musculoskeletal: Abnormal findings

Question 1

Observed difficulty with internal/external rotation

Answer 1

Suggests rotator cuff disorder or adhesive capsulitit

Question 2

Weakness detected during empty can test

Answer 2

Posistive test indicates possible rotator cuff tear

Question 3

Noted weakness in infraspinatus muscle strength

Answer 3

positive test indicates possible rotator cuff tear or bicipital tendinitis

Question 4

Noted abnormal lowering of arm during drop test

Answer 4

positive test indicates rotator cuff tear

Question 5

Noted pain on palpation of distal radius

Answer 5

Occurs in Colle’s fracture from a fall

Question 6

Bilateral swelling and/or tenderness of the wrist last for several weeks

Answer 6

Consider rheumatoid arthritis

Question 7

Noted tenderness over “snuff box”

Answer 7

suggests scaphoid fracture (most common injury of carpal bones)

Question 8

MCPs in rheumatoid arthritis

Answer 8

Often boggy or tender

Question 9

MCP joints in osteoarthritis

Answer 9

Usually not involved

Question 10

When are PIP changes seen

Answer 10

seen in rheumatoid arthritis

Question 11

Noted Bouchards nodes

Answer 11

Osteosrthritis

Question 12

Pain at the base of the thumb

Answer 12

carpometacarpal arthritis

Question 13

Decreased grip srength

Answer 13

positive test for weakness of finger flexors and/or intrinsic muscles of the hand

Question 14

Patient c/o pain/numbness in first 3 fingers but not palm, especially at night

Answer 14

Carpal Tunnel

Question 15

Patient c/o Loss of sensation in areas supplied by medial nerve

Answer 15

Carpal tunnel

Question 16

Most sensitive test for carpal tunnel syndrome

Answer 16

Weak abduction of the thumb

Question 17

Tenosynovitis

Answer 17

Inflammation of the lining of sheath that surrounds tendon

Question 18

Lordosis

Answer 18

Abnoral curvature the spine

Question 19

Purpose of McMurray test

Answer 19

To assess for a meniscal tear

Question 20

Noted crepitus with flexion and extension of knees

Answer 20

Suggests osteoarthritis

Question 21

Where are rheumatoid arthritis nodules usually found in the feet

Answer 21

achiles tendinitis, bursitis, or partial tear from trauma

Question 22

Heel tenderness on palpation of plantar surface of foot

Answer 22

Plantar fascitis

Question 23

tenderness along posterior medial malleolus

Answer 23

Suggests posterior tbial tendonitis and causes flat feet