Joint complaint

Question 1

Mono-articular

Answer 1

one joint

Question 2

Poly-articular

Answer 2

multiple joints

Question 3

Migratory

Answer 3

Moves from one joint to another

Question 4

Extra-articular

Answer 4

bones, muscle, tendons, bursa, skin

Question 5

Myalgia

Answer 5

muscle pain

Question 6

Arthralgia

Answer 6

joint pain

Question 7

Tendonitis

Answer 7

inflammation of the tendon

Question 8

Sprain

Answer 8

Ligament injury

Question 9

Strain

Answer 9

muscle injury

Question 10

Effusion

Answer 10

fluid in the joint

Question 11

Dislocation

Answer 11

complete lack of contact between 2 articular surfaces

Question 12

Subluxation

Answer 12

residual contact between 2 articular surfaces

Question 13

Valgus deformity

Answer 13

distal part of limb directed away from midline

ex: knock knees

Question 14

Vargus deformity

Answer 14

distal part of limb directed toward midline

ex: bowlegs

Question 15

Causes of inflammation

Answer 15

traumatic, infectious, systemic

Question 16

Subjective signs of inflammation

Answer 16

what the patient reports: pain, stiffness

Question 17

Objective signs of inflammation

Answer 17

what the physician can see: warmth, redness, swelling, pain to touch

Question 18

Steps of joint exam

Answer 18

inspection, palpation, ROM (active and passive), specialty testing

Question 19

Muscle Strength test

Answer 19

0-5

0/5= no contraction detected
1/5= barely any contraction
2/5: active movement with gravity eliminated
3/5= active movement against gravity
4/5= active movement against gravity and some resistance
5/5= active movement against full resistance with out evidence of fatigue (this is normal)

Question 20

Where is C4 dermatome

Answer 20

top of shoulder

Question 21

Where is C6 dermatome

Answer 21

radial aspect of forearm

Question 22

where is C8 dermatome

Answer 22

5th digit

Question 23

Where is T4 dermatome

Answer 23

nipple line

Question 24

Where is T10 dermatome

Answer 24

umbilicus

Question 25

Where is L5 dermatome

Answer 25

Great toe

Question 26

Where is S1 dermatome

Answer 26

posterolateral calf/little toe

Question 27

What is a normal time for capillary refills?

Answer 27

2 seconds or less

Question 28

What does a capillary test check for?

Answer 28

perfusion (arterial occlusion, hypovolemic shock, hypothermia)

Question 29

Pulse documentation

Answer 29

0-4

4= bounding
3= strong, full, increased
2= average, expected, normal
1= barely palpable
0= absent

Question 30

Where do you check for edema

Answer 30

Dorsum of foot, anterior tibia, behind medial malleolus

Question 31

Documentation of edema

Answer 31

0-4

0= absent
1= barely detectable (2mm), disappears rapidly
2= slight indentation (4mm), lasts 10-15 sec
3= deeper indentation (6mm), lasts longer than 1 min
4= very marked indention (8mm), lasts 2-5 min