Nurs 623-624 Exam 4 | 183 Questions and Answers with complete solution

•Anterior drawer test has a low sensitivity and high specificity for confirming ACL pathology, so a positive test strongly suggests a problem but a negative test does not rule out an ACL tear. - A positive test strongly suggests a problem but a negative test does not rule out an ACL tear. When assessing the patient with musculoskeletal problems, it is important to determine if the problem is: - acute or chronic, articular or nonarticular, inflammatory or noninflammatory, and localized or systemic in distribution. Acute (less than 6 weeks duration) or chronic (more than 6 weeks duration), Flammatory or inflammatory Articular structures - • synovium, • synovial fluid, • articular cartilage, • intra-articular ligaments, • joint capsule, • juxta-articular bone Articular problems are characterized by - deep or diffuse pain, • deep or diffuse pain, • limited ROM (passive & active), • swelling, • crepitation, • instability, • 'locking', • Deformity Nonarticular (or periarticular) structures - • identified as supportive extra-articular ligaments, • tendons, • bursae, • muscle, • fascia, • bone, • nerve, • overlying skin • Nonarticular disorders are characterized by - painful active, but not passive ROM, • demonstrated point or focal ternderness in regions distinct from articular structures, • physical findings far from the joint capsule. • Usually do not find crepitus, instability or deformity History - · Chronology of complaint gives important diagnostic clues · onset, or did it develop over some time · evolution of the problem, such as chronic, intermittent, · migratory and duration of the problem.Physical Examination - · Distinguish between mechanical problems, soft tissue disease, and noninflammatory and inflammatory joint disease.