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Exam (elaborations)

NPTE MSK Review Exam

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NPTE MSK Review Exam NPTE MSK Review Exam NPTE MSK Review Exam

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  • November 7, 2024
  • 64
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NPTE MSK
  • NPTE MSK
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lectjoseph
NPTE MSK Review Exam
What is the capsular pattern of the shoulder (GH joint)? ER>ABD>IR



What is the capsular pattern of the elbow complex? Flex>Ext



What is the capsular pattern of the forearm? equally restricted pronation & supination



What is the capsular pattern of the wrist? equal limitation of flexion and extension



What is the capsular pattern of the CMC joint I? joint II-V? ABD & EXT

equally restricted in all directions



What is the capsular pattern of the IP joint? flexion > extension



What is the capsular pattern of the hip? IR>Flex>ABD(minimal loss of ext)



What is the capsular pattern of the knee? flex>ext



What is the capsular pattern of the ankle?

subtalar?

midtarsal? PF>ext (DF?)



restricted varus

,restricted DF, PF, ABD, IR



Compression from a continual pressure such as crutches causes which nerve palsy? radial



Phases of frozen shoulder:



_____: minimal pain, no synovitis, significant capsular restrictions.



_____: pain only with movement, adhesions, limited GH motions. atrophy of deltoid, rotator cuff,
biceps, triceps.



_____: gradual onset of pain that increases with movement and is present at night. loss of ER is
common.



_____: intense pain even at rest. limited motion in all directions. 4 "thawing stage" (15-24 months),

3 "frozen stage" (9-15 months),

1 (<3months),

2 "freezing stage" (3-9 months)



Joint mobilization direction depends on the convex/concave rules. What is the exception for Adhesive
capsulitis? post/inf glide to improve capsular pattern loss



"David wears red high heels" refers to what gait pattern? excessive PF, knee hyperextension, anterior
pelvic tilt, excessive lordotic curve



(CP: spastic PF/contracture,CVA: foot drop leading to PF contracture)

,Convex and Concave Rules



Shoulder:

Elbow:

Prox. RU:

Distal RU:

Wrist:

Fingers:

Hip:

Knee:

Ankle: opp, same, opp, same, opp, same, opp, same, opp



Thumb joint mobs



Flexion:

Extension:

ABD:

ADD: ulnar glide,

radial glide,

dorsal glide,

volar glide



Pronation of the foot is from which motions?

Supination? eversion, DF, ABD (elvis dabs like a pro)

inversion, PF, ADD (IPAD = superior)

, Upper crossed syndrome results in which weak muscles? which tight muscles? weak (inhibited): deep
cervical flexors, lower trap, serratus anterior

tight (facilitated): SCM, pectoralis, upper trap, levator scap



Lower crossed syndrome results in which weak muscles? which tight muscles? weak (inhibited):
abdominals, glute min/med/max

tight (facilitated): rectus femoris, iliopsoas, thoraco-lumbar extensors



Wasting of the hypothenar muscles of the hand, interossei, and two medial lumbricals due to ulnar
nerve palsy.



- hyperextension of MCP and flexion of IP

- wrist flexion with MCP extension when extrinsic extensors contract = + (AKA Andre-Thomas sign)
Bishop's hand (benediction hand/Duchene's sign)



A deformity from loss of intrinsic muscle action and over-action of extrinsic extensor mm on the
proximal phalanx of the fingers.



- MCP: hyperextended; PIP & DIP: flexed

- most often caused by combined median and ulnar nerve palsy claw fingers



A progressive disease of genetic origin resulting in a contracture of the palmar fascia.



- fixed flexion deformity of MCP and PIP joints

- usually seen in ring or little finger

- men > women

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