities and respiratory muscles.
Term
Silver sulfadiazine is a sulfa drug that can produce a decrease in WBCs. A decrease in WBCs is called what?
Definition
Leukopenia (<5,000)
Term
What is the Barthel Index?
Definition
10 ADLs in a screening tool for rehab, LTACH, and home health.
Term
What is good about a fluoroscopy?
Definition
allows examiner to observe the actions of the joints, organs and entire systems of the body.
Term
What muscles assist in forced expiration?
Definition
Internal Intercostals
Term
What does extension lag mean?
Definition
greater passive than active ROM
Term
What is the primary limitation of a maximal endurance test?
Definition
Maximal exercise testing requires participants to exercise to the point of volitional fatigue.
Term
What lung sound is associated with chronic bronchitis?
Definition
Wheezes
Term
What is the difference between a sprain and a strain
Definition
Strain - injury involving muscle or tendon
Sprain - injury involving ligament
Term
Withholding of reinforcement for a previously reinforced behavior which decreases the future probability of that behavior. The goal of this is a reduction or loss in the strength of a conditioned response when the unconditioned stimulus or reinforcement is withheld.
Definition
Extinction
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