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NPTE Musculoskeletal

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show in anterior-inferior direction  
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show ABD UE is forcefully ER leading to tearing of inferior GH lig, anterior capsule and possibly labrum  
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Incidence of Posterior GHJ dislocation   show
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show HADD and IR of GHJ  
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show Hill-Sachs lesions, SLAP lesions, Bankart’s lesion, axillary nerve bruising  
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Compression fx of posterior humeral head is called   show
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Tearing of SUPERIOR glenoid labrum from posterior to anterior (above the middle of the socket)   show
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show Bankart’s lesion  
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PO precautions from GHJ D/L surgery   show
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GHJ instability characterized by   show
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Traumatic GHJ instability is common in   show
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Atraumatic GHJ instability is common in   show
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show MRI  
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PO GHJ Instability plan   show
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show non-localized Sho pain, worsened by OH activities or HBB, weakness, instability, pain on resisted FLEX of biceps, anterior tenderness  
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Gold standard for ID of labral tear   show
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Compression of NVB in thoracic outlet between bony and soft tissue   show
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show brachial plexus, subclavian a/v, vagus n, phrenic n, sympathetic trunk  
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show superior thoracic outlet, scalene triangle, clavicle/1st rib, PMinor/thoracic wall  
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Sx procedures for TOS   show
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show Adson’s, Roos’, Wright’s, Costoclavicular  
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show shoulder elevation >90d  
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Irritation between RTC & Greater Tuberosity or posterior glenoid/labrum   show
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show mechanical impingement of the proximal tendon between anterior acromion & bicipital groove  
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Humeral neck Fx commonly occur in   show
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Greater Tuberosity Fx commonly occur in   show
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Humeral Neck/Gtr tuberosity Fx require Sx or immobilization?   show
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Restriction in shoulder motion as a result of inflammation & fibrosis of the shoulder capsule   show
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show disuse following surgery, repetitive microtrauma, DM2  
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show ER > ABD > FLEX > IR  
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show intermittent mild pain with OH activities, >35yo  
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show mild-mod pain with OH activities  
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Sx of primary impingement Stage 3   show
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Sx of RTC tears (full thickness)   show
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show loss of motion in capsular pattern  
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Sx of anterior instability   show
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show slipping of humerus out the back, esp with FLEX & IR  
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Sx of multidirectional instability   show
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Lateral epicondylitis is a chronic inflammation of   show
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PPT factors for lateral epicondylitis   show
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show Pronator teres & FCR tendons at medial epicondyle of humerus  
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PPT factors for medial epicondylitis   show
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Complications of distal humeral Fx   show
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show examine quickly for NV status esp radial n, vascular-Volkmann’s ischemia, growth plates in youth  
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show malunion  
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show young people  
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show ORIF  
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Osteochondrosis of humeral capitellum   show
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OCD of humeral capitellum caused by   show
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show adolescents 12-15yr  
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show Panner’s disease  
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show Ulnar collateral ligament injuries  
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show pain at medial elbow at distal insertion of lig, sometimes parasthesias in ulnar nerve  
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Focus of rehab for UCL injury   show
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show Spinal accessory n  
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show Long thoracic nerve  
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Pain on forward shoulder FLEX, Sho weakness, Pain with scap ABD or CL Cx ROT can be injury to what nerve?   show
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Inability to ABD arm with neutral rotation can be injury to what nerve?   show
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show Musculocutaneous nerve  
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Causes of ulnar nerve entrapment   show
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Clinical findings of Ulnar nerve entrapment   show
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show within pronator teres and under superficial head of flexor digitorum superficialis  
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show repetitive gripping  
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Sx of Medial nerve entrapment   show
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Radial nerve entrapment occurs where & why?   show
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show lateral elbow pain, pain over supinator muscle, paresthesias in radial nerve distribution  
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What type of dislocation most frequent at elbow?   show
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show elbow hyperextension from a FOOSH  
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Posterior dislocations of elbow frequently cause   show
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show Ulnar collateral lig rupture, anterior capsule rupture, LCL lig, brachialis muscle, wrist flexor or extensor muscle  
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show rapid swelling, severe elbow pain, deformity  
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Sx of CTS   show
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show atrophy and weakness of thenar muscles and lateral two lumbricals  
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show DeQuervain’s tenosynovitis  
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show repetitive microtrauma, 2/2 swelling during pregnancy  
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show pain at anatomical snuff box, swelling, decreased grip & pinch, + Finkelstein’s  
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Most common wrist fracture resulting from FOOSH   show
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Med tx of Colles Fx   show
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show median nerve compression with excessive edema  
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show results from dorsal or posterior displacement of distal fragment of radius with radial shift of wrist/hand  
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show Smith’s Fx  
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show Garden spade deformity  
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show Scaphoid  
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Complications of scaphoid fx   show
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Medical tx of scaphoid fx   show
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show Dupuytren’s contracture  
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Typically affected joints in Dupuytren’s   show
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show Boutonniere deformity  
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show MCP extension, DIP extension, PIP flexion  
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Boutonniere deformity common   show
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Contracture of intrinsic muscles of finger with dorsal subluxation of lateral extensor tendons   show
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Sx of Swan neck deformity   show
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show following trauma or RA with dengeration of lateral extensor tendons  
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Ape hand deformity   show
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show median nerve dysfunction  
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Mallet finger   show
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show trauma forcing distal phalanx into flexion  
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show sprain of UCL of MCP joint of thumb resulting in medial instability  
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show fall during skiing  
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show Fx of neck of 5th metacarpal  
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Boxer’s Fx occurs   show
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Boxer’s Fx medical tx   show
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