TMJ and Cervical
The TMJ is primarily supplied by what nerve?
fifth cranial (trigeminal) nerve (Dutton 1266)
This structure is often described as the roof of the shoulder. It is to prevent separation of the A-C joint surfaces
Coracoacromial ligament:
Give one(1) superficial structure in the flexor retinaculum.
Ulnar nerve and artery
Tendon of the palmaris longus
Sensory branch (anterior [palmar] branch) of the
median nerve.
Lateral elevation of the ribs occur on what?
Middle and lower ribs or Ribs 7 through 10
Deep, nagging and dull describes what type of pain?
Bone
To help detect crepitus, the clinician can palpate where? (Specific location)
Over the Mandible Heads (Dutton 1277)
What do you call the phase of scapulohumeral rhythm where the GH joint elevates to 30 degrees?
Setting Phase
This outcome measure is a reliable, validated measure of pain and disability used with patients who have tennis elbow. It consists of 15 questions, 5 related to pain and 10 related to functional limitation during daily activities, work, and sport.
Patient-rated tennis elbow evaluation (PRTEE)
Pain referred around the chest wall tends to be originating in?
Costovertebral
Chronic pain is associated with type of psychological issue?
Depression
You are presented with a patient who has Klumpke Paralysis. You are to test their ROM and MMT. You tested the following: Deltoids, Biceps, Triceps and Interossei. Which of the following would NOT involve any weakness and incomplete ROM?
Deltoids, Biceps for they are nerve roots' C5 and C6
What does deep, boring, toothache-like pain in the neck, shoulder region, or both may indicate?
TOS (Thoracic Outlet Syndrome)
According to Dutton on ROMs, an overpressure on pronation on the distal attachment of the biceps would produce pain if there in tendinopathy. This is because?
pronation stretches the insertional tendon of the biceps.
You are assessing a patient who has L4 radiculopathy. What muscle is affected?
Tibialis Anterior
You are testing a patient with a diagnosed brachial plexus injury. Categorize the following with priority, possible and pointless: ULNT1, Jackson Compression test and Distraction Test
Priority: ULNT1
Pointless: JCT and DT
A 47-year- old man comes to you complaining of elbow and neck pain. There is no recent history of trauma, but he remembers being in a motor vehicle accident 19 years ago. He now works at a desk all day. Give 3 questions and what should be their answers to differentiate if it is cervical radiculopathy.
Sensory Deficity (Pins and Needles)
What actions relieves pain?
This test is when the patient points the thumb down, flex shoulder to 90 degrees and adduct the arm across midline. Provide resistance against further shoulder flexion and evaluate for pain. Repeat with thumb pointing up and again evaluate for pain
Active Compression Test of O’Brien
You are assessing a patient with a hx of (R) humeral fx. You asked the patient to extend their right elbow and measured their carrying angle. What is the expected deformity?
Gunstock deformity
You are assessing a patient with Pain on their low back. They reported pain on their (R) lower back. You proceeded to slump test 1. Patient tested positive. What kind of dominancy does the patient have?
Back Pain Dominant
You are treating a patient for (L) adhesive capsulitis. The pt has hx of cardiac disease which was resolved 3 years ago. The patient felt aching pain from left shoulder to distal humerus during a strengthening exercise using a 15 lbs dumbbell for their 7th rep of the 3rd set. The PT stopped the exercise and checked their VS, which produced normal results. What would be your next step?
Lessen reps or lessen weight
You have a 56 year old patient who plays chess. They reported that there is a sharp shooting pain on to the (R) medial arm and forearm which was only present 3 days ago. The patient feels pins and needles every time they put their heads near their back. They have no history of other diseases. They feel relief every time they bow they heads. X-ray results show protrusion of discs. Base on the case given, aside from disc protrusion, what would make herniation the most likely dx?
ONLY PRESENT 3 DAYS AGO. Disc Herniation happens SUDDENLY
You are testing your patient's MMT on (R) SH neutral abduction. patient was able to to Full ROM. You tested with Full ROM and Full resistance and the patient felt dull aching pain around the shoulder. You tested it on break test (~30 of ABD) and was able to withstand full resistance. Knowing the ligamentous structure of GH joint, What structure might be affected?
Possible INFERIOR GH lig injury because the only time it doesn't work is around 0-45 degrees of elevation.
A 31-year-old pregnant woman complains of pain in the right hand with a duration of 3 months. The pain awakens her at night and is relieved only by vigorous rubbing of her hand and motion of the fingers and wrist. There is some tingling in the index and middle fingers. You assessed their pinch strength, except for extensors, which of the following thumb motion would NOT result into weakness?
Adduction (Adductor Pollicis)
You are assessing a patient with posterolateral herniation. They reported a radiating shar shooting pain on (R) L4 distribution. You assessed their posture and you saw that they are leaning on left. Where would the herniation be in relation to the nerve root? (Complete Answer)
(R) Lateral
Make this a Physical Therapy Diagnosis of patient with Mechanical Low Back Pain:
- ROM: PROM/AROM: (R) Hip flexion: 0-60° , (R) Hip ADD 0-50°
- MMT: (R) Hip flexion Grade 4, (R) Hip ADD 4
- Neurological Assessment: Normal
- ADLs: Normal
The patient has impaired (R) hip range of motion and muscle weakness of the same muscles. Intact sensory and normal function on ADLs. (Or any answer that is close to this.