Med Surg 3 Exam 4
Questions and Answers
1. 0 out of 5 muscle strength scale: no detection of muscular contraction
2. 1/5 on muscle strength scale: a barely detectable flicker or trace of
contractionwith observation or palpation
3. 2/5 on muscle strength scale: active movement of body part with
elimination ofgravity
4. 3/5 on muscle strength scale: active movement against gravity only
and notagainst resistance
5. 4/5 muscle strength scale: active movement against gravity and some
resis-tance
,6. 5/5 on muscle strength scale: normal strength - active movement
against fullresistance without evident fatigue
7. What would be an abnormal finding when assessing the
musculoskeletalsystem: scoliosis
8. What are common movements that occur at the synovial joints?:
abduction,adduction, flexion, extension
9. How do you assess for scoliosis?: Ask the patient to place their hands
together above the head as if diving into a swimming pool and slowly bend
forwardat the waste, allowing for assessment of thoracic rib prominence and
paravertebralmuscle prominence.
10. Describe how scoliosis appears: lateral S-shaped curvature of the
thoracicand lumbar spine. Unequal should and scapula height is typically
noted when observed from the back. Asymmetrical elevation of shoulders,
scapulae, and iliaccrests with lateral spine curvature
11. crepitation: frequent audible crackling sound with palpable grating
, that ac- companies movement. (caused by fracture, dislocation,
temporomandibular jointdysfunction, osteoarthritis
12. Clinical manifestations of CTS (carpal tunnel syndrome): weakness,
pain,numbness, or impaired sensation of the median nerve. clumsiness in
performing fine hand movements is also common. Positive Tinel's Sign and
Phalen's sign
13. How do you assess for Tinel's sign?: can be elicited by tapping over the
median nerve as it passes through the carpal tunnel in the wrist. A positive
responseis a sensation of tingling in the distribution of the median nerve
over the hand. - indicates CTS
14. What is bursitis and what could cause it?: What it is: inflammation
of thebursae.
Cause: results from repeated or excessive trauma or friction, gout, RA,
infectionOther precipitating activities: improper body mechanics,
repetitive kneeling (gar-
Questions and Answers
1. 0 out of 5 muscle strength scale: no detection of muscular contraction
2. 1/5 on muscle strength scale: a barely detectable flicker or trace of
contractionwith observation or palpation
3. 2/5 on muscle strength scale: active movement of body part with
elimination ofgravity
4. 3/5 on muscle strength scale: active movement against gravity only
and notagainst resistance
5. 4/5 muscle strength scale: active movement against gravity and some
resis-tance
,6. 5/5 on muscle strength scale: normal strength - active movement
against fullresistance without evident fatigue
7. What would be an abnormal finding when assessing the
musculoskeletalsystem: scoliosis
8. What are common movements that occur at the synovial joints?:
abduction,adduction, flexion, extension
9. How do you assess for scoliosis?: Ask the patient to place their hands
together above the head as if diving into a swimming pool and slowly bend
forwardat the waste, allowing for assessment of thoracic rib prominence and
paravertebralmuscle prominence.
10. Describe how scoliosis appears: lateral S-shaped curvature of the
thoracicand lumbar spine. Unequal should and scapula height is typically
noted when observed from the back. Asymmetrical elevation of shoulders,
scapulae, and iliaccrests with lateral spine curvature
11. crepitation: frequent audible crackling sound with palpable grating
, that ac- companies movement. (caused by fracture, dislocation,
temporomandibular jointdysfunction, osteoarthritis
12. Clinical manifestations of CTS (carpal tunnel syndrome): weakness,
pain,numbness, or impaired sensation of the median nerve. clumsiness in
performing fine hand movements is also common. Positive Tinel's Sign and
Phalen's sign
13. How do you assess for Tinel's sign?: can be elicited by tapping over the
median nerve as it passes through the carpal tunnel in the wrist. A positive
responseis a sensation of tingling in the distribution of the median nerve
over the hand. - indicates CTS
14. What is bursitis and what could cause it?: What it is: inflammation
of thebursae.
Cause: results from repeated or excessive trauma or friction, gout, RA,
infectionOther precipitating activities: improper body mechanics,
repetitive kneeling (gar-
