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Vince questions

QuestionAnswer
Up until the age of skeletal maturity to three bones of the OS coax or in nominate Bone are the Ischium ilium pubis
Means the angle is greater than normal Valgus
What are the common settings on a hip abduction brace and what is the brace used for? Used for someone that chronically dislocates their hip common settings is 80° reflection and 15° of abduction
A child presents postop super consular fracture in a long arm cast. What is your precaution? Circulation, if there’s a lack of blood flow, they can get Volkmans ischemic contracture
What is the presentation of a suspected bicep tendon tear Weakness and bending the elbow, bulge and severe pain in the upper arm, gap in front of the elbow
In a grade 3 acromioclavicular joint injury the most appropriate device for treatment is number #1ORIF & #2_____ Varney brace
In the treatment of a patient with a mid shaft humoral fracture with a hanging arm cast what direction would you move the point of attachment on a hanging arm cast in order to reduce a varus deformity Dorsal
Name the surgical procedure that consists of capsular repair in the glenoid for chronic anterior dislocation of the shoulder Bankhart
The term for the operative procedure involving the resection of the distal clavicle for chronic AC separation Mumford
The term for lesion following a shoulder dislocation on the anterior glenoid rim is a Bankhart
In the treatment of humeral shaft fractures, which of the following is most appropriate? Collar and cuff
The surgical procedure that consists of Screwface ation of the clavicle to the coracoid for AC separation is Bosworth procedure
As described in “dandy” with regard to nerve injuries, a transient loss of function caused by external pressure with recovery in minutes is termed Neurapraxia
The anatomical name for the joint in the body with the greatest range of motion is the Glenohumeral joint
The two bones that comprise the glenohumeral joint are the Proximal, humorous and scapula
The S shaved bone that provides the only bony connection with the thorax and the shoulder joint is referred to as the Clavicle
The S shaped bone articulates with the chest to form this bony connection between the shoulder and body name this articulation Sternoclavicular joint
The lateral aspects of the S shaped bone articulates with a flat bone that makes up the posterior structure of the shoulder name this flat bone Scapula
The joint where the lateral aspect of the shaped bone and the flat bone form the “roof” of the shoulder is the Acromioclavicular
The s artery becomes the a artery, which then becomes the______artery Subclavian artery, axillary artery, brachial artery
The term for the primary neurological connection between the cervical spine C5 to T1 and the upper extremity is referred to as the Brachial plexus
Prior to shoulder motion two things must take place first. the flat bone named above must be stabilized the two primary muscles that accomplish this task are the._and_. the second action is the “snubbing” of the shoulder joint. This action is accomplished The two primary muscles are the crates anterior and the trapezius. The four muscle muscles is called the rotator cuff.
Name the four muscles that form the common tendon that acts to “snub“ the shoulder joint as described above Subscapularis, supraspinatus, infraspinatus, teres minor
The two muscles that primarily act to abduct the shoulder are the________ and __________. Supraspinatus and middle portion of the deltoid
The term for the bony indentation on the flat bone of the shoulder, that forms the shoulder joints articular surface along with the proximal and of the long bone of the shoulder is the_____ Glenoid fossa
The shoulder joint is made more stable by a round “washer“ of cartilage that surrounds the Glenoid fossa indentation and deepens it name the cartilage Glenoid labrim
Name, one action carried out by the terres major muscle Extension
The trapezius and levator scapula combined cause which action of the shoulder? Shrug
The term for an action of turning about an axis is? Axial rotation
The prefix artho means what? Joint
The prefix a indicates what? Without
On the flat bone of the shoulder is a process or outcropping that one of the biceps tendon attaches to name this process Coracoid process
This bony outcropping also provides a point of attachment for the ligaments that provides stability to the joint between the S shaped bone and the flat bone name these two ligaments that stabilize the joint Coracoacromial ligament Coracoclavicular ligament
What is the term for the fluid filled Sac that function as a shock absorber for joint motion? Bursa
What branch of neurologic supply to the arm provides motor nerve to the deltoid muscle? Axillary nerve
The elbow is comprised of three articulations name them? Humeroradial, humeroulnar and radioulnar joints
The anterior cubital faucet contains several important structures name the long taught tendon palpable in the center of this area Biceps tendon
Directly medial to the biceps tendon what artery can be felt? Brachial artery
Name the nerve that lays medial to the brachial artery? Median nerve
What nerve is the nerve of flexion for the hand and wrist? Median nerve
The nerve that lies on the lateral side of the median nerve and provides sensation to the radial aspect of the forearm Musculocutaneous nerve
Name the ligament that cups, the Radialhead and neck holding them in place relative to the ulna Annular ligament
Name the four motions of the elbow Flexion extension, supination, and pronation
Name the nerve palpable in the sulcus groove between the medial epicondyle and the olecranon Ulnar nerve
The number of degrees at the elbow in full extension____ degrees 0
What nerve innervates the elbow flexors Musculocutaneous nerve
What nerve innervates the extensor of the elbow Radial nerve
If you have a patient places hand in a supinated position under a counter and push against the palm of his hand, what muscle group would be prominent Biceps
The biceps muscle causes two primary actions of the elbow joint. What are they? And what is the nerve that innervates these two actions? Flexion and supination and the musculocutaneous nerve innervates these actions
Which of the following is the preferred positioning for a long arm cast applied to an acute collies fracture status post reduction Palmer Flex, ulnar deviation, supination
Which is the preferred position in a Smith’s fracture status post closed reduction. LAC in: Neutral wrist, supinate
Which of the following is not a complication commonly seen in pedes supercondular fractures 1) median nerve palsy 2) non-union 3) Malunion 4) vascular compromise 5) myosis ossificans Non-union
When treating unreduced, acute super consular fractures, which of the following is not recommended? 1: traction 2: direct pressure 3: Flexion 4: pronation Flexion
You are instructed to remove a long arm cast from a child who is two weeks postop from a super consular fracture. What normal condition exists under the cast that you need to be aware of? Percutaneous pins
In general, it is necessary only to mobilize the elbow in_________ (position) in order to maintain closed reduction of a super consular fracture Flexed
A longitude, no fracture that is either dorsal or molar, and is through the joint of the distal radius is termed a Barton’s fracture
A lateral consular fracture may if not properly treated result in growth, arrest, or male union or deformity of the lower end of the humorous best described as cubitus Valgus
When treating both bone forearm fractures in a cast orif, a good inner osseus mold for a strong plate is needed to prevent Cross union
Medial condular fractures will most likely cause? Ulnar nerve palsy
If one sustained a fracture to the electron, the surgeon may opt to surgically repair it most probably using? Cerclage wire and pins
The most common method of treatment for tennis elbow is Velcro armband
What is a moore fracture? A fracture of the proximal tibia with a dislocation
Grossly displaced or commuted fractures of the Radiohead are often best treated by Radial head excision/prosthetic implant
The end result of muscle necrosis caused by occlusion of the microcirculation, following an upper extremity injury and aggravated by compartment syndrome results in a contractor referred to as Volkman’s ischemia
One difficulty that is seen treating distal radius fractures is impaction or shortening which of the following is most effective, encountering this problem External fixator
Which of the following is most effective method of treating a galleazi fx Orif
Which of the following is another term for?”sudecks atrophy“ Reflex symptomatic dystrophy, causalgia, post traumatic syndrome
What is the conservative length of time in the cast for a scaphoid fracture? 12 weeks
What is the term for a fracture of the neck of the little finger MCP? Boxers
A “hairpin“ splint is best used to treat a Distal phalanx fracture
What is the term for a fracture of the base of the little finger metacarpal? Busby fracture
If you were to treat carpal tunnel, what type of splint would you apply and what position? Volar splint with 5° of Dorsey flexion
The term for tenosynovitis of the abductor pollicis and extensor tendon sheath of the wrist De quervains syndrome
The most appropriate splint used to treat de quervains syndrome is Thumb spica in abduction
The term for spontaneous, avascular necrosis of the lunate usually seen in young adults Kienbocks disease
What is the Alan test used for? Occlusion arterial supply
What is the phalen test used for? Carpal tunnel
What is tinel sine used for? Carpal tunnel
What is the finklestien test used for? De quervains
What is the Watson test used for? Scapholunate instability
When treating a bowler plate injury described display, and the position of the digit in the splint Dorsal splint with 30° of flexion at the pip, DIP, MCP joints
The term for a fracture of the base of the thumb metacarpal with a “Y” shaped in articular pattern would be a Rolando fracture
The most appropriate cast for a closed, minimally, displaced Bennett’s fracture to be treated closed would be Thumb Spica in abduction
What is the term for a fluid filled sack around the joints or fingers arising from the joint capsule? Ganglion
This procedure is the surgical freeing of a tendon from adhesions Tendolysis
This procedure is basically the surgical repair of a ruptured tendon Tenoplasty
Name the term to describe an injury to the ulnar collateral ligament of the thumb Gamekeepers
Describe the type of cast used to treat gamekeepers’s thumb and the position of the extremity Thumb Spica in adduction
The term for bacterial infection of the pulp of a digit is Felon
The flexor carpi radialis, the flexor digitorum superficialis and flexor pollicis are contained in the _______ or ______ compartment of the forearm these muscles are innervated by the___ nerve, while the flexor carpi ulnaris is innervated by the ___nerve Flexor or anterior Median nerve Ulnar nerve
The opponens digit Quinti or minimi, flexor digit Quinti and the abductor Hypothenar muscle group
What specific action does the hypothenar muscle group have on the hand? Opposition
Is the hypothenar muscle group and intrinsic or extrinsic muscle group? Intrinsic
What motor nerve innervates the hypothenar muscle group? Ulnar
Name the primary anatomic structures contained in the carpal tunnel Median nerve and nine flexor tendons
The main blood supply to the hand and wrist are the terminal branches of the brachial artery name them Radial artery & ulnar artery
What functionally, unique action can the human thumb perform that permits, pinch and grasp? Opposition
Name the muscle group that includes the oppenens pollicis abd pollicis brevis, adductor pollicis and the flexor pollicis brevis Thenar muscle group
What nerve innervates The thenar muscle group Median
Name the two intrinsic muscle groups responsible for MCPJ flexion, DIP and PIP extension and abduction and abduction of the digits Lumbicals and interossie
Most of the extensor of the wrist and hand are innervated by the______ nerve Radial
Intrinsic plus means that the MCP joint is at____ degrees Pip joint is at ______ Dip joint is at _____ Wrist is in ______degrees of _______ Mcp-90 Pip-0 Dip-0 Wrist-15 degrees of Dorsi flexion
Flexion at the distal, interphalangeal joint is carried out by what muscle? Flexor digitorum profundus
What word identifies a muscle that acts on the thumb? Pollicis
The bony origin of most of the extrinsic extensor muscles Lateral epicondyle of the distal humerus
The dorsal or posterior compartment contains what primary muscle group? Extensors
The hook of the handmaid is of clinical importance because it forms the lateral “radial“ border of the tunnel of__________ which transports the_____ nerve and artery to the hand Guyon Ulnar
The term for the horney cutaneous plate on the dorsal surface of the distal end of the finger Ungus
What is a chauffeurs fracture?
Distal radius fracture, including the styloid process
What is a moore fracture? Distal radius “colles“ fx of the ulnar, styloid and dorsal sublux of the distal ulna
What is a night stick fracture? Isolated fracture of the middle third of the ulna
What is a Piedmont fracture? A Piedmont fracture is a break of the radius bone in the forearm, typically occurring in the middle to lower portion, without involvement of the ulna. It’s also called an isolated radial shaft fracture.
What is preiser's disease? A vascular necrosis of the scaphoid
WhAt is a felon? Digital pulp infection, pocket of infection under the nail
Up until the age of skeleton maturity, the three bones of the OS coxae or innominate Bone are the? Ischium, illium, pubis
These bones fuse to form the innominate bone which articulates with the sacrum via the strongly constructed________joint Sacroiliac
The ischium, illium, and pubis fused together, forming a deep socket that’s referred to as the_______ Acetabulum
The two main flexor muscles of the hip actually are referred to with one name. What is it? Iliopsoas
Name the major extensor of the hip Gluteus maximus
The normal angle of the femoral neck to shaft is? 135°
The normal amount of a moral shaft anteversion is 15°
The major blood supply to the femoral head is the_____artery Medial circumflex artery
The name for the ligament that runs from the pelvis to the femoral head supplying very little actual support is the_______. Ligament of Teres
Name the two muscles primarily responsible for abduction of the hip Gluteus medius and gluteus minimus
For each of the following muscle groups name the motor branch of the lumbar plexus that innervates it Flexors- Abductors- Extensors - Adductors- Flexors- femoral nerve Abductors- superior gluteal nerve Extensors -tibial branch of sciatic nerve Adductors-obturator nerve
What is the term for the anterior point where the two innominate pelvic bones meet? Pubic symphysis
Name the ligament that runs from the anterior superior iliac spine to the junction of the pelvic bones named above “it limits hip flexion“ Inguinal ligament
Name the one bony point palpable on the hip “it is the point used to establish the height of a cane” Greater trochanter
When in the extended position, the hip is held in that position by the powerful muscle group known as the Hamstring muscle group
Name three muscles in the hamstring muscle group Semitendinosis, semimembronois, biceps femoris Long head
The difficulty in pelvic fractures is that there is a 66% incidents of shock due to Soft tissue injuries associated with the fracture
The method for treating pertrochanteric, trochanteric, and commuted fractures of the proximal femur described in your hand out was ORIF employing a Blade plate
The primary difference between cortical and cancellous screws Thread pitch/width
The term for reconstructive surgery of a joint to restore motion or to prevent excessive motion is a Arthroplasty
Name the specific traction used to treat a very proximal femoral fracture 90/90/90 traction
90 90 90 traction requires a Steinman pin placed in the Distal femur
The term for overhead frame, that is basically a double single overhead frame with crossbars connecting to two is technically referred to as a Balkman frame
What is the max the patient can weigh for Bryants traction 30lbs
blauvelt calls this disease osteitis deformans. A disease of unknown origin, resulting in deformation of bone. Pagets disease
Why must you use telescoping overhead bars on a bed like the Hill Rom 840 Because when the bed moves up in the sitting position, the overhead bars need to move in the bed to accommodate the shortening of the bed
This test involves lateral displacement of the patella where you attempt to sublux the patella laterally Apprehension
The ACL provides 85% of the anterior stability of the knee which of the following is a test of that ligaments stability Anterior drawer
Knee test that is done with the knee at 30° of flexion and the foot not stabilized. It is to check the ACL. Lachmans
What mechanical device has made the lachmans test less subjective by providing a means for measuring laxity in millimeters KT 1000
What is the technical name for this type of device? Arthrometer
What meniscus tear if repaired is most likely to heal? Red to Red
If it is indeed, the femoral condyles compressive force that causes a tibial plateau fracture what primary type of knee stress causes a medial tibial plateau fracture? Varus
Which of the following would be the most appropriate plate and screw for treatment of distal femoral Condyle fracture Dynamic condular screw
The knee ligament tested with a various stress test is the LCL
Although not true knee instability, hypertension of the knee or__________ is demonstrated by simply lifting the heel of a patient and observing the knee Recurvatum
What is the term where the patella rides above its normal position? Patella alta
Your instructed to apply a cylinder cast to a patient who is two days status post patellar dislocation what particular technique discussed will you use in the application of this cast? Lateral buttress
A click either Audible or palpable on this test is a positive sign of a meniscus tear Mcmurry
The x-ray view that visualizes the patella and is taken using a “jig“ to standardize the alignment for each film is referred to as a Merchant
The term________ is a catch all for cystic disease in the popliteal fossa of the knee Baker’s cyst
This disease develops between the age of nine and 13 more commonly in males. It is characterized by pain, swelling over the tibial tuberosity, aggravated by activity. Osgood slaughter disease
In this disease, young adult sustained a separation of the articular surface of a joint due to a cleavage plane through the subdural bone Osteochondritis dissecans
Name three primary x-ray reviews for knee exam AP, lateral, merchant
Patella fractures are usually fixed internally with what? Percutaneous pins, cerclage wires
What is the specific term used to describe the type of race used immediately postop also known as as a range of motion brace Rehab brace
The type of brace you would fit to a patient who is now 12 months post injury and wants to return to his active sports lifestyle would be a Functional ACL brace
What injury would a “knee cage“ most appropriately treat Patella instability
Which of the following would be most important for treatment of a patient with patella, femoral malalignment Straight leg exercises
The most significant long-term problem associated with knee joint damage is early arthritis or degenerative joint disease
Aspiration of the knee joint with a large bore needle introduced beneath patella for diagnostic reasons, and to relieve effusion would be referred to as a Arthrocentesis
The anatomic landmark used to align the hinges in a knee brace, support or motion device would the Adductor tubricle
What is the term for the surgical corrective procedure that treats arthritis of one surface of the knee joint? High tibial osteotomy
The ______ Tendon inserts into the proximal or superior pole of the patella. The tenant has four muscle components. Name them: Quadriceps tendon Vastus lateralis Vastus medialis Vastus inter Rectis femoris
The quadriceps tendon becomes the_____ as it runs from the distal pool of the patella to the proximal tibia or more precisely the tibial________ Patellar tendon Tibial tuberosity
Name the three bony joints of the knee Lateral tibiofemoral Medial tibiofemoral Petellar femoral
Name the two sets of muscles that are primarily flexors of the knee joint Hamstring muscles in the Gastronemius
The extensor muscles of the knee are basically introverted by what nerve? Femoral nerve
The flexor muscles of the knee are introverted by what motor branch of the sciatic nerve Tibial branch of sciatic
What is the term for the fibrocartilage semilunar shaped discs on the articular surface of the medial and lateral tibial plateau? Menisci
The femoral artery becomes the_______ artery as soon as it passes through the posterior portion of the knee, providing the primary blood supply to the knee Popliteal
The ______ Ligament attaches to the posterior, medial aspect of the lateral femoral condyle and runs to the anterior surface of the tibia. It’s function is to limit_______ “direction“ travel of the tibia on the femur. Anterior cruciate ligament anterior direction
If you were asked to apply cast for a patient with a PCL tear, would it be reasonable to put the patient’s leg up on a stand for casting yes or no? No, it was just the PCL and caused tibial SAG or posterior displacement. It will hurt the patient and cause more damage.
In a valgus stress of the knee what capsular ligament is stressed? Which ligament is relieved? Medial collateral ligament is stressed Lateral collateral ligament is relieved
The measurement made of the intersection of lines drawn from the anteriorsuperior iliac spine to the mid patella, and the mid patella to the anterior tibial tuberosity is referred to as the Q angle
The iliotibial band inserts between the tibial tuberosity and the head of the fibula. What is the term for the point of insertion? Gerdys tubercle
What ligaments is the KT – 1000 designed to test? Anterior and posterior cruciate ligament
What is plica? Plica is a fold or shelf of membraneous synovial tissue
In order for Taylor Swift to occur, there must be_____ points of failure in the ring of the Mortise. 2
External rotation ankle fractures usually result from_______ rotation of your body Internal
Name the three radiologic views that constitute a “ankle series“ A/P Lateral Mortise
The _______ Ligaments of the ankle are more common sites for inversion ligament sprains of the ankle Anterior talofibular
What is not a common problem with spiral tibial fxs Distraction
This device is used to treat tibial shaft fractures involving significant bone loss. If used to treat an acute fracture it can both be a fracture, fixator and a traction device to lengthen the bone. Illizarov
A fracture of the medial Mallios is also a sign of a possible avulsion or tear of the Deltoid ligament
This ankle injury is a complete disruption of the syndesmosis caused by external rotation forces, resulting in proximal fibula fracture Maisonnauve
What does SER & PER refer to in ankle injuries Supination external rotation Pronation external rotation
Which of the following would be the best method of treatment for an open injury with substantial loss and a spiral fracture of the tibia and fibula in an adult? & why? External fixator because you can check the one to make sure there’s no infection and it can possibly lengthen Bone
What is the true term for clubfoot? Talipes equinovarus
The term for the turning in of the forefoot metatarsal is Metatarsus adductus
A fracture and dislocation through the tarso-metatarsal joint with displacement of the proximal metatarsal is referred to using the term Lizfranc
The term for thickening of the planter nerve just beyond the metatarsal head in the web space usually found between the third and fourth toes Morton’s neuroma
This x-ray visualizes the calcaneus, it is an AP with a 45° tilt Harris
The term for a tearing or disruption of the syndesmosis joint of the ankle is Diastasis
A ________ fresher described as a “third degree abduction, external rotation fracture of the ankle” Potts
Name the term for an apophyistis of the heel bone at the insertion of the Achilles tendon Severs disease
The term for the surgical procedure for the correction of clubfoot in an infant is Turco
Achilles tendon injuries that are treated conservatively are placed in a LLC with equines and knee flexed
In the treatment of tibia fractures with intramuscular rods, what is the term used to indicate a rod that incorporates transverse screws at the proximal and distal ends of the rod to maintain length? Interlocked
The lower or distal end of the tibia and fibula makes up the medial and lateral______of the ankle Malleoli
Because of the geometry of the ankle joint is referred to as a______ type of joint a word used in carpentry in masonry Mortise
The distal articular surface of the tibia is referred to as the_______ which articulates with the dome of the______ which in turn articulates in a side saddle way with the largest of the tarsal bones the _______ Plafond Talus Calcaneous
The ______ Compartment of the leg contains the tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius. These muscles_______ The ankle joint and______ the toes. This compartment is innovated by the _____ ______ nerve Anterior Dorsiflex Dorsiflex Deep peroneal
The_____ compartment of the leg contains the gastroc, soleus, and plantarius muscles. These muscles primarily_____ the ankle joint. The compartments are innervated by the______nerve Posterior Plantar Flex Posterior tibia
The _______ compartment of the leg contains the peroneus longus and brevis muscles. These muscles cause what action of the ankle? ________ These muscles cause what action of the foot?_____ Lateral Plantar Flex of the ankle Eversion of the foot
What nerve in innervates the lateral compartment of the leg Superficial peroneal nerve
Besides a normal number of sesamoid and accessory bones in the foot, how many bones comprise the foot? 26
Prior and immediately after the cast application of any lower extremity cast, one should always test the extension power of the great Toe why? To test motor function of the extensor hallucis longus, when innervated by the deep peroneal nerve
What structure bridges the two bones of the lower leg to maintain the integrity of the ankle Mortise joint forming the syndesmosis? Interossius membrane
The large bulk of muscle responsible for extension of the spine, extends from the sacrum to the skull, and is the only muscle supplied by the post primary rami of the spinal nerves Erector spinae
The normal adult vertebrae spine contains how many osseous units 33
Between each of the vertebrae there are fibrocartilaginous discs. What is the term for the outer or peripheral layer of these discs? Annulus fibrosus
What is the term for the gelatinous mass in the center of these discs? Nucleus pulposus
What two areas allow for the most rotation motion of the spine Cervical/ thoracic
Name the five spinal regions and the number of vertebrae in each Cervical-7 Thoracic-12 Lumbar-5 Sacral-5 “fused” Coccygeal-4
The total number of normal curves seen in the AP view of the spine is 0
In rotation of the skull C one together with a skull rotates around the process that arises from C2 and incorporates into C1 this process is known as the Odondoid process
What action on the lumbar spine does the quadratus lumborum have? Lateral flexion
The C1 through C7 spinal nerves leave the vertebral canal_____ the pedicles of the corresponding vertebrae, while the rest of the spine they_______ THE Pedicles OF THE VERTEBRAE Above Exit below
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