Ch 22 Musculoskeletal Flashcards

1
Q

Immobility, consolidation, and fixation of a joint because of disease, injury, or surgery
Most often due to chronic rheumatoid arthritis
EXTREME FLEXION OF THE WRIST

A

Ankylosis

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2
Q

Inability to perform coordinated movements

A

Ataxia

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3
Q

Enclosed sac filled with viscous fluid located in joint areas of potential friction

A

Bursa

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4
Q

Moving the arm in a circle around the shoulder

A

Circumduction

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5
Q

Dry crackling sound or sensation due to grating of the ends of damaged bone

A

Crepitation

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6
Q

Flexion contracture of the fingers due to chronic hyperplasia of the palmar fascia

A

Dupuytren contracture

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7
Q

Moving the sole of the foot outward at the ankle

A

Eversion

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8
Q

Straightening a limb at a joint

A

Extension

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9
Q

Bending a limb at a joint

A

Flexion

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10
Q

Round, cystic, nontender nodule overlying a tendon sheath or joint capsule, usually on dorsum of wrist

A

Ganglion

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11
Q

Lateral or outward deviation of the great toe

Bunion and hammer toes

A

Hallux valgus

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12
Q

Moving the sole of the foot inward at the ankle

A

Inversion

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13
Q

Outward or convex curvature of the thoracic spine, hunchback

A

Kyphosis

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14
Q

Fibrous band running directly from one bone to another bone that strengthens the joint

A

Ligament

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15
Q

Inward or concave curvature of the lumbar spine

A

Lordosis

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16
Q

Center of the intervertebral disk

A

Nucleus pulposus

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17
Q

Bony projection of the ulna at the elbow

A

Olecranon process

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18
Q

Surface of the sole of the foot

A

Plantar

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19
Q

Turning the forearm so that the palm is down

A

Pronation

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20
Q

Moving a body part forward and parallel to the ground

A

Protraction

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21
Q

Extent of movement of a joint

A

ROM

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22
Q

Moving a body part backward and parallel to the ground

A

Retraction

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23
Q

Chronic systemic INFLAMMATORY DISEASE of joints and surrounding connective tissue
Swan neck deformities in fingers
Typically pain in the mornings but gets better throughout the day
Systemic so its usually bilateral in hands

A

Rheumatoid arthritis

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24
Q

Nerve pain along the course of the sciatic nerve that travels down from the back or thigh through the leg and into the foot

A

Sciatica

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25
Q

S-shaped curvature of the thoracic spine

A

Scoliosis

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26
Q

Turning the forearm so that the palm is up

A

Supination

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27
Q

Congenital deformity of the foot in which it is plantar flexed and inverted (clubfoot)

A

Talipes equinovarus

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28
Q

Strong fibrous cord that attaches a skeletal muscle to a bone

A

Tendon

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29
Q

Contraction of the cervical neck muscles, producing torsion of the neck (wryneck)

A

Torticollis

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30
Q

How many bones in the skeletal system

A

206

31
Q

Coming together of bones

A

Joints/articulations

32
Q

Functions of the musculoskeletal system

A
Support
Movement
Protect and encase organs
Functions of RBCs in bone marrow
Considered a reservoir for calcium and phospherous, housed in the bones
33
Q

Nonsynovial joints are..

A

Movable and immovable

34
Q

Muscle under voluntary control, connects bones to tendons

A

Skeletal

35
Q

Muscle that lines all hallow organs and allow for distention and contraction

A

Smooth

36
Q

Muscle that keeps the heart beating while it contracts

A

Cardiac

37
Q

Synovial joints contain

A

Joint cavity and bursa

38
Q

The articulation (the coming together) of mandible and temporal bone

A

Temperomandibular joint (TMJ)

39
Q

The TMJ is anterior to the tragus of the ear and capable of what 3 movements

A

Hinge action
Gliding action
—Glides side to side and forward and backward

40
Q

The vertebrae has how many connecting bones

A

33

41
Q

What you feel when you run your hand down your spine

A

Spinal processes

42
Q

What are the sections of the vertebrae and how many bones in each

A
7 cervical (base of neck is C7)
12 thoracic
5 lumbar
5 sacral
3-4 coccyx
43
Q

Between all vertebrae for cushion

A

Intervertebral discs

44
Q

The shoulder joint is known as the ____ and makes what action

A

Glenohumeral joint makes a ball and socket action

45
Q

There are 4 muscles surrounding this joint as well as the scapula and clavicle

A

Rotator cuff

46
Q

The 3 bony articulations of this hinge joint are the humerus, radius, and ulna of forearm

A

Elbow

47
Q

The radiocarpal joint is the..

A

Wrist

48
Q

This joint articulates at the head of the femur and the acetabulum and contains 3 bursa sacs for smooth movement
Basically the same as the shoulder

A

The hip

49
Q

The largest joint consisting of the femur, tibia, and patellar and contain medial and lateral menisci for cusion

A

The knee

50
Q

This joint articulates at the tibia, fibula, and talus

A

Ankle or tibiotalar

51
Q

What subjective data should you collect on the musculoskeletal system

A

Joints–> pain, stiffness, swelling/redness/heat
Muscles–> pain or weakness
Bones–> pain, numbness, tingling, deformities, trauma, breaks/fractures

52
Q

You should get a health history on..

A

Complications with ADLs
Self care behaviors (stretching is important)
Family history

53
Q

What should you inspect and palpate for in joints

A

Inspect for redness or swelling
Palpate for grading or popping and try to localize pain
ROM

54
Q

What is the muscle testing examination

A

Having them put their arms out and you press on them

Grade resistance 0-5

55
Q

What is the Phalen’s test

A

Hands back to back

If pain after 1 min its a +Phalen test indicating carpal tunnel syndrome

56
Q

What is Tinel’s sign

A

Percussing the median nerve in the hand and wrist usually indicating carpal tunnel syndrome

57
Q

What is the bulge sign test

A

Pressing on the knee looking for a suspected small amount of fluid or swelling

58
Q

What is the ballottement of patella

A

Palpate knee looking for large amount of fluid, will be spongy

59
Q

What is the Murrays test

A

Testing for a meniscal tear
Hold heel, flex knee and hip
Hear a click when you extend

60
Q

What is the Lasegues or straight leg raising test

A

Testing for a herniated disc in the back
Raise leg up looking for back or leg pain
Positive for sciatic pain

61
Q

How do you measure the leg

A

Measure bilaterally
From iliac crest to medial malleolus
Should be within 1 cm

62
Q

What can you expect to see with aging adults

A

Decreased height because invertebral discs are compressed
Kyphosis
Redistribution of body fat (less in face, more in midsection)
Bonier
ROM should be normal unless they have arthritis

63
Q

Degenerative joint disease
One sided
Usually gets worse as the day goes on
Occurs from wear and tear on the body

A

Osteoarthritis

64
Q

Tear of the rotator cuff usually occurs from..

A

lifting patients

65
Q

Frozen shoulder adhesive capsulitis usually occurs from..

A

being bed ridden, rehab usually helps

66
Q

Goose egg on the olecranon process, bursa sac inflamed from repetitive movement

A

Olecranon bursitis

67
Q

Tennis elbow from frequent use

A

Epicondylitis

68
Q

A fracture in the wrist from when someone falls and tries to catch themselves

A

Colles fracture

69
Q

Ankylosis Spondylitis

A

LIMITED ROM

causing fusing together of joints

70
Q

Happens with an overgrowth of palmer fascia, pulling fingers down

A

Dupuytren’s contracture

71
Q

Ganglion cyst is an abnormality of the..

A

hand and wrist

72
Q

When the area inside the knee joint becomes inflamed

A

Mild synovitis

73
Q

When the bursa sac is inflamed and you see it above the patella

A

Prepatellar bursitis