Musculoskeletal

Question 1

Joints that are movable are called:

Joints that aren’t movable:

Answer 1

Synovial

Non-synovial

Question 2

What abnormal subjective data do you collect regarding joints?

(3 things)

Answer 2

• Pain (OLDCARTS)
• Stiffness
• Swelling, heat, and redness

Question 3

What abnormal subjective data do you collect about the muscles?

(two things)

Answer 3

• Pain (cramps)
• Weakness

Question 4

If the patient claims to have calf pain,

what follow up question should you ask?

Answer 4

Is the pain with walking?

Does it go away with rest?

Question 5

If the patient claims to have muscle aches,

what follow up questions should you ask?

Answer 5

Are the aches associated with:

• fever,
• chills,
• flu?

Question 6

What abnormal subjective data do you collect on the bones?

(3 things)

Answer 6

• Pain
• Deformity
• Trauma (fractures, sprains…)

Question 7

If the patient claims to have deformities,

what followup should you ask?

Answer 7

• Due to trauma?
• Does it affect ROM?

Question 8

If the patient claims to have experienced trauma to bones,

what follow up questions should you ask?

Answer 8

• What joint was affected?
• When?
• Treatment?
• Limitations caused by injury?

Question 9

A functional assessment of a patient determines what?

Answer 9

Do joint problems create limitations on ADLs.

Which ones?

Is assistance required?

Question 10

What ADLs may be affected by joint problems?

Answer 10

1. Bathing
2. Toileting
3. Dressing
4. Grooming
5. Eating
6. Mobility
7. Communicating

Question 11

What are self-care behaviors that are assesed during a functional assessment?

Answer 11

Ask about occupational hazards

• Heavy lifting
• Repetitive motion
• Efforts to alleviate

Question 12

What objective data is collected during a physical exam for musculoskeletal?

Answer 12

Inspect

• size/shape of joint

Palpate

• ​skin temp
• muscles

ROM

Muscle Testing

Question 13

What are these muscle movements:

Answer 13

1. Flexion
2. Extension

Question 14

What are these muscle movements:

Answer 14

1. Abduction
2. Adduction

Question 15

What are these muscle movements:

Answer 15

1. Pronation
2. Supination

Question 16

What are these muscle movements:

Answer 16

1. Eversion
2. Inversion

Question 17

What are these muscle movements:

Answer 17

1. Protract
2. Retract

Question 18

Muscle Testing

What are the grades?

Answer 18

0-5

• 0=No contraction
• 1= contraction (can’t achieve full ROM w/ support)
• 2= Full ROM without gravity (supported)
• 3=Full ROM with gravity
• 4= Full ROM against some resistance
• 5= Ful ROM against full resistance

Question 19

What muscle testing grades are passive?

Which are Active?

Answer 19

Passive= grades 0, 1, 2

Active= 3, 4, 5

Question 20

What are these limitations to ROM?

• Articular
• Extra-articular

Answer 20

Articular= Inside joint; limits active and passive ROM

Non-articular= Tendon, ligament, or nerve; limits active ROM

Question 21

Audible and palpable cruning or grating of joint is:

Answer 21

Crepitation

Question 22

What are the differences in:

• Rheumatoid arthritis
• Osteoarthritis

Answer 22

Rheumatoid= Inflammatory condition

Osteoarthritis= Degenerative joint disease

Question 23

These symptoms indicate:

Answer 23

Osteoarthritis

Question 24

These symptoms indicate:

Answer 24

Rhematoid Arthritis

Question 25

What are these spinal deformities?

Answer 25

1. Scoliosis
2. Kyphosis
3. Lordosis

Question 26

Expected abnormal findings of the aging adult include?

Answer 26

Decrease in height

Kyphosis with head tilt

Slight flexion of hips/knees