Musculoskeletal Assessment

Question 1

Dorsiflexion

Answer 1

toes point to ceiling

Question 2

Plantar Flexion

Answer 2

toes point down

Question 3

How are assessments performed?

Answer 3

cephalocaudal and proximal to distal

Question 4

What should you do if pt. complains of pain

Answer 4

stop the movements!

Question 5

Flexion of spine

Answer 5

bend foward

Question 6

Extension of spine

Answer 6

bend backwards

Question 7

Straight Leg Raise Test

Answer 7

tests for herniated disk; pt in supine position, raise calf with hand on heel and calf raise then dorsiflex
abnormal: pain

Question 8

Measure leg length

Answer 8

measure from iliac spine to medial malleolus

Question 9

Finger Flexion

Answer 9

fist over thumb

Question 10

Rheumatoid Arthritis

Answer 10

chronic autoimmune disease, bilateral joints affected; chronic can cause swan-neck deformity

Question 11

Osteosrathritis

Answer 11

degenerative change in articular cartilage can be seen in farmers, painters, and hairdressers; Heberden and Bouchard nodes

Question 12

Carpal Tunnel Syndrome

Answer 12

burning, numbness and tingling in hands; often at night

Question 13

Tinel Test

Answer 13

elbow flexed and wrist upward, top on median nerve
abnormal: tingling or burning in hand, thumb or fingers

Question 14

Phalen’s Sign

Answer 14

back of hands pressed together for 1 minute
abnormal: numbness in palmar aspect of hand

Question 15

Bulge test

Answer 15

detects small amounts of fluid, stroke medial side of knee upward with ball of hand, press on lateral knee and look for bulge on medial side

Question 16

Ballottement Test

Answer 16

detects large amounts of fluid, with non-dominant hand squeeze above patella, with other hand press patella towards femur to assess for click or fluid wave

Question 17

McMurray’s Test

Answer 17

tests for torn meniscus, flex knee and hip of affected leg, place thumb and index finger on opposite side of knee, with other hand rotate lower leg laterally nothing pain or clicking

Question 18

Hallux Valgus

Answer 18

lateral deviation of great toe overlapping the 2nd toe

Question 19

Bunion

Answer 19

inflamed bursa in medical side of great toe

Question 20

Osteoprosis

Answer 20

old white women who smoke, loss of bone density due to lack of calcium as well as decline of estrogen

Question 21

What to look for it pt comes in with a cast on

Answer 21

compression syndrome, check capillary refill, bruising isn’t bas necessarily

Question 22

Grade 0

Answer 22

no contraction or muscle movement

Question 23

Grade 1

Answer 23

trace of contraction but no movement of the joint

Question 24

Grade 2

Answer 24

movement at the joint with gravity eliminated

Question 25

Grade 3

Answer 25

Movement against gravity, but not against added resistance

Question 26

Grade 4

Answer 26

Movement against external resistance with less strength than usual

Question 27

Grade 5

Answer 27

normal strength