Musculoskeletal TEST 2

Question 1

What are the components of the musculoskeletal system?

Answer 1

Bones, cartilage, ligaments, tendons, and connective tissues

Question 2

What does MOI stand for in musculoskeletal injuries?

Answer 2

Mechanism of Injury

Question 3

What is the purpose of a goniometer in an MSK exam?

Answer 3

To measure joint range of motion (ROM)

Question 4

How is muscle strength graded?

Answer 4

0 (no contraction) to 5 (full strength)

Question 5

What is lordosis and when is it commonly seen?

Answer 5

Inward curvature of the lumbar spine, common in pregnancy

Question 6

What causes dorsal kyphosis in older adults?

Answer 6

Degenerative changes and osteoporosis

Question 7

What is the Barlow-Ortolani maneuver used for?

Answer 7

Assessing hip dislocation in infants

Question 8

What does genu varum refer to?

Answer 8

Bow-legged appearance

Question 9

What does genu valgum refer to?

Answer 9

Knock-knees

Question 10

What is carpal tunnel syndrome?

Answer 10

Compression of the median nerve in the wrist

Question 11

What is osteoarthritis?

Answer 11

Deterioration of articular cartilage in synovial joints

Question 12

What is a common feature of ankylosing spondylitis?

Answer 12

Inflammation of the spine with HLA-B27 association

Question 13

What is Osgood-Schlatter disease?

Answer 13

Inflammation of the tibial tubercle due to traction stress

Question 14

What is slipped capital femoral epiphysis?

Answer 14

Femoral head slips over the neck of the femur, common in overweight adolescents

Question 15

What is Legg-Calvé-Perthes disease?

Answer 15

Avascular necrosis of the femoral head, common in children aged 4–8

Question 16

What is Dupuytren contracture?

Answer 16

Thickening of hand fascia causing finger contractures

Question 17

What is nursemaid’s elbow?

Answer 17

Radial head subluxation in children

Question 18

How do you test for Carpal Tunnel?

Answer 18

Thumb abduction test (weakness when thumbs up)/ Phalen test (wrists back to back)/ Tinel sign (tingling at the wrist when palpated)

Question 19

How do you assess for shoulder impignement?

Answer 19

Neer test (pain with internal rotation of arm overhead)/ Hawkins-Kennedy test (flexion of should+ elbow to 90 degrees and internally rotate shoulder)

Question 20

How do you assess for lumbar disk herniation or lumbar nerve root irritation?

Answer 20

Straight leg raise test (raise leg straight up slowly, pain radiates down the leg)

Question 21

How do you assess for hip and gluteal weakness?

Answer 21

Hip= Thomas test ( One knee is pulled to chest to flatten lumbar spine, positive if opposite hip lifts off table)/ Gluteal= Trendelenberg (Stands on one leg to assess alignment of hips)

Question 22

Which structure would facilitate easy joint movement by decreasing friction?

Answer 22

Bursae

Question 23

Which musculoskeletal change during pregnancy would allow the center of gravity to shift over the legs?

Answer 23

Lordosis

Question 24

Quality of movement for the musculoskeletal system of an infant would be assessed by which attribute?

Answer 24

Spasticity

Question 25

Which data in the health record would reflect bilateral grade 4 lower extremity muscle function?

Answer 25

Weak, but has full range of motion against gravity and resistance

Question 26

Which movement would cause increased pain in a patient diagnosed with epicondylitis of the elbow?

Answer 26

Pronation

Question 27

Which finding made during the assessment of the spine would lead the nurse to contact the health care provider (HCP)?

Answer 27

Gibbus (a sharp angular deformity that results from a collapsed vertebrae due to osteoporosis. This finding requires immediate HCP notification)

Question 28

Which movement would the nurse ask the patient to perform to assess the trigeminal nerve function?

Answer 28

Clench teeth (CN V)

Question 29

Which symptom in a patient would indicate ankylosing spondylitis?

Answer 29

Shifting buttock pain (A patient with ankylosing spondylitis will report pain in the lower back and buttocks that shifts between the right and left buttocks)

Question 30

Which muscle would become painful in a child with Osgood-Schlatter disease?

Answer 30

Quadriceps