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- humerus
- sternum *
-baby with flaccid klumps palsy need stimulation by
a-galvanic stimulation *
b-reciprocal stim
c-didynamic

Study these pictures carefully

Posterior triangle of the neck
It has the following boundaries:
Apex: Union of the sternocleidomastoid and the trapezius muscles at the superior nuchal line of
the occipital bone
Anterior: Posterior border of the sternocleidomastoideus
Posterior: Anterior border of the trapezius
Base: Middle one third of the clavicle
Roof: Superficial layer of the deep cervical fascia

Spondylolisthesis is the forward displacement of a vertebra, especially the fifth lumbar vertebra,
most commonly occurring after a break or fracture
Spyndolythesis is carctriqtes is
vertbera above vertebra dislocat posterior
vertbera below vertebra dislocat posterior
vertbera above vertebra dislocat anterior
vertbera belowe vertebra dislocat anterior

12 y girl with facial palsy during assessment pt cannot look to the right horizontally weakness in
the:
A
...
left rectus medialis
C
...
A and B
Note: - Lateral rectus will direct the pupil laterally,, Medial rectus will direct it medially
2-which action not needed during test of longssimus capitus
a-extension
b-flexion
c-sidebending
d-rotation
Action of longissimus capitis
Extension of the head and cervical spine and side bending and rotation to same side

21-patient complains of cystic fibrosis in LT lingula
a-put patient on RT sidelying
b-put patient on LT sidelying
c-half lying
c-prone lying
25-inner most layer of heart is
a-myocarduim
b-epicarduim
c-endocarduim
Heart layers
The wall of the heart is made up of three layers
...

The middle layer is myocardium
...

27-VOLKMANS ISCHEMIC CONTRACTURE occur
due to
a-fracture of medial epcondyle of humerus
b-fracture of lat epicondyle of humerus
c-fracture lower third of humerus
d-surgical neck
26-most compression site of ulnar nerve in
a-shoulder jt
b-spinal groove of humerus
c-elbow
d-wrist
17- ulnar nerve passes
a- anterior to medial epicondyle
b- anterior to lateral epicondyle
c- posterior to medial epicondyle
d- Posterior to lateral epicondyle
236- in carpal tunnel syndrome the most affected ms is
a- flexor degotorum profundus
b- b- flexor carpi ulnaris
c- adductor pollicis longus
29-which muscle doesn’t affected in carpal tunnel syndrome
a-flexor pollicis longus
b-adductor pollicis longus
inervated by Ulnar nerve
c-abductor pollicis longus
Tinel Sign - Carpal Tunnel Syndrome
Examiner taps over the carpal tunnel at the anterior wrist (Over
retinaculum)
...

Examiner flexes the wrist maximally and holds 1 min
...

** Indicates carpal tunnel syndrome
in carpal tunnel syndrome there is compression on
A-ulnar nerve
B-radial nerve
C- mediane nerve
D- musculocutaneous nerve
in carpal tunnel syndrome the entrapped nerve is the?
a-radial
b-median
c-ulnar
d-axillary
median nerve most probable compressed Region
a-elbow
b-fingers
c-shoulder
d-wrist
427- In which location the median nerve freqently or mostly entrapped?
a- forearm
b- arm

c- elbow
d- wrist √

238- Which of the following muscles is not supplied by the median nerve?
a- Flexor carpi radialis ◊ median
b- Flexor digitorum superficial is ◊ median
c- Flexor pollicus longus ◊ median
d- Abductor pollicus longus
...
Flexor carpi ulnaris
...
Flexor carpi radialis
...
Flexor digitorum superficialis
...
Palmaris longus
...
Pronator teres
...
Pronator teres
...
Pronator quadratus
...
Flexor pollicis longus
...
Opponens pollicis
...
Adductor pollicis
...
Adductor pollicis
...
Flexor pollicis longus
...
Interossei muscles
...
Hypothenar muscles
...
Medial 2 lumbricals
...

2- Loss of sensation in the first 3 lateral fingers and weakness of the flexor policis

125- patient has median Nerve compression assess him by
a- Weak of medial 2 fingers & decrease grasping objects
b- Numbness of 3 ½ fingers & weak opponents ms √
The opponens pollicis is a small, triangular muscle in the hand, which functions to oppose the
thumb
Carpal tunnel syndrome causes:
a
...

b
...

c
...

d
...
The Ape Hand Deformity is caused by damage to the proximal median nerve
e
...

The posterior axillary fold is formed by the tendon of the latissimus dorsi muscle and the:
A
...
teres minor muscle
C
...
supraspinatus muscle
E
...
deep radial nerve
B
...
basilic vein
D
...
extensor indicis tendon
Answer: B
“Winging of the scapula” could be due to damage to this nerve:
A
...
thoracodorsal
C
...
upper subscapular
E
...
pectoralis major, latissimus dorsi and subscapularis
B
...
teres major, teres minor and pectoralis major
D
...
subscapularis, teres minor and pectoralis minor
Answer: A
The rotator cuff of the shoulder joint is weakest:
A
...
anteriorly
C
...
inferiorly
Answer: D
The most important ligament for supporting the weight of the scapula when the person is
standing is the:
A
...
glenohumeral
C
...
transverse humeral
E
...
flexor carpi radialis
B
...
flexor digitorum superficialis
D
...
palmaris longus
Answer: A
31-the most affective distance between IRR and patient is
a-30cm
b-90cm
c-70cm

32-after exposure to U
...
R patient come with pigmentation due to release of
a-histamine
b-melanin
c-bradykinin
d-endorphin

Orthotics ‫األجهزة التعويضية‬

prosthetics ‫األطراف الصناعيه‬

35-orthotics means
a-field which fabricate devices to support limb
b-persons who fabricate prosthesis
c-extenl device support existing limb
d-field which fabricate any type of supporting devices
Orthotics is a specialty within the medical field concerned with the design, manufacture and
application of orthoses
orthotist is the primary medical clinician responsible for the prescription, manufacture and
management of orthoses
Orthosis is the correct term for an externally applied device that is designed and fitted to the
body to achieve one or more of the following goals: Control biomechanical alignment
...
Protect and support an injury
Orthosis
a -device that replace the absent part of the body
b - an external device used in rehabilitation of patients with neuromuscular and

musculoskeletal disorders
...
prosthetics means
a-field which fabricate devices to replace missing limb
b-persons who fabricate prosthesis
c-extenl device support existing limb
d-field which fabricate any type of supporting devices
– 142–prothetist
– A – device that replace the amputated limb of the body
– B – material from which the device are fabricated
– C – person who fabricate and design the prosthesis
– D – company which fabricates the device
75- Coronary artery supply heart during
a- systole and diastole
b- In between
c- Diastole
Coronary arteries supply blood to the myocardium during heart relaxation (diastole)
456- Monteggia fracture means which of the following
a- fracture of the radius and sublaxation of the lower end of ulna
b- fracture of the ulna with radial head sublaxation
c- green stalk fracture with minor angulation
d- fracture of the radioulnar joint
Galeazzi fracture
Fracture of the radius and sublaxation of the lower end of ulna

‫ أحيانا يجي بصيغة ثانية مثل أي من التالي غير صحيح في‬monteggia fracture?

‫ تصير اإلجابة عكس التعريف يعني‬fracture of the radial and ulna sublaxation
Other name of fracture head of radius is
A Galeazzi fracture
B Colles' fracture
C Monteggia fracture
38-which is not correct about GALLZI FRACTURE
A-fracture of raduis and sublaxtion of ulna
b- fracture of ulna and sublaxtion of raduis
c-its occur by falling

Patient with emphysema and has brallel chest which statement document it
a- depressed ribs ange
b- Increase transverse diameter
c- Decrease ant post diameter

increased not Decrease

d- increase intercostal space

71- patient with emphysema and has barrel chest which statement document it
a- depressed ribs angel
b- increase transverse diameter
c- increase ant
...
-post diameter of chest √
d- decrease intercostal space

73- patient with emphysema and has brallel chest which statement document it
a- depressed ribs ange
b- increase transverse diameter
c- decrease ant post diameter
d- increase intercostal space √
Also increase ant- post diameter

Barrel chest also refers to an increase in the anterior posterior diameter of the chest wall
resembling the shape of a barrel, most often associated with emphysema
42-patient with depression of metatrsal pad and claw toe
the clinical picture
a-hyperext of metatarsal bone and ext of I
...
JT
B-FLEXION of metatarsal bone and ext of I
...
PJT
D-hyper ext of metatarsal bone and flexion of I
...
F everted adducted
b-

b- P
...
F everted abducted

d-

P
...
A
...
H ( Solid ankle cushioned heel )
b- SOFT S
...
C
...
ARTHRITIS PT in future do
Strengthening ex which one is better
a- isometric ex
b- Isotonic ex
c- isokinetic ex

d- Immobilization
2- which muscle make hip abduction ;flexion ;internal rotation :
a- gluteus medius
b- external oliques
c- Sartorius
d- tensor fascia latae

4-when evaluation inspiration capacity using spirometer:
a- max inspiration after normal expiration
b-- max inspiration after max expiration
c—normal inspiration after normal expiration

1
...
anterior horns of spinal cord
2
...
lateral horns of spinal cord
4
...
Babinsky response usually develops with damage in:
1
...
lower motor neuron
3
...
thalamus
Answer: 1
2
...
complete transversal
2
...
half transversal
4
...
Pathological reflex, occurred in central paralysis (upper motor neuron lesion) is the
following:
1
...
Nery
3
...
Brown-Sequard
Answer: 3

4
...
meninges of the brain
2
...
spinal roots L5-S1 or sciatic nerve
4
...
The symptoms of the lower motor neuron lesion are the following:
1
...
muscular flaccidity
3
...
muscular wasting
5
...
Babinsky response positive
Answer: 2,3,4,5

6
...
fibrillations
2
...
deep reflexes brisk
4
...
depressed superficial reflexes
6
...
The following symptoms are the most common in cauda equine affection:
1
...
anesthesia in lower extremities & perineum
3
...
bladder dysfunction
5
...
anesthesia below nipples
Answer: 1,2,4,5
5
...
Knee at 60 of flexion and the hip externally rotated
...
Knee at 20 of flexion and the hip at neutral
...
Knee at 90 of flexion and hip externally rotated
...
Knee at 0 and the hip at neutral
...
LCPD usually occurs in children aged
4-10 years
...
X-ray revealed a posterior dislocation of the right hip joint
...
External rotation, extension & abduction
B
...
Internal rotation, extension & abduction
D
...
Signs of vascular or sciatic nerve injury may be
present
...

Acute ostesomylitis is most commonly caused by:
A
...
Actinomyces bovis
C
...
Borrelia vincentii
Staphylococcus aureus is the organism most commonly isolated from all forms of
osteomyelitis
...
Calcaneocuboid, talonavicular and talocalcaneal
B
...
Ankle joint, calcaneocuboid and talonavicular
D
...
The primary goals of a triple arthrodesis are to relieve
pain from arthritic, deformed, or unstable joints
...

23- For denervated ms we use at least
a- 10 m
...
sec
c- 100 m
...
sec
22- One of these electrical stimulation methods does not stimulate denervated
Muscle
a- high voltage interrupted long duration
b- TENS √
c- galvanic
d- faradic
Fractures of femoral neck (need to memories all)

Supraspinatus ms 4 quiz about it name, action, weakness lead to , nerve supply

Contraction of the supraspinatus muscle leads to abduction of the arm at the shoulder joint
...
Beyond 30
degrees the deltoid
The supraspinatus muscle is supplied by the suprascapular nerve (C5 and C6)
bunion deformity means:
- hallux valgus

bunion deformity is
a-hallucis varus
b-hallucis rigidus



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