Musculoskeletal Trauma and Complications Flashcards

1
Q

Question 1 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

Mary, age 58, complains that every time she walks up the stairs, her joints “pop” and “click.” What is Mary describing?

Crepitus

Bursitis

A

Crepitus

Crepitus refers to the sound made when joints “click.” Crepitus can be normal and not indicate underlying pathology, especially if it occurs without pain or changes in range of motion. Bursitis is inflammation of the bursae, fluid-filled sacs located in some joints. This condition often develops with overuse of the joint.

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2
Q

Question 2 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

While learning to snowboard, Madeline falls. She tries to catch herself by placing her hands on the ground. The impact is too great for Madeline’s wrist, and anterior displacement of her radius occurs. What type of fracture did Madeline experience?

Smith Fracture

Colles Fracture

A

A Smith fracture is anterior displacement of the radius while a Colles fracture is posterior displacement. Both fracture types are common injuries due to high impact on the wrist area.

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2
Q

Question 2 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

While learning to snowboard, Madeline falls. She tries to catch herself by placing her hands on the ground. The impact is too great for Madeline’s wrist, and anterior displacement of her radius occurs. What type of fracture did Madeline experience?

Smith Fracture

Colles Fracture

A

A Smith fracture is anterior displacement of the radius while a Colles fracture is posterior displacement. Both fracture types are common injuries due to high impact on the wrist area.

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3
Q

Question 2 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

While learning to snowboard, Madeline falls. She tries to catch herself by placing her hands on the ground. The impact is too great for Madeline’s wrist, and anterior displacement of her radius occurs. What type of fracture did Madeline experience?

Smith Fracture

Colles Fracture

A

Smith Fracture

A Smith fracture is anterior displacement of the radius while a Colles fracture is posterior displacement. Both fracture types are common injuries due to high impact on the wrist area.

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4
Q

Question 3 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

During a basketball game, Shawn suffers a severe ankle sprain that will likely sideline him for several games. What tissues are injured in a sprain?

Ligaments

Muscles

A

Ligaments

A sprain is an overstretching of ligaments. A tear in these structures may result. Sprains are classified based on the severity of injury, with grade III being the worst, with significant tearing of the ligament. A sprain is a quick twist or pull, resulting in overstretching of a muscle or tendon.

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5
Q

Question 4 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

Cole was skiing on a route that was beyond his capabilities. As he lost control of his skis, Cole crashed into a tree, resulting in a compound fracture of his right femur. What type of femoral shaft fracture did Cole experience?
Type I Femoral Shaft Fracture

Type III Femoral Shaft Fracture

A

Type III Femoral Shaft Fracture

A type I femoral shaft fracture is a spiral or transverse fracture. Type II fractures are comminuted fractures in which the bone is shattered. In a type III femoral shaft fracture, an open, or compound, fracture occurs. The bone protrudes through an open wound on the skin.

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6
Q

Question 5 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

While pitching for his college team, Randy suffered injury to his subscapularis. Which type of injury does Randy have?
Rotator Cuff Injury

Brachial Plexus Injury

A

Rotator Cuff Injury

The rotator cuff is a group of four muscles (teres minor, subscapularis, supraspinatus, infraspinatus) that enables rotation of the shoulder. Movements such as pitching in baseball may place extensive strain on these muscles and cause rotator cuff injury. A brachial plexus injury involves damage to the nerves in the shoulder area. These nerves serve the arm and hand area.

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7
Q

Question 6 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

Every time Leslie steps out of bed in the morning, she feels pain in both feet. The bottoms of her feet are particularly painful on the mornings after days where she spent significant time standing and walking. Once Leslie begins moving, her feet seem to relax, and she is able to walk more easily. What condition is Leslie suffering from?

Plantar Fasciitis

Meniscal Tear

A

Plantar Fasciitis

Plantar fasciitis is a condition in which the plantar fascia, located at the base of the foot, becomes inflamed. Soreness when walking is common, especially in the morning because the foot has been in a relaxed position while sleeping. A meniscal tear affects the knees, not the feet.

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8
Q

Question 7 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

Kevin injured his hip when he began running longer distances. Kevin went to see his physician, who suggested Kevin work with a physical therapist. The physical therapist had Kevin relax his leg while she manipulated the extremity to determine the range of motion. What type of range of motion was being tested?

Passive

Active

A

Passive

Passive range of motion is assessed while the patient relaxes and the examiner moves the joint. The patient’s muscles are not involved in actively moving the joint. In active range-of-motion testing, the patient contracts the muscles and moves the joint without assistance. Assessing range of motion as well as pain can help differentiate injuries of the connective tissue versus muscle.

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9
Q

Question 8 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

Lori seeks medical attention for shooting pain down her left leg. The pain is very sharp and occurs sporadically. What condition is Lori suffering from?

Sciatica

Cervical Strain

A

Sciatica

Sciatica develops when the sciatic nerve, the largest nerve in the body that travels down the back of each leg, is damaged or injured. Impingement or damage of the nerve can cause severe pain in the leg. A lumbar strain or sprain can present with sciatica. A straight leg raising test can help determine the source of this pain. Cervical strain is often referred to as whiplash and occurs in the neck area.

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10
Q

Question 9 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

Julie, age 7, suffered the most common of all childhood fractures when falling from her swing set. What type of fracture did Julie experience?

Clavicle Fracture

Vertebral Compression Fracture

A

Clavicle Fracture

The clavicle is the most common fracture in children. Often this results from an impact to the shoulder area that is transmitted to the clavicle bone. Vertebral compression fractures normally appear in elderly individuals, the result of osteoporotic damage to the vertebrae.

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11
Q

Question 10 of 10

This or That? It is important to be able to differentiate the types of musculoskeletal trauma and complications. For each patient, select the appropriate trauma or complication.

Sara has been training for her first marathon. She has been running more frequently and for greater distances. However, she recently had to eliminate workouts after developing a sharp pain in her foot. Every time her foot strikes the pavement while running, the pain occurs in the same location. What may be causing Sara’s pain?

Stress Fracture

Malunion

A

Stress Fracture

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12
Q

Question 1 of 5

Small bone fractures that develop in response to repetitive, cumulative trauma are known as __________ fractures.

comminuted
compound
isolated
stress

A

stress

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13
Q

Question 2 of 5

Which type of fracture is common in the vertebrae?

Comminuted
Compression
Spiral
Greenstick

A

Compression

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14
Q

Question 3 of 5

The most common location for joint dislocation is the _____________.

hip
shoulder
patella
wrist

A

Shoulder

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15
Q

Question 4 of 5

Strains are small tears in __________, whereas sprains are injuries to the _______.

nerves, muscles
muscles, ligaments
muscles, nerves
bursae, muscles

A

muscles, ligaments

16
Q

Question 5 of 5

Rotator cuff injuries affect the ______________.

shoulder
hip
ankle
knee

A

Shoulder