Musculoskeletal Flashcards
Match the range of motion with patient instructions
Flexion- bend your elbow
Extension- straighten your elbow
Supination- turn your palm up
Pronation- turn your palm down
When performing the drawer test, the examiner would place the patient in a supine position and flex the knee 45 to 90 degrees, placing the foot flat on the table, and then
Grasp the lower leg with both hands and draw the tibia forward and then backward
- positive test indicates ACL tear
Anterior cruciate ligament integrity is assessed via the…test.
Lachman
A 65-year old female presents with a 6 month history of bilateral knee pain, stiffness, and swelling. The pain is worse with activity. She reports difficulty with stairs climbing and rising from a seated position. On physical exam, you note crepitus, decreased ROM, and tenderness to palpation of both knees. This patient likely has OA based on what findings?
Tenderness over larger joint
Gradual onset
Age
Pain worse with activity
A 60 year old male presents with low back pain that started around 1 week ago. He has a PMH for colon cancer, COPD, hypertension, and hyperlipidemia. The pain is achy in nature and radiates to right buttocks. He has urinary incontinence that he relates to being old. No bowel incontinence. No known injury or trauma. He was recently on prednisone for 5 days for a COPD exacerbation, but his last exacerbation was several years ago. What would be considered a red flag of this patient?
Urinary incontinence
History of colon cancer
Having the patient grasp the thumb against the palm and then move the wrist toward the midline in ulnar deviation is which test?
de Quervain tenosynovitis
Which of the following techniques is used to detect a torn meniscus?
McMurray test
Match the name of the test with the body part you are testing.
Empty can test- rotator cuff tear- supraspinatus
Finkelstein- testing for de Quervain’s tenosynovitis
Phalen’s- median nerve
Lachman’s- ACL
Thompson test- Achilles tendon
A 20-year old female presents to the ED with pain and swelling in her right foot after stepping off a curb. She is able to bear weight on her foot but experiences pain with palpation to the base of the fifth metatarsal
Yes, x-rays are indicated due to the patient’s pain with palpation to the base of the fifth metatarsal.
You are seeing a 58-year old postmenopausal woman for her annual physical exam. She is concerned about her risk of developing osteoporosis, as her mother recently fractured her hip. Which of the following lifestyle factors should you specifically discuss with her to help reduce her risk of osteoporosis?
Engaging in regular weight bearing exercise.
