MSK/PERIPHERAL VASC/ LYMPHATIC Flashcards

1
Q

What is contracture?

A

A condition in which muscles, tendons, ligaments, or skin become permanently shortened or stiffened, leading to restricted joint movement. It often results from prolonged immobility, scarring, or neuromuscular disorders

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2
Q

What is cicumduction?

A

moving arm in circle around the shoulder

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3
Q

List the 6 shoulder ROM with degree ranges.

A
  1. Forward flexion: 180 degrees
  2. hyperextension: up to 50 degrees
  3. Internal rotation: 90 degrees
  4. Abduction: 180 degrees
  5. Adduction: 50 degrees
  6. External rotation: 90 degrees
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4
Q

List the 4 elbow ROM with degree ranges.

A
  1. Flexion 150-160 degrees
  2. Extension at 0 degrees (can be 5-10 degrees extension OR hyperextension)
    3&4. pronation/supination: 90 degrees
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5
Q

List the 4 wrist ROM with degree ranges.

A
  1. Hyperextension: 70 degrees
  2. Palmar flexion: 90 degrees
  3. Ulnar deviation: 50-60 degrees
  4. Radial deviation: 20 degrees
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6
Q

List the 6 hip ROM with degree ranges. (added 7th from textbook)

A
  1. Flexion (knee straight): 90 degrees
  2. Flexion (knee bent): 120 degrees
  3. Internal rotation: 40 degrees
  4. External rotation: 45 degrees
  5. Abduction: 40-45 degrees
  6. Adduction: 20-30 degrees
  7. Hyperextension: 15 degrees (when stabilized)
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7
Q

What are the degrees for the two knee ROM?

A

Flexion: 130-150 degrees
Straight leg: 0 degrees, hyperextension up to 15 degrees

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8
Q

List the 5 ankle ROM with degrees.

A
  1. Plantar flexion: 45 degrees
  2. Dorsiflexion: 20 degrees
  3. Eversion: 20 degrees
  4. Inversion: 30 degrees
  5. Toe flexion/extension:
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9
Q

How is strength documented in ROM

A

Strength grade:
5: full ROM against gravity, full resistance
4: Full ROM against gravity, some resistance
3: Full ROM with gravity
2: Full ROM with gravity eliminated (passive)
1: slight contraction
0: no contraction

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10
Q

What are nonsynovial joints?

A

bones are united by fibrous tissue or cartilage and are immovable (ex. sutures of skull) or only slightly movable (ex. vertebrae)

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11
Q

What are synovial joints?

A

freely movable because the bones are separated from each other and enclosed in a joint cavity

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12
Q

What are ligaments?

A

fibrous bands connecting bone to bone that support joints

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13
Q

What are two things that support and cushion a synovial joint allowing for free movement?

A

synovial fluid and cartilage

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14
Q

What are bursa?

A

enclosed sac filled with viscous synovial fluid located in areas of potential friction

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15
Q

T or F: muscles account for 40-50% of the body weight.

A

True

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16
Q

What attaches skeletal muscle to a bone?

17
Q

How many vertebrae are in each vertebral column?

A

cervical- 7
thoracic- 12
lumbar 5
sacral- 5
coccyx- 3-4

18
Q

What vertebral landmark aligns with the iliac crest?

19
Q

What vertebral level aligns with the inferior angle of the scapula?

20
Q

Risk factors for decreased bone density:

A
  • prolonged use of glucocorticoids
    -smoking
  • high alcohol intake
    -low body weight
    -Rheumatoid arthritis
21
Q

What are the 6 types of joints?

A
  1. Hinge (ex. elbow, kee, interphalangeal)
  2. Pivot (ex. radioulnar joint)
  3. Saddle (ex. thumb)
  4. Plane (ex. hands and feet)
  5. Condylar (ex. wrist)
  6. Ball and socket (ex. shoulder, hip)
22
Q

Where is the carotid artery?

A

between sternomastoid muscle and trachea

23
Q

Where is the brachial pulse?

A

medial to bicep tendon within the ACF

24
Q

Where is the radial pulse?

A

distal aspect of wrist on thumb side (radial side)

25
Where is the popliteal pulse?
within popliteal fossa, lateral to medial tendon
26
Where is the dorsal pedis pulse?
lateral & parallel to extensor tendon of big toe
27
Where is the posterior tibial pulse?
groove between malleolus & Achilles tendon
28
What are abnormal lymph node findings?
>1cm, tender, hard, fixed, or enlarged (regardless if they are tender or not)
29
Which lymph node as assessed during palpation of peripheral vascualar system?
epitrochlear
30
What muscle do you gently compress and assess for pain when palpating lower extremities?
gastrocnemius muscle (calf muscle) - should not cause pain
31
How is a weak, thready pulse scaled?
1+
32
Your patient has a painful lesion on their lateral malleolus that is well defined and has a weak of absent pulse. Is this a venous or arterial abnormality?
arterial ulcer