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Final > muscoloskeletal > Flashcards

muscoloskeletal Flashcards

1
Q

Assess for risk of falling
backward in by performing the

A

“nudge” test.

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2
Q

Falling backward in “nudge” test easily seen in

A

Parkinson’s and
Cervical spondylosis

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3
Q

in TMJ Abnormal Findings:
* Decreased ROM, swelling and tenderness or crepitus –
maybe seen in

A

Arthritis

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3
Q

Test range of motion: Ask the client to open the mouth
and move the jaw laterally against resistance. Next, as the
client clenches the teeth, feel for the contraction of the
temporal and masseter muscles to test the integrity of

A

cranial nerve V (trigeminal nerve).

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4
Q

in testing ROM in tmj, Pain or spasm occur with

A

myofascial pain syndrome

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5
Q

flexion of cervical spine is _ degrees; extension of the
spine is _ degrees

A

45, 45

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5
Q
  • Exaggerated lumbar curve
A

Lordosis

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5
Q

Inspection in sternoclavicular joint, Swollen, red, enlarged joint/ tender, painful joint –

A

inflammation

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5
Q

Neck pain with loss of sensation in the legs – result from

A

cervical cord compression

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5
Q

Normal Findings in spine
* cervical and lumbar spines are _____, thoracic spine is
_____; spine is ___ from behind

A

concave

convex

straight

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6
Q
  • Flattened
    lumbar curvature
A

Herniated disc or Ankylosing Spondylitis

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6
Q
  • Lateral curvature of the thoracic spine with
    increase in convexity on the sides
A

Scoliosis

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6
Q
  • may also be observe in pregnant women and
    obesity
A

Lordosis

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7
Q

Unequal height of the hips

A
  • suggest unequal leg length
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7
Q

– most common cause of neck pain;
characterized by impaired ROM and neck pain from
abnormalities of the soft tissue

A

Cervical strain

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8
Q

Unequal leg lengths are associated with

A

scoliosis

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8
Q

Impaired ROM and neck pain associated
with fever, chills and headache – indicative of

A

Meningitis

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9
Q

– for clients
with low back pain that radiates down the back

A

Straight leg test

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9
Q

– to check
for herniated nucleus pulposus.

A

Straight leg test

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10
Q

Pain that shoots and radiates down one or both legs

A

(sciatica)

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10
Q

in Test for back and leg pain. Straight leg test, Pain that shoots and radiates down one
or both legs (sciatica) below the knees may be due to a

A

herniated intervertebral disc.

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11
Q

Continuous, aching pain at night not relieved by rest may
be from

A

metastases.

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11
Q

Inability to shrug shoulders against resistance – Lesion of
cranial nerve XI (spinal accessory)

A
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12
Q

Lower back pain with tenderness and limited ROM is
common in

A

osteoporosis.

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13
Q

Tenderness or pain in the epicondyles -

A

Epicondylitis

13
Q

(tennis elbow)

A

Epicondylitis

14
Q

(the hollow area on
back of the wrist at the base of the fully extended wrist)

A

snuff box

14
Q

Perform the Squeeze test.

Extreme pain – indicate ____ of the hand

A

Rheumatoid arthritis

14
Q

– indicate scaphoid fracture and a
result of falling on outstretched hand

A

Snuffbox tenderness

15
Q

– ask client to rest elbows on a table
and to place back of the hands together while flexing the
wrist in 90 degrees with fingers pointed downward and
wrists dangling; have client hold it for 60 seconds

A

Perform Phalen’s test

15
Q

– Use your finger to percuss lightly
the median nerve (located in the anterior aspect of the wrist)
with the use of your finger

A

Perform Tinel’s test

16
Q

If symptoms develop within one minute with Phalen’s test –
suspect

A

Carpal Tunnel

16
Q

Inability to extend the ring and little finger –

A

Dupuytren’s
contracture

17
Q

Painful extension - _____ (infection of the flexor
tendon sheathes

A

Tenosynovitis

18
Q
  • a stretch or tear of muscle or tendon
A

Strains

19
Q

Knees turn in – knock knee

A

(Genu valgum)

20
Q

Knee turn out with bow legs –

A

(Genu varum)

21
Q

If swelling is noticed IN KNEES perform the:

A

Bulge Test:

22
Q

With the client in supine, use the ball of the
hand firmly to stroke the medial side of the knee upward 3-
4x to displace any accumulated fluid. Then press on the
lateral side of the knee and look for a bulge on the medial
side of the knee

A

Bulge Test:

22
Q

toes point in

A

pes varus

23
Q

Test – help detect large amounts of fluid in
the knee

A

Ballottement Test

24
Q

If the client complains of “giving
in” or “locking” of the Knee perform

A

McMurray’s test.

24
Q
  • Laterally deviated great toe with possible
    overlapping of the second toe and possible formation of an
    enlarged, painful, inflamed bursa (bunion) on the medial
    side
A

Hallux Valgus

24
Q

Pain or clicking in McMurray’s test.

A

– torn meniscus of the
knee

25
Q

toes point out

A

pes valgum

26
Q

Nonpainful thickened skin that occurs at pressure points –

A

Calluses

26
Q

feet with no arches – “

A

Flat feet” –
Pes Planus

27
Q

Painful thickening of the skin over bony prominence and at
pressure points –

A

Corn

27
Q

Tender, painful, reddened, hot and swollen interphalangeal
joint of the great toe –

A

Gouty arthritis

27
Q

Painful warts –____ that often occur over a
plantar warts

A

Verruca Vulgaris

27
Q

– most common cause of heel pain –
which occurs when the band of supportive tissue in the arch
of the foot – becomes irritated and inflamed

A
  • Plantar Fasciitis
28
Q

Tender, painful,
swollen, stiff joints
are seen in

A

acute
rheumatoid
arthritis.

29
Q

Chronic swelling and
thickening of the
metacarpophalangeal
and proximal
interphalangeal joints,
limited range of motion,
and finger deviation toward the ulnar side are seen
in

A

chronic rheumatoid arthritis.

30
Q

Flexion of the
proximal
interphalangeal joint
and hyperextension
of the distal
interphalangeal joint

A

(boutonnière
deformity)

31
Q

hyperextension of
the proximal
interphalangeal joint
with flexion of the
distal
interphalangeal joint

A

(swan-neck
deformity)

32
Q

o Nontender, round,
enlarged, swollen,
fluid-filled cyst

A

Ganglion

33
Q

Osteoarthritis
o Hard, painless nodules
over the distal
interphalangeal joints

A

(Heberden’s nodes)

34
Q

Osteoarthritis
o Hard, painless nodules
over the the proximal
interphalangeal joints

A

(Bouchard’s nodes)

35
Q

(infection of the
flexor tendon
sheathes)

A
  • Tenosynovitis
36
Q

o Hyperextension at the metatarsophalangeal joint
with flexion at the proximal interphalangeal joint
commonly occurs with the second toe.

A

(hammer toe)

Final (21 decks)

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