Musculoskeletal System Flashcards

1
Q

What are the six functions of the bones?

A

1) Providing the body framework
2) Giving attachment to muscles and tendons
3) Allowing movement of the body as a whole by forming joints that are moved by muscles
4) Forming the boundaries of the cranium, thorax and pelvis and protecting the organs that they contain
5) haemopoiesis, production of red blood cells
6) mineral storage, especially calcium phosphate

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2
Q

What are the five different bone shapes?

A
Flat (e.g. sternum) 
Short (e.g. carpal bones) 
Sesamoid (e.g. patella) 
Irregular (e.g. vertebrae) 
Long (e.g. femur)
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3
Q

Describe the structure of a long bone

A

Have a shaft and two extremities

Shaft is mainly compact bone with a central canal of yellow bone marrow

Extremities are a covering of compact bone with spongy bone in the centre

Whole thing is covered by a vascular membrane, PERIOSTEUM, outer layer is tough, fibrous and protective. Inner layer consists of osteoblasts and osteoclasts

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4
Q

Describe the microscopic structure of bone?

A

Bone is a inorganic matrix of calcium salts and calcium phosphate, combined with osteoid, with is mainly collagen fibres.

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5
Q

What are the three types of bone cells

A

Osteoblasts (bone building cells)
Osteocytes (mature bone cells)
Osteoclasts (bone reabsorbing cells)

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6
Q

What do the bona develop from in the foetus?

A

Long, short and irregular bones develop from rods of cartilage (cartilage models)

Flat bones develop from membrane models

Sesamoid bones develop from tendon models

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7
Q

When does ossification occur?

A

Before birth to 21 years

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8
Q

Describe the process of ossification?

A

Osteoblasts secrete osteoid which replaces the cartilage model. As the bone grows osteoblasts become trapped in the matrix and become osteocytes

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9
Q

What hormones are important for bone development?

A

Childhood bone development - Growth hormone, Thyroid hormones

Maintenance of bone structure throughout life - Testosterone & oestrogen

Control of blood calcium levels - calcitonin and parathyroid hormone

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10
Q

How many bones in the vertebral column?

A

26

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11
Q

What are the five regions of the vertebral column?

A
Cervical spine
Thoracic spine
Lumbar spine
Sacrum
Coccyx
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12
Q

What are the functions of the vertebral column?

A
Protection for spinal cord
Access for nerves to the spinal cord
Movement of the whole column
Support for the skull
Intervertebral discs act as shock absorbers to protect the brain
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13
Q

What are the 3 main types of joints

A

Fibrous joints - immovable joints to stabilise bones
Cartilagenous joints - shock absorbers, some move a little, like the symphysis pubis
Synovial joints - moveable and lubricated with fluid

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14
Q

What are the types of synovial joint?

A

Ball and socket joint
‣ One end is ball-shaped and the other cup-shaped
‣ Allow a wide range of movement including flexion, extension, adduction( movement of a
joint towards the midline or towards another limb), abduction, rotation, circumduction ◦Hinge joint
‣ Ends of bone fit like the hinge of a door
‣ Movement includes flexion and extension ◦Gliding joint
‣ Articulate surfaces glide over one another
‣ Restricted movement
‣ Eg. Carpal bones in wrist
◦Pivot joint
‣ Allow a bone to rotate
‣ A bone fits in a hoop-shaped ligament
‣ Eg. Head
◦Condyloid joint
‣ Condyle- smooth rounded projection on a bone - sits in a cup-shaped depression on
the other bone
‣ Eg. Mandible and temporal bone

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15
Q

What are the four common sites for intramuscular injection?

A

Deltoid muscle of the arm
Vastus lateralis of the thigh
Ventrogluteal muscles of the buttock
Dorsogluteal muscles of the buttocks

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16
Q

Which hormones are responsible for the change in the musculoskeletal system during pregnancy?

A

Progesterone and relaxin

17
Q

How does calcium metabolism change in pregnancy?

A

Maternal calcium metabolism is altered to meet foetal needs for calcium and phosphorous

18
Q

Name clinical signs and symptoms related to the musculoskeletal system that the midwife may encounter in a patient

A

Leg cramps due to low calcium and phosphates and respiratory acidosis lead to muscle spasm

Restless leg syndrome

Backache and pelvic girdle pain

Mother with previous spinal cord injury