final exam - GI + CV
(2025-2026)
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Graded A+)FIBA Agent Test
,Inattention ADHD inattention for at least 6 months and are inappropriate for their developmental level.
Makes carless mistakes and does not listen to instructions, struggles in school
Articular Pain deep diffuse pian with limited ROM, crepitus and instability involving synovium,
cartilage, ligaments and joint capsule.
Non-Articular Pain painful ROM and focal tenderness involving tendons, ligaments, muscle and bone.
Inflammatory Pain Characterized by erythema, warmth, and swelling.
Non-Inflammatory Pain Includes trauma, ineffective repair, or neoplasm.
Joint pain symptoms Inquire about clicking, stiffness, and locking.
Shoulder Anatomy Includes sternoclavicular, acromioclavicular, glenohumeral and thoracoscapular
joints.
Acute Shoulder Pain Causes Includes sprains, dislocations, fractures, tendon ruptures.
Chronic Shoulder Pain Causes Includes impingement, rotator cuff tears, osteoarthritis.
Adhesive Capsulitis Idiopathic loss of active and passive ROM. "frozen shoulder"
Adhesive Capsulitis Treatment NSAIDs, analgesics, physical therapy recommended. Should recover in 6-12 weeks
Rotator Cuff Syndrome Most common cause of shoulder pain, related to impingement.
Impingement Syndrome Joint compression changes due to Rotator cuff inflammation
Rotator cuff syndrome Characteristics Gradual onset, worsens with overhead activity. Pain radiates to elbow and unable to
sleep on affected side
Drop Arm Test Abduct pt's arm to 90 degree angle and ask pt to drop arm slowly to their side.
Inability to do this in a controlled manner is a positive test and confirms rotator cuff
tear
, Rotator Cuff Tear Symptoms Lateral deltoid pain, weakness, difficulty abducting. reaching behind causes severe
pain
Rotator cuff syndrome Physical Exam Findings Tenderness over greater tuberosity, crepitus noted.
Treatment for Rotator Cuff Syndrome NSAIDs, rest, stretching; consider ortho referral if not improved in 6 weeks.
Recovery Timeline for Adhesive Capsulitis Recovery expected within 6-12 weeks.
Differential Diagnosis for Shoulder Pain Includes tendinitis, bursitis, arthritis, and trauma.
Radiating shoulder Pain Consideration Evaluate for cardiac, pulmonary, or abdominal sources.
Hawkins test or "empty can test" Pt should abduct 90 degrees with 30 degree forward flexion and thumbs pointing
down. Examiner pushes downward while pt attempts to elevate arms
Lateral Epicondylitis Tennis elbow; pain from overuse of extensor tendons in forearm that leads to
tendinosis
Coffee Cup Sign Pain and weakness when gripping objects.
Medial Epicondylitis Golfer's elbow; pain with wrist flexion and pronation.
olecranon bursitis Pain and swelling at elbow's posterior aspect.
Scaphoid Fracture Common wrist fracture, often missed on x-ray from fall on outstretched arm.
Anatomical Snuffbox Area indicating potential scaphoid fracture if swollen and painful
Injury from fall on outstretched arm Radial head fracture
Phalen's Test assesses for median nerve compression via wrist flexion with the dorsal surface of
each hand pressed together. If c/o numbness, this is positive.