Scp Flashcards

(53 cards)

1
Q

What’s the most specific test for labral tear in hip?

A

<b>FADIR test</b> (Flexion+ADduction+IR) - reproduces pain

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2
Q

How to differentiate between C6 vs C7 radiculopathy?

A

<b>C6:</b> Biceps weakness, thumb numbness<br></br><b>C7:</b> Triceps weakness, middle finger numbness

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3
Q

What’s the minimal detectable change (MDC) for NPRS?

A

<b>2 points</b> on 0-10 scale for clinical significance

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4
Q

List 3 absolute contraindications for lumbar manipulation

A
  1. Fracture<br></br>2. Cauda equina<br></br>3. Metastatic cancer
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5
Q

How to grade knee effusion?

A

<b>1+:</b> Wave sign<br></br><b>2+:</b> Ballottable<br></br><b>3+:</b> Spontaneous outflow

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6
Q

What’s the primary impairment in adhesive capsulitis?

A

<b>Capsular pattern:</b> ER > ABD > IR most limited

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7
Q

Name 3 components of vertebral artery test

A
  1. Extension<br></br>2. Rotation<br></br>3. Sustained hold (watch for nystagmus/dizziness)
    checking vertebral artery insufficiecy before maneuvers
    brain’s blood supply so crucial
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8
Q

How to document positive Neer’s impingement test?

A

<b>‘Pain with passive shoulder flexion >90° + IR’</b> = supraspinatus involvement

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9
Q

What’s the first intervention for acute gout?

A

<b>RICE + NSAIDs</b><br></br>Colchicine if NSAIDs contraindicated

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10
Q

List 3 red flags for cervical manipulation

A
  1. Vertebral artery insufficiency<br></br>2. RA<br></br>3. Ligamentous instability
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11
Q

What’s the MCID for shoulder DASH score?

A

<b>10.2 points</b> (0-100 scale)

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12
Q

How to test for thoracic outlet syndrome?

A

<b>Roos test:</b> Hold arms in surrender position x3min → reproduces symptoms

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13
Q

What’s the difference between Mills vs Cozen’s test?

A

<b>Mills:</b> Lateral epicondylitis (resisted wrist extension)<br></br><b>Cozen’s:</b> Resisted radial deviation + wrist flexion

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14
Q

Name 3 predictors of chronic LBP

A
  1. Fear-avoidance beliefs<br></br>2. Depression<br></br>3. Job dissatisfaction
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15
Q

How to document patellofemoral grind test?

A

<b>‘Positive R knee: crepitus + pain with compression during quad contraction’</b>

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16
Q

What’s the #1 cause of foot drop?

A

<b>L4-L5 radiculopathy</b> (common peroneal nerve compression 2nd)

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17
Q

List 3 components of Ottawa Knee Rules

A
  1. Age >55<br></br>2. Isolated patellar tenderness<br></br>3. Inability to flex >90°
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18
Q

How to grade a muscle strain?

A

<b>Grade I:</b> <5% fibers torn<br></br><b>Grade III:</b> Complete rupture + palpable defect

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19
Q

What’s the best test for SI joint dysfunction?

A

<b>Fortin finger test</b> + 3/5 positive provocation tests

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20
Q

Name 3 precautions for post-THA rehab

A
  1. Avoid hip flexion >90°<br></br>2. No IR<br></br>3. No crossing legs
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21
Q

How to document positive Thomas test?

A

<b>‘L hip flexor tightness: thigh lifts 15° from table in supine’</b>

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22
Q

What’s the most common peripheral nerve entrapment?

A

<b>Carpal tunnel syndrome</b> (median nerve at wrist)

23
Q

List 3 signs of rotator cuff tear on MRI

A
  1. Tendon retraction<br></br>2. Fluid signal<br></br>3. Muscle atrophy
24
Q

How to test for ACL insufficiency without Lachman?

A

<b>Pivot shift test</b> (dynamic instability in 20° flexion)

25
What's the MCID for 6MWT in COPD?
25 meters change is clinically significant
26
Name 3 contraindications for ultrasound therapy
1. Pregnancy
2. Malignancy
3. Thrombophlebitis
27
How to document scoliosis screening?
'Adam's test +: rib hump visible on forward bend'
28
What's the first-line treatment for plantar fasciitis?
Heel cord stretching + night splints > corticosteroid injection
29
List 3 components of Quebec Task Force classification
1. Neurological signs
2. Spinal fracture
3. Radicular symptoms
30
How to grade reflex responses?
0: Absent
2+: Normal
4+: Clonus
31
What's the best predictor of recovery in whiplash?
Initial pain intensity >5/10 (NPRS)
32
Name 3 tests for lumbar instability
1. Prone instability test
2. Aberrant movements
3. Positive shear test
33
How to document positive SLR test?
'L SLR + at 45°: reproduces radicular symptoms'
34
What's the most sensitive test for meniscal tear?
Joint line tenderness (94% sensitivity)
35
List 3 precautions for cervical traction
1. RA
2. Vertebral artery insufficiency
3. Acute trauma
36
How to test for ulnar nerve entrapment at elbow?
Tinel's at cubital tunnel + elbow flexion test
37
What's the MCID for Neck Disability Index?
7 points (0-50 scale)
38
Name 3 components of hip scour test
1. Flexion
2. Adduction
3. Circumduction + compression
39
How to document positive empty can test?
'R shoulder: pain/weakness with resisted ABD+IR at 90°'
40
What's the first sign of compartment syndrome?
Pain out of proportion + pain with passive stretch
41
List 3 predictors of poor outcome in rotator cuff repair
1. Massive tear
2. Fatty infiltration
3. Age >65
42
How to grade sacroiliac joint dysfunction?
3/5 positive tests: Gaenslen's, compression, distraction, thigh thrust, sacral thrust
43
What's the most common complication of TKA?
Stiffness (requires >90° flexion by 1 week)
44
Name 3 tests for ankle instability
1. Anterior drawer 2. Talar tilt(ATFL & CFL Inversion) 3. Star excursion balance test The Star Excursion Balance Test (SEBT) is a functional assessment used to evaluate dynamic postural control and lower extremity stability. It involves standing on one leg and reaching as far as possible with the other leg in multiple directions, requiring strength, flexibility, and proprioception. The SEBT is used to identify athletes at risk of injury, monitor rehabilitation progress, and assess deficits following injury.
45
How to document positive Finkelstein's test?
'Pain with ulnar deviation + thumb flexion' = de Quervain's tenosynovitis'
46
What's the best exercise for glenohumeral instability?
Closed-chain scapular stabilization (quadruped weight-shifting)
47
List 3 absolute indications for spinal imaging
1. Trauma
2. Neurological deficit
3. Suspected cancer
48
How to test for scapular dyskinesis?
Scapular assistance test + observation of winging
49
What's the MCID for LEFS?
9 points (0-80 scale)
50
Name 3 components of Beighton score
1. Thumb to forearm
2. Elbow/knee hyperextension
3. Pinky extension >90°
51
How to document antalgic gait?
'Shortened stance phase on R LE + trunk lean to L'
52
What's the most sensitive test for cervical radiculopathy?
Spurling's test (94% sensitivity) The Spurling test, also known as the cervical compression test, is a physical examination maneuver used to assess for cervical radiculopathy (nerve root compression in the neck).
53
List 3 precautions for aquatic therapy
1. Open wounds
2. Severe incontinence
3. Chlorine allergy