Quiz 1: MSK System

Question 1

MSK System Chart Review

Answer 1

1) Imaging: X-Ray, MRI, CT, Ultrasound
2) Lab Values: Not as common for MSK System but might want to keep an eye out for lab values that are indicative of infection such as
- WBC
- ESR
- Hemoglobin

Question 2

MSK Specific Subjective Questions

Answer 2

Have you recently experienced…
- Night pain
- Pain with rest
- Morning stiffness
- No relief with position changes
- Trauma
- Prolonged use of corticosteroids

Question 3

MSK Red Flags

Answer 3

1) Night Pain
2) Pain with rest
3) Recent traumas or motor vehicle collision
4) Prolonged use of corticosteroids

Question 4

MSK Emergency Conditions

Answer 4

• Fracture or dislocation causing neurologic or vascular compromise
• Upper Cervical instability causing neurologic symptoms
• C Spine Fracture

Question 5

Canadian C Spine Rule: What is it used for?

Answer 5

Used to determine need for radiography in patients after trauma

Question 6

Canadian C Spine Rules: High risk factors that mandates radiography

Answer 6

1) Age > 65
2) Dangerous mechanism of injury
3) Parathesias in Extremities

Question 7

Canadian C Spine Rule:Low Risk Factors that allows safe assessment of ROM

Answer 7

1) Rear End MVC
2) Sitting position in ED
3) Delayed onset of neck pain
4) Absence of Midline C spine pain

Question 8

Canadian C-Spine Rule: Able to actively rotate neck

Answer 8

45° Left and Right

Question 9

MSK Urgent Conditions

Answer 9

• Fracture or dislocation NOT causing neuro or vascular compromise
• Suspicion of severely compromised soft tissue that may need surgical intervention