extra MSK exam Flashcards
__% of patients have IDIOPATHIC back pain
85%
what is one thing you want to evaluate for when a patient has neck pain?
see if it radiates (radicular pain)
hip joint pain is deceptive because it can manifest in what four areas?
groin, buttock, anterior thigh, knee
what is important to know for an accidental injury (from an orthopedic standpoint)?
mechanism of injury
If there’s an intra-articular problem, what type of ROM is affected?
passive AND active
what is stiffness?
perceived tightness or resistance to movement
what “inflammatory” symptom is least indicative of inflammation?
redness
what are some constitutional symptoms sometimes associated with joint problems?
fever, chills, rash, fatigue, anorexia, weight loss, weakness
what are some systemic conditions that can occur with joint problems?
skin conditions- malar rash, scaly plaques, bull's eye, palpable purpura, hives, capillary changes, clubbing scleritis sore throat oral ulcers urethritis pneumonitis
physical activity recommendations (per week)
at least 2.5 hrs of moderate intensity OR 1.25 hrs of vigorous activity
2 or more days/week do moderate or high intensity muscle strengthening
osteoporosis: __% of adults over 50
9%
___% of postmenopausal women have 1 osteo related fracture
50%
screening guidelines for osteoporosis
women 65 yrs or older or younger people whose 10 yr fracture risk is equal or greater than a 65 yr old
osteoporosis vs osteopenia T score
osteopenia: -1 to -2.5
osteoporosis: greater than -2.5
what supplementation is given to prevent fractures from osteoporosis?
ca and vitamin D
prevention of falls guidelines
exercise/PT and/or vitamin D supplementation for at risk adults over 65 yrs old
risk factors for falls
increasing age impaired gait and balance postural hypotension loss of strength medication use comorbid illness depression cognitive impairment visual deficits
what makes up the condylar synovial joint?
articular disc between zygomatic arch and mandibular condyle
what makes up the shoulder girdle?
3 joints- AC, SC, glenohumoral
3 large bones- scapula, clavicle, humerus
3 principal muscle groups- SITS, axioscapular, axiohumeral
what are the SITS muscles?
supraspinatus, infraspinatus, teres minor, subscapularis
what is the “shoulder’s” anchor to axial skeleton?
scapula at sternoclavicular joint (also called scapulothoracic articulation)
supraspinatus- runs _____ glenohumoral joint, attaches where?
above, greater tubercle
infraspinatus/teres minor- crosses glenohumoral joint ________, attaches where?
posteriorly, greater tubercle
subscapularis- originates on ________ surface of scapula and crosses joint _________; attaches where?
anterior, anteriorly; LESSER tubercle
