Ch 24 MSK Flashcards

1
Q

Tendons attach ____ to ____

A

skeletal muscle + bone

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2
Q

Ligaments run directly from ____ to ____ and function to _____

A

fibrous bands connecting bone to bone
strengthen joint
prevent movement in undesirable direction

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3
Q

Inversion: moving sole of foot ____ at ankle

Eversion: moving sole of foot ___ at ankle

A

Inversion: inward

Eversion: outward

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4
Q

Vertebrae: ___ in total

\_\_cervical
\_\_thoracic
\_\_thoracic
\_\_lumbar
\_\_sacral
\_\_coccygeal
A

33

7 cervical
12 thoracic
5 lumbar
5 sacral
3-4 coccygeal
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5
Q

Vertebral landmarks:

C7-T1

A

base of neck

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6
Q

Vertebral landmarks:

T7-T8

A

inferior angle of scapula

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7
Q

Vertebral landmarks

L4

A

highest point on iliac crest

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8
Q

Vertebral landmarks

sacrum

A

line that joins symmetrical dimples over PSIS (posterior superior iliac spine)

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9
Q

Cervical and lumbar spines are ____ curves

Thoracic and sacrococcygeal are ____ curves

A

Cervical and lumbar: concave

Thoracic and sacrococcygeal: convex

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10
Q

Elbow:
medial and lateral epicondyles of _____ (bone)
olecranon process of ____ (bone)

Ulnar nerve runs between olecranon and ____ epicondyle

A

humerus
ulna

ulnar nerve: between olecranon and medial epicondyle

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11
Q

Knee:
cruciate ligaments: provide ___ stability and help control ____

collateral ligaments: provide ___ stability and help prevent ____

A

cruciate: provide anterior/posterior stability
- control rotation

collateral: provide medial/lateral stability
- prevent dislocation

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12
Q

Foot:

____ joint allow inversion and eversion of foot

A

Subtalar

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13
Q

To prevent osteoporosis:
calcium intake of ___mg for adults 50+
vit D intake of ____ IU for healthy adults 19-50, ____ IU for adults 50+ or with risk factors

A

Calcium: 1200 mg

vit D: 400-1000 IU for healthy adults up to 50, 800-2000 IU for 50+ or with risk factors

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14
Q

Rheumatoid arthritis:

  • pain is worse in ____
  • movement makes pain ____
A

pain worse in AM

movement makes pain better

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15
Q

Osteoarthritis:

  • pain is worse in ____
  • movement makes pain _____
A

pain worse later in day

movement makes pain worse

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16
Q

Articular disease (eg arthritis): limits _______ROM in ____planes

Extra-articular disease (eg injury to tendon/ligament/nerve): limits ______ ROM in ____ planes

A

Articular: active and passive ROM in all planes

Extra-articular: ROM in only certain planes esp active motion

17
Q

Moving jaw forward, laterally against resistance and opening mouth against resistance tests cranial nerve ____

A

five (trigeminal)

18
Q

shoulder shrug and cervical flexion against resistance tests cranial nerve ____

A

XI (spinal nerve)

19
Q

Positive Tinel’s sign:

  • percussion over ___nerve causes _____
  • occurs with _______
A

median nerve, causes burning and tingling

-carpal tunnel syndrome

20
Q

How do you perform bulge sign?

What does it test for?

A

Stroke medial aspect of knee 2-3x, tap lateral aspect and watch medial side for fluid wave bulge
-detects very small amt of fluid in suprapatellar pouch

21
Q

Positive McMurray tests indicates:

A

torn meniscus

22
Q

To measure true leg length: measure from ____ to ____

A

measure from ASIS to medial malleolus

23
Q

Ankylosing spondylitis

-affects ___, ____ and ____

A

spine, sacroiliac and large joints

24
Q

Drop arm test:

  • arm is _____ at shoulder
  • inability to hold up arm indicates ______
A

passive abduction

-torn rotator cuff

25
Q

Adhesive capsulitis:

  • inability to _____
  • limited ____ and _____
A

inability to reach overhead

limited abduction and external rotation

26
Q

Tennis Elbow
pain at ____ epicondyle
radiates down ____ surface of forearm
-from excessive ___ and ____ with extended wrist

A

lateral epicondyle

  • flexor surface of forearm
  • excessive supination and pronation
27
Q

Dupuytren’s Contracture

-hyperplasia of ____ causes flexion contractures in which fingers?

common in:

  • gender
  • age
  • co-morbidities?
A

hyperplasia of palmar fascia
-flexion contractures of D4 –> D5 –> D3

common in men
40+
diabetes, epilepsy, alcoholic liver

28
Q

Heberden nodes are at ____ interphalageal joint
Bouchard nodes are at _____ interphalangeal joint

occurs in _____

A

Heberden: DIP
Bouchards: PIP

osteoarthritis

29
Q

Osgood-Schlatter:
-pain swelling of _____ from repeated stress on ____ tendon

most common in

  • gender
  • age
  • worse with
A

tibial tubercle
repeated stress on patellar tendon

most common in

  • boys
  • puberty (rapid growth)
  • worse with kicking, running, stairs, biking, kneeling
30
Q

Scoliosis is a ____ curvature of thoracic and lumbar spine

Functional scoliosis is ____ (flexible/fixed?)

  • obvious on ____ (position)
  • disappears with ____ (position)

Structural scoliosis is ____ (flexible/fixed)?
-rib hump in _____ (position)

A

lateral curvature

functional scoliosis is flexible
-obvious on standing, disappears on forward bending

structural scoliosis is fixed
-rib hump in forward flexion

31
Q

Lumbar herniation is most common in interspaces

____ and _____

A

L4-L5

L5-S1