Module 9: Musculoskeletal Examination

Question 1

Active Range of Motion (AROM

Answer 1

Action of the patient moving a joint to the greatest degree possible in all planes of motion

Question 2

Passive Range of Motion (PROM)

Answer 2

Action of the provider moving a joint of the patient to the greatest degree possible in all planes of motion w/out the patient assisting with the movement

Question 3

Minimize position changes during the examination by starting w/ the patient in the _____ position, then moving to the _____, and then _____.

Answer 3

• Seated
• Supine
• Standing

Question 4

-General inspection includes examination of

Answer 4

• Head size
• General body symmetry – bilateral upper/lower extremity length & muscle
• Limb/bony deformity
• Symmetrical joints

Question 5

Normocephalic

Answer 5

Size of head is w/in 1 standard deviation of average for others of the same age/sex

Question 6

Microcephalic

Answer 6

Head circumference smaller than 2 standard deviations below the average of the same age/sex

Question 7

Macrocephalic

Answer 7

Head circumference larger than 2 standard deviations above the average of the same age/sex

Question 8

In a physical examination you should work from _____ to _____, this makes the ____ joint the first joint to be examined

Answer 8

• Head
• Toe
• Temporomandibular (TMJ)

Question 9

Inability to open the Jaw-trismus or lockjaw is secondary to…

Answer 9

Spasm of the muscles of mastication

Question 10

Inability to close the jaw may be indicative of

Answer 10

TMJ dislocation

Question 11

Herberden’s Nodes

Answer 11

Bony enlargement of distal interphalangeal joints found in osteoarthritis

Question 12

Bouchard’s Nodes

Answer 12

Bony enlargement of the proximal interphalangeal joints associated with both osteo & rheumatoid arthritis

Question 13

Rotoscoliosis

Answer 13

Lateral curvature of the spine

Question 14

Inspection of hips normally happens in _____ position, if imbalance prohibits adequate examination, patient can be assisted to the _____ & _____ positions to complete ______ testing

Answer 14

• Standing
• Supine & prone
• Range of motion

Question 15

_____ helps to limit the differential diagnosis in the knee

Answer 15

Localization

Question 16

Instability in the knees most commonly reflects _____ injury, where the patient may describe the knee, “giving out”

Answer 16

Ligamentous

Question 17

Which 2 tests assess collateral ligament stability in a patient w/ a knee injury?

Answer 17

• Varus Stress Test

- Valgus Stress Test

Question 18

Meniscal Tear

Answer 18

Tear of the medial/lateral menisci of the knee

Question 19

McMurray’s Sign

Answer 19

Testing for clicking/pain in the knee – suggesting a meniscal tear

Question 20

Carpal Tunnel Syndrome

Answer 20

Compression of the median nerve as it passes through the carpal tunnel often resulting in numbness, paresthesia, and weakness of the hand

Question 21

Rotator Cuff

Answer 21

• Complex of tendinous insertions of the supraspinatus, infraspinatus, teres minor, and subscapularis muscles of the shoulder
• Site of common shoulder injuries

Question 22

Supraspinatus

Answer 22

• Aids in abduction of the arm at the shoulder
• Majority of its action is through 30 degrees
• Also assists through 90 degrees

Question 23

The primary action of the subscapularis is ______ ______

Answer 23

Internal rotation

Question 24

Shoulder Impingement

Answer 24

General term for the compression of anatomic structures that occurs when lifting the arm