Musculoskeletal Assessment

Question 1

When assessing the Musculoskeletal system, we look for deformities of the spine, such as…

Answer 1

Scoliosis, Kyphosis, Lordosis.

Question 2

When Inspecting and Palpating the muscles we are testing for…

Answer 2

for muscle tone, strength, bilateral symmetry and tenderness.

Question 3

Normally, musculoskeletal system is ________ + shows no signs of _________.

Answer 3

Symmetrical, tenderness.

Question 4

How do we assess muscle tone?

Answer 4

• Putting each joint through passive range of motion

* Palpate muscle for tone

Question 5

How do we assess joints?

Answer 5

• Each joint is put through its full ROM to assess the full degree of movement

Question 6

Range of Motion Positions…

Answer 6

• Flexion, extension, hyperextension, abduction, adduction, supination, and pronation

Question 7

Normal joints have a…

Answer 7

Full range of motions, show no tenderness, and move smoothly

Question 8

Palpate joints for abnormal findings of…

Answer 8

pain, swelling, nodules, and crepitation (grating sound heard or felt on movement)

Question 9

How do we assess muscle strength?

Answer 9

• Ask patient to move against resistance
• Bilateral equal resistance should be present with a slight increase in the dominant side
• Observe muscle contraction and determine muscle strength exerted.

Question 10

Musculoskeletal Assessment Findings

Answer 10

• Activity Intolerance
• Impaired Physical Mobility
• Impaired Walking
• Ineffective peripheral tissue perfusion
• Pain- Acute or chronic
• Risk for injury
• Risk for peripheral neurovascular dysfunction
• Risk for trauma
• Self-care deficit unable with ADLs  bathing, hygiene, dressing, grooming, feeding, toileting

Question 11

Benefits of Exercise…

Answer 11

• Increase muscle mass
• Good joint mobility
• Tone

Question 12

Women have more ________ body strength.

Answer 12

Lower

Question 13

Men have more _________ body strength.

Answer 13

Upper

Question 14

As we age, it is normal for our height to decrease by…

Answer 14

1-3 inches

Question 15

As we age, demineralization occurs and our bones become…

Answer 15

brittle and porous.

Question 16

Long bones are used for…

Answer 16

height and length ex: humerus, femur

Question 17

Short bones are used for…

Answer 17

movement ex:ankle, wrist

Question 18

Flat bones contribute to…

Answer 18

shape ex: ribs, skull

Question 19

Irregular bones are…

Answer 19

bones not classified as short, long, or flat. ex: spinal column and jaw

Question 20

Flex/extend; abd/adduction; rotation

Answer 20

Ball + Socket Joints

ex: Should; hip

Question 21

Flex/extend; abd/adduction

Answer 21

Condyloid (wrist); Gliding (carpals/tarsals)

Question 22

Flexion/Extend

Answer 22

Hinge Joint

ex: Elbow; knee

Question 23

Rotation

Answer 23

Pivot Joint

Ex: Neck

Question 24

Flex/extend; abd/adduction;

circumduction; opposition

Answer 24

Saddle Joint

Ex: Thumb Metacarpal

Question 25

Freely movable joint

Answer 25

Synovial

Question 26

Slightly Movable Joint

Answer 26

Cartilaginous

Question 27

Immovable Joint

Answer 27

Fibrous

Question 28

Slightly movable joints are also called…

Answer 28

Amphiarthrosis

Question 29

Immovable joints are also called…

Answer 29

Synarthrosis

Question 30

Freely movable joints are also called…

Answer 30

Diarthrosis

Question 31

Examples of Diarthrosis

Answer 31

Gliding
Hinge
Pivot
Condyloid
Saddle
Ball + Socket

Question 32

Examples of Synarthrosis

Answer 32

Sutures between skull bones

Question 33

Examples of amphiarthrosis

Answer 33

Pubic symphysis, joints between bodies of vertebrae

Question 34

Lateral curvature w/ increased convexity on affeced side

Answer 34

Scoliosis

Question 35

Increased thoracic spinal curve

Answer 35

Kyphosis

Question 36

Exaggerated lumbar curve

Answer 36

Lordosis

Question 37

________ is common in the elderly.

Answer 37

Kyphosis