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Step III
Step III - OMM/Msk 1
| Question | Answer |
|---|---|
| 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
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