For-ARMNIA!
PE round 1
Jumping for joints
Handy dandy jeopardy clues
PE continued
100

Name the contents of the cubital fossa from lateral to medial 

Radial nerve, biceps tendon, brachial artery, median nerve 

100

Define Cozen's test and what is a positive finding? 

patient flexes their wrist with resistance, if there is pain, they have lateral epicondylitis or tennis elbow 

100

Which joint is the only articulation between the upper limb and the axial skeleton?

The sternoclavicular joint


100
Mallet finger is defined as unopposed action of which muscle?

flexor digitorum profundus 

100

Tiger woods is having trouble holding his clubs! After discovering that his medial epicondyle is TTP, which muscles are most likely damaged? 

pronator trees and flexor carpi radialis

200

Damage to the medial half of flexor digitorum profundus could be a result of damage to this nerve (1), branching from this structure (2) 

1. anterior interosseous nerve

2. median nerve


200

A patient comes in complaining of wrist pain. A positive finding in which test would suggest de Quervain's tensynovitis?

Finkelsteins 

200
Define shoulder separation

Disruption of the acromioclavicular joint and coracoclavicular ligament 

200
What are the actions of the lumbrical muscles? 

Flex MCP joints and Extend IP joints 

200

A truck driver comes in and complains that he keeps dropping his phone on his face at night! Which tests will you do to confirm your suspected diagnosis? 

Tinnels, Phalens,

300

Damage to the most commonly fractured carpal bone (1) yields tenderness in this anatomical area (2) 

1. scaphoid bone

2. anatomical snuffbox 

300

A weightlifter comes in complaining of significant arm/shoulder pain after a workout. Using speed's test could confirm which diagnosis? how is that diagnosis treated? 

Biceps tendonitis; rest 

300

What is the most common dislocation of the glenohumeral joint? 

Anterior dislocation 

300

Infection of the anterior compartment of the forearm can lead to infection of which compartment of the palm (1) via which potential space(2)?

the Midpalmar space 

carpal tunnel 

300

A 10 year old baseball pitcher complains of deep aches, pain with overhead activities and catching/popping sesation in his left shoulder. What test would you perform to confirm the most likely diagnosis? 

O'Brien test to confirm glenoid labrum tears 

400

Obstruction of this artery (1) may lead to impairment of this action of the forearm (2)

1. posterior interosseous artery 

2. extension of the wrist and hand and supination of the radioulnar joint. 


400

A positive scarf sign should also mean you have these other physical findings

Observed deformities, pain worse with movement, and pain to joint palpation (Acromioclavicular joint separation) 

400
What is the pathophysiology of tennis elbow?

Inflammation of the lateral epicondyle ligaments 

400

Inflammation of the common flexor synovial tendon sheath affects which actions of the disrupted nerve?

flexion of the fingers at PIP, DIP, and flexion of the thumb. Sensation of the palmar surface of the lateral 3.5 fingers is impaired. 

400

failure of the empty can test can be a result of damage to this most commonly injured rotator cuff muscle? What if there's failure of the lift off test? 

1. supraspinatus

2. subscapularis (and pec minor) 

500

Damage to the 5th metacarpal may result in damage to these forearm muscles. 

Flexor carpi ulnari, Extensor carpi ulnari 

500

A disease diagnosed by thenar atrophy and weak grip strength is associated with which metabolic conditions? 

Diabetes mellitus, hyper/hypothyroidism, acromegaly, amyloidosis, 

500

Falling from an outstretched hand will usually result in fracture of which carpal bone (1) ? Automobile collisions frequently dislocate which bone (2)? 

1. Scaphoid

2. lunate 

500

Differentiation the causes of hand of benediction from claw hand

hand of benediction is due to compression of the median nerve at the elbow, claw hand is due to compression of the ulnar nerve at the wrist. 

500

A patient has shoulder pain and weakness after an injury. you perform the scratch test and find that there is no sensation on the lateral arm, what injury occurred? 

Anterior shoulder dislocation