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8 Cards in this Set
- Front
- Back
16yo dancer c/o popping over the ant hip. PE= reprod by starting w/ the hip flex, abd & ER, then extending it back to a neutral postn, no pain w/ IR flex hip, no tenderness or popping lat. dx confirmed using which imaging modality? 1-MRI; 2-CT arthro; 3-US; 4-WB xrays; 5-Fluoro w/out contrast
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internal snapping hip (coxa saltans) syndrome, DDx mech-iliopsoas ten over the iliopectineal eminence, iliopsoas mus belly, fem head. It can be accentuated by (FABER) hip exam, bursography.Ans3
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athlete asks about performance enhancing substances. Which side effects is > common with creatine than w/testosterone? 1-Mus cramping; 2-Hair loss; 3-Testicle atrophy; 4-Acne; 5-Impotence
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Muscle cramping is side effect > common to creatine than testosterone. Testicular atrophy, acne and male patterned baldness are all assoc 1 w/ testosterone , creatine supplementation is assoc w/ an enhanced accrual of strength in strength training programs been shown to enhance the ability to produce > muscular force and/or power output during short bouts of max exercise.Ans1
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There is no presently accepted urine test to detect the use of which of the following performance-enhancing drugs? 1-Ephedrine, 2-Dihydroepiandosterone, 3- Androstenedione; 4-Hum growth hormone; 5- Tetrahydrogestrinone
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While there is a blood test to detect higher than normal levels of hGH, there is not presently a urine test, THG- ex of a "designer steroid.Ans4
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Which one of the rehab tech should be avoided in the pt that is 2 wks post-op from the surgical repair in Fig? 1-Active asst elevation in the scapular plane; 2-Passv forearm pronation; 3-Pass ER @ 90 deg abd 4-Open chain passv elbow flex; 5-Pass asst elevtn in the scapular plan
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resistive biceps exercises should be avoided in early postop, complete immobilization in a sling should also be avoided as passv and active-asstd elevtn in the scapular plane should be encouraged, initial passv motion limited from 0 -> 90 deg of for elevtn x 4 wks.Ans3
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What % shoulders have a post or posterior dominant attachment of the long head of the biceps onto the glenoid? 1-0%; 2-15%; 3-30%; 4-70%; 5-100%
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the attachment of the long head of the biceps onto the glenoid has been described as "posterior" or "posterior-dominant" in roughly 70%, 5% the attachment anterior, structural fibers of the long head of the biceps attach directly sup glenoid tubercle = 50% & 50% the pos glenoid labrum.Ans4
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Which best describes a Buford complex? 1-nl variant characterized by a cord-like MGHL & an absent anterosuperior labrum; 2-Nl variant characterized by a cord-like SGHL & absent posterosuperior labrum; 3- Abn arthroscopic finding a cord-like MGHL & an absent anterosuperior labrum; 4- Abn arthroscopic finding characterized by a cord-like SGHL & absent posterosuperior labrum; 5-Nl variant characterized by a cord-like MGHL & sublabral foramen @ anterosuperior labrum
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seen in 1.5% of individuals and consists of a cord-like MGHL and absent anterosuperior labrum complex. The cord-like MGHL should NOT be repaired down to the glenoid as this will result in < postop ROM.Ans1
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Bankart lesion
SLAP |
Bankart lesion - anterioinferior labral tear often caused by an anterior shoulder dislocation.
SLAP-biceps anchor labral tear |
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23yo professional pitcher c/o pos shoulder pain, PE is notable for scapular dyskinesis, No intra-articular pathology is found on MRI. Which should rehabilitation be emphasized in the initial stages?
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1-Isometric shoulder exer 2-Isokinetic shoulder exer; 3- Closed chain shoulder exer; 4-Coordin of scapular motion w/ trunk & hip movements;5-Axial loading shoulder exer:::alteration in the nl motion of the scapula during coordinated scapulohumeral movements, sequela of prior shoulder injury.Ans4
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