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Exam (elaborations)

MSK (NPTE) exam with complete solutions

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Q angle Female: 18º Male: 13º Mouth Closing muscles lateral pterygoid ant head of digasrtic Suprahyoid Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:01 / 0:15 Full screen Brainpower Read More Cervical Artery Dysfunction (CAD) D's & N's (...

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  • September 9, 2024
  • 47
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NPTE
  • NPTE
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MSK (NPTE) exam with complete
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Q angle - ANSWER- Female: 18º

Male: 13º

Mouth Closing muscles - ANSWER- lateral pterygoid
ant head of digasrtic
Suprahyoid

Cervical Artery Dysfunction (CAD) - ANSWER- D's & N's (Subjective)
Dysphagia - difficulty swallowing
Dysarthria - difficult speech
Dizziness
Double vision
Drop Attacks
Nausea
Numbness
Nystagmus - repetitive, uncontrolled eye movement

Extension
Extension-Rotation Test

Mouth Opening muscles - ANSWER- Masseter
Temporalis
Medial and lateral pterygoid

Mouth Protrusion muscles - ANSWER- Temporalis
Medial and lateral pterygoid

Mouth Retrusion muscles - ANSWER- Temporalis
Suprahyoid

,CPR for Lumbar Spine Manipulation - ANSWER- 1. Sx < 16 days
2. No sx past knee
3. Lumbar hypomobility
4. At least 1 hip > 35 deg IR
5. FABQ < 19
Need to have 4/5 or more

Hamstring torque to quadriceps torque - ANSWER- Hmstring should generate the
following compared to quadriceps:

65% at 60 deg/sec
69% at 180 deg/sec
71% at 300 deg/sec

Straight leg raise test (nerve bias) - ANSWER- PF + inversion = sural nerve
DF + inversion = peroneal nerve
DF + eversion = tibial nerve

Avg º Femoral Anterversion - ANSWER- Angle from the femoral neck and femoral
condyles

Birth - 30º
Adulthood - 8-15º

> 15º in adulthood = "toe-in"

Peak Age for Incidence of Scoliosis - ANSWER- Females: 11-13

Males: 13-14 y.o.

Sever's Disease - ANSWER- Calcaneal Apophysitis - bone disorder from
inflammation in the growth plate in the heel

Generally in adolescence

Pain on posterior calcaneal surface

Gangloin Cyst - ANSWER- Benign cyst on top of a joint or covering a tendon

Common on: dorsum of hand at wrist OR dorsum of foot

,Pain with motion at joint

Affects of bed rest on muscle groups - ANSWER- Affects LE > UE

Affects knee extensor strength by 20% in 30 days

Does not really affect knee flexion strength

CT scan - landmark colors - ANSWER- Black - Cerebrospinal fluid (radiolucent)
Light Gray - soft tissue of various densities
Dark gray - less relative density of soft tissue in light gray category
White - bone - extremely dense

White = more dense; black = less dense

Boutonneire Deformity - ANSWER- Thumb: Flexion of MCP and hyperextension of
PIP

Fingers: Extension of MCP and distal IP; Flexion of Proximal IP

Caused by: rupture of central tendinous slip of extensor hood

Mallet finger - ANSWER- Distal phalanx of finger resting in flexion

Caused by rupter or avulsion of extensor tendon

Swan Neck deformity - ANSWER- Flexion of distal IP and hyperextension of
Proximal IP

Caused by contraction of intrinsic muscles or tearing of the volar plate

Ulnar drift - ANSWER- Ulnar deviation of digits from weakening of
capsuloligamentous structures of MCP and extensor communious tendon

Sign of the buttock - ANSWER- SLR to point of limitation --> flex the knee --> if do
not hip flexion then = (+) sign of the buttock

May be seen in gluteal bursitis, abscess, tightness in glut max, and tight posterior
capsule

, Duputren's Contracture - ANSWER- Contracture of palmar fascia with a flexion
deformity of MCP and IP

nodules and thicken tissues near distal palm below pinky and ring finger

De Quervain's - ANSWER- Inflammation of sheath that surrounds adductor
pollicis longus and extensor pollicis brevis

Pain/discomfort at distal radius

GH *ABduction* - ANSWER- Scapular *upward rotation*

GH *ADduction* - ANSWER- Scapular *downward rotation*

GH *flexion* - ANSWER- Scapular *elevation*/*upward rotation*

GH *extension* - ANSWER- Scapular *depression*/*downward rotation*

GH *internal rotation* - ANSWER- Scapular *protraction* (*ABduction*)

GH *external rotation* - ANSWER- Scapular *retraction* (*ADduction*)

GH *horizontal ABduction* - ANSWER- Scapular *retraction* (*ADduction*)

GH *horizontal ADduction* - ANSWER- Scapular *protraction* (*ABduction*)

Scapul/o/humeral rhythm - ANSWER- 1:2 -For every two (2) degrees the GH joint
moves, there should be one (1) movement of the scapula as an outcome

Lisfranc Injury - ANSWER- Fracture of midfoot (one or all metatarsal bones are
displaced from tarsus)

- likely from crush injury

Turf Toe - ANSWER- Sprain of MTP of first toe from hyperextension
- sprinting off, great toe gets stuck

Boutonniere Deformity - ANSWER- MCP and DIP - extension
PIP - Flexion (due to volar slippage or rupture)

First class lever - ANSWER- forces on either side of fulcrum

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