IPA MSK physical exam

Question 1

What are some types of mechanical falls

Answer 1

outstretched hand- wrist/elbow fratures
Slip and fall from curb (hip/ankle fractures)
Fall from bicycle

Question 2

Overuse mechanisms of injury

Answer 2

Tennis, golf, weightlifting, cooking/cleaning, repetative tasks

Question 3

Sudden injuries

Answer 3

over-lifting
extreme supports
trauma

Question 4

If there is an obvious deformity on an injured limb, what do you not do?

Answer 4

Do NOT test motion or strength- test pulses and neurological status- could make worse

Question 5

If you see edema what are you thinking of on exam

Answer 5

fracture or ligament injury
Check compartment

Question 6

If someone feels pain when they move their wrist, but not when the provider moves the wrist, what injury is this?

Answer 6

Muscular- provider can do passive motion

Question 7

What are synonyms for anterior

Answer 7

ventral/palmar

Question 8

What are synonyms for posterior

Answer 8

dorsal/plantar

Question 9

Lateral and medial terms for arm (think Big forearm bones)

Answer 9

Ulnar= medial
Radial= lateral

Question 10

Edema vs effusion

Answer 10

Edmea- swelling
Effusion- Fluid in joint

Question 11

Effusion vs Hemarthrosis

Answer 11

Effusion- fluid, synovial fluid in the joint
Hemarthrosis- Blood in the joint

Question 12

CT scan vs MRI for fracture

Answer 12

CT scan will not show bleeding from bone, MRI will.
Big for hip fractures- MRI shows bleeding (fracture) from bone.

Question 13

If a patient has a decrease in AROM why do you do PROM

Answer 13

is it an issue other than soft tissue (blockage, can’t go back further)
Hard stop/bony endpoint
- Need to say why less range of motion- Boney block vs soft tisuse

Question 14

Where do supination and pronation occur / in which joint?

Answer 14

Motion occurs at your elbow
- Motion occurs in hand, but the rotation is in elbow

Question 15

Which joint create ulnar and radial deviation

Answer 15

• Wrist
• Ulnar/medial
• Radial/To Thumb and laterally

Question 16

What are the 2 ways to perform muscle strength testing

Answer 16

1. ROM
2. Specific muscles
   - Test above and below joint

Question 17

For muscle grade testing, what are 0-5?

Answer 17

0- total paralysis
1- Some contraction randomly
2. Full motion, not against gravity (really cant fully move it. Trying to get ROM but cant all the way)
3- Full motion, no resistance
4- Full motion, can resist, but hurts
5- Normal, full motion, full resistance

Question 18

What is the neuro reflex grading scale

Answer 18

0- absent
1- impaired
2- normal

Question 19

Your middle finger is numb. Which nerve is implicated

Answer 19

C7

Question 20

Your thumb is numb. Which nerve is implicated

Answer 20

C6

Question 21

Your pinky finger is numb. Which nerve is implicated

Answer 21

C8

Question 22

Your axilla is numb. Which nerve is implicated

Answer 22

T1

Question 23

Which sensory nerve innervates your big toe

Answer 23

L4

Question 24

Where is L1 as a dermatome

Answer 24

Groin area
“You are invited to L1”