National Board Part 3 Irene Gold Review Test 4 Flipbook PDF

National Board Part 3 Irene Gold Review Test 4 MARTY JO LAUDIG 1. 50 yrs old female smoke, dull achy pain in right neck

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National Board Part 3 Irene Gold Review Test 4 MARTY JO LAUDIG 1. 50 yrs old female smoke, dull achy pain in right neck with paresthesis extending into right medical forearm and hand. Pain increase turn head to right and look up. Posterior analysis: rounded,slumped, What test is it?--Adson!s test 2. Best dx--- TOS 3. Spasm of what muscle--- scalenus anticus 4. Test support diagnosis--- nerve conduction velocity 5. 57 years old L/S pain increase with exercise relieve by rest. X-ray: osteopenia. Lab: hypercalcemia and gamaglobulemia with normochromic, normocytic anemia. Dx"MM 6. Adolescent patient: hyperkyphosis in dorsal spine---Scheureman!s disease 7. Patient presents with headache, jaw pain over TMJ and complaint bruxism, course of action--- adjust TMJ 8. Orthopedic accompany by ---left side heart failure th

9. 64 yrs old, pain in left flank. Hyperesthesia in left 12 thoracic rib doesn!t cross midline, bullous eruption in left flank--- herpes zoster 10. Bluish discoloration around umbilicus is called ---Cullen!s sign 11. 55 yrs old female pain over malleolus radiates into calf and toes. Absent Achilles Reflex, Orthopedic test (+)--Simmond!s test (aka Thompson) 12. Least beneficial modality for accurate dx if suspect of tarsal tunnel syndrome"x-ray 13. Pain pattern consistent with tarsal tunnel syndrome--- on plantar surface of the foot 14. Wake up in morning with acute torticollitis to right. What stretching exercise will best results (DISH)--proprioception neuromuscular technique on left SCM 15. Closed packed position of hip joint--- extension, abduction and internal rotation 16. Muscle exercises incorporated if increase strength as desired result--- eccentric isotonic 17. Biceps reflex is used to evaluate what nerve root--- C5 18. 21 afebrile (no fever) female, sudden onset of violent headache for temporal and occipital and anterior head. Poor concentration, confusion, drowsiness ,and decrease motor function"subarachnoid hemorrhage 19. Chronic blood diarrhea, (-) RA, latex test and increase ESR. Dx--- ulcerative colitis 20. 8 yrs old dyspnea, indicating mild hyperresonance, tachycardia, limit diaphragm descent, prolapse expiration--asthma 21. Which ligament maybe missing patient with Down!s syndrome---transverse lig 22. Limiting motion of atlas and occiput--- atlaoccipital ligament 23. (+) Drop arm test in patient to indicate with injury---supraspinatus 24. Horner!s syndrome--- interrupt of sympathetic 25. Most common complaint in patient with heliobacteria pyloric infect--- pain after eating

26. O!Donohughue!s triad --- medial meniscus, lateral collateral ligament, anterior cruciate ligament 27. Patient with posterior disc herniation Least appropriate--- side posture push move 28. 14 yrs old headache, facial pain following alternating of school; swelling of nose and bruising---- meningitis 29. Pain lateral aspect of leg when descent the stair and (+) Ober!s test ---TFL contracture 30. Patient suffers Grade 3 concussion and unconscious for 10 minutes and suffers amnesia for 30 hours. Patient are not allow to play football ----one year 31. Horner!s syndrome Does Not include--- iritis 32. Advice patient with yeast infection ---acidophilus 33. Drooping of eyelid, no sweat on one side, and small pupil on one side --- Pancoast tumor 34. Vitamin for Carpal Tunnel syndrome"Vit B-6 (pyridoxine) 35. Not present with symptoms similar to CTS--- TOS 36. Not advisable for patient with osteoporosis--- increase Ca+, decrease protein, and increase weight bearing exercise 37. % of metastasis is osteolytic--- 75% 38. Patient of frozen shoulder--- limited motion in any direction 39. Walk with heel with foot inverted; nerve root level--- L4 (L4-5 disc) 40. Dx disc problem, what orthopedic test--- Lindner!s test 41. Exercise is done without joint involvement--- isometric 42. Sudden urge to urinate in involuntary leaking; ____ incontinence--- urge 43. Spreading pain in thoracic and supraclavicular pain alleviated by flexing and bending forward--- pleurisy 44. Management of CTS Not include ---exercise to strengthen the flexors 45. 6 yrs old girl fever, malaise, joint pain. Best diagnosis test---ASO (strep throat) 46. 32 yrs old male ; abdominal pain as cramping and colicky, frequent anxiety , cause of pain--- peristalsis dysfunction 47. 15 yrs old female nausea, fever, sunburn like sink rash and fatigue 4 days prior to menses, multiple joint pain and alopecia---SLE (malar rash) 48. Mild systolic murmur at 2nd intercostals space on the left. Murmur is --- pulmonic stenosis 49. Nerve passes thru transverse ligament of wrist--- median 50. Sudden onset of unilateral chest pain and dyspnea (pneumothorax)---hyperresonance 51. 65 years old male; spasm and bilateral leg pain comes on a predictable period of time with exercise and relieve by rest--- intermittent claudication 52. Treatment contraindication of acute L5 disc protrusion---side posture diversified 53. Contraindication for adjusting--- recent compression fracture

54. Creatinine clearance tests---for kidney st

55. Paresthesis of the lateral forearm, thumb and 1 finger, what nerve--- C6 56. Contraindication for pregnancy male with ____ disorder--- cardiac problem 57. Carpal bone rotate anterior when wrist is placed in--- extension 58. Couple motion in cervical spine, similar to the ___ spine, in that the spinous process rotate into the ___.--thoracic, convexity 59. Lateral displacement of patellar due to --- genu valgus 60. 65 yrs old male; dyspnea, fatigue, on exertion dyspnea lying supine. Inspiratory rales at base of lung on auscultation. DX--- congenital heart failure 61. What condition reverse normal G-H 2:1 ratio at shoulder--- frozen shoulder 62. Pain abduct arm at 20 degree arc around a 90 degree axis---supraspinatus 63. Strengthen patient thoracic hyperkyphosis--- rhomboids 64. Lesion on skin extension surfaces which is scaly appearance and pitted nails"pencil in cup deformity ( Psoriasis arthritis) 65. Plagues in eyelids of xanthelasma--- hypercholesterolemia 66. What does not affect scatter radiation--- speed of film 67. Headache, nausea, pain when bend head forward, No visual loss what expect to find in opthalmoscopy in exam--papilledema 68. Loss of central vision, but color vision is preserved--- malar degeneration 69. Focus first on distal object and focus object close to eyes what test--- accommodation reflex 70. Patient increases SGPT, SGOT and alkaline phosphatase, what organ malfunction--- liver 71. Child knee pain, No tenderness to palpate. No evidence of pathological on x-ray and what to do next? --Orthopedic evaluation of hip 72. Performing manipulation of humerus utilize A-P glide with patient supine, contact--- G-H joint 73. Long standing chronic pain and committing suicide--- ask her how she intends to suicide 74. Spondylolisthesis with 8 mm displacement which is unstable --- refer to orthopedic 75. Adult patient sudden onset of headache, project vomiting and neck pain--- refer to neurologist 76. Pre injury status No further improved and no disability ---maximal medical improvement 77. What position doctor adjust a left post radius--- posterior with right thumb on radial head and arm pronated 78. Doing A-P glide of mortise joint. How do you motion palpate the patient--- A-P 79. Associated with resting tremor--- Parkinson!s 80. Standing with both arm outstretching in front of her, lift both arm up, show oscillate of hands, exhibition of what--intention tremor 81. Choreform movements--- slow writing

82. Retraction and dimpling of nipples indicates--- malignancy 83. 50 years old male a cold one week ago, swollen lymph node, fever, ulceration, scabies around mouth---herpes simplex 84. Women most apt to have endometriosis--- 33 yrs old woman with no children st

85. Contact patient to adjust trapezius--- proximal head of 1 metacarpal 86. Term: anode field effect refers to --- increase density of x-ray toward cathode side 87. Tear of anterior cruciate ligament with swelling will produce pain in the ___ area---- medial femoral condyle 88. A person with TIA is subject to --- atherothrombotic hemorrhage 89. 14yrs old male patient: diffuse walking upstairs due to weakness. Extension of upper extremity indicate weakness --- muscle dystrophy 90. 40yrs old history of paresthesis in leg 3yrs ago. Now is weakness in right arm---MS 91. 50yrs old female smoker, coldness, pallor, and cyanosis at hands--- Raynaud!s 92. 30yrs old 8 month pregnancy; 3+ protein in early morning urine, 140/80 blood pressure and bilateral pitting edema--- pre-clampsia 93. 25yrs old female multiple joint pain, Raynaud!s phenomena and dilation of blood vessels in skin that can be visualized what dx--- scleroderma 94. Back pain accompany by right leg pain in an antagic patient lean to right side, loss of sensation of lateral side of leg extending into big toe--- posterior medial of L5 disc 95. Jammed wrist pain last one hour, burning pain in his wrist ---reflex sympathetic dystrophy 96. Schilling test --- absorption of B-12 97. Hyperlordosis is apt to pelvis listing ---Anterior Superior 98. Patient is supine flex head, knees flex bilaterally --- meningitis 99. Inflammation of what tissue refer pain to RLQ ---cecum 100.

70yrs old hip pain, test confirm dx--- Patrick!s test

101.

Formation of calcified plague at atlas and MCL--- Pelligran!s Steida Dx

102. Facet hypertrophy on degenerative margin change, most likely cause L/S syndrome--- lateral recess stenosis 103.

Exercise increase strength--- high weight, low repetition

104.

Sustain boot fracture to tibia. Which should be done to rehabilitation area--- swimming

105.

Patellofemoral pain managed by --- strengthen vastus medialis

106.

Most common cause 25-35--- Osteosarcoma

107.

Chief complaint diffuse muscular pain increase during stress --- fibromyalgia

108.

(+) Goldwright at 20 degree and (+) Gaenslen on right joint problem"right SI

109.

Least appropriate in management of fibromyalgia --- home cryotherapy

110.

Motion is most restricted in lumbar spine--- rotation

111.

X-ray, most significant difference between RA and OA--- osteophyte

112.

Traction contraindication--- joint dysfunction

113. Couple motion in L/S is similar to___ spine, the body of vertebrae rotate into the ___.--- lower thoracic; convexity 114. Patient!s hand is placed on top of head, cervical spine is relieved ( Bakody!s test) indicates--- cervical radiculopathy 115. Question should ask in hx if patient is suspected of having coccidioidomycosis--- do you live in Southwestern U.S 116.

What nerve is involved in causing foot drop--- L4

117. Elder patient: nocturnal paroxysmal dyspnea and exertion dyspnea. Chest x-ray rales over base of lung--heart failure 118. Walking in his toes and pain down lateral leg into web of big toe. The___ disc is affected, irritating to ___ nerve--- L4-L5: L5 nerve 119.

Female patient dysuria and urethral discharge (cystitis). Where it refers pain located--- suprapubic

120.

20yrs old female recurrent respiratory rhonchi and wheeze. Lab: eosinophilia. Dx--- asthma

121. 27yrs old male foot in cast. He fractures foot using crutches and complainsweakness and decrease sensation of post forearm and posterior fingers. Best course of action--- adjust crutches 122.

Direction of facets of T12-L1 is typically--- coronal to sagittal

123.

Position of neck with greatest problem in person with Down!s syndrome"flexion

124.

Atlas is limited to rotate by"Alar ligament

125. 16yrs old female with 18 degree scoliosis, which is progressing--- monitor for next 3 months, adjust patient as needed 126.

Right anterior oblique x-ray best to visualize which C/S ---right IVF

127.

65yrs old female with heat intolerance, anxiety and nervousness and weight loss --- hyperthyroidism

128.

Treatment for patient with acute symptoms of osteochrondritis dessicans"ice

129.

Hyperabduction of arm, aggravates which neurovascular bundle syndrome--- pec minor

130.

Best indicate lumbar distraction technique will success --- centralized LBP that diffuses to a larger region

131. Most accurate describes isometric strength--- maximum force that can be exerted against immovable object 132. A patient presents with fatigue, weight gain and inability to tolerate cold. Exam reveals hyporeflexia and blood pressure of 110/78. Dx--- hypothyroidism 133. A young female, intense pain and small painful ulcer in tips of fingers. Pain is aggravated by emotion and exposure to cold. Dx"how many cigarette do you smoke?

134. 14yrs old female with lymphadenopathy, pharyngitis and fatigue. CBC reveals mild leucocytosis and lymphocytes: with atypical lymphocytes---infectious mononucleous 135. fever

Acute upper lung infection. Physical finding--- stridor, inspiratory retraction of supraclavicular muscles and

136.

Intense headache and irritability, neck rigidity and weakness. What headache--- meningitis

137. 22yrs old male swollen pain rash on left ankle and acute LB stiffness, 6 months ago episode right knee. Lab test: WBC 11,300 ( too high- infection)--- Gonococcal arthritis 138.

Which position will most relief to someone with lumbar facet problem---flexion

139.

Spinal motions produces a torsional force--- rotation

140. Involve auto accident patient presents with left eyelid drooping, constriction of left pupil and facial anhydrosis--- Horner!s syndrome 141.

Codman!s exercise is essential in #rotator cuff tendonitis

142. Appropriate case management of patient 12 hours hx of fever and acute abdominal pain---refer to second opinion 143.

Hyper action high pitch bowel sounds--- early mechanical obstruction of bowel

144.

Festinating gait and pill rolling tremor and also --- Cogwheel rigidity (Parkinson!s dx)

145.

Not a danger sign of a patient with a headache ---relief with caffeine

146. Seat lateral position with right shoulder closest to upright film holder. Entire body is rotated to form a 45 degree angle to place of film with anterior portion of belly closest to film--- right IVF and right pedicle 147. 52 black male, hx of hypertension , chest pain, back pain one hour. Pain extends from between throat to epigastric of radiates to his upper back. Pain is sharp, constant and feels like being torn in half--- Aortic dissection 148.

Dermatome over skin surface supply by---single nerve

149. Exercise best for 36yrs old secretory with hyperkyphosis of thoracic spine --- stretch the pectoralis and strengthen erector spinae 150.

Cozen!s test is used to evaluate--- lateral epicondylitis

151.

28yrs old efebrile female, severe headache and projectile vomiting--- brain tumor

152.

Least likely in patient with LBP--- bladder dysfunction

153.

Most appropriate strengthening exercises for rehab of an acute injury"isotonic

154. Young woman had surgery on her hip which was for a fractured femur. There is brassy or metallic looking lines on the x-ray and femoral neck is very white. What cause--- avascular necrosis 155. Tachycardia, tachypnea, systemic lupus erythematous, fever and knife-like chest pain which relief by sitting or bending forward--- pericardial rub 156.

Experience sharp pain in chest with dyspnea and tachycardia--- decrease lung sound

157. 65yrs old female increase spinal pain. X-ray reveals increases bone density in the L/S and pelvis. Least appropriate test ---PSA 158.

Patient with many squamous cells in urine indicates--- contamination of specimen

159.

L2 dermatome is located in which areas--- groin to the anterior thigh

160. 8yrs old boy complains knee pain. Exam in pain in knee couldn!t reproduce by orthopedic tests or upon flexion of knee--- take x-ray of pelvis 161.

Most common calcified iliolumbar ligament--- DISH

162.

Vitamin supplement associated with OA--- glucosamine salts

163. Hypoglycemic patient with dyspnea, tachycardia, blood pressure 140/85 and cool moist skin--sympathetic alliterative 164.

Best adjustment for grade 2 spondylolisthesis--- anterior L5 drop

165.

Least likely to produce back pain---gout

166.

Hepatobillary destruction which least helpful in dx--- intravenous pyelography

167.

View of x-ray taken: absence of transverse ligament--- flex lateral

168.

Film of lumbopelvis region is --- 15 degree internal rotation

169.

Transverse friction massage treat--- chronic muscle spasm

170.

Bilateral uncovertebral joint destruction will cause difficult with what movements--- extension malposition

171. LPB old man, missing pedicles and no sclerosis noted on opposite pedicle (metastasis of bone). How to treat? --- refer out to an oncologist 172.

Movements stimulate a vasovagal response--- rotation or/and extension

173.

Best position to place leg to evaluate Lateral collateral ligament of knee--- hip and knee straight out

174. Patient is stabbed in neck what happen to pupil if interruption of C/S sympathetic on right--- pupil restrict on right 175.

No contraction on lower left face, muscles on face are working except lower section--- left cranial nerve 7

176.

Large bowel obstruction will #decrease bowel movements

178.

Chronic artery insufficient is associated with ---edema

179.

Monteggia fracture ---ulnar fracture and dislocation of radioulnar joint

180.

What is the most likely long term outcome of this problem---AVN

181.

Clubbing of fingers, what condition with finger like this"bronchogenic carcinoma

182.

What decrease angle of lumbosacral region--- tight hamstring

183.

What is it ? lumbosacral disc angle

184.

What fracture occurs following hamstring injury--- avulsion

185.

S-t segment

186.

EKG #S- wave

187.

Transverse view of cervical

188.