MSK exam 1 Flashcards

1
Q

What are the 4 types of tissue

A

Nervous, epithelial , muscle and connective

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2
Q

4 types of connective tissue

A

ct proper, cartilage, bone, blood

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3
Q

2 types of ct proper

A

loose and dense/fibrous

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4
Q

3 types of loose ct

A

areolar, adipose, reticular

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5
Q

3 types of dense ct

A

regular, irregular, elastic

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6
Q

3 types of cartilage

A

hyaline, elastic, fibrocartilage

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7
Q

what are the 4 stages on the stress-strain curve

A

toe or slack, elastic, plastic, and failure

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8
Q

what happens to a tissue during the elastic stage

A

the tissue moves throughout its available range

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9
Q

what happens in the plastic stage

A

the properties of the tissue are changed which can be beneficial for stretching

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10
Q

what happens in the failure stage

A

pushed past the plastic range so the property changes to a tissue become more permanent and are the cause of tears or fractures

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11
Q

what are the 3 stages/phases of healing

A

acute inflammatory, proliferative, and remodeling

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12
Q

what marks the acute inflammatory phase of healing

A

it has a heavy cellular and vascular component and occurs immediately post injury for up to 10 days (we say 4-6)

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13
Q

what marks the proliferative phase

A

fibroplasia, collagen, and angiogenesis (growth of BVs) and days 10-21

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14
Q

what marks the remodeling phase

A

consolidation which occurs days 21-60 and maturation days 60 and on where the tissue becomes completely healed

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15
Q

clinical presentation of acute inflammatory stage

A

high irritability (pain), heat, redness, swelling, decrease ROM, muscle spasm/inhibition

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16
Q

clinical presentation of proliferative stage

A

moderate irritability, (no pain at rest, pain at end range and muscle guarding, increased ROM but need full for strength

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17
Q

clinical presentation of remodeling stage

A

low irritability, residual weakness and limitations in ROM, diminished neuromuscular control and proprioception

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18
Q

muscle mechanism and healing

A

M: strain (1st 2nd 3rd degree) contusion (intra vs inter muscular) and delayed onset muscle soreness
H: generally good with variability (possibly lose elasticity)

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19
Q

tendon mechanism and healing

A

M: rupture from overuse or trauma, tendinopathy grades 1-5
H: complicated (not good more distal part of tendon) may need surgery

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20
Q

ligament mechanism and healing

A

M: sprain grade 1, 2, 3
H: varies severity and location, lingering deficits and may need surgery, immobilization will weaken

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21
Q

cartilage mechnism and healing

A

M: degenerative or injury (tear)
H: no inflammation bc poor bloodflow

22
Q

bone mechanism and healing

A

M: fracture (stress or trauma)
H: operative or non but generally good outcome bc good blood flow

23
Q

exception bones to good healing

A

scaphoid, fifth met, head of femur, anything with cancerous mets

24
Q

how are bone fractures named

A

for the distal sides displacement location (medial/ lateral)

25
components of the patient management model
- comprehensive exam - evaluate data collected - determine diagnosis - establish prognosis - implement appropriate interventions
26
what does a comprehensive exam include
gathering a history, doing a systems review, and doing specific tests and measuresh
27
how to decide tests and measures to do
- evidence based cpg or cpr - will it support/reject hypothesis - targets multiple levels of functionality/disability - gathers info about problems identified in hx or systems review - time available and relative to injury
28
how to preform patient interview
mix of open ended and closed ended questions to illicit proper information within the tine constraint
29
systems review
musculoskeletal neuromuscular cardiopulmonary integumentary
30
cardiopulm norms
HR- 60-100 (max 220-age) (exercise 80% of max) BP- 119/79 normal limit respiration- 12-20 breath/min temp- 97.8-99.1
31
what are abnormal high and low BP
low- <90/60 stage 1- 159/99 stage 2- 160/100 crisis- above 180/110
32
posture can be affected by:
ROM, muscle force, gait pattern, muscle length, somatic awareness, circulation, respiration
33
ideal postural alignment
- body COM over BOS - least amount of stress on joints and soft tissue - low muscular effort
34
stability in spine subsystems
- passive: bones/ligaments - active: muscles - neural control
35
global muscle function
(superficial) respond to external forces to shift COM
36
Deep segmental muscle function
(deep) attach directly to spinal segments to maintain segments
37
reasons we are not in alignment
- high energy cost - low strength - age - psych - structural - disease - pregnancy - heredity - habit
38
posture assessment
- begin when patient walks in and is unaware - plumb line/posture grid - standing w no shoes - little clothing - ant post and lat views
39
postural look for at ankle
supination/pronation
40
postural look for at knee/tibia
valgus (knock knee) or varus (bow legged)
41
postural look for at hip
femoral antero/retroversion anterior/post pelvic tilt pelvic height swayback
42
postural at shoulder
shoulder hight/postion (internal/ant rotation (winging)
43
postural at cervical
forward head (ear over shoulder normal)
44
postural at thoracic
scoliosis or excessiver or limited kyphosis
45
faulty posture types
kyphotic-lordotic (anterior pevlic tilt) flat-back (posterior pelvic tilt) sway-back (post pelvic tilt but more kyphosis)
46
joint play grading
0-6 (0-2 hypo)(3 normal)(4-6 hyper)
47
what is the beighton score
measures hypermobility if score a 5 on list of hypermobile activities
48
contraindications to gross strength testing
unhealed fracture, surgical tendon repair, unstable joint
49
precautions to gross strength testing
advanced osteoporosis metastatic cancer osteogenesis imperfecta
50
Cyriax contractile tissue assesment meanings
strong and painfree- normal strong and painful- tendonopathy weak and painful- muscle or tendon partial tear weak and painfree- tendon rupture
51
pitting edema scale
1+ - 4+ increasing 2mm indentation sustained per score
52
clinical predictors for DVT
cancer, paralysis, recent surgery/bedridden, thigh/calf swelling on side, tenderness, calf cm larger than other, pitting edema, superficial veins low= 0 intermediate= 1-2 high= 3 or more