MSK Exam

Question 1

Active ROM

Answer 1

patient moves

Question 2

Passive ROM

Answer 2

you move the pt

Question 3

TMJ exam

Answer 3

• palpate joint space for clicking, popping
• test ROM: pt open and close mouth
• move jaw laterally
• protrude and retract jaw
• test strength of temporalis muscle with teeth clenched
• some drugs can cause TMJ

Question 4

Neck exam

Answer 4

• check alignment and symmetry
• test ROM
• forward flexion (chin to chest)
• hyperextension (look up)
• Rotation (turn side to side)

Question 5

Thoracic and Lumbar Spine

Answer 5

Inspect major landmarks
- C7-T1 most prominent 
- scapula
- Iliac crests 
- spinal curvature 
palpate spinal processes and paravertbral muscles
Test ROM
- forward flexion and hyperextension
- lateral bending (arms down)
- Rotation (turn side to side)

Question 6

Shoulder

Answer 6

Inspect: clavicle, coracoid process, greater tubercle, biceps groups
check ROM: ball and socket joint
- forward flexion (arms forward overhead)
- hyperextension (behind back)
- abduction (out to sides)
- adduction (to midline/body)
- internal rotation (stop sign, rotate forward and down)
- external rotation (stop sign and rotate up and back)

Question 7

Elbow

Answer 7

Inspect carrying angle (slight bend)
Palpate cubital fossa or elbow pit and bones for tenderness or abnormality
ROM:
- flexion (arm straight and curl up)
- extension (extend straight forward)
- supination (palm up)
- pronation (palm down)

Question 8

wrist

Answer 8

Inspect fingers and wrist
palpate: fingers proximal to distal; wrist at radial and ulner joints; snuff box
ROM
- flexion: fingers/hand down
- Extension: hand up
- radial deviation: towards thumb
- ulnar deviation: towards pinky

Question 9

Hip

Answer 9

Inspect for symmetry
ROM of ball and socket:
- flexion: lift leg straight out in front
- extension: leg behind body
- abduction (to side)
- adduction: across midline toward body
- internal rotation: knee across body
- external rotation: knee away from body

Question 10

Knee

Answer 10

inspect for alignment 
palpate patella and joint lines
ROM: 
- flexion: bend knee
- extension: flex leg straight

Question 11

Ankle

Answer 11

ROM

• dorsiflexion: lift foot up
• plantarflexion: point toes down
• abduction: toes out
• adduction: toes in
• Inversion: bottom foot toward body
• eversion: bottom of foot away from body