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Nurp 500: Health Assessment > Week 12- MSK > Flashcards

Week 12- MSK Flashcards

1
Q

An anatomical term used to refer to the joint-related structures outside of a joint:

A

Extra-articular

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2
Q

Include the joint capsule and articular cartilage, synovium and synovial fluid

A

Articular structures

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3
Q

Usually involves swelling and tenderness of the entire joint:

A

Articular disease

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4
Q

Includes peri-articular ligaments, tendons, bursae, muscle, fascia, bone, never and overlying skin:

A

Extra-articular structures

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5
Q

Typically involved point or focal tenderness in the regions adjacent to the articular structure:

A

Extra-articular disease

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6
Q

This type of disease can have crepitus, instability, locking or deformity; may have limited AROM and PROM d/t pain and stiffness

A

Articular disease

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7
Q

This type of disease rarely causes swelling, instability, or joint deformity

A

Extra-articular disease

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8
Q

This connects bone to bone:

A

Ligaments

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9
Q

These connect muscle to bone:

A

Tendons

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10
Q

These are pouches of synovial fluid that cushions the movement of the tendons and muscles over bone and other joint structures

A

Bursae

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11
Q

Intervening layers of fibrous tissue or cartilage that holds the bones together:

A

Fibrous joints i.e. sutures of the skull

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12
Q

This is the leading cause of patients seeking health care:

A

Joint pain

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13
Q

This type of joint disease has decrease AROM and PROM, am stiffness (gelling)

A

Articular

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14
Q

In this type of joint disease the pain is periarticular tenderness and only PROM remains intact:

A

Non-articular joint pain/disease

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15
Q

Pain in a single joint suggests:

A

Mono articular arthritis, tendinitis, bursitis (extra-articular)

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16
Q

Polyarticular involves several joints. Examples include:

A

Rheumatoid fever or gonococcal arthritis

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17
Q

This is a pattern that is additive, progressive and symmetrical:

A

RA

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18
Q

Extra-articular pain examples:

A

Bursitis, tendinitis, tenosynovitis (tendon sheaths), as well as sprains of ligaments

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19
Q

If pain comes with trauma the what is very important to assess?

A

Mechanism of injury or specific series of events

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20
Q

Severe rapid pain in a red, swollen joint suggests:

A

Arthritis or gout

In kids- osteomyelitis

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21
Q

Fever plus chills with joint pain consider:

A

Septic arthritis

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22
Q

Am stiffness that gradually improves is associated with:

A

Inflammatory causes such as RA and PRM

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23
Q

Lupus can present with:

A

Malar rash

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24
Q

Joint pain with preceding sore throat:

A

Gonococcal arthritis

25
Q

Red flags for neck and back pain:

A

Les than 20 or greater than 50, history of cancer, unexplained weight loss,fever or decline in health

26
Q

Signs of inflammation:

A

Tenderness, swelling, warmth, and redness

27
Q

Acute involvement of one joint suggests:

A

Trauma, septic arthritis, or crystalline arthritis

28
Q

RA is typically:

A

Polyarticular and symmetric

29
Q

Malalignment can be seen in:

A

Dupuytren contracture, genu varum (bow-legged), or genu valgum (knock-knee)

30
Q

Look for SQ nodules in:

A

RA and rheumatic fever

31
Q

Decreased ROM seen in:

A

Arthritis, joints with inflammation, bony fixation

32
Q

ACL laxity occurs in:

A

Knee trauma, muscle atrophy, and weakness with RA

33
Q

Palatable click or crepitus of the temporalmandibular joint is present in:

A

Poor occlusion, meniscus injury, or trauma

34
Q

Atrophy of ____ may signal rotator cuff tear.

A

Supraspinatus

35
Q

Painful arc test (rotator cuff-pain provocative test) suggest:

A

Sign for impingement/rotator cuff tendinitis

36
Q

Neer impingement sign positive test for a:

A

Subacromial impingement/rotator cuff tendinitis

37
Q

Hawkins impingement positive sign for:

A

Supraspinatus impingement/ rotator cuff impingement

38
Q

When both neer and Hawkins are negative there is:

A

A very low likelihood of rotator cuff diagnosis

39
Q

External rotation with lag test (inability to maintain external rotation) is a positive test for:

A

Supraspinatus and infraspinatus d/t

40
Q

Internal rotation lag test positive test associated with:

A

Subscapularis diagnosis

41
Q

Drop-arm test positive test associated with:

A

Supraspinatus rotator cuff tear or bicipital tendinitis

42
Q

External rotation resistance test is positive test associated with:

A

Infraspinatus diagnosis

Limited external rotation points to: glenohumeral disease or adhesive capsulitis

43
Q

Empty can test- inability of the patient to hold the arm fully abducted at the shoulder or control lowering the arm is positive test for:

A

Supraspinatus rotator cuff tear

44
Q

After elbow injury, preservation of AROM and full elbow extension makes:

A

Fracture highly unlikely

45
Q

Diffuse swelling in the hand common in:

A

Arthritis or infection

46
Q

Locational swelling of the hand may be:

A

Ganglion

47
Q

Heberden are found:
Bouchard nodes are found:
Suggest:

A

DIP
PIP
OA

48
Q

What is the anatomical snuffbox?

A

Tenderness with the wrist in ulnar deviation and pain at the scaphoid tubercle are suspicious for scaphoid fracture — avascular necrosis complication

49
Q

Finklestein indicates:

A

De Quervains tendosynovitis

50
Q

Carpal tunnel assessments:

A

Thumb abduction - positive a/w weakness
Tinel sign- table on median nerve
Phalen

51
Q

Thickening, bogginess or warm suprapatellar pouch occur with:

A

Synovitis and nontender effusions with OA

52
Q

Mcmurray tests:

A

Medial and lateral meniscus

53
Q

Abduction (valgus) test:

A

MCL

54
Q

Addiction (varus) test:

A

LCL

55
Q

Anterior drawer tests:

A

ACL

56
Q

Posterior drawer tests:

A

PCL

57
Q

Ortolani and barlow assesses for:

A

Developmental hip dysplasia in the infant

58
Q

Slipped capital femoral epiphysis often associated with:

A

A limp in an obese child

59
Q

Assessment for scoliosis:

A

Adams test (bending forward to touch toes)

Nurp 500: Health Assessment (11 decks)

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