10/30/13

Question 1

What are some questions you should ask the patient if they were injured in a motor vehicle accident?

Answer 1

Were you the driver or a passenger?
Were you belted or no?
Where were you impacted?
How severe was the crash–could you get out, were you thrown out, did anyone die?
What was the speed of the car at impact?
What was your physical position at impact?

Question 2

What are some red flags when dealing w/ musculoskeletal problems?

Answer 2

Pain when resting or at night.
Associated weight loss or loss of appetite. 
History of cancer
Steroid Use
History of Trauma
Bowel or bladder symptoms
pain when young or old.

Question 3

What are some questions you want to make sure you ask when dealing with social history?

Answer 3

What is your occupation–desk job or worker…
Are you retired?
Do you live in a 2 story house or apartment…have to walk up stairs?
Do you use a cane?
How far can you walk?

Question 4

What are 6 signs of musculoskeletal disease?

Answer 4

Pain
Redness (erythema)
Swelling
Increased Warmth (calor)
Deformity
Loss of Fcn

Question 5

What is erythema?

Answer 5

Redness–sign of musculoskeletal disease

Question 6

What is calor?

Answer 6

Increased warmth–sign of musculoskeletal disease.

Question 7

Based on palpation, what are the classifications for muscle strength?

Answer 7

0-->no movement
1-->muscle twitch
2-->FROM not against gravity
3-->FROM not against resistance
4-->FROM w/ weak resistance
5-->FROM w/ full strength

Question 8

What do you percuss?

Answer 8

Only nerves to check for inflammation

Question 9

If you can’t feel the radial pulse, what do you check?

Answer 9

The brachial pulse

Question 10

What are the primary lower extremity pulses that you should check?

Answer 10

The posterior tibial & the dorsal pedalis

Question 11

If you can’t feel the primary pulses in the lower extremities, which pulses should you check next?

Answer 11

The femoral & popliteal pulses.

Question 12

If you are trying to check for rotator cuff impingement or tear…what tests do you do?

Answer 12

Hawkins Test

Neer Test

Question 13

If you are trying to check for median nerve integrity…what tests do you do?

Answer 13

Thumb abduction
Tinal Sign
Phalen Test

Question 14

When you are checking for L2, L3, L4 nerve root irritation, which tests do you do?

Answer 14

Only the Femoral Stretch Test

Question 15

When you are checking for L4, L5, S1 nerve root irritation, which tests do you do?

Answer 15

Only the Straight Leg Raising

Question 16

What are the 2 tests that you can use to check for excess fluid in the knee?

Answer 16

Bulge Test

Ballottement Test

Question 17

What are the 2 tests that you can use to check for a torn meniscus?

Answer 17

The McMurray

And the Apley Test

Question 18

When you are checking for both anterior & posterior cruciate ligament integrity, which test do you use?

Answer 18

The Anterior & Posterior Drawer Test.

Question 19

In addition to the Anterior & Posterior Drawer test, what are 2 other tests that you can use to check for the anterior cruciate ligament integrity?

Answer 19

Pivot Shift Test

Lachman Test

Question 20

What test do you use when you are checking for mediolateral collateral ligament stability in the knee?

Answer 20

Varus Valgus Stress Test

Question 21

What is Varus…

What is Valgus…

Answer 21

Varus–bowlegged

Valgus–knees touching

Question 22

How do you check for flexion contracture of the hip?

Answer 22

Thomas Test

Question 23

How do you check Thomas’ weak hip abductor muscles?

Answer 23

Trendelenburg Test

Question 24

What are the overall steps to the musculoskeletal exam?

Answer 24

Inspection
Palpation
Range of Motion
Percussion (of nerves)
Vascular Status (feel pulses)