Orthopedic Assesement

32 Questions

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Orthopedic Quizzes & Trivia

Questions and Answers
  • 1. 
    Dermatome: vertex of skull myotome: none reflexes affected: none paresthesia: none
    • A. 

      C2

    • B. 

      C1

    • C. 

      C4

    • D. 

      C5

  • 2. 
    Dermatome: temple, forehead, occiput myotome: longus colli, sternocleidomastoid, rectus capitis. reflexes affected; none paresthesia: none
    • A. 

      C1

    • B. 

      C2

    • C. 

      C3

    • D. 

      C4

  • 3. 
    Dermatome: entire neck, posterior cheek, temporal area, prolongation forward under mandible. Myotome: trapezius, splenius capitis. refelxes affected: none paresthesia: cheek, side of neck
    • A. 

      C1

    • B. 

      C2

    • C. 

      C3

    • D. 

      C4

  • 4. 
    Dermatome: shoulder area, clavicular area, upper scapular area myotome: trapezius, lavator scapulae reflexes affeceted: none paresthesia:  horizontal band along clavicle and upper scapula.
    • A. 

      C1

    • B. 

      C2

    • C. 

      C3

    • D. 

      C4

  • 5. 
    Dermatome: deltoid area, anterior aspect of entire arm to base of thumb. myotome: supraspinatus, infraspnatus, deltoid, biceps. reflexes affected: biceps, brachioradiales paresthesia: none
    • A. 

      C4

    • B. 

      C5

    • C. 

      C3

    • D. 

      C6

  • 6. 
    Dermatome:  anterior arm, radial side of hand to thumb and index finger. myotome: biceps, supinator, wrist extensors reflexes affected: biceps, brachioradiales. paresthesia: thumb and index
    • A. 

      C5

    • B. 

      C6

    • C. 

      C8

    • D. 

      C7

  • 7. 
    Dermatome: lateral arm and forearm to index, long and ring fingers. myotome: triceps, wrist flexors (rarely wrist extensors) reflexes affected: triceps paresthesia: index, long and ring fingers.
    • A. 

      C6

    • B. 

      C7

    • C. 

      C8

    • D. 

      T1

  • 8. 
    Dermatome: Medial arm and forearm to long, ring and little fingers. mytotome:  ulnar deviators, thumb extensors, thumb adductors (rarely triceps) reflexes affected: triceps paresthesia: little finger alone or with two adjacent fingers, not ring or long fingers, alone or together (c7)
    • A. 

      C6

    • B. 

      C7

    • C. 

      C8

    • D. 

      T1

  • 9. 
    Dermatome: medial side of forearm to base of little finger. myotome: disc lessions at uper two thoracic levels do not appear to give rise to root weakness.  Weakness of intrinsic muscles of the hand is due to other pathology (ex: thoracic outlet syndrome, neoplasm of lung and ulnar nerve lesion).  Dural and nerve root stress has T1 elbow flexion with arm horizontal.   T1 and T2 scapulae forward and backward on chest wall.  Neck flexion at any thoracic level.
    • A. 

      C7

    • B. 

      C8

    • C. 

      T1

    • D. 

      T2

  • 10. 
    Dermatome: Medial side of upper arm to medial elbow, pectoral and midscapular areas. Myotome: disc lessions at uper two thoracic levels do not appear to give rise to root weakness.  Weakness of intrinsic muscles of the hand is due to other apthology (ex. thoracic outlet syndrome, neoplasm of lung and ulnar nerve lesion).  DUral and nerve root stress has T1 elbow flexion with arm horizontal.  T1 and T2 scapulae forward and backward on chest wall. Neck flexion at any thoracic level.
    • A. 

      C8

    • B. 

      T1

    • C. 

      T2

    • D. 

      T3

  • 11. 
    Dermatome:   T3 - T6  upper thorax ,   T5-T7 costal margin,    T8-T12 abdomen and lumbar region. Myotome: articular and dural signs and root pain are common.   Root signs (cutaneos analgesia) are rare and have such indefinite area that they have little localizing value.  Weakness is not detectable.
    • A. 

      T3 - T12

    • B. 

      T3 - T6

    • C. 

      T8- T12

    • D. 

      C8

  • 12. 
    Dermatome: back, over trochanter and groin. Myotome: none reflexes affected: none paresthesia: groin: after holding posture, which causes pain.
    • A. 

      L2

    • B. 

      L1

    • C. 

      T12

    • D. 

      L3

  • 13. 
    Dermatome: back, front of thigh to knee. myotome: psoas, hip adductors reflexes affected: none paresthesia: occasionally anterior thigh.
    • A. 

      L1

    • B. 

      L2

    • C. 

      L3

    • D. 

      L4

  • 14. 
    Back, upper buttock, anterior tigh and knee, medial lower leg. myotome: psoas, quadriceps, thigh atrophy. reflexes affected: knee jerk sluggish, PKB positive, pain on full SLR paresthesia:  medial knee, anterior lower leg.
    • A. 

      L2

    • B. 

      L3

    • C. 

      L4

    • D. 

      L1

  • 15. 
    Medial buttock, lateral thigh, medial leg, dorsum of foot, big toe. myotome: tibialis anterior, extensor hallucis reflexes affected: SLR limited neck, flexion pain, weak or absent knee jerk, side flexion limited. paresthesia: medial aspect of leg ankle.
    • A. 

      L5

    • B. 

      L3

    • C. 

      L4

    • D. 

      L6

  • 16. 
    Dermatome: Buttock, posterior and lateral thigh, lateral aspect of leg, dirsum of foot, medial half of sole, first, second and third toes. myotome:  extensor hallucis, peroneals, gluteus medius, dorsiflexors, hamstring and calf atrophy. reflexes affected: SRL limited one side, neck flexion painful, ankle decreased, crossed-leg raising pain. paresthesia:  lateral aspect of leg, medial three toes.
    • A. 

      L1

    • B. 

      L3

    • C. 

      L5

    • D. 

      S1

  • 17. 
    Dermatome: Buttock, thigh and leg posterior. Myotome: calf and hamstring, wasting of gluteals, peroneals, plantar flexors. Reflexes affected: SRL limited, achiles reflex weak or absent. paresthesia: Lateral two toes, lateral foot, lateral leg to knee, plantar aspect of foot.
    • A. 

      L5

    • B. 

      S1

    • C. 

      S2

    • D. 

      S3

  • 18. 
    Dermatome: buttock, thigh and posterior leg. myotome: calf, hamstring, wasting of gluteals and plantar flexors. Reflexes: SLR limited, achilles reflex weak or absent. paresthesia: lateral leg, knee and heel.
    • A. 

      S1

    • B. 

      S2

    • C. 

      S3

    • D. 

      L5

  • 19. 
    Dermatome: groin, medial thigh to knee. myotome: none reflexes affected: none paresthesia: none
    • A. 

      S1

    • B. 

      S2

    • C. 

      S3

    • D. 

      S4

  • 20. 
    Dermatome: perineum, genitals, lower sacrum. myotome:bladder, rectum. reflexes affected: none paresthesia: saddle area, genitals, anus, impotence, massive posterior herniation
    • A. 

      S1

    • B. 

      S2

    • C. 

      S3

    • D. 

      S4

  • 21. 
    Age 45 + poorly defined ache around the shoulder. can not comb the hair, scratch the back or lie on affected shoulder.
    • A. 

      Adhesive capsulitis (frozen shoulder)

    • B. 

      Chronic rotator cuff tendonitis

    • C. 

      Acute rotator cuff tendonitis

    • D. 

      Rotator cuff tear

  • 22. 
    Inspection: wasting of muscle, AROM: restriction in all directions, PROM: same (stiff end feel), RIM: weakness on abd. Palpation: no findings.
    • A. 

      Adhesive capsulitis (frozen shoulder)

    • B. 

      Chronic rotator cuff tendonitis

    • C. 

      Acute rotator cuff tendonitis

    • D. 

      Rotator cuff tear

  • 23. 
    Chronic history, gradual onset, dull ache worse with activity (pain is all the time). 
    • A. 

      Adhesive capsulitis

    • B. 

      Chronic rotator cuff tendonitis

    • C. 

      Acute rotator cuff tendonitis

    • D. 

      Rotator cuff tear

  • 24. 
    Inspection: muscle easting AROM: mild limitation on abduction and medial rotation. PROM: pain on medial and lateral rotation. RIM: pain on abduction. palpation: tenderness around acrominon and greater tubercle. Special test: empty can test, lift sign, drop arm test.
    • A. 

      Adhesive capsulitis

    • B. 

      CRCT

    • C. 

      ARCT

    • D. 

      Rotator cuff tear

  • 25. 
    24-40 y/o tennis, baseball, footbal gradual onset, due to overuse ( last days, weeks or months) dull pain after activity (overhead).  No activity no pain.   Pain is on anterior shoulder, anteriorlateral aspects of the acromion rim. Special test: Empty can, lift sign, drop arm test.
    • A. 

      Adhesive capsulitis

    • B. 

      CRCT

    • C. 

      ARCT

    • D. 

      Rotator cuff tear

  • 26. 
    Inspection: swelling AROM: limitation on abduction, medial rotation and can lift up to mid range. PROM: limitation on abduction, medial rotation and can lift up to mid range. RIM: normal special test:   empty can, lift sign, drop arm test.   Pain on test is between 60 - 120 degrees.
    • A. 

      CRCT

    • B. 

      ARCT

    • C. 

      Frozen shoulder

    • D. 

      Rotator cuff tear

  • 27. 
    Age 45 - 65 Sudden, due to trauma. sharp pain in posterior and upper aspect of the shoulder. can not sleep on his/her back or on that side. can not carry weight.
    • A. 

      CRCT

    • B. 

      ARCT

    • C. 

      Adhesive capsulitis

    • D. 

      Rotator cuff tear

  • 28. 
    Inspection: normal AROM: pain on abduction, rotation. PROM: no pain and full range, some dicomfort at end motion. RIM: pain on abduction and rotation. Palpation: pain around anterior and posterior of the shoulder. Special test: empty can, lift sign and drop arm test.
    • A. 

      CRCT

    • B. 

      ARCT

    • C. 

      Adhesive capsulitis (frozen shoulder)

    • D. 

      Rotator cuff tear.

  • 29. 
    Sharp pain on movement over bicipital groove, radiate all the way to the elbow.
    • A. 

      Acromion claviclular joint injury

    • B. 

      Subacromial bursitis (impinged)

    • C. 

      Thoracic outlet syndrome

    • D. 

      Bicipal groove

  • 30. 
    Inspection: normal AROM: painful lateral rotation in horizontal plane and on flexion. PROM: pain on extension (add extension of elbow and pronation) RIM: pain on flexion. special test: speed's test, yergenson's test.
    • A. 

      Bicipital groove

    • B. 

      CRCT

    • C. 

      Acromion clavicular joint injury

    • D. 

      Subacromial buristis

  • 31. 
    Compression of brachial plexus, subclavian artery and vein. gradual onset, no know cause, weeks duration. diffuse symptoms in the arm c8 c1 dermatomes. pain, paresthesia, weakness of muscles in the hand.
    • A. 

      Carpal tunnel syndrome

    • B. 

      Thoracic outlet syndrome

    • C. 

      Wrist sprain

    • D. 

      CRCT

  • 32. 
    Inspection:  poor posture, straight neck, rounded shoulder, wasting hand muscle. AROM: normal PROM: normal RIM: hand weakness palpation: normal special test: adson, allen, roos, military.
    • A. 

      Thoracic outlet syndrome

    • B. 

      Carpal tunnel syndrome

    • C. 

      Subacromial busrsitis

    • D. 

      Acromion clavicular joint injury