Med-Surg: Musculoskeletal/1

Question 1

arthroscopy

Answer 1

visualizes internal structs of shoulder or knee joints.

Question 2

visualizes internal structs of shoulder or knee joints

Answer 2

arthroscopy

Question 3

arthroscopy - cannot be done if

Answer 3

infection is present

Question 4

arthroscopy - pt must be able to bend joint at least

Answer 4

40 degrees

Question 5

arthroscopy post op

Answer 5

apply ice and elevate 24 hours post

Question 6

bone scan

Answer 6

radioactive medium is injected for viewing entire skeleton, primary to detect tumors, arthritis, osteomylitis, osteoporosis, and more

Question 7

bone scan - when to administer isotopes

Answer 7

4-6 prior to testing

Question 8

bone scan instructions

2

Answer 8

1. lie still 30-60 mins while being performed

2. increase fluids post

Question 9

dexa scan

Answer 9

most common screening tool for measuring bone mineral density for dx osteopenia and osteoporosis

Question 10

most common screening tool for measuring bone mineral density for dx osteopenia and osteoporosis

Answer 10

dexa scan

Question 11

dexa scan is the baseline for

Answer 11

women in their 40s

Question 12

dexa scan instructions

3

Answer 12

1. wear loose fitting clothes without sippers or metal
2. must remove jewelry
3. stop vitamin D and calcium 48 hours prior

Question 13

EMG and nerve conduction studies

Answer 13

used to evaluate muscle weakness by emission of low freq electrical stimulation

Question 14

EMG instructions

2

Answer 14

1. client will perform activities for measurement of muscle activity
2. observe needle site for hematoma

Question 15

MRI is contraindicated in pts with

3

Answer 15

1. pacemaker
2. stents
3. surgical clips

Question 16

MRI and titanium joints

Answer 16

okay to have MRI

Question 17

MRI intra op

Answer 17

lay supine 45-60 mins

Question 18

musculoskeletal common labs

7

Answer 18

1. serum calcium
2. serum phosphorus
3. alkaline phosphatase
4. creatine kinase
5. lactic dehydrogenase
6. asparatate aminotransferase
7. aldolase

Question 19

osteoarthritis

Answer 19

progressive degenerative deterioration and loss of cartilage in one or more joints

Question 20

progressive degenerative deterioration and loss of cartilage in one or more joints

Answer 20

osteoarthritis

Question 21

OA cont. factors

6

Answer 21

1. aging
2. female
3. metabolic disease
4. obesity
5. repetitive use or abuse of joints
6. smoking

Question 22

OA manif.

8

Answer 22

1. chronic joint pain and stiffness
2. pain diminished after rest or worse at activity
3. creptius (grating sound or sensation)
4. limited movement
5. Heberden’s nodes (closest to end of fingers and toes)
6. Bouchard’s nodes (middle joint)
7. excess joint fluid
8. skeletal muscle atrophy

Question 23

heberden’s node is to

Answer 23

OA - nodes at end of fingers and toes

Question 24

Bouchard’s node is to

Answer 24

OA - nodes at middle joints

Question 25

OA dx procedures | 3

Answer 25

1. x ray 2. MRI 3. ESR and CRP - elevated

Question 26

OA NI | 5

Answer 26

1. use ice or heat 2. ROM and isometric exercises 3. rest and sleep 4. PT 5. assistive devices

Question 27

RA

Answer 27

chronic, progressive autoimmune CT disorder primarily affecting synovial joints

Question 28

chronic, progressive autoimmune CT disorder primarily affecting synovial joints

Answer 28

RA

Question 29

RA CFs | 4

Answer 29

1. physical and emotional stress 2. female 3. young to middle age 4. family hx

Question 30

RA manif. | 8

Answer 30

1. morning stiffness 2. pain at rest or after immobility 3. bilateral joint inflammation 4. decreased ROM 5. joint deformity - late stage 6. warmth, redness, edema 7. dry eyes and mouth - Sjogren's syndrome 8. numbness, burning, tingling in hands/feets

Question 31

OA or RA - morning stiffness

Answer 31

RA

Question 32

OA or RA - pain reduced after rest

Answer 32

OA

Question 33

bilateral joint inflammation

Answer 33

RA

Question 34

Sjogren's syndrome

Answer 34

RA - dry mouth and eyes

Question 35

RA dx. procedures | 7

Answer 35

1. x ray 2. MRI 3. + rheumatoid factor 4. synovial fluid analysis 5. antinuclear antibody test 6. ESR 7. CRP

Question 36

RA - DMARDs rx | 3

Answer 36

1. methotrexate 2. leflunomide 3. hydroxychloroquine

Question 37

RA - tx for severe, life threatening exacerbation

Answer 37

plasmapheresis