Assessing Musculoskeletal System

Question 1

How many bones make up body

Answer 1

206

Question 2

How many skeletal muscle is composed and what are they made of

Answer 2

650 and fasciculi

Question 3

moving away from midline of the
body.

Answer 3

Abduction

Question 4

moving away from midline of the
body.

Answer 4

Adduction

Question 5

Circular motion

Answer 5

Circumduction

Question 6

Moving inward

Answer 6

Inversion

Question 7

articulation between the temporal bone and mandible.

Answer 7

Temporomndibular

Question 8

junction between the manubrium of the sternum and the clavicle; has no obvious movements.

Answer 8

Sternoclavicular

Question 9

passive contraction known as residual muscle tension resulting from the muscles continuous work to maintain posture.

Answer 9

Tonicity

Question 10

Light tapping over irritated median nerve

Answer 10

Tinel’s sign
Test for carpal tunnel syndrome (positive tinel’s sign)

Question 11

Called carpal compression

Answer 11

Durkan test

Question 12

Assessment procedure

Answer 12

• posture and gait
  -TMJ (put fingers at external ear)
• Sternoclavicular joint (palpation of clavicle)
• Cervical thoracic and lumbar spine (observe and palpate for pain, test ROM neck)
• shoulder arms and elbow (inspect and palpate)
• Wrist hands fingers
• hips
• Knees ankles and feet

Question 13

Special test for neck

Answer 13

Dekleyn test
Spurlin’s
Elvey’s test

Question 14

Lumbar abnormalities

Answer 14

Kyphosis
Scoliosis
Lordosis

Question 15

Normal degrees for shoulders

Answer 15

180 degrees of forward flexion
50 degrees of hyperextension
50 degrees of adduction
180 degrees of external
90 degrees of internal rotation
Client can flex, extend, adduct, abduct, rotate, and shrug shoulders against resistance.

Question 16

Shoulder abnormalities

Answer 16

Rotator cuff tear – painful and limited
abduction accompanied by muscle weakness
and atrophy.

Rotator cuff tendinitis – sharp catches of
pain when bringing hands overhead.

Calcified tendinitis – chronic pain and
severe limitation of all shoulder motions.

Lesions of CN XI (Spinal Accessory) – inability to shrug shoulders.

Question 17

Normal elbow ROM

Answer 17

Normal:
160 degrees of flexion
180 degrees of extension
90 degrees of pronation
90 degrees of supination

Question 18

ask the client to place the backs of both hands against each other while flexing the wrists 90 degrees with fingers pointing downward and wrist dangling. Hold for 60 secs. (+) tingling, numbness, burning, or pain = Carpal Tunnel Syndrome (CTS).

Answer 18

Phalen’s test

Question 19

Finger abnormalities

Answer 19

Acute Rheumatoid Arthritis (RA) – swollen, stiff, tender finger joints.

Osteoarthritis (OA) – hard, painless, nodules – distal interphalangeal (DIP) and proximal interphalangeal (PIP).

Boutonniere deformity – PIP joint is flexed while DIP joint is hyperextended.

Swan-neck deformity – PIP joint hyperextension and flexion of DIP joint.

Heberden’s node – small, pea-sized bony growths on DIP; symptom of OA.

Bouchard’s node – small, bony growths on middle joint of finger; damage to cartilage or joint.

Question 20

inability to extend the ring and little fingers.

Answer 20

Dupuytren contracture

Question 21

painful extension of a finger
(infection of flexor tendon sheathes).

Answer 21

Tenosynovitis

Question 22

Abnormalities of knees

Answer 22

Genu valgum – knees turn with knock knees.
Genu varum – bowed leg.
Synovitis – tenderness and warmth with
boggy consistency.
Atrophy – asymmetric muscular
development in the quadriceps.

Question 23

perform if swelling is present; might
be due to accumulation of fluid or soft tissue
swelling.

Answer 23

Bulge test

Question 24

patellar tap test that detects
large amount of fluid in the knee.

Answer 24

Ballottement test

Question 25

if client complains of
giving in or locking of the knee. (+) pain or clicking indicative of torn meniscus of the knee.

Answer 25

McMurray test

Question 26

high arch of feet

Answer 26

Pes cavus

Question 27

Flat foot

Answer 27

Pes planus