Week 12- MSK

Question 1

An anatomical term used to refer to the joint-related structures outside of a joint:

Answer 1

Extra-articular

Question 2

Include the joint capsule and articular cartilage, synovium and synovial fluid

Answer 2

Articular structures

Question 3

Usually involves swelling and tenderness of the entire joint:

Answer 3

Articular disease

Question 4

Includes peri-articular ligaments, tendons, bursae, muscle, fascia, bone, never and overlying skin:

Answer 4

Extra-articular structures

Question 5

Typically involved point or focal tenderness in the regions adjacent to the articular structure:

Answer 5

Extra-articular disease

Question 6

This type of disease can have crepitus, instability, locking or deformity; may have limited AROM and PROM d/t pain and stiffness

Answer 6

Articular disease

Question 7

This type of disease rarely causes swelling, instability, or joint deformity

Answer 7

Extra-articular disease

Question 8

This connects bone to bone:

Answer 8

Ligaments

Question 9

These connect muscle to bone:

Answer 9

Tendons

Question 10

These are pouches of synovial fluid that cushions the movement of the tendons and muscles over bone and other joint structures

Answer 10

Bursae

Question 11

Intervening layers of fibrous tissue or cartilage that holds the bones together:

Answer 11

Fibrous joints i.e. sutures of the skull

Question 12

This is the leading cause of patients seeking health care:

Answer 12

Joint pain

Question 13

This type of joint disease has decrease AROM and PROM, am stiffness (gelling)

Answer 13

Articular

Question 14

In this type of joint disease the pain is periarticular tenderness and only PROM remains intact:

Answer 14

Non-articular joint pain/disease

Question 15

Pain in a single joint suggests:

Answer 15

Mono articular arthritis, tendinitis, bursitis (extra-articular)

Question 16

Polyarticular involves several joints. Examples include:

Answer 16

Rheumatoid fever or gonococcal arthritis

Question 17

This is a pattern that is additive, progressive and symmetrical:

Answer 17

RA

Question 18

Extra-articular pain examples:

Answer 18

Bursitis, tendinitis, tenosynovitis (tendon sheaths), as well as sprains of ligaments

Question 19

If pain comes with trauma the what is very important to assess?

Answer 19

Mechanism of injury or specific series of events

Question 20

Severe rapid pain in a red, swollen joint suggests:

Answer 20

Arthritis or gout

In kids- osteomyelitis

Question 21

Fever plus chills with joint pain consider:

Answer 21

Septic arthritis

Question 22

Am stiffness that gradually improves is associated with:

Answer 22

Inflammatory causes such as RA and PRM

Question 23

Lupus can present with:

Answer 23

Malar rash

Question 24

Joint pain with preceding sore throat:

Answer 24

Gonococcal arthritis

Question 25

Red flags for neck and back pain:

Answer 25

Les than 20 or greater than 50, history of cancer, unexplained weight loss,fever or decline in health

Question 26

Signs of inflammation:

Answer 26

Tenderness, swelling, warmth, and redness

Question 27

Acute involvement of one joint suggests:

Answer 27

Trauma, septic arthritis, or crystalline arthritis

Question 28

RA is typically:

Answer 28

Polyarticular and symmetric

Question 29

Malalignment can be seen in:

Answer 29

Dupuytren contracture, genu varum (bow-legged), or genu valgum (knock-knee)

Question 30

Look for SQ nodules in:

Answer 30

RA and rheumatic fever

Question 31

Decreased ROM seen in:

Answer 31

Arthritis, joints with inflammation, bony fixation

Question 32

ACL laxity occurs in:

Answer 32

Knee trauma, muscle atrophy, and weakness with RA

Question 33

Palatable click or crepitus of the temporalmandibular joint is present in:

Answer 33

Poor occlusion, meniscus injury, or trauma

Question 34

Atrophy of ____ may signal rotator cuff tear.

Answer 34

Supraspinatus

Question 35

Painful arc test (rotator cuff-pain provocative test) suggest:

Answer 35

Sign for impingement/rotator cuff tendinitis

Question 36

Neer impingement sign positive test for a:

Answer 36

Subacromial impingement/rotator cuff tendinitis

Question 37

Hawkins impingement positive sign for:

Answer 37

Supraspinatus impingement/ rotator cuff impingement

Question 38

When both neer and Hawkins are negative there is:

Answer 38

A very low likelihood of rotator cuff diagnosis

Question 39

External rotation with lag test (inability to maintain external rotation) is a positive test for:

Answer 39

Supraspinatus and infraspinatus d/t

Question 40

Internal rotation lag test positive test associated with:

Answer 40

Subscapularis diagnosis

Question 41

Drop-arm test positive test associated with:

Answer 41

Supraspinatus rotator cuff tear or bicipital tendinitis

Question 42

External rotation resistance test is positive test associated with:

Answer 42

Infraspinatus diagnosis | Limited external rotation points to: glenohumeral disease or adhesive capsulitis

Question 43

Empty can test- inability of the patient to hold the arm fully abducted at the shoulder or control lowering the arm is positive test for:

Answer 43

Supraspinatus rotator cuff tear

Question 44

After elbow injury, preservation of AROM and full elbow extension makes:

Answer 44

Fracture highly unlikely

Question 45

Diffuse swelling in the hand common in:

Answer 45

Arthritis or infection

Question 46

Locational swelling of the hand may be:

Answer 46

Ganglion

Question 47

Heberden are found: Bouchard nodes are found: Suggest:

Answer 47

DIP PIP OA

Question 48

What is the anatomical snuffbox?

Answer 48

Tenderness with the wrist in ulnar deviation and pain at the scaphoid tubercle are suspicious for scaphoid fracture — avascular necrosis complication

Question 49

Finklestein indicates:

Answer 49

De Quervains tendosynovitis

Question 50

Carpal tunnel assessments:

Answer 50

Thumb abduction - positive a/w weakness Tinel sign- table on median nerve Phalen

Question 51

Thickening, bogginess or warm suprapatellar pouch occur with:

Answer 51

Synovitis and nontender effusions with OA

Question 52

Mcmurray tests:

Answer 52

Medial and lateral meniscus

Question 53

Abduction (valgus) test:

Answer 53

MCL

Question 54

Addiction (varus) test:

Answer 54

LCL

Question 55

Anterior drawer tests:

Answer 55

ACL

Question 56

Posterior drawer tests:

Answer 56

PCL

Question 57

Ortolani and barlow assesses for:

Answer 57

Developmental hip dysplasia in the infant

Question 58

Slipped capital femoral epiphysis often associated with:

Answer 58

A limp in an obese child

Question 59

Assessment for scoliosis:

Answer 59

Adams test (bending forward to touch toes)