Musculoskeletal Assessment

Question 1

Nonsynovial joint

Answer 1

Immovable,or only slightly movable joints (Skull, Spine)

Question 2

Synovial joints

Answer 2

Freely movable, enclosed in joint cavity

Question 3

Cartilage

Answer 3

Avascular connective cushioning bones and facilitating movement

Question 4

Ligament

Answer 4

Connect bone to bone

Question 5

Bursa

Answer 5

Enclosed sac full of synovial fluid
Located in shoulder, knee.
Little joint pillows.

Question 6

Fasciculi

Answer 6

Bundle of muscle fibers

Form skeletal muscle

Question 7

Tendon

Answer 7

Attach muscle to bone

Question 8

Epipyses/growth plate

Answer 8

Concern for children
Close at age 20
Damage to epipyses may result in bone malformation

Question 9

Lordosis

Answer 9

Noted in pregnant women

May cause arm aching, numbness

Question 10

After age ____, more bone is lost, than is made

Answer 10

40. Leads to osteoporosis

Question 11

Decreased height in age is a result of:

Answer 11

Loss of water from intervertebral disk

Question 12

Kyphosis

Answer 12

Hunching forward; a result of collapse of vertebrae in old age

Also a normal finding in women who are in their last trimester

Question 13

Bone density loss greatest in which group?

Answer 13

White women

Question 14

Rheumatoid Arthritis pain worse…

Answer 14

In morning, after rest

Improves with movement

Question 15

Osteoarthritis pain worse…

Answer 15

In the evening, after work

Question 16

Tendinitis pain worse…

Answer 16

In morning, improves during the day

Question 17

Rheumatoid Arthritis

Answer 17

Chronic inflammatory disease
Symmetrical
Systemic
Heat, swelling, pain

Question 18

Osteoarthritis

Answer 18

Noninflammatory
Localized
Mostly knees, hands, hips, spine

Question 19

Ankylosing spondylitis

Answer 19

Extreme flexion, due to rheumatoid arthritis.

Joint is useless

Question 20

Dislocated shoulder

Answer 20

Bad shoulder forced forward
Tip of clavicle appears displaced
Resultof trauma

Question 21

Joint effusion

Answer 21

Swelling in joint capsule.

Question 22

Rotator cuff tear

Answer 22

Noted with hunched posiion
limited abduction
Person is unable to hold arm out at side

Question 23

Frozen Shoulder- adhesive capsulitis

Answer 23

Fibrous tissue in joint capsule

Question 24

Olecranon Bursistis

Answer 24

“Goose egg”with redness on elbow

Question 25

Subcutaneous nodules

Answer 25

Lumps under skin that occur with rheumatoid arthritis.

Question 26

Epicondylitis

Answer 26

Intense, localized pain from elbow, radiating down forarm

Question 27

Ganglion cyst

Answer 27

Round cyst, nontender over tendon sheath or joint capsule. Usually on wrist. Common, benign

Question 28

Colles fracture

Answer 28

Fracture of distal radius | Fall onto outstretched hand

Question 29

Carpal tunnel syndrome

Answer 29

``` Repetitive motion (like typing these stupid cards) Pain, burning, numbness of hands and wrists ```

Question 30

Ulnar deviation or shift

Answer 30

Fingers stuck to ulnar side Swelling at finger joints Caused by RA

Question 31

Syndactyly

Answer 31

Webbed fingers

Question 32

Polydactyly

Answer 32

Too many fingers

Question 33

Osgood-Schatter disease

Answer 33

Swelling of tibial tubercle below knee | Onset in puberty

Question 34

Chrondomalacia PATELLAe

Answer 34

inflammation and breakdown of the cartilage in the knee

Question 35

Achilles tenosynovitis

Answer 35

Inflammation, swelling, pain of Achilles tendon

Question 36

Chronic gout

Answer 36

Painless nodule on big toe Extreme swelling and deformity Urate crystals

Question 37

Acute gout

Answer 37

Sudden onset of swelling, heat, pain of large toe | Urate crystals/elevated serum uric acid

Question 38

Hellux Valgus with bunion and hammertoes

Answer 38

Rheumatoid arthritis Crazy bump toes. Hammertoes permanently flexed Bunion: inflammed bursa of big toe

Question 39

Plantar wart

Answer 39

very painful wart on sole of foot

Question 40

Callus

Answer 40

Thick pad of nontender skin on pressure areas.

Question 41

Scoliosis

Answer 41

Lateral curvature of spine May be flexible or fixed Upon bending patient forward, note unequal shoulders, scapulae, ribs, and hips

Question 42

Congenital Dislocated hip

Answer 42

Pediatric Asymmetrical skin creases (NCLEX loves this question) Limb length discrepancy

Question 43

Talipes Equinovarus "Club foot"

Answer 43

Pediatric Feet inverted, adducted, pointing downwards,