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Adv health assessment > Musculoskeletal > Flashcards

Musculoskeletal Flashcards

1
Q

Pain in the lateral shoulder can indicate what?

A

arthritis, supraspinous tendinitis, subacromial bursitis

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2
Q

What type of inflammation can restrict entire ROM

A

Arthritis

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3
Q

What chronic disease can put a patient at risk for arthritis

A

rheumatoid, osteoarthritis, or gout

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4
Q

who gets affected more with arthritis, men or women?

A

women

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5
Q

what is rheumatoid arthritis?

A

progressive, inflammatory, and erosive condition that usually affects multiple joints

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6
Q

which joints are commonly affected from RA?

A

small joints of hand and feet

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7
Q

What symptoms are felt in the morning with RA?

A

prolonged morning stiffness and fatigue

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8
Q

What is Osteoarthritis (OA) associated with?

A

loss of cartilage and progressive erosion of bone

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9
Q

Which joints are affected with OA?

A

larger joints such as hips and knee.

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10
Q

what improves OA?

A

improves with moderate use

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11
Q

When is OA worsen?

A

extended periods of rest

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12
Q

What is gouty arthritis?

A

deposition/collection of microcrystals within a joint space.

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13
Q

when should GA be considered vs OA and RA?

A

when polyarthritis recurs over a long period of time.

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14
Q

How does GA affect joints?

A

swelling, redness / warmth, tenderness to site

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15
Q

what to assess with shoulder pain?

A

General ROM, palpation, and testing of strength / sensation

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16
Q

What is a rotator cuff tear?

A

injury to rotator cuff that follows chronic impingement and degenerative changes over time

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17
Q

how is pain described in rotator cuff tear?

A

sudden onset, may be worse at night

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18
Q

how is the arm affected by rotator cuff tear?

A

weakness and limited ROM

19
Q

what is adhesive capsulitis?

A

also known a frozen shoulder. associated with shoulder stiffness and limited ROM

20
Q

What other body systems are ruled out with shoulder pain?

A

cardiac, pulmonary, and abdominal

21
Q

what is the strength grading scale 0

A

no contraction

22
Q

what is the strength grading scale 1

A

slight contraction

23
Q

what is the strength grading scale 2

A

Full ROM with passive ROM

24
Q

what is the strength grading scale 3

A

Full ROM with gravity (weak)

25
Q

what is the strength grading scale 4

A

Full ROM with some resistance (good)

26
Q

what is the strength grading scale 5

A

Full ROM with full resistance

27
Q

What is the Neer Test?

A

internally rotate hand towards patient and lift arm. (rotator cuff)

28
Q

What is the Hawkins test?

A

forward flex shoulder to 90 degrees, flex elbow to 90 degress, and internally rotate arm to its limit. (rotator cuff)

29
Q

What is carpal tunnel?

A

with overuse and repetitive movements, there is a loss of space and impingement on the median nerve

30
Q

how do you test for carpal tunnel?

A

Phalen’s test (pressing back of hand against on another) or Tinel’s sign (pressing on nerve under the palm)

31
Q

What test is done to rule out torn meniscus?

A

Mcmurray’s test

32
Q

how do you perform McMurray’s test?

A

flex knee, rotate leg towards you, straighten leg and assess (any clicks or pain?)

33
Q

What is the Bulge sign?

A

To see is there is fluid in the suprapatellar pouch

34
Q

What is the Ballottement test?

A

to check for fluid around the patella

35
Q

What are common knee disorders?

A

Ligament tears, runners knee, patellar tendonitis, prepatellar bursitis

36
Q

What are common causes of hip pain?

A

OA with degenerative changes, trochanteric bursitis, tendonitis, inflammatory arthritis

37
Q

What is the Thomas test?

A

test hip flexion contracture. lie flat, bend knee to chest, look at opposite leg if flat or bent.

38
Q

What is the femoral stretch test?

A

lay on stomach, lift leg one at a time. if pain = sign of nerve root irritation

39
Q

What is the straight leg raising test?

A

lifting leg, identify if pain present below knee of raised leg. pain = disc herniation

40
Q

What is the Trendelenburg test?

A

test weak hip abductor. balance on one foot and then change to other foot. notice if there are any changes in posture.

41
Q

what are different reasons for back pain?

A

mechanical, herniated intervertebral disc, spinal stenosis, compression fracture

42
Q

how to assess back?

A

motion test (bend sideways, backward, twist shoulders). Adams test (bend forward),

43
Q

What are common causes of ankle pain?

A

sprain, plantar fasciitis, achilles tendinitis, gout

44
Q

How to test ankle?

A

motion (dorsiflexion, plantar flexion, eversion, inversion)

Adv health assessment (5 decks)

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