History/General principles of examination

Question 1

What are the four principles of examination?

Answer 1

Look
Feel
Move
Measure/Special tests

Question 2

In which dimensions should joints be assessed?

Answer 2

3D

Question 3

What are you looking for with ‘Look”?

Answer 3

General inspection - pain/distress, abnormal posture/use of mobility, asymmetry

Question 4

Which structures should you assess for swelling?

Answer 4

Bone, joint, tendons and bursae

Question 5

Whats the difference between subluxation and dislocation?

Answer 5

Subluxation is only partial dislocation

Question 6

When assessing for arthritis, what could you look for in the muscles and skin?

Answer 6

Muscle wasting in the muscle, joint, surrounding tissues or nerves
Skin changes like rash, erythema and scars

Question 7

What should you ‘feel’ for when examining for arthritis?

Answer 7

Temperature of joint, tenderness (local/general), swelling

Question 8

What should you consider when assessing swelling?

Answer 8

Whether it’s bone or soft tissue

Question 9

What are the two types of movement to do in a general exam?

Answer 9

Passive - by examiner

Active - by patient

Question 10

When considering Gout, what are three things you should pay extra attention to in a history, relating to prompts of an attack?

Answer 10

Dehydration, protein in the diet and alcohol intake