N580 Finals Review exam with correct answers
g g g g g g
1.sprain: gAn ginjury gin gwhich gthe gligaments gholding gbones gtogether gare gstretched
gtoo gfar gand gtear.
2.Sprain gclassifications: g1st gdegree g(mild)
g2nd gdegree g(moderate)
3rd gdegree g(severe g- gto-failure gpoint)
3.Sprain gtreatment: gRICE g(rest, gice, gcompression, gelevation) gor gPRICE
g(protection, grest, gice, gcompression, gelevation)
4.radiculopathy: gRadiculopathy gis ga gcondition gwhere ga gnerve groot gin gthe gspine
ggets gpinched gor gdamaged, gcausing gpain, gweakness, gor gnumbness gin gdifferent
gparts gof gthe gbody
Nerve groot gcompression, gneurogenic gpain
Lumbar gradiculopathy—mostly gassociated gwith ga gtumor gor gmetabolic gdisease gC7
—the gmost gcommon gspinal gradiculopathy
L5: gthe gmost gcommon glumbar gradiculopathy
Herniated gNucleus gPulposus: gthe gmost gcommon gcause
gMyelopathy: gfirst gto gr/o gbefore gdiagnosis
5.Finkelstein's gtest: gPurpose: gAssesses gfor gde gQuervain's gdisease.
Procedure: gHave gpatient gplace gthumb gacross gthe gpalm gand gmake ga gfist gwith
gfingers gover gthe gthumb. gTest gis gpositive gif gmoving gthe gwrist ginto gulnar gdeviation
gcauses gpain gat gthe gradial gborder gof gthe gwrist.
If gpositive, it
g gindicates g de g Quervain's
g tenosynovitis. g Quervain's gfirst dorsal
g
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,gcompartment gtendonitis
6.Tinel's gsign: gA gway gto gdetect girritated gnerves gis gby glightly gtapping g(percussing)
gover gthe gnerve gto gelicit ga gsensation gof gtingling gor g"pins gand gneedles" gin gthe
gdistribution gof gthe gnerve.
aid gin gthe gdiagnosis gof gcarpal gtunnel gsyndrome, gwhich gresults gfrom gthe
gcompression gof gthe gmedian gnerve.
Results: gIf gthis gproduces gtingling gor gparesthesia gin gthe gmedian gnerve gdistribution
g(radiating gto gthe gthumb, gindex, gmiddle, gand gradial gside gof gthe gring gfinger), gthen
gthe gtest gis gpositive.
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, 7.Allen's gTest g(wrist): gPurpose: gAssesses gpatency gof gradial gand gulnar garteries
gand gthe garterial garch.
Procedure: gCompress gthe gradial gand gulnar garteries gat gthe gwrist gwith gexaminer's
gfingers. gHave gpatient grapidly gopen gand gclose gtheir ghand gseveral gtimes, gand gthen
ghave gthe gpatient gopen gthe ghand. gHand gshould gbe gpale gor gwhite. gRelease
gpressure gfrom gone gartery. gThe ghand gshould gflush, gindicating gpatency. gPerform
gagain, greleasing gpressure gfrom gthe gopposite gartery.
if gblood gdoes gnot greturn, gthe gtest gis gPOSITIVE g(poor
gcirculation) gdifferentials g(ulnar gand gradial gstenosis, gRaynaud's)
8.Phalen's gtest: gCarpal gTunnel gsyndrome gtest
gPurpose: gAssesses gfor gmedian gnerve
gcompression.
Procedure: gHave gthe gpatient gmaintain gforced gflexion gof gthe gwrist gfor g1 gminute gor
gmore, gwith gthe gdorsal gsurface gof geach ghand gpressed gtogether. gIf gthe gpatient
gcomplains gof gpain, gnumbness, gor gparesthesias gin gthe gfingers, gthe gtest gis
gconsidered gpositive.
9.McMurray gSign: gPositive: gclicking gsound gor gpain gby gthe gknee gjoint gindicating
ga gtear gof gthe gmedial gmeniscus gif gpositive gon gexternal grotation gor ga gtear gof gthe
glateral gmeniscus gif gpositive gon ginternal grotation. gThe ggreater gthe gangle gat gwhich
gthe gknee gis gflexed gwhen gthe gpositive gis gelicited, gthe gmore gposterior gthe
gmeniscal ginjury.
10.knee gassessment: gInspection: gGait, gAlignment g(varus/valgus), gswelling/joint
gef- gfusion, gmuscle gatrophy, gerythema, gskin gintegrity
Palpation: gPatella, gperipatellar gsoft gtissues, gpatellar gtendon, gmedial gand glateral
gjoint glines, gMCL/LCL; gjoint gcrepitus
ROM: gFull gextension gto gfull gflexion g(note: gROM gcan gbe gdecreased gby gedema gand
gguarding)
Special gmaneuvers: gBulge/ballottement g(effusion), gvarus/valgus gstress
g(MCL/LCL), gAnterior gand gPosterior gDrawer g(ACL/PCL); gMcMurray/Thessaly
11.Meniscal gtear: gsymptoms: gpopping gsensation, gpain gduring grotation gof gthe
gknee, gswelling gand gstiffness, glocked gknee
Causes: gforceful gtwist gof gthe gknee, glifting gheavy gthings, gaggressive gpivoting,
g kneeling gRisk gfactors: gathletic gperformance, gobesity, gage
Treatment: gstrengthening gthe garea, gusing gthe gright gtechnique gwhen gplaying
gsports, gremoving gfluid gthrough ginjection, gand gsurgery
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