Musculoskeletal Exam 2

Question 1

Tenderness associated with trauma or in rheumatoid arthritis suggests possible risk for what in palpation of the spine?

Answer 1

Subluxation and high cervical cord compression and needs prompt additional assessment

Question 2

3 osteopathic spine tests

Answer 2

1. Perform a pelvic side shift
   2, Perform a standing and seated forward bend while assessing the position of the PSIS
2. Assess General Spinal Motion –AGR

Question 3

Do we inspect gait for the hips as the patient enters the room?

Answer 3

Yes

Question 4

What should width of hip base be?

Answer 4

2-4 inches

Question 5

A wide hip base suggests what?

Answer 5

Cerebellar disease or foot problems

Question 6

Normal gait has what?

Answer 6

Smooth, continuous rhythm

Question 7

Abductor contraction stabilizes what?

Answer 7

Pelvis and helps maintain balance, raising the opposite hip

Question 8

Lack of knee flexion and drop foot cause what?

Answer 8

Circumduction of the extremity

Question 9

Leg shortening and external rotation suggest what?

Answer 9

Hip fracture

Question 10

Tenderness in groin area could be due to what?

Answer 10

Synovitis of the hip joint, arthritis, bursitis, or possibly psoas abscess

Question 11

Focal tenderness over trochanter confirms what?

Answer 11

Trochanteric bursitis

Question 12

Iliotibial band tendinitis

Answer 12

Tenderness over the posterolateral surface of the greater trochanter

Question 13

Do we look for tenderness in ischiogluteal bursitis or “weaver’s bottom”?

Answer 13

Yes

Question 14

Normal anterior portion of hip ROM

Answer 14

Anterior portion of the thigh can almost touch the chest wall (when knee is also flexed relaxing the hamstrings)

Question 15

What does restriction in hip ROM suggest?

Answer 15

Arthritis

Question 16

Stumbling or “giving way” of the knee during heel strike suggests what?

Answer 16

Quadriceps weakness or abnormal patellar tracking

Question 17

Do we check alignment and contour of knees?

Answer 17

Yes

Question 18

Are Bowlegs (genu varum) and knock-knees (genu valgum) common?

Answer 18

Yes

Question 19

When is Flexion contracture (inability to extend fully) seen?

Answer 19

Limb paralysis or hamstring tightness

Question 20

Swelling over the patella suggests what?

Answer 20

Prepatellar bursitis.

Question 21

Swelling over the tibial tubercle suggests what?

Answer 21

Infrapatellaror, if more medial, anserine bursitis

Question 22

Do we palpate tibiofemoral joint?

Answer 22

Yes

Question 23

How do we palpate medial meniscus?

Answer 23

Pressing on the medial soft-tissue depression along the upper edge of the tibial plateau

Question 24

Will a medial meniscus tear have point tenderness?

Answer 24

Yes

Question 25

What do we palpate when we place the knee in slight flexion?

Answer 25

Lateral meniscus along the lateral joint line.

Question 26

How far do we palpate tibial tuberosity?

Answer 26

Until we hit tibial tuberosity

Question 27

Tenderness over the tendon or inability to extend the knee suggests what?

Answer 27

Partial or complete tear of the patellar tendon

Question 28

Pain with compression and with patellar movement during quadriceps contraction suggests what?

Answer 28

Chondromalacia, or degenerative patella (the patellofemoral syndrome)

Question 29

What suggests Achilles tendinitis?

Answer 29

Tenderness and thickening of the tendon above the calcaneus, sometimes with a protuberant posterolateral bony process of the calcaneus

Question 30

A defect in the muscles with tenderness and swelling suggests what?

Answer 30

A defect in the muscles with tenderness and swelling suggests

Question 31

Absence of plantar flexion is a positive test indicating what?

Answer 31

Rupture of the Achilles tendon may be present

Question 32

Detail of ingrown toenail

Answer 32

Tender, overhanging nail fold

Question 33

Localized tenderness is often present in what in the foot?

Answer 33

Arthritis, ligamentous injury, or infection of the ankle

Question 34

Localized tenderness is often present in what in the foot?

Answer 34

Arthritis, ligamentous injury, or infection of the ankle

Question 35

Focal heel tenderness on palpation of the plantar fascia suggests what?

Answer 35

Plantar fasciitis

Question 36

Tenderness along the posterior medial malleolus suggests what?

Answer 36

Posterior tibial tendonitis

Question 37

What is suspicious for ankle fracture (known as the Ottawa ankle rule?

Answer 37

After trauma, inability to bear weight after four steps and tenderness over the posterior aspects of either malleolus, especially the medial malleolus

Question 38

Is an arthritic joint painful when moving in any direction?

Answer 38

Yes

Question 39

Ligamentous sprain produces maximal pain when?

Answer 39

When ligament is stretched