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Orthopedic general questions
From pop quiz oral exam
41
Other
Graduate
10/31/2011

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Term
What is the patient management model?
Definition
Examination, Evaluation, Diagnosis, Prognosis/POC, Intervention, Referral or outcome and reassessment
Term
What is the Nagi model?
Definition
Pethology -> impairment -> Functional limitation -> Disability
Term
What are the stages of inflammation?
Surgical stages?
Definition
Acute -> subacute -> chronic -> chronically inflammed w. acute exacerbation

Maximum protection -> moderate protection -> minimum protection -> return to function
Term
Examination procedures
Definition
History - chief complaint, functional limitations, PMHx/PSHx, other tests, meds Tests and measures - observation, mobility testing (AROM/PROM/RIT), cervical/lumbar scan, functional assessment, special tests,reflexes, joint play, palpation, Dx imaging
Term
What does a scan consist of?
Definition
Mobility testing, peripheral joint scan, myotomes, sensory scan
Term
What are the myotomes (cervical and lumbar)
Definition
C1/C2 neck flexion
C3 neck side bend
C4 shoulder elevation
C5 shoulder abduction/shoulder lateral rotation
C6 elbow flexion/wrist extension
C7 elbow extension/wrist flexion
C8 thumb extension/ulnar deviation
T1 abduction and/or adduction of intrinsic hand muscles

L2 hip flexion
L3 Knee extension
L4 ankle DF
L5 great toe extension
S1 ankle PF/eversion/hip extension
S2 knee flexion
Term
What does a sensory scan test?
Definition
Dermatomes and peripheral nerves
Term
Reflexes
Definition
Biceps c5
Brachioradialis C6
Triceps C7
Quad tendon L3
Achilles tendon S1
Post tib L4-5
Term
Convex concave rule of shoulder and knee
Definition
Shoulder - opposite
Knee - same
Term
PPP (most common)
Definition
Impaired joint mobility, motor function, muscle performance and ROM associated with localized inflammation
Term
What does manual therapy include?
Definition
Soft tissue mobe and joint mobes
Term
Charge rule for trestment?
Definition
8/23
Term
What makes up muscle performance?
Definition
Strength, endurance and power
Term
What treatment do you avoid in acute stages?
Definition
G3/4 joint mobes, stretching, strengthening, heat
Term
How long is the max protection period after surgery?
Definition
6 (+/- 2) weeks
Term
What therapeutic exercise is allowed after shoulder surgery?
Definition
PROM within pain limits
Term
What angles do you avoid after ACL surgery?
Definition
OKC 0-40 CKC 60-90
No cutting/pivoting for 6mo
Term
What do you avoid after meniscus repair?
Definition
No CKC beyond 45 for 4 weeks or beyond 60-70 for 8 weeks. No leg press or hamstring curls for 8 weeks.
Term
What movements are contraindicated following hip replacement?
Definition
NO adduction, IR or flexion >90
Term
What do you avoid after achilles reconstruction
Definition
No DF past neutral (stretch), NWB, no strengthening of gastroc/soleus, CAM BOOT
Term
What are the precautions of a SLAP tear?
Definition
no extension of shoulder (stretch biceps), no shoulder flexion with supination, elbow flexion
Term
What are the precautions of a RC repair?
Definition
No extension, external rotation, horizontal abduction?, only PROM (pain free for 6-8 weeks)
Term
UE strengthening progression
Definition
Scapular stabilizers: Rows, chest press w/ push, shrugs, reverse shrugs
Rotator cuff: int/ext rotation, scaption
Deltoid: flexion, abduction, reverse flys
Other: overhead press, diagonals, elbow flex/ext, wrist rad/uln deviation, supination/pronation
Term
LE strengthening progression
Definition
Quad sets, SLR x4, Ankle theraband, Leg extension, Standing curls,heel raises,leg press, Squats, lunges (stationary, step, walking), step-ups, walk/jog program
Term
What exercise to determine if pt is ready for walk/jog program?
Definition
Walking lunges with weight
Term
what is the most common low back Dx of an older pt?
Definition
Stenosis
Term
What is the most common low back dx of a young patient?
Definition
spondylothesis
Term
How do you figure out what inflammatory stage a pt is in?
Definition
PROM
pain b/4 tissue resistance = acute
pain at tissue resistance = subacute
pain past tissue resitance = chronic
Term
what is the most common low back dx of mid age?
Definition
herniation
Term
What are the spinal biases?
Definition
Flexion, Extension, Neutral
If someone has flexion work that direction until pain goes away then get to neutral then extension
Term
What are ultrasound parameters for acute, subacute and chronic?
Definition
Acute 0.5 W/cm2, 20% Subacute 1 W/cm2 up to 100% Chronic 1.5 W/cm2 100% Superficial 3.0MHz Deep 1.0MHz
Term
Shoulder anterior instability test
Definition
CRANK
Term
Shoulder posterior instability test
Definition
Posterior apprehension
Term
Shoulder inferior instability test
Definition
Sulcus sign
Term
Shoulder impingement test
Definition
Neers, hawkins-kennedy
Term
Shoulder Labral tear special test
Definition
Clunk, anterior slide, active compression of obrien, biceps tendon
Term
Shoulder scapular stability test
Definition
scap retraction, wall push up
Term
Shoulder muscle tendon pathology test
Definition
speeds & yergason (biceps), empty can (supraspinatus), lift off (subscapularis), lag or spring back (infraspinatus), trap, serratus ant, pec major/minor
Term
Shoulder neurological tests
Definition
Upper limb tension
ULTTI: median
ULTT2: median
ULTT3: Radial
ULTT4: ulnar
Term
Knee meniscus test
Definition
Mcmurray, apleys
Term
Knee patellofemoral test
Definition
clarkes, mcconnel
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