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NURS 335: Musculoskeletal Health Assessment Questions With Complete Solutions
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NURS 335: Musculoskeletal Health Assessment Questions With Complete Solutions
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NURS 335: Musculoskeletal Health Assessment QuestionsWith Complete Solutions
a piece of equipment that we might use if we are looking at the
spinous processes, and you can put a dot on each spinous
process o n the back while they reach for their toes. when they
stand up, if the spine is straight dots are in a straight line. if the
spine is not straight, the dots may not be in a straight line
Correct Answer skin marking pen
a piece of equipment that we sometimes use if we suspect legs
aren't the same lenght Correct Answer tape measure
a piece of equipment to measure joint angles
- device used to measure degree of flexion and extension in a
joint
- more rehab/PT type of equipment
- if a patient has had an injury to elbow and they are not able to
flex tht eelbow that far, we can measure the degree of flexion
they have Correct Answer goniometer
active or passive ROM
examiner takes that joint and moves through ROM for the
patient Correct Answer passive (ROM)
active or passive ROM
patient actively moves the joint themselves Correct Answer
active (ROM)
,add this if you suspect carpal tunnel syndrome
- ask person to hold both hands back to back while flexing the
wrists 90 degrees
- acute flexion of the wrist for 60 seconds produces no
symptoms in the normal hand Correct Answer phalen's test
add this if you suspect carpal tunnel syndrome
- direct percussion of the location of the median nerve at the
wrist produces no symptoms in the normal hand
in carpal tunnel syndrome percussion of the median nerve
produces burning and tingling along its distribution which is a
positive sign of this Correct Answer tinel's sign
an degenerative condition
noninflammatory, localized progressive disorders involving
deterioration of articular cartilages (cushion b/w the ends of
bones) and subchondral bone remodeling, synovial
inflammation, and formation of new bone (osteophytes) at joint
surfaces. increased risk occurs w/ older age, females, and
caucasians
obesity increases risk and progression esp in the knee.
asymmetric joint involvement commonly affects hands, knees,
hips, and lumbar and cervical segments of the spine
-affected joints have stiffness; swelling w/ hard bony
protuberances; pain w/ motion, and limitatino of motion Correct
Answer osteoarthritis
an inflammatory condition
, chronic inflammatory condition that is possible started by an
autoimmune response, inflammatory event or infectoin. occurs
2.5 times more in women than in men; its peak is ages 30-60
years although it can occur at any age. inflammation of synovial
tissues, hyperplasia, and swelling lead to fibrosis, cartilage, and
bone destruction which limit motion and show as deformity.
joint involvement is symmetric and bilateral w/ heat, redness,
swelling and painful motion of affected joints
symptoms: fatigue, weakness, anorexia, weight loss, low grade
fever, and lymphadenopathy
- carries CV risk of heart attack and stroke Correct Answer
rheumatoid arthritis (RA)
arm is at the side and moving away from the midline Correct
Answer abduction
articulation of the acetabulum and the head of the femur Correct
Answer hip
articulation of the mandible (jaw) and the temporal bone
Correct Answer temporomandibular joint
bend arm up at the albow Correct Answer flexion
bend at metacarpophalngeal joints and point fingers down to the
floor
this is what rom exercise Correct Answer flexion
bend fingers up as far as they can
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