PT566 Exam 2
8.2A: A 57 y/o female patient has been referred to physical therapy with a diagnosis of adhesive capsulitis and a referral for physical therapy to "evaluate and treat." She reports no known mechanism of injury, only that she noticed significant stiffness over the past 2 months and is experiencing extreme pain with an "empty" end feel. Which of the following is CORRECT regarding the diagnosis of adhesive capsulitis for this patient? "Freezing" stage "Frozen" stage "Thawing" stage
"Freezing" stage "The intense pain with an "empty" end feel is indicative of this beginning phase of AC"
13.4: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Cushing's disease Ectopic ACTH syndrome Gout Systemic lupus erythematosus (SLE) Rheumatoid arthritis Osteosarcoma Cushing's syndrome Osteoid osteoma Sjogren's syndrome Multiple myeloma Ewing's sarcoma Scleroderma (localized) Scleroderma (systemic)
. . . . . . . . . . . . Cushing's syndrome
11.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm)
. . . . . . . . . . . . Guyon's canal syndrome (ulnar n.)
8.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: GH dislocation / subluxation Subacromial pain syndrome: stage 2 Biceps tendon rupture GH joint OA Hill sachs lesion SC joint posterior dislocation Bankart lesion Posterior GH instability Multidirectional GH instability Subacromial pain syndrome: stage 1 Superior labrum tear ant to post (SLAP)
. . . . . . . . . . . . Hill sachs lesion
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome Nursemaid's elbow
. . . . . . . . . . . . Intersection syndrome
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Boxer's fracture Galeazzi fracture (forearm) Jersey finger Posterolateral rotatory instability Bennett's fracture Dupuytren's contracture Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome
. . . . . . . . . . . . Jersey finger
11.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement
. . . . . . . . . . . . PIN syndrome
8.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Anterior GH instability GH dislocation / subluxation Subacromial pain syndrome: stage 2 Biceps tendon rupture GH joint OA Hill sachs lesion SC joint posterior dislocation Bankart lesion Posterior GH instability Multidirectional GH instability
. . . . . . . . . . . . Posterior GH instability
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Rotator cuff tear Primary subacromial impingement (general, no stage) Superior labrum tear ant to post (SLAP) Anterior GH instability Bankart lesion Secondary subacromial impingement Stage 1 adhesive capsulitis (inflammatory) Hill sachs lesion Stage 3 adhesive capsulitis (frozen)
. . . . . . . . . . . . Primary subacromial impingement "block"
10.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Thoracic stenosis Scheuermann's disease Thoracic rib dysfunction Burst TS fracture Translational / rotational TS fracture Scoliosis Thoracic outlet syndrome Thoracic facet dysfunction
. . . . . . . . . . . . Scheurmann's disease
13.4: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Gout Scleroderma (localized) Cushing's disease Sjogren's syndrome Ectopic ACTH syndrome Rheumatoid arthritis Cushing's syndrome Osteoid osteoma Scleroderma (systemic) Multiple myeloma Ewing's sarcoma Systemic lupus erythematosus (SLE) Osteosarcoma
. . . . . . . . . . . . Systemic LUPUS erthythematosus (SLE)
9.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . pancoast's tumor
13.2: What are the four phases of RA progression?
1. synovial swelling 2. pannus formation 3. chronic active phase 4. chronic inactive phase
10.3: What are the three most common causes of thoracic outlet syndrome?
1. tight scalenes 2. elevated first rib 3. tight pecs
8.2: What two joint are required for coordinated scapulothoracic motion?
AC joint SC joint
9.2A: A 65-year-old male arrives at your clinic with complaints of progressive neck pain that has increased to the point he can no longer sleep at night. As per his report, he is unable to get relief from position changes, massage, or passive modalities. At this time you are suspicious of which of the following pathologies? Spinal stenosis Active malignant process (cancer) Cervical radiculopathy Referred cardiothoracic pain
Active malignant process (cancer) "nigh pain without relief form position change is a red flag that cancer should be ruled out"
11.4A: Performance of the "OK sign" specifically assesses the function of which of the following nerves? Ulnar nerve Anterior interosseous Posterior interosseous Superficial radial
Anterior interosseous
9.2A: A patient presents with a positive Hoffman's sign secondary to cervical myelopathy. What additional signs/symptoms would you expect them to present with? Ataxic gait Diminished patellar reflex Diminished triceps reflex Calf swelling
Ataxic gait
9.6A: Cervical myelopathy is caused by Compression of the peripheral nerves due to disc herniation Compression of the spinal cord in the vertebral foramen Compression of the peripheral nerves due to cervical muscle spasm Compression of the cauda equina
Compression of the spinal cord in the vertebral foramen
9.3A: When comparing cervical myelopathy to radiculopathy, which of the following is exclusive to myelopathic signs and symptoms? Neck and extremity symptoms Myotomal weakness Paresthias Gait and balance disturbances
Gait and balance disturbances
LS12-14Q: 6. What finding is inconsistent with anterior interosseous nerve entrapment? Sensory changes to the little finger. Weakness of wrist flexion Weakness of flexor pollicis longus No pain
Sensory changes to the little finger.
LS12-14Q: 5. What nerve is entrapped in Wartenburg's syndrome? Radial n Median n Superficial Ulnar n Superficial Radial n
Superficial Radial n
8.2A: The following muscle is most capable of exerting a translational force that functions to stabilize the humeral head against the glenoid fossa. Supraspinatus Anterior deltoid Serratus anterior Middle trapezius
Supraspinatus
LS8Q: True or false: A positive Hawkins-Kennedy test is a likely finding in a patient with shoulder pain and mobility deficits.
TRUE I thought this was false at first but dr abzug said it can be true bc special tests dont have high sensitivity / specificity
8.2A: Three findings commonly associated with adhesive capsulitis include all of the following EXCEPT Significant loss of external rotation Insidious onset of condition Tenderness to joint line palpation High level of pain in the early phase
Tenderness to joint line palpation
LS8Q: True or false: A weak and painless manual muscle test for internal rotation can indicate a subscapularis tear.
True
9Q: True or False: Radiating pain and radicular symptoms always occur together. Select one: a. True b. False
b. False
11.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Smith fracture Greenstick fracture Boutonniere deformity TFCC tear De Quervain's syndrome Boxer's fracture Galeazzi fracture (forearm) Jersey finger Posterolateral rotatory instability Bennett's fracture
. . . . . . . . . . . . TFCC tear
11.5 what are the four types of guyons canal ulnar n. compression presentation?
1.deep branch to hypo motor branch → weak int + lumb 2. Lesion at/prox to hypo motor branch → weak int + lumb + hypo ms. 3. Lesion at/prox to bifur → weak int + lum + hypo ms. AND sensory symp distal palm + uln 1.5 digits 4. Lesion to sens branch → only sensory symp distal palm + uln 1.5 digits
LS12-14Q: 3. Which of the following would indicate a diagnosis of shoulder dislocation/subluxation? A) + Apprehension/relocation test B) + Speeds test C) + Lift off test D) Painful arc sign
A) + Apprehension/relocation test
9.2A: A 42-year-old female presents to your clinic with a primary complaint of neck pain traveling into her left arm, shoulder, and scapular area. She notes her arm pain increases with exertion (walking up 2 flights of steps), at which point she notes that she is short of breath. Which of the following diagnoses needs to be cleared before proceeding? Cardiac abnormality Cervical disc herniation Pancoast tumor Upper cervical ligamentous instability
Cardiac abnormality
LS12-14Q: 9. A 55-year-old patient presents with R shoulder pain, dull at rest and in the evenings, worse with arm elevation or activity. Shoulder ROM is normal, strength is reduced to 4+/5 throughout. Special tests for the shoulder are negative. What is a possible hypothesis that fits this presentation? Shoulder impingement Pancoast's tumor Cardiac presentation Kidney failure
Cardiac presentation
LS12-14Q: 4. SD is a 43 y/o female 5 month pregnant. She has been working as a secretary for the last 10 years. Within the last 3 months she has been experiencing feeling numbness and tingling on the palm of her hand. The first, second and third digits. She is concerned that this has something to do with her pregnancy and is wondering if she should stop working. What is your main hypothesis for this patient's diagnosis? Wartenberg's syndrome De Quervain's syndrome TFCC Tear Carpal Tunnel Syndrome
Carpal Tunnel Syndrome
11.5A: A 53-year-old female presents to physical therapy with complaints of tingling and numbness on the palmar surface of the first and second digits with no obvious mechanism of injury. The patient reports that pain is worse at night and that if she shakes her hands the symptoms temporarily decrease. Examination reveals decreased light touch sensation to the first digit and an increase in symptoms with full wrist flexion. The MOST LIKELY diagnosis is Carpal tunnel syndrome Cubital tunnel syndrome Flexor tendon injury Keinbock's disease
Carpal tunnel syndrome
LS12-14Q: 1. Michelle is a 60-year-old female with a past medical history of rheumatoid arthritis complaining of neck pain and weakness in the cervical spine. Patient reports that she has had trouble with her bladder and that she feels numbness/tingling in both of her arms. Significant findings during examination include ataxia and a bilateral L5 weakness. What diagnosis best fits this presentation? Thoracic outlet syndrome Cervical Radiculopathy Non-specific neck pain Cervical Myelopathy
Cervical Myelopathy
9.2A: Pain in the posterior neck associated with complaints of dizziness, numbness, and nausea may be a sign of __________ and warrants further evaluation. Coronary artery disease Internal carotid dysfunction Myocardial infarction Cervical artery dysfunction
Cervical artery dysfunction
LS8Q: True or false: The glenoid labrum contributes to dynamic stability at the glenohumeral joint.
False
LS8Q: True or false: Subacromial impingement always indicates a bone spur blocking motion of the humerus.
False This would be structural impingement, it can also be functional (two different types)
LS8Q: True or false: Scapulohumeral rhythm predicts that initial arm elevation is associated with early scapular upward rotation.
False You would typically see scapular upward rotation after 30-60 degrees of shoulder abd
13.3: Does do the H, P and A stand for in the "HPA physiology negative feedback loop" that is abnormal in Cushing's patients?
Hypothalamus (corticotropin releasing hormone = CRH) Anterior Pituitary (adrenocorticotropic releasing hormone = ACTH) Adrenal cortex (CORT)
8.2A: The following muscle, when weak, will result in scapular winging during force application to the upper extremity in flexion. Serratus anterior Middle trapezius Lower trapezius Rhomboids
Serratus anterior
11.6A: A mallet finger is the term used to describe loss/disruption of the following structure. Juncture tendinae Central tendon Terminal tendon Sagittal band
Terminal tendon
8.4A: There is a strong correlation between biceps labral tear and glenohumeral instability. False True
True "The labrum is a passive restraint to shoulder stability and contributes to the negative intracapsular pressure of the joint."
8.4A: The acronym TUBS indicates a patient is likely to require surgery. True False
True Traumatic Unilateral Bankert lesion Surgical repair
LS8Q: True or false: Shoulder pain with movement coordination impairments is another way to describe both AMBRI and TUBS.
True - AMBRI and TUBS = instability groups
11.4A: A "bishop's hand" is associated with which of the following PNIs? Radial Median Ulnar
Ulnar
11.6A: Gamekeeper's thumb, or skier's thumb, happens as a result from a tear of the following. Ulnar collateral ligament of the first MCP Capsule of the first CMC Radial collateral ligament of the first MCP Capsule of the first MCP
Ulnar collateral ligament of the first MCP
LS12-14Q: 7. What nerve is involved in Wartenberg's sign? Radial n Median n Ulnar n Musculocutaneous n
Ulnar n
11.2A: The following structure is most commonly affected in patients with an elbow UCL injury. Ulnar nerve Radial nerve Musculocutaneous nerve Median nerve
Ulnar nerve
13.3: Gout involves increased production and/or decreased renal elimination of what?
Urate (uric acid in blood)
11Q: Performance of the "OK sign" specifically assesses the function of which of the following nerves? Select one: a. Anterior interosseous b. Posterior interosseous c. Superficial radial d. Ulnar nerve
a. Anterior interosseous
LS9Q: 6. C5 radiculopathy is most commonly associated with alteration of the following deep tendon reflex: a. Biceps b. Brachialis c. Triceps d. Achilles
a. Biceps
LS10-11Q: 6. Complaints of numbness and tingling on the palmar aspect of the hand and second radial digit would be related to which of the following diagnoses? a. Carpal tunnel syndrome b. Cubital tunnel syndrome c. Posterior interosseous nerve syndrome d.Wartenberg's syndrome
a. Carpal tunnel syndrome
LS9Q: 4. Which of the following procedures would increase pain for a patient with cervical radiculopathy from a herniated disc? a. Spurling's Test. b. Distraction Test. c. Sharp Purser Test. d. Manual muscle testing of C7 musculature.
a. Spurling's Test.
LS10-11Q: 7. Which of the following conditions would be least consistent with carpal tunnel syndrome? a. Wrist extensor weakness b. Thenar eminence atrophy c. Improved with shaking out the hands d. Decreased grip strength
a. Wrist extensor weakness
LS12-14Q: 2. Which of the following is NOT a part of the clustered clinical findings for cervical myelopathy? a) Gait deviations b) Positive Hoffmann's test c) Cervical distraction d)Inverted supinator sign
c) Cervical distraction
8Q: The natural course of adhesive capsulitis is towards resolution, which generally occurs within this time frame. Select one: a. 6-8 months b. 10-14 months c. 24-30 months
c. 24-30 months
11Q: A boxer's fracture involves which of the following structures? Select one: a. Distal radius b. Carpal bone c. Metacarpal d. Phalanx
c. Metacarpal
LS10-11Q: 3. A patient presenting in physical therapy has complaints of decreased grip strength and difficulty at work as a barber. A physical therapist is conducting an examination and asks the patient to extend the wrist while the hand is resting on a plinth, which they are unable to do. Which of the following is the most likely diagnosis? a. Carpal tunnel syndrome b. Intersection syndrome c. Posterior interosseous nerve syndrome d. Cubital tunnel syndrome
c. Posterior interosseous nerve syndrome motor deficit
11Q: Gamekeeper's thumb, or skier's thumb, happens as a result from a tear of which of the following? Select one: a. Radial collateral ligament of the first MCP b. Capsule of the first MCP c. Ulnar collateral ligament of the first MCP d. Capsule of the first CMC
c. Ulnar collateral ligament of the first MCP
11Q: Which of the following is/are a common sign or symptom associated with valgus extension overload in an overhead-throwing athlete? Select one: a. Loss of full elbow extension ROM b. Pain with arm deceleration c. Ulnar neuritis d. Both a and b e. All of the above
e. All of the above
8Q: If you suspect subacromial pain syndrome as the cause of your patient's shoulder pain, which of the following diagnoses would be least likely? Select one: a. Tendinitis of the supraspinatus b. Subacromial bursitis c. Tendinosis of the long head of the biceps d. Partial thickness tear of the rotator cuff e. Bankart lesion
e. Bankart lesion
13.2: What is a major concern in the C spine with rheumatoid arthritis?
erosion of the transverse ligament in the C spine
8.3: What are the three types of rotator cuff pathology?
subacromial impingement tendinopathy tendon tear
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: TFCC tear De Quervain's syndrome Boxer's fracture Galeazzi fracture (forearm) Jersey finger Posterolateral rotatory instability Bennett's fracture Dupuytren's contracture Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation
. . . . . . . . . . . . . DeQuervain's syndrome
11.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb)
. . . . . . . . . . . . . Posterolateral rotatory instability
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.)
. . . . . . . . . . . . 1st MCP ulnar collateral ligament injury
8.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Subacromial pain syndrome: stage 3 Stage 4 adhesive capsulitis (thawing) Hill sachs lesion Stage 3 adhesive capsulitis (frozen) Subacromial pain syndrome: stage 2 Stage 2 adhesive capsulitis (freezing) Stage 1 adhesive capsulitis (inflammatory) SC joint posterior dislocation Superior labrum tear ant to post (SLAP) Primary subacromial impingement AC joint injury
. . . . . . . . . . . . AC joint injury (6 types)
11.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome
. . . . . . . . . . . . AIN entrapment
8.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Anterior GH instability GH dislocation / subluxation Subacromial pain syndrome: stage 2 Biceps tendon rupture GH joint OA Hill sachs lesion SC joint posterior dislocation Bankart lesion Posterior GH instability Multidirectional GH instability
. . . . . . . . . . . . Anterior GH stability
8.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: GH dislocation / subluxation Subacromial pain syndrome: stage 2 Biceps tendon rupture GH joint OA Hill sachs lesion SC joint posterior dislocation Bankart lesion Posterior GH instability Multidirectional GH instability Subacromial pain syndrome: stage 1 Superior labrum tear ant to post (SLAP)
. . . . . . . . . . . . Bankart lesion
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Posterolateral rotatory instability Bennett's fracture Dupuytren's contracture Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome
. . . . . . . . . . . . Bennett's fracture
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Posterior GH instability GH joint OA GH dislocation / subluxation Biceps tendon rupture Subacromial pain syndrome: stage 1 Multidirectional GH instability AC joint OA Biceps tendinopathy Stage 2 adhesive capsulitis (freezing) AC joint injury
. . . . . . . . . . . . Biceps tendinopathy
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Posterior GH instability GH joint OA GH dislocation / subluxation Biceps tendon rupture Subacromial pain syndrome: stage 1 Multidirectional GH instability AC joint OA Biceps tendinopathy Stage 2 adhesive capsulitis (freezing) AC joint injury
. . . . . . . . . . . . Biceps tendon rupture
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Smith fracture Greenstick fracture Boutonniere deformity TFCC tear De Quervain's syndrome Boxer's fracture Galeazzi fracture (forearm) Jersey finger Posterolateral rotatory instability Bennett's fracture
. . . . . . . . . . . . Boutonniere deformity
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Boxer's fracture Galeazzi fracture (forearm) Jersey finger Posterolateral rotatory instability Bennett's fracture Dupuytren's contracture Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome
. . . . . . . . . . . . Boxer's fracture
10.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Thoracic stenosis Scheuermann's disease Thoracic rib dysfunction Burst TS fracture Translational / rotational TS fracture Scoliosis Thoracic outlet syndrome Thoracic facet dysfunction
. . . . . . . . . . . . Burst TS fracture
9.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . Cervical arterial dysfunction (vertebral artery)
9.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . Cervical fracture (commonly odontoid process)
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm)
. . . . . . . . . . . . Colles fracture
11.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion
. . . . . . . . . . . . Cubital tunnel syndrome (ulnar n.)
13.4: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Multiple myeloma Osteosarcoma Gout Ectopic ACTH syndrome Sjogren's syndrome Scleroderma (localized) Rheumatoid arthritis Ewing's sarcoma Cushing's syndrome Systemic lupus erythematosus (SLE) Cushing's disease Osteoid osteoma Scleroderma (systemic)
. . . . . . . . . . . . Cushing's disease
13.4: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Sjogren's syndrome Rheumatoid arthritis Cushing's syndrome Osteoid osteoma Gout Osteosarcoma Cushing's disease Ectopic ACTH syndrome Scleroderma (systemic) Ewing's sarcoma Systemic lupus erythematosus (SLE) Scleroderma (localized) Multiple myeloma
. . . . . . . . . . . . Ectopic ACTH syndrome (type of Cushing's)
11.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb)
. . . . . . . . . . . . Elbow dislocation
14.3: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Osteosarcoma Cushing's syndrome Systemic lupus erythematosus (SLE) Ectopic ACTH syndrome Multiple myeloma Ewing's sarcoma Gout Scleroderma (systemic) Sjogren's syndrome Rheumatoid arthritis Cushing's disease Osteoid osteoma Scleroderma (localized)
. . . . . . . . . . . . Ewing's sarcoma
8.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: GH dislocation / subluxation Subacromial pain syndrome: stage 2 Biceps tendon rupture GH joint OA Hill sachs lesion SC joint posterior dislocation Bankart lesion Posterior GH instability Multidirectional GH instability Subacromial pain syndrome: stage 1 Superior labrum tear ant to post (SLAP)
. . . . . . . . . . . . GH dislocation / subluxation
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Posterior GH instability GH joint OA GH dislocation / subluxation Biceps tendon rupture Subacromial pain syndrome: stage 1 Multidirectional GH instability AC joint OA Biceps tendinopathy Stage 2 adhesive capsulitis (freezing) AC joint injury
. . . . . . . . . . . . GH joint OA
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Smith fracture Greenstick fracture Boutonniere deformity TFCC tear De Quervain's syndrome Boxer's fracture Galeazzi fracture (forearm) Jersey finger Posterolateral rotatory instability Bennett's fracture Dupuytren's contracture
. . . . . . . . . . . . Galeazzi fracture (forearm)
13.4: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Osteoid osteoma Scleroderma (localized) Multiple myeloma Scleroderma (systemic) Cushing's syndrome Cushing's disease Rheumatoid arthritis Osteosarcoma Ectopic ACTH syndrome Systemic lupus erythematosus (SLE) Gout Sjogren's syndrome Ewing's sarcoma
. . . . . . . . . . . . Gout
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Smith fracture Greenstick fracture Boutonniere deformity TFCC tear De Quervain's syndrome Boxer's fracture Galeazzi fracture (forearm) Jersey finger Posterolateral rotatory instability Bennett's fracture Dupuytren's contracture
. . . . . . . . . . . . Greenstick fracture
11.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Dupuytren's contracture Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion
. . . . . . . . . . . . Ligament of struthers median n. entrapment
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture
. . . . . . . . . . . . Mallet syndrome
11.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture
. . . . . . . . . . . . Medial epicondylalgia
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome
. . . . . . . . . . . . Monteggia fracture (forearm)
8.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Anterior GH instability GH dislocation / subluxation Subacromial pain syndrome: stage 2 Biceps tendon rupture GH joint OA Hill sachs lesion SC joint posterior dislocation Bankart lesion Posterior GH instability Multidirectional GH instability
. . . . . . . . . . . . Multidirectional GH instability
9.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . Neck cancer
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome
. . . . . . . . . . . . Nightstick fracture (forearm)
11.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome Nursemaid's elbow Lateral epicondylalgia Thumb CMC arthritis Scaphoid fracture
. . . . . . . . . . . . Nursemaid's elbow
14.3: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Gout Multiple myeloma Scleroderma (localized) Sjogren's syndrome Ectopic ACTH syndrome Cushing's disease Rheumatoid arthritis Osteosarcoma Osteoid osteoma Systemic lupus erythematosus (SLE) Scleroderma (systemic) Ewing's sarcoma Cushing's syndrome
. . . . . . . . . . . . Osteosarcoma
11.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome Nursemaid's elbow Lateral epicondylalgia Thumb CMC arthritis Scaphoid fracture Olecranon bursitis
. . . . . . . . . . . . Pronator teres syndrome (median n. entrapment)
11.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement
. . . . . . . . . . . . Radial tunnel syndrome
13.3: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Cushing's disease Scleroderma (systemic) Osteoid osteoma Scleroderma (localized) Gout Systemic lupus erythematosus (SLE) Osteosarcoma Ewing's sarcoma Ectopic ACTH syndrome Rheumatoid arthritis Sjogren's syndrome Cushing's syndrome Multiple myeloma
. . . . . . . . . . . . Rheumatoid arthritis
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Subacromial pain syndrome: stage 3 Subacromial pain syndrome: stage 2 Rotator cuff tear Primary subacromial impingement Superior labrum tear ant to post (SLAP) Anterior GH instability Bankart lesion Secondary subacromial impingement Stage 1 adhesive capsulitis (inflammatory) Hill sachs lesion Stage 3 adhesive capsulitis (frozen)
. . . . . . . . . . . . Rotator cuff tear
8.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Subacromial pain syndrome: stage 3 Stage 4 adhesive capsulitis (thawing) Hill sachs lesion Stage 3 adhesive capsulitis (frozen) Subacromial pain syndrome: stage 2 Stage 2 adhesive capsulitis (freezing) Stage 1 adhesive capsulitis (inflammatory) SC joint posterior dislocation Superior labrum tear ant to post (SLAP) Primary subacromial impingement AC joint injury
. . . . . . . . . . . . SC joint posterior dislocation
13.4: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Multiple myeloma Ewing's sarcoma Scleroderma (localized) Ectopic ACTH syndrome Rheumatoid arthritis Scleroderma (systemic) Gout Sjogren's syndrome Cushing's disease Osteosarcoma Cushing's syndrome Systemic lupus erythematosus (SLE) Osteoid osteoma
. . . . . . . . . . . . Scleroderma (localized)
13.4: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Cushing's disease Ectopic ACTH syndrome Gout Systemic lupus erythematosus (SLE) Rheumatoid arthritis Osteosarcoma Cushing's syndrome Osteoid osteoma Sjogren's syndrome Multiple myeloma Ewing's sarcoma Scleroderma (localized) Scleroderma (systemic)
. . . . . . . . . . . . Scleroderma (systemic)
10.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Thoracic stenosis Scheuermann's disease Thoracic rib dysfunction Burst TS fracture Translational / rotational TS fracture Scoliosis Thoracic outlet syndrome Thoracic facet dysfunction
. . . . . . . . . . . . Scoliosis
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Rotator cuff tear Primary subacromial impingement Superior labrum tear ant to post (SLAP) Anterior GH instability Bankart lesion Secondary subacromial impingement Stage 1 adhesive capsulitis (inflammatory) Hill sachs lesion Stage 3 adhesive capsulitis (frozen)
. . . . . . . . . . . . Secondary subacromial impingement "instability"
13.4: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Multiple myeloma Cushing's syndrome Scleroderma (systemic) Scleroderma (localized) Cushing's disease Ewing's sarcoma Osteosarcoma Osteoid osteoma Rheumatoid arthritis Sjogren's syndrome Gout Ectopic ACTH syndrome Systemic lupus erythematosus (SLE)
. . . . . . . . . . . . Sjogren's syndrome
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Smith fracture Greenstick fracture Boutonniere deformity TFCC tear De Quervain's syndrome Boxer's fracture Galeazzi fracture (forearm) Jersey finger Posterolateral rotatory instability Bennett's fracture
. . . . . . . . . . . . Smith fracture
8.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Bankart lesion Biceps tendon rupture Multidirectional GH instability Subacromial pain syndrome: stage 3 Stage 4 adhesive capsulitis (thawing) Hill sachs lesion Stage 3 adhesive capsulitis (frozen) Subacromial pain syndrome: stage 2 Stage 2 adhesive capsulitis (freezing) Stage 1 adhesive capsulitis (inflammatory) SC joint posterior dislocation
. . . . . . . . . . . . Stage 1 adhesive capsulitis (inflammatory)
8.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Bankart lesion Biceps tendon rupture Multidirectional GH instability Subacromial pain syndrome: stage 3 Stage 4 adhesive capsulitis (thawing) Hill sachs lesion Stage 3 adhesive capsulitis (frozen) Subacromial pain syndrome: stage 2 Stage 2 adhesive capsulitis (freezing) Stage 1 adhesive capsulitis (inflammatory) SC joint posterior dislocation
. . . . . . . . . . . . Stage 2 adhesive capsulitis (freezing)
8.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Bankart lesion Biceps tendon rupture Multidirectional GH instability Subacromial pain syndrome: stage 3 Stage 4 adhesive capsulitis (thawing) Hill sachs lesion Stage 3 adhesive capsulitis (frozen) Subacromial pain syndrome: stage 2 Stage 2 adhesive capsulitis (freezing) Stage 1 adhesive capsulitis (inflammatory) SC joint posterior dislocation
. . . . . . . . . . . . Stage 3 adhesive capsulitis (frozen)
8.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Bankart lesion Biceps tendon rupture Multidirectional GH instability Subacromial pain syndrome: stage 3 Stage 4 adhesive capsulitis (thawing) Hill sachs lesion Stage 3 adhesive capsulitis (frozen) Subacromial pain syndrome: stage 2 Stage 2 adhesive capsulitis (freezing) Stage 1 adhesive capsulitis (inflammatory) SC joint posterior dislocation
. . . . . . . . . . . . Stage 4 adhesive capsulitis (thawing)
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Subacromial pain syndrome: stage 1 primary impingement Multidirectional GH instability AC joint OA Biceps tendinopathy Stage 2 adhesive capsulitis (freezing) AC joint injury Stage 4 adhesive capsulitis (thawing) SC joint posterior dislocation Subacromial pain syndrome: stage 3 primary impingement Subacromial pain syndrome: stage 2 primary impingement Rotator cuff tear
. . . . . . . . . . . . Subacromial pain syndrome: stage 1 primary impingement
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Subacromial pain syndrome: stage 1 primary impingement Multidirectional GH instability AC joint OA Biceps tendinopathy Stage 2 adhesive capsulitis (freezing) AC joint injury Stage 4 adhesive capsulitis (thawing) SC joint posterior dislocation Subacromial pain syndrome: stage 3 primary impingement Subacromial pain syndrome: stage 2 primary impingement Rotator cuff tear
. . . . . . . . . . . . Subacromial pain syndrome: stage 2 primary impingement
8.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Subacromial pain syndrome: stage 1 primary impingement Multidirectional GH instability AC joint OA Biceps tendinopathy Stage 2 adhesive capsulitis (freezing) AC joint injury Stage 4 adhesive capsulitis (thawing) SC joint posterior dislocation Subacromial pain syndrome: stage 3 primary impingement Subacromial pain syndrome: stage 2 primary impingement Rotator cuff tear
. . . . . . . . . . . . Subacromial pain syndrome: stage 3 primary impingement
8.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: GH dislocation / subluxation Subacromial pain syndrome: stage 2 Biceps tendon rupture GH joint OA Hill sachs lesion SC joint posterior dislocation Bankart lesion Posterior GH instability Multidirectional GH instability Subacromial pain syndrome: stage 1 Superior labrum tear ant to post (SLAP)
. . . . . . . . . . . . Superior labrum tear anterior to posterior (SLAP)
10.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Thoracic stenosis Scheuermann's disease Thoracic rib dysfunction Burst TS fracture Translational / rotational TS fracture Scoliosis Thoracic outlet syndrome Thoracic facet dysfunction
. . . . . . . . . . . . Thoracic facet dysfunction
10.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Thoracic stenosis Scheuermann's disease Thoracic rib dysfunction Burst TS fracture Translational / rotational TS fracture Scoliosis Thoracic outlet syndrome Thoracic facet dysfunction
. . . . . . . . . . . . Thoracic outlet syndrome
10.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Thoracic stenosis Scheuermann's disease Thoracic rib dysfunction Burst TS fracture Translational / rotational TS fracture Scoliosis Thoracic outlet syndrome Thoracic facet dysfunction
. . . . . . . . . . . . Thoracic rib dysfunction
10.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Thoracic stenosis Scheuermann's disease Thoracic rib dysfunction Burst TS fracture Translational / rotational TS fracture Scoliosis Thoracic outlet syndrome Thoracic facet dysfunction
. . . . . . . . . . . . Thoracic stenosis
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome Nursemaid's elbow Lateral epicondylalgia Thumb CMC arthritis Scaphoid fracture Olecranon bursitis
. . . . . . . . . . . . Thumb CMC arthritis
10.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Thoracic stenosis Scheuermann's disease Thoracic rib dysfunction Burst TS fracture Translational / rotational TS fracture Scoliosis Thoracic outlet syndrome Thoracic facet dysfunction
. . . . . . . . . . . . Transitional / rotational TS fracture
11.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm)
. . . . . . . . . . . . UCL injury
11.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.)
. . . . . . . . . . . . Valgus extension overload (VEO) posterior impingement
11.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome
. . . . . . . . . . . . Wartenberg's syndrome (sup rad n.)
11.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.)
. . . . . . . . . . . . carpal tunnel syndrome
9.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . cervical myelopathy
9.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . cervical radiculopathy
9.4: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . cervicogenic headache
11.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment
. . . . . . . . . . . . distal median n. lesion
11.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome
. . . . . . . . . . . . distal ulnar n. lesion
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Dupuytren's contracture Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion
. . . . . . . . . . . . ganglion cyst
11.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome Nursemaid's elbow Lateral epicondylalgia Thumb CMC arthritis Scaphoid fracture
. . . . . . . . . . . . lateral epicondylalgia
9.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . meningitis
14.3: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Multiple myeloma Rheumatoid arthritis Scleroderma (systemic) Osteosarcoma Sjogren's syndrome Scleroderma (localized) Cushing's disease Osteoid osteoma Ewing's sarcoma Systemic lupus erythematosus (SLE) Cushing's syndrome Ectopic ACTH syndrome Gout
. . . . . . . . . . . . multiple myeloma
11.3: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome Nursemaid's elbow Lateral epicondylalgia Thumb CMC arthritis Scaphoid fracture Olecranon bursitis
. . . . . . . . . . . . olecranon bursitis
14.3: Flip card for diagnosis description (risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Systemic lupus erythematosus (SLE) Rheumatoid arthritis Multiple myeloma Osteoid osteoma Ewing's sarcoma Cushing's syndrome Osteosarcoma Cushing's disease Ectopic ACTH syndrome Scleroderma (systemic) Scleroderma (localized) Sjogren's syndrome Gout
. . . . . . . . . . . . osteoid osteoma
11.7: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm)
. . . . . . . . . . . . radial head fracture
11.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.) Intersection syndrome Monteggia fracture (forearm) Distal ulnar n. lesion Pronator teres syndrome Nursemaid's elbow Lateral epicondylalgia Thumb CMC arthritis Scaphoid fracture Olecranon bursitis
. . . . . . . . . . . . scaphoid fracture
9.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . thyroid cancer
9.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . torticollis
9.2: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . upper cervical instability
9.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Meningitis Whiplash Torticollis Cervical myelopathy Cervical arterial dysfunction Thyroid cancer Cervicogenic headache Upper cervical instability Cervical radiculopathy Neck cancer Pancoast's tumor Cervical fracture (commonly odontoid process)
. . . . . . . . . . . . whiplash
11.6: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Dupuytren's contracture Ganglion cyst Ligament of struthers median n. entrap Elbow dislocation Medial epicondylalgia PIN syndrome Mallet syndrome Radial tunnel syndrome UCL injury Radial head fracture Distal median n. lesion
. . . . . . . . . . . Dupuytren's contracture
11.5: Flip card for diagnosis description (MOI/risk factors, SE, OE/confirmation/intervention), choose from diagnosis selection below. scroll down for correct answer: Distal median n. lesion 1st MCP ulnar collateral lig injury (thumb) AIN entrapment Colles fracture Valgus extension overload (VEO) posterior impingement Nightstick fracture (forearm) Scapholunate dissociation Wartenberg's syndrome (sup rad n.) Carpal tunnel syndrome Cubital tunnel syndrome (ulnar n.) Guyon's canal syndrome (ulnar n.)
. . . . . . . . . . . Scapholunate dissociation
11.2A: The moving valgus stress test is considered positive if symptoms are provoked within the following range of motion. 50-100 degrees 20-70 degrees 100-130 degrees 70-120 degrees
70-120 degrees
9.5A: Direct compression of the spinal cord or ischemia caused by vascular compromise is a typical cause of Cervical radiculopathy Cervical myelopathy Cervical headache
Cervical myelopathy
8.4A: What is a Hill-Sachs lesion? Detachment of the anterior inferior labrum from the glenoid Lengthening of the anterior inferior capsule Fracture of the rim of the glenoid Chondral lesion of the humeral head
Chondral lesion of the humeral head occurs often after an anterior glenohumeral dislocation.
11.4A: A patient has been working 60 hours a week at a computer. Over the past 3 months, the patient has reported pain to the medial aspect of the right forearm and hand. The patient reports occasional nocturnal pain as well as a decrease of right grip strength and right hand dexterity. The patient even states that "the little finger goes to sleep." The patient MOST likely has Carpal tunnel syndrome Cubital tunnel syndrome Posterior interosseous nerve syndrome Radial tunnel syndrome
Cubital tunnel syndrome
11.7A: A secondary complication associated with a Galeazzi fracture is Loss of hyaline cartilage across the distal radius Dislocation of the radial head Avascular necrosis of the lunate Disruption of the distal radio-ulnar joint
Disruption of the distal radio-ulnar joint
LS8Q: True or false: A positive Neer test is a likely finding in a patient with an AMBRI presentation
False - AMBRI is instability
LS8Q: True or false: A patient with Type II Diabetes mellitus presents with limited shoulder motion. The first thing you should consider is a rotator cuff tear.
False - this would make you think of adhesive capsulitis
LS8Q: True or false: The "shoulder" consists of both the glenohumeral and acromioclavicular joints.
False: consists of the GH, ST, SC and AC joints
LS8Q:A patient presents with adhesive capsulitis of the right shoulder. A physical therapist notes that the patient exhibits pain complaints of 8/10 on a NPRS that occurs with AROM more than 45 degrees of arm elevation. The patients shoulder abduction PROM is 45 degrees and shoulder flexion PROM is 45 degrees, both limited by pain. What phase of adhesive capsulitis is the patient likely in? Freezing Frozen Thawing Glacial
Freezing large pain level is indicator of freezing stage stiffness is indicator of frozen stage
8.2A: Motion during the initial phase of arm elevation occurs at the GH joint SC joint ST joint AC joint
GH joint
8.2: What four joints are required for coordinated shoulder girdle motion?
GH joint AC joint SC joint ST joint
11.7A: A boxer's fracture involves which of the following structures? Distal radius Metacarpal Phalanx Carpal bone
Metacarpal
LS12-14Q: 8. What test item cluster would indicate rotator cuff tear? Painful arc, infraspinatus muscle test, neer's test Hawkins-kennedy, painful arc, infraspinatus muscle test Hawkins-kennedy, painful arc, drop arm test Painful arc, infraspinatus muscle test, drop arm test
Painful arc, infraspinatus muscle test, drop arm test
9.2A: Which of the following is considered a high risk factor when determining the need for cervical spine radiography? Patient is able to remain seated in the waiting room Patient ambulates into the ER/clinic Delayed onset of neck pain Paresthesias in the extremities
Paresthesias in the extremities
8.2: Match the type of impingement with the definition? Primary impingement Secondary impingement Functional stenosis of the subacromial space due to abnormal arthrokinematics (uncontrolled humeral movement) Structural stenosis of the subacromial space
Primary impingement: Structural stenosis of the subacromial space Secondary impingement: Functional stenosis of the subacromial space due to abnormal arthrokinematics (uncontrolled humeral movement)
14.4A: Regarding neoplastic disorders, which of the following is most useful for ruling in the disorder (good specificity)? Age 40 or older Relief of pain with bedrest Prior history of cancer Insidious onset
Prior history of cancer
14.4A: Which cancers commonly metastasize to the spine? Prostate, breast, kidney, thyroid, lung, and lymphoma Pancreas, biliary, thyroid, liver, and kidney Liver, digestive, kidney, thyroid, and lung Kidney, prostate, biliary, thyroid, liver, and lymphoma
Prostate, breast, kidney, thyroid, lung, and lymphoma
11.7A: A Monteggia fracture is described as a fracture of the Distal third of the radius Articular surface of the distal radius Proximal/middle third of the ulna Medial articular surface of the first metacarpal
Proximal/middle third of the ulna
8.3A: A patient is asked to raise his arm overhead and a shoulder shrug is observed as an attempt is made to elevate the arm. Based upon this information, which of the following is most likely to demonstrate weakness? Supraspinatus Anterior deltoid Serratus anterior Lower trapezius
Supraspinatus
9.5A: Which of the following is/are characteristic of cervicogenic headaches? Bilateral headache Primary joint mobility restriction in lower cervical spine Unilateral headache
Unilateral headache
9.4: What are the two arteries that supply blood to the cranial circulation? What % contribution does each one elicit? Which supplies the anterior vs. posterior cranial circulation? In what position is each under the greatest stress?
Vertebral artery: 11% cerebral blood flow, post cranial circ, greatest stress with upper cervical rotation Carotid artery 89% cerebral blood flow, ant cranial circ, greatest stress with mi cervical rotation
11.5A: Which of the following is associated with an ulnar nerve PNI? Arcade of Frohse Kiloh-Nevin sign Saturday night palsy Wartenberg's sign
Wartenberg's sign
LS10-11Q: 1. Michelle is a 40-year-old executive assistant who now works at home on the computer. She complains of numbness and heaviness in her hand that is improved by shaking her hands. Which of the following diagnoses is MOST consistent with her work activities and reported symptoms? a. Carpal tunnel syndrome b. Cubital tunnel syndrome c. Tarsal tunnel syndrome d. Radial tunnel syndrome
a. Carpal tunnel syndrome
LS9Q: 5. Fred, a 23-year-old male, reports to your clinic with right-sided cervical spine and shoulder pain reproduced with right cervical rotation and extension. Based on this presentation, which diagnoses is most likely? a. Degenerative joint disease b. Cervical facet joint dysfunction c. Cervicolisthesis d. Cervical disc rupture
b. Cervical facet joint dysfunction
9Q: Weakness and sensory loss in a nondermatomal and nonmyotomal distribution is consistent with what diagnosis? Select one: a. Cervical disc pathology b. Cervical myelopathy c. Cervicogenic headaches d. Cervical instability
b. Cervical myelopathy
LS9Q: 1. A patient being examined by a physical therapist presents with neck pain, pain in the lateral proximal humerus, and a positive upper limb tension test of the median nerve. Which of the following diagnoses is most likely? a. Cervical facet syndrome b. Cervical radiculopathy c. Thoracic outlet syndrome d. Non-specific neck pain
b. Cervical radiculopathy
8Q: Compression of cancellous bone of the posterior head of the humerus against the anterior glenoid rim, which occurs during the process of anterior glenohumeral dislocation, can result in a __________ lesion. Select one: a. Bankart b. Hill-Sachs c. McCue d. Skyhart
b. Hill-Sachs
8Q: A 23-year-old patient presents to PT s/p anterior glenohumeral dislocation. Which of the following ligaments is most likely torn? Select one: a. Posterior glenohumeral ligament b. Inferior glenohumeral ligament c. Trapezoid ligament d. Conoid ligament
b. Inferior glenohumeral ligament
11Q: Radial tunnel syndrome involves compression of the deep branch of the radial nerve. What distinguishes radial tunnel syndrome from posterior interosseous nerve syndrome? Select one: a. Compression site b. Lack of motor weakness findings c. Positive Finkelstein test d. Tenderness to palpation over radial tunnel
b. Lack of motor weakness findings
LS8Q: Duane slipped on the steps at work on ice while holding on to the handrail. He jerked his arm back and felt a pop followed by excruciating pain. Since then, arm elevation has been very difficult. Which of the following diagnoses would be LEAST likely? a. Hill-Sachs lesion b. Posterior labral tear c. Full-thickness rotator cuff tear d.Glenohumeral dislocation
b. Posterior labral tear posterior labral tear most likely occurs from posterior translation of humerus (foosh type injury) in duanes case his shoulder more so came anterior / inferior
LS10-11Q: 5. A mountain climber who does a lot of competitive bouldering experienced a TFCC injury. She has returned to competition following rehab but concerns remain about which of the following conditions, which may result as a consequence of her injury due to abnormal stresses across the 1st MCP joint? a. Boxer's fracture b. Scaphoid injury c. Maisonneuve fracture d. Ulnar-carpal joint injury
b. Scaphoid injury ulnar carpal joint injury could fit too
LS9Q: 2. Marie is a 74-year old female with a physician referral for gait and balance training. She notes over the past three years she has been experiencing an increase in falls. In addition she reports complaints of dizziness, bilateral paresthesia in her hands and feet and intermittent neck pain that she attributes to old age. What special test is most indicated prior to treating this patient? a. Drop arm test b. Sharp Purser test c. Spurling's test d. Timed-up and go
b. Sharp Purser test
LS9Q: 7. Aakriti is a 27-year-old female who was in a MVC this past weekend. She presents to a physical therapist via Zoom for a virtual evaluation. She reports experiencing a rear end collision and that her car was impacted by an empty transit bus at 45mph. She reports mild headaches and some midline neck pain, 3/10 NPRS. She reports no difficulty moving her head but doesn't recall the accident itself. Does she need a radiograph? a. Yes, perform the evaluation b. Yes, hold on the evaluation c. No, perform with evaluation d. No, unless red flags found during evaluation
b. Yes, hold on the evaluation
8Q: The following muscle, when weak, will result in scapular winging during force application to the upper extremity in flexion. Select one: a. Rhomboids b. Middle trapezius c. Serratus anterior d. Lower trapezius
c. Serratus anterior
9Q: You suspect a patient with radiating cervical spine pain may also have signs and symptoms of cervical radiculopathy. What cluster of clinical tests could you use to help confirm your hypothesis? Select one: a. Biceps load test, Spurling's test, FABER b. Neck distraction, anterior drawer test, ULTT I c. Spurling's test, ULTT I, neck distraction d. ULTT I, neck distraction, squeeze test
c. Spurling's test, ULTT I, neck distraction
LS9Q: 3. Bilateral sensory changes, a reverse supinator sign, and the presence of ataxia describe what diagnosis? a. C5-C6 disc pathology b. Thoracic outlet syndrome c. Pancoast tumor d. Cervical myelopathy
d. Cervical myelopathy
9Q: A 2-week old infant with right congenital muscular torticollis presents to your clinic with her head rotated to the left and laterally flexed to the right. What muscle is most likely involved? Select one: a. Right levator scapula b. Left levator scapula c. Left sternocleidomastoid d. Right sternocleidomastoid
d. Right sternocleidomastoid
LS10-11Q: 8. How is anterior interosseous syndrome differentiated from pronator teres syndrome? a. Weakness of pronation muscle strength b. Wrist extensor weakness c. Wrist flexor weakness d.Paresthesia of the anterior forearm
d.Paresthesia of the anterior forearm
LS8Q: A 61-year-old patient presents with right shoulder pain and difficulty initiating shoulder flexion and muscle weakness. The patient reports no specific mechanism of injury but has had shoulder pain on and off for years. Testing reveals scapular elevation prior to the initiation of shoulder flexion. What is the most likely diagnosis? a. Subacromial impingment syndrome b. Cervical radiculopathy c. Hil-sachs lesion d.Rotator cuff tear
d.Rotator cuff tear symptoms over many years started tearing slowly and progressing slowly
LS10-11Q: 4. A 16-year-old male patient reports with lateral wrist and hand pain following a a fall at a skate park. Radiographs were negative but pain is persistent one week later.. Tenderness is noted on the floor of the anatomic snuff box. What is the likely diagnosis? a. Scaphoid dislocation b. Lunate avascular necrosis c. Intersection Syndrome d.Scaphoid Fracture
d.Scaphoid Fracture
LS8Q: A physical therapist is evaluating an 18-year-old basketball player with a suspected anterior dislocation of the glenohumeral joint, which was reduced on the court. Which of the following assessments is important to assess in order to explore concomitant injuries related to this injury? a. Brachial artery pulse b. Speed's test c. Myotome assessment of the C6 level d.Sensation over lateral shoulder
d.Sensation over lateral shoulder anterior dislocation can hit axillary nerve - want to make sure it is still intact
LS10-11Q: 9. Which of the following factors are most important for prognosing the progression of the curvature for idiopathic scoliosis? a. Convexity and patient's age b. Patient's gender and parent's age c. Family history and patient's age d.Severity of the curve and skeletal maturity
d.Severity of the curve and skeletal maturity
LS10-11Q:2. A physical therapist is performing an examination of a patient with numbness and tingling over the posterior lateral side of their distal UE over the thumb and wrist. Which of the following diagnoses is most likely if the patient presents without weakness? a. Pronator Teres Syndrome b. Cubital tunnel syndrome c. Posterior interosseous nerve syndrome d.Wartenburg's Syndrome
d.Wartenburg's Syndrome superficial radial nerve - no motor loss for this syndrome
9Q: All may be signs and symptoms of a whiplash injury except Select one: a. Neck pain b. Headches c. Shoulder pain d. Concussion e. Anxiety f. Upper cervical instability g. None of the above
g. None of the above
8.2: Compare the painful arc of the glenohumeral joint, subacromial joint and acromioclavicular joint
glenohumeral joint: 45-60° to 120° abd subacromial joint: 60 to 120° acromioclavicular joint: >170° abd
11.5: What nerve is involved in saturday night palsey?
radial n.
9.4: What is the anatomical basis for the pain pattern seen in cervicogenic headaches?
trigeminocervical nucleus: afferent nerves from CN V (trigeminal nerve) and C1-3 nerve roots converge here (afferents for the head, throat and neck)
LS8Q: True or false: The cervical spine should be screened for patients with shoulder symptoms
true
11.5: What muscle is substituting for what with a + froments sign? with what n lesion is this present?
ulnar n. flexor pollicis brevis subbing for adductor pollicis, causes thumb to hyperflex when trying to grip a piece of paper
9.3: Do parathesias/numbness or weakness occur in a myotomal pattern?
weakness parathesias / numbness (sensory changes) occur in a dermatomal pattern
