Ch 24 MSK

Question 1

Tendons attach ____ to ____

Answer 1

skeletal muscle + bone

Question 2

Ligaments run directly from ____ to ____ and function to _____

Answer 2

fibrous bands connecting bone to bone
strengthen joint
prevent movement in undesirable direction

Question 3

Inversion: moving sole of foot ____ at ankle

Eversion: moving sole of foot ___ at ankle

Answer 3

Inversion: inward

Eversion: outward

Question 4

Vertebrae: ___ in total

\_\_cervical
\_\_thoracic
\_\_thoracic
\_\_lumbar
\_\_sacral
\_\_coccygeal

Answer 4

33

7 cervical
12 thoracic
5 lumbar
5 sacral
3-4 coccygeal

Question 5

Vertebral landmarks:

C7-T1

Answer 5

base of neck

Question 6

Vertebral landmarks:

T7-T8

Answer 6

inferior angle of scapula

Question 7

Vertebral landmarks

L4

Answer 7

highest point on iliac crest

Question 8

Vertebral landmarks

sacrum

Answer 8

line that joins symmetrical dimples over PSIS (posterior superior iliac spine)

Question 9

Cervical and lumbar spines are ____ curves

Thoracic and sacrococcygeal are ____ curves

Answer 9

Cervical and lumbar: concave

Thoracic and sacrococcygeal: convex

Question 10

Elbow:
medial and lateral epicondyles of _____ (bone)
olecranon process of ____ (bone)

Ulnar nerve runs between olecranon and ____ epicondyle

Answer 10

humerus
ulna

ulnar nerve: between olecranon and medial epicondyle

Question 11

Knee:
cruciate ligaments: provide ___ stability and help control ____

collateral ligaments: provide ___ stability and help prevent ____

Answer 11

cruciate: provide anterior/posterior stability
- control rotation

collateral: provide medial/lateral stability
- prevent dislocation

Question 12

Foot:

____ joint allow inversion and eversion of foot

Answer 12

Subtalar

Question 13

To prevent osteoporosis:
calcium intake of ___mg for adults 50+
vit D intake of ____ IU for healthy adults 19-50, ____ IU for adults 50+ or with risk factors

Answer 13

Calcium: 1200 mg

vit D: 400-1000 IU for healthy adults up to 50, 800-2000 IU for 50+ or with risk factors

Question 14

Rheumatoid arthritis:

• pain is worse in ____
• movement makes pain ____

Answer 14

pain worse in AM

movement makes pain better

Question 15

Osteoarthritis:

• pain is worse in ____
• movement makes pain _____

Answer 15

pain worse later in day

movement makes pain worse

Question 16

Articular disease (eg arthritis): limits _______ROM in ____planes

Extra-articular disease (eg injury to tendon/ligament/nerve): limits ______ ROM in ____ planes

Answer 16

Articular: active and passive ROM in all planes

Extra-articular: ROM in only certain planes esp active motion

Question 17

Moving jaw forward, laterally against resistance and opening mouth against resistance tests cranial nerve ____

Answer 17

five (trigeminal)

Question 18

shoulder shrug and cervical flexion against resistance tests cranial nerve ____

Answer 18

XI (spinal nerve)

Question 19

Positive Tinel’s sign:

• percussion over ___nerve causes _____
• occurs with _______

Answer 19

median nerve, causes burning and tingling

-carpal tunnel syndrome

Question 20

How do you perform bulge sign?

What does it test for?

Answer 20

Stroke medial aspect of knee 2-3x, tap lateral aspect and watch medial side for fluid wave bulge
-detects very small amt of fluid in suprapatellar pouch

Question 21

Positive McMurray tests indicates:

Answer 21

torn meniscus

Question 22

To measure true leg length: measure from ____ to ____

Answer 22

measure from ASIS to medial malleolus

Question 23

Ankylosing spondylitis

-affects ___, ____ and ____

Answer 23

spine, sacroiliac and large joints

Question 24

Drop arm test:

• arm is _____ at shoulder
• inability to hold up arm indicates ______

Answer 24

passive abduction

-torn rotator cuff

Question 25

Adhesive capsulitis: - inability to _____ - limited ____ and _____

Answer 25

inability to reach overhead | limited abduction and external rotation

Question 26

Tennis Elbow pain at ____ epicondyle radiates down ____ surface of forearm -from excessive ___ and ____ with extended wrist

Answer 26

lateral epicondyle - flexor surface of forearm - excessive supination and pronation

Question 27

Dupuytren's Contracture -hyperplasia of ____ causes flexion contractures in which fingers? common in: - gender - age - co-morbidities?

Answer 27

hyperplasia of palmar fascia -flexion contractures of D4 --> D5 --> D3 common in men 40+ diabetes, epilepsy, alcoholic liver

Question 28

Heberden nodes are at ____ interphalageal joint Bouchard nodes are at _____ interphalangeal joint occurs in _____

Answer 28

Heberden: DIP Bouchards: PIP osteoarthritis

Question 29

Osgood-Schlatter: -pain swelling of _____ from repeated stress on ____ tendon most common in - gender - age - worse with

Answer 29

tibial tubercle repeated stress on patellar tendon most common in - boys - puberty (rapid growth) - worse with kicking, running, stairs, biking, kneeling

Question 30

Scoliosis is a ____ curvature of thoracic and lumbar spine Functional scoliosis is ____ (flexible/fixed?) - obvious on ____ (position) - disappears with ____ (position) Structural scoliosis is ____ (flexible/fixed)? -rib hump in _____ (position)

Answer 30

lateral curvature functional scoliosis is flexible -obvious on standing, disappears on forward bending structural scoliosis is fixed -rib hump in forward flexion

Question 31

Lumbar herniation is most common in interspaces | ____ and _____

Answer 31

L4-L5 | L5-S1