Exam #5: Musculoskeletal Exam Flashcards Preview

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Flashcards in Exam #5: Musculoskeletal Exam Deck (90)
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1

What is the purpose of the MSK focused history?

Narrowing of the physical exam

2

What questions should you ask the patient in regards to the MSK?

- Joint & neurological related
- Function/ ADL

3

What is the order for the MSK examination?

1) Inspection
2) ROM
3) Muscle strength eval
4) Reflexes & neuro
5) Special tests
6) Palpation

4

What is the preliminary step to the MSK exam?

Neurological screening exam

5

What are joint locking or crepitus associated with?

Meniscal injury

6

What is giving-way associated with?

Ligamentous or meniscal injury

7

What is weakness associated with?

Neurological
Mylopathy
Tendiopathy
Muscle injury

8

What is clicking, popping, or tearing associated with?

Soft tissue injury
Tear

9

What are tremors, spasms, and weakness associated with?

Neurologic or muscle injury

10

What is one of the most important things to know in regards to patient's with MSK complaints?

How their ADLs are being affected, and how they're changing

11

What are the major red flags that should be asked about in regards to MSK complaints?

Paresthesias
Weakness
Painless weakness
Incontinence
Retention
Weight loss
Night time pain

12

What is tendonitis?

Acute inflammation of a tendon

13

What is tendinosis?

Chronic degeneration of a tendon

14

What is tenosynovitis?

Inflammation of a sheath of a tendon (i.e. DeQuervain's)

15

What is tendinopathy?

Disease of the tendon--a general term when precise etiology is not know

16

What is a tremor?

Involuntary rhythmic muscle movement

17

What is spasticity?

Velocity dependent resistance to muscle stretch

18

What is a strain?

Trauma to a muscle

19

What is Arthritis?

Joint inflammation

20

What does Arthrosis mean?

Joint degeneration

21

What does Arthraliga mean?

Joint pain

22

What does Arthropathy mean?

Disease of a joint

23

What is Bursitis?

Inflammation of the bursa

24

What is the difference between smooth weakness & breakaway?

Breakaway= painful/ MSK weakness

Smooth= neurologic

25

What is a positive babinksi sign? What is this is sign indicative of?

UMN injury in LE

Upward toes

26

What is Hoffman's sign indicative of?

UMN injury in UE

27

Outline the 0-5 grading scale of muscle strength.

0= no movement
1= trace
2= gravity eliminated
3= full ROM against gravity but thats it
4= Full ROM against grav. but weak with DO applied
5= Full

28

How are ligaments generally evaluated?

Elongated by pushing or pulling bone away

29

How are joint surfaces evaluated?

Rub them together

30

How is cartilage evaluated?

Squeeze them between bones