Exam 2: GI/GU/MSK

Question 1

Crepitation

Answer 1

Cracking or grating sound due to irregularities on joint surfaces.

Question 2

Range of Motion

Answer 2

Degree of motion of a joint

Question 3

Muscle Strength

Answer 3

Test by applying an opposing force to the muscle group.

Question 4

Muscle Tone

Answer 4

Tension in resting muscle

Question 5

Muscle Mass

Answer 5

Size of the muscle

Question 6

Flexion:

Answer 6

Bending a limb at a joint.

Question 7

Extension:

Answer 7

Straightening of a limb at a joint.

Question 8

Abduction:

Answer 8

Movement of a limb away from midline

Question 9

Adduction:

Answer 9

Movement of a limb toward central axis of body or beyond.

Question 10

Internal rotation:

Answer 10

Turning of a body part inward toward the central axis.

Question 11

External rotation:

Answer 11

Turning of a body part away from midline.

Question 12

Circumduction:

Answer 12

Movement in a circular pattern.

Question 13

RUQ

Answer 13

Gallbladder, Liver, Head of
Pancreas, Part of Ascending and
Transverse Colon, R kidney, small intestine

Question 14

LUQ

Answer 14

Liver, Stomach, Spleen, Body of
Pancreas, Part of Transverse and
Descending Colon, small intestine

Question 15

LLQ

Answer 15

Part of Descending Colon, L
Ovary and Tube, L ureter, small intestine

Question 16

RLQ

Answer 16

Appendix, R Ovary and Tube, R
ureter, small intestine

Start auscultation here - ileocecal valve

Question 17

Midline

Answer 17

Aorta, Uterus (if enlarged),
Bladder (if distended)

Question 18

Subjective data for GI exam

Answer 18

Pain
Appetite
Dysphagia (trouble swallowing)
Food intolerance
N/V/D
Bowel movement
Past abd. hx
Meds (NSAIDs -> ulcers, pain -> GI motility)
Nutrition

Question 19

Subjective data for MSK exam

Answer 19

• Joint pain? PQRSTU
• Muscle pain (myalgia)? Weakness?
• Bone pain or deformity?
• Any accidents or trauma affecting bones, joints, muscles?
• Functional assessment: Do your joint, muscle, and/or bone problems affect your activities of daily living (ADLs)?
• Any occupational hazards that would affect muscles or joints?

Changes in function? affects ADLs

Question 20

Ankylosis

Answer 20

chronic inflammation can lead to fixed joint from bones growing together

Question 21

Glenohumeral joint

Answer 21

Shoulder

Question 22

Striae

Answer 22

stretch marks on skin

Question 23

Why do we have referred pain?

Answer 23

Fetal nerve pathways