Musculoskeletal (Upper)

Question 1

Arthritis Functional Assessment

Answer 1

1. Grip Strength
2. Key Grip
3. Opposition Strength
4. Pincer Grip (Paper or Coin or Paper Clip or Urine Container)
5. Thumb Grind Test
6. Practical Test (Undo Button, Write Name with Pen)

Question 2

Basic MSK Examination Steps

Answer 2

1. Inspection
2. Palpation (4) - Temp, Tenderness, Pulse, CRT
3. Movement
4. Neuro Exam
5. Special Test

Question 3

Osteoarthritis PE KPs

Answer 3

Heberden’s Nodules (DIP)
Bouchards Nodes (PIP)
Wasting - Fingers
RA and PA Findings (JMI)
Ulnar or Radial Deviation
Tenderness - Wrist, Finger, DIP, PIP, Palmar Tendon Crepitation
Movement - ROM, Crepitation
ST - Thumb Grind Test

Question 4

Wrist Cut KP

Answer 4

Loss of the normal flexion of the fingers
Palpation - CRT, Pulse, Temp
Movement (Special) - Flexors - Thumb, Fingers, Wrist
Neuro Exam - MUR

Question 5

MSK Trauma Signs

Answer 5

Swelling
Redness
Bruises
Laceration
Defromities

Question 6

Scaphoid Fracture KP

Answer 6

Palpation - Temp, CRT, Pulse (Vasc Inj)
Tenderness
- Snuff Box, EPL, APL, EPB
- Scaphoid Tubercle
Movement - Grip Strength
ST - Axial Compression TEst

Question 7

Hand Pain after Punch KP

Answer 7

Inspection - Loss of knuckle contour, Step Deformity, Pseudoclawing
Palpation - CRT, Temp, Pulse
Tenderness - Metacarpals - Head, Shaft, Base,
Movement (Spec) - Extensors D,I,M

Question 8

Elbow Special Test

Answer 8

1. Radio-Capitellar Compression Test
   - Osteochondritis - Dissecans
   2&3. Elbow Varus and Valgus
   - Varus - Lateral Collateral Ligament
   - Valgus - Median Collateral Ligament
2. Lateral Epicondylitis Test - R. Ext, P. Flex
3. Medial Epicondylitis Test - R. Flex, P Ext

Question 9

Back Special Test

Answer 9

1. SLR
2. Braggard’s Test
3. Alternate SLR
4. Neuro Exam - Ins, Power, Reflex, Sensory

Slump Test
Shober’s Test
Cauda Equina Syndrome