MSK 2: Final Exam PDF

MSK 2: Final Exam ================= There are 50 exam questions. 25 are from material you have already been tested on, 25 are from new material after Exam 3. TMD --- **Know the TMJ classifications and the associated signs and symptoms** 1. a. i. ii. iii. iv. b. v. vi. vii. viii. ix....

MSK 2: Final Exam ================= There are 50 exam questions. 25 are from material you have already been tested on, 25 are from new material after Exam 3. TMD --- **Know the TMJ classifications and the associated signs and symptoms** 1. a. i. ii. iii. iv. b. v. vi. vii. viii. ix. x. 2. c. d. e. f. g. 3. h. xi. xii. xiii. xiv. i. xv. xvi. xvii. xviii. xix. xx. 4. j. xxi. xxii. xxiii. k. xxiv. xxv. xxvi. xxvii. l. xxviii. xxix. 5. m. n. xxx. **Be able to identify movement restrictions (KNOW Normal ROM measurements) & how to correct them** 1. a. b. c. 2. d. e. f. 3. g. h. i. 4. C Spine ------- **Review coupled motion in cervical spine** - - - **What are the special tests for the cervical spine? (be able to identify the rationale for use i.e. Alar ligament test is a test for high cervical instability. What constitutes a positive test result for each test (pay attention to the test with a DECREASE in symptoms as a result).** 1. a. i. b. c. 2. d. ii. e. 3. f. g. h. 4. i. j. k. l. m. n. 5. o. **Know non-musculoskeletal pain presentations including pain referral patterns associated with organ pathology (same as previous exam 2 study guide). Recognize RED FLAGS.** - - - - - - - - - - **What are the signs/symptoms of cervical instability, vertebral artery insufficiency, cervical myelopathy, neoplastic conditions, and systemic disease?** 1. a. b. c. 2. d. 3. e. f. g. h. i. j. k. 4. l. m. n. 5. o. p. **2017 CPG summary info slides. Be able to describe specific impairment classification typical presentations and choose treatment interventions for each classification of cervical spine disorders.** 1. a. i. ii. iii. iv. v. b. vi. vii. viii. 2. c. ix. x. xi. xii. xiii. xiv. xv. d. xvi. xvii. xviii. 3. e. xix. xx. xxi. xxii. xxiii. f. xxiv. xxv. xxvi. 4. g. xxvii. xxviii. xxix. h. xxx. xxxi. **Discuss the etiology and typical presentations of myelopathy versus cervical spine radiculopathy.** 1. a. b. c. d. e. f. 2. g. h. i. j. k. +-----------------------+-----------------------+-----------------------+ | | **Myelopathy** | **Radiculopathy** | +=======================+=======================+=======================+ | **Patient Reports** | Leg stiffness, hand | Unilateral or | | | weakness | bilateral UE | | | | numbness/weakness | | | | | | | | Pain radiates from | | | | neck region to UE or | | | | body | +-----------------------+-----------------------+-----------------------+ | **Screening** | Hyperreflexia, hand | Dermatome, myotome, | | | atrophy | CPR testing | +-----------------------+-----------------------+-----------------------+ | **Diagnostic | Stenosis, narrowing | Symptoms relieved by | | Findings** | of spinal canal and | shoulder abduction | | | subsequent | test | | | compressive force to | | | | spinal cord | | +-----------------------+-----------------------+-----------------------+ | **Causes** | Osteophytes, disc | Nerve root (not SC) | | | herniation, | constriction | | | ligamentum | | | | hypertrophy | Disc herniation | +-----------------------+-----------------------+-----------------------+ **6 Variables that form the CPR for Thoracic Manipulation to treat neck pain** 1. 2. 3. 4. 5. 6. **Canadian C Spine Rule. Memorize. Save a life.** 1. i. ii. iii. a. b. 2. iv. v. vi. vii. viii. c. d. 3. e. f. **Clinical Prediction Rule for Cervical Radiculopathy** 1. 2. 3. 4. **Degenerative Disc Disorders of the C spine- what level does this typically occur and what are the signs and symptoms?** 1. a. b. c. 2. d. e. T SPINE ------- **ULTT. Know them.** 1. a. b. 2. c. d. 3. e. f. 4. g. h. **What is Thoracic Outlet Syndrome?** - - - **What are common impairments associated with TOS?** 1. a. 2. b. 3. 4. 5. 6. 7. **What is the clinical presentation of a compressor or releaser and why? What tests help you identify compressors or releasers?** 1. a. i. ii. b. c. 2. d. iii. iv. e. f. g. **Identify all the impairment-based classifications of thoracic spine disorders based on the description of PIP's and Non-PIP's. Be able to identify best treatment interventions for thoracic spine impairments (include T4).** 1. a. i. 1. 2. 3. 4. 5. ii. 6. 7. 8. 9. b. iii. 10. 11. 12. 13. 14. 15. iv. 16. 17. 18. 19. 20. c. v. vi. 21. 22. 23. 24. 25. 26. d. vii. 27. 28. 29. 30. 31. 32. viii. 33. 34. 35. 36. 37. a. e. ix. 38. 39. 40. 41. 42. x. 43. 44. 45. 46. 47. f. xi. 48. 49. 50. 51. 52. xii. 53. 54. 55. 56. 57. 2. g. xiii. 58. 59. 60. 61. 62. 63. xiv. 64. 65. 66. 67. 68. 3. 4. **FB and BB arthrokinematics, T spine kinematics and mobilization to facilitate** 1. a. b. 2. c. d. 3. e. i. **Ankylosing Spondylitis.** - - - - - **Visceral referral thoracic spine pain masqueraders. Know them.** 1. 2. 3. 4. **Compression fracture presentation, MOI.** 1. a. b. 2. c. d. e. i. ii. f. iii. iv. v. vi. vii. viii. **Basic Rib Biomechanics:** 1. 2. 3. SHOULDER -------- **Review the anatomy of the shoulder with particular attention to the glenoid labrum** - - - - **SAPS. Intrinsic/Extrinsic Factors for Primary SAPS.** 1. a. 2. b. **Impairments associated with SAPS presentations** 1. 2. 3. 4. **SAPS cluster CPR.** 1. 2. 3. 4. 5. **What tests for SIS are used to evaluate if symptoms result from impaired scapular control or weakness of SA/LT?** 1. 2. **How do you address Primary and Secondary SAPS impairments?** 1. 2. **Risk factors for RC pathology** - - **RCT: What does that look like?** - - - - - **Classification of RCT?** 1. a. b. c. 2. 3. d. **Surgical management of RCT: who is appropriate for early surgery vs conservative management?** 1. a. b. 2. c. d. e. **Post-op RCR Goals/timeline.** 1. a. b. c. d. 2. e. 3. f. 4. g. **RCR post-op complications.** 1. 2. 3. 4. 5. **Force couples at the shoulder?** 1. a. b. 2. c. d. **Labral Pathology presentation.** - - - - - **SLAP Lesion MOI.** 1. 2. 3. 4. 5. 6. **Difference between Bankart, Reverse Bankart, Hill Sachs lesions.** - - - - - **Post-op Bankart Repair general protocol guidelines.** - - - - **Review MDI pathology/ classification system, associated factors, and tests for same** 1. a. b. c. d. 2. e. f. g. h. **Review MDI optimal strengthening exercise recommendations (first target scapular stabilizers, traps, SA!).** 1. 2. 3. 4. 5. 6. 7. 8. **Review which exercises target specific shoulder muscles.** 1. 2. a. 3. b. 4. c. 5. d. 6. e. 7. f. 8. g. **Review Clavicle Fractures (most common location), non-surgical treatment management.** 1. a. 2. b. 3. c. Non-Surgical Treatment - **Review all special tests for the shoulder (lab and lecture), know what structure or pathology the test is assessing, and know how to interpret test results.** Primary SAPS 1. 2. 3. 4. 5. Secondary SAPS 1. 2. 3. 4. 5. 6. 7. Labral Pathology 1. 2. 3. 4. 5. Full Thickness RCT 1. 2. 3. RC Muscles 1. 2. 3. 4. RCT Subscapularis Pathology 1. 2. 3. **Adhesive Capsulitis: Know risk factors for adhesive capsulitis and CPG Guidelines for treatment.** 1. a. 2. b. i. ii. iii. iv. v. c. vi. vii. viii. ix. d. x. **TSA versus reverse TSA post-op protocol guidelines.** 1. a. 2. ELBOW ----- **What is the capsular pattern of the elbow?** - **Differential diagnosis: serious conditions and MSK masqueraders presenting as elbow pain** 1. a. b. c. 2. d. e. f. g. h. i. Tendon Pathology Spectrum 1. a. b. 2. c. 3. d. **Review the four primary functions of the elbow during pitching.** 1. 2. 3. 4. **Review throwing injuries with particular attention to medial tension overload and all the structures it negatively impacts.** 1. a. b. c. 2. 3. d. **Contributors to Valgus overload presentations?** 1. 2. 3. 4. 5. **Recognize Little League Elbow presentation** 1. 2. 3. 4. **Know intimately the signs and symptoms of posterior (radial n) and anterior interosseous nerve syndromes.** 1. a. b. c. d. 2. e. f. g. **LET: Review Elbow Tendinopathy 2022 CPG update. Pay attention to modifiable and non-modifiable risk factors, therapeutic exercises & interventions recommended for LET.** - 1. 2. 3. 4. - - - - - - - - - - - - - - - - - - - - - - **Be able to identify classic presentations of median (carpal tunnel syndrome, pronator syndrome) and ulnar nerve (cubital tunnel syndrome) compressive neuropathies.** - - - - 1. a. i. ii. b. iii. - iv. v. - - - - c. vi. vii. **OCD versus Panner's at the elbow.** 1. a. b. c. d. i. ii. iii. e. iv. v. vi. f. vii. viii. ix. 2. g. h. i. j. x. xi. xii. **Etiology of Heterotopic Ossification at the elbow.** - **Review special tests for the elbow** 1. 2. 3. 4. 5. a. b. c. d. 6. 7. 8. 9. WRIST/HAND ---------- **Tuft Fx presentation and tx** - - - - - **Be able to differentiate (Colles versus Smith's, Barton's fractures) and MOI's associated with the same.** 1. a. b. 2. c. d. 3. e. f. **Scaphoid fracture prevalence, presentation, complications, healing rates, treatment considerations.** 1. a. b. c. 2. d. e. i. ii. iii. f. g. h. 3. i. 4. j. k. l. m. 5. n. o. p. q. iv. v. vi. r. vii. s. viii. ix. **Symptoms of a nonunion scaphoid fracture?** - - - - **MOI and treatment of Boxer's fx?** - - - **What is Bennett\'s fracture?** - - - **Complications of a 1st MC fracture?** 1. 2. 3. 4. **Be able to recognize by picture specific hand deformities (Mallet, Boutonniere, Swan-Neck, Heberdon's nodule, ulnar drift).**  **Review all Lab special tests for the wrist /hand. Know which test you would choose if trying to determine specific structural abnormalities (TFCC, scaphoid instability, lunate dislocation, CMC DJD, intrinsic mm tightness vs joint restriction)?** 1. a. b. 2. c. d. 3. e. f. 4. g. 5. h. i. ii. **Carpal Fracture therapy management phases (be able to identify Phase I-III and activities included in each phase accurately).** 1. a. b. 2. c. d. e. f. g. 3. h. i. j. **De Quervain's: tendons involved and treatment.** - - **Intrinsic Plus Position.** - - **Know clinical signs/features of RSD/CRPS** 1. 2. 3. 4. 5. a. b. c. 6. 7. FIBROMYALGIA ------------ **What differentiates a tender point from a trigger point?** 1. a. b. 2. c. **What are the criteria the ACR (American College of Rheumatology) use to determine the diagnosis of fibromyalgia?** 1. 2. 3. a. **Known risk factors for fibromyalgia** 1. a. 2. b. c. d. 3. e. **EULAR systematic review and currently updated literature regarding fibromyalgia treatment effectiveness: What do you recommend for your patient (best evidence)** 1. a. b. c. 2.