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Step III

Step III - OMM/Msk 1

Pseudofractures are also known as Milkman’s lines and indicate what dz Osteomalacia
Pt has elevated ALP, nL Ca/PO4, mosaic pattern of bone formation. Dx Paget’s Dz
How do you perform the Tinel’s test Tapping VOLAR wrist to illicit pain in carpal tunnel
How do you perform the Watson test and what does it indicate Push scaphoid anteroposterior with wrist in ulnar or radial deviation to see if scaphoid reduces or subluxes; carpal ligament injury
How do you perform Allen’s test and what does it indicate Occlude radial and ulnar artery while pt pumps fist, release one artery to see if blood returns to palm; (+) = delay/absence of blood returning to palm = arterial compromise
What is suggested by a (+) Finkelstein’s test and what muscles are affected DeQuervain’s tenosynovitis; Abductor pollicis longus/extensor pollicis brevis
What muscle courses around Lister’s tubercle Extensor pollicis longus
What muscle snaps over the ulnar styloid Extensor carpi ulnaris
What is Colles’ Fracture I don’t know
What c/o distinguishes polymyositis from polymyalgia rheumatica Both dz have muscle stiffness/pain but polymyalgia rheumatica has NORMAL muscle strength
What are the diagnostic requirements for pts w/ fibromyalgia 1. pain in 4 quadrants >3mos 2. tender points in 11-18 areas
What is the tx for polymyalgia rheumatica PO Corticosteroids
What is the tx for OA and RA NSAIDs
How do you test for pectoralis minor syndrome Abduct and externally rotate affected arm
What is the lasegue test and how do you perform it Aka straight leg test to test for LS radiculopathy
What is Patrick’s and FABER’s test Two names for one test aka “figure 4 test”; Flexion ABduction Ext Rotation (FABER); used to dx Sacroiliitis; do “figure 4” for affected side to reproduce pain
What is the fx of the radial nerve Ext wrist and fingers
What is the fx of the median n. innervates pronator teres, flexor carpi radialis, palmaris longus, flexor digitorum superficialis, radial half of the flexor digitorum profundus, flexor pollicus longus, and pronator quadratus
What is the fx of the musculocutaneous n. coracobrachialis, biceps brachii, and brachialis
What is the fx of the ulnar n. flexor carpi ulnaris, flexor digitorum profundus (ulnar half), opponens digiti minimi, abductor digiti minimi, flexor digiti minimi brevis, adductor pollicis, the third and fourth lumbrical muscles, and the dorsal/palmar interossei
What is the fxn of the axillary n. deltoid and teres minor
What is the Lachman’s test Anterior knee (drawer) test for ACL tear
What is the McMurray’s test Flex knee, apply valgus or varus stress + ext/int rotation of foot while extending leg to produce “click” = Medial/lateral meniscus tear
Lateral deviation of patella = patello-femoral syndrome (quadriceps unbalanced)
Pt c/o DEEP knee pain w/ climbing stairs + lateral deviation of patella. Dx Patello femoral syndrome
What muscle is atrophied in patello-femoral syndrome Vastus medialis
Created by: DrINFJ