Lecture 1: Approach to the MSK Pt

Question 1

SEADS

Answer 1

• Swelling
• Erythema
• Atrophy
• Deformity
• Scars/Skin

Question 2

What is a goniometer?

Answer 2

Measures degree of flexion

Question 3

How is manual muscle testing graded?

Answer 3

0-5, with 5/5 being complete ROM against gravity with full resistance

Question 4

What is a myotome?

Answer 4

Group of muscles with their corresponding nerve innervation

Question 5

What is the MC first-line imaging modality for bone and joint imaging?

Answer 5

XRAY

Question 6

If you order a long-bone XRAY, what should you make sure to include?

Answer 6

Joint above and below

Question 7

What scan has the highest bony detail?

Answer 7

CT

MRI is best for soft tissue

Question 8

What is US quality highly dependent on?

Answer 8

Technician skill

Question 9

What does scintigraphy measure?

Answer 9

Blood flow and metabolic activity of bone

Question 10

What is myelography mainly used for?

Answer 10

Spinal cord pathology for pts who cannot undergo MRI.

Injection of contrast into subarachnoid with fluoroscopy.

Question 11

What is arthrography?

Answer 11

Imaging of joint + contrast for viewing soft tissue borders of a joint.

Question 12

What is muscle biopsy used to distinguish between?

Answer 12

Myopathy vs neuropathy

Question 13

What does HLA-B27 check for?

Answer 13

Ankylosing spondylitis (Young adults 20-30)

Question 14

What would indicate urgent referral to ortho?

Answer 14

• Closed and stable Fx
• Reduced joint dislocation
• Locked joint
• Tumor