Musculoskeletal + Neurological Review for Health Assessment Exam 3
1. When observing Smooth, rhythmic, effortless, opposing arm swing is coordinated
a client's gait,
what should the
nurse look for?
2. What can indi- Feelings of pins and needles or a burning sensation in the hands or arms. A
cate neurologi- complete health history must also be obtained.
cal involvement
when assess-
ing the mus-
culoskeletal sys-
tem?
3. What does the Warmness, tenderness, crepitus, muscle tone
nurse palpate for
in the mus-
culoskeletal sys-
tem?
4. What is crepitus? Bone rubbing against bone or bone rubbing against degenerated cartilage.
5. What is a contrac- A joint deformity in which it is permanently in flexion that is primarily unilateral
ture? which results in a limited ROM. It can result from atrophy, disuse, and shortening
of the muscle caused by injury or neurologic damage.
6. Define active A client can move that joint without assistance.
ROM.
7. Define passive When the nurse moves the muscle for the client. They should NOT extend the
ROM. muscle any further than the point of resistance or if the client gives any indication
of pain.
8.
, Musculoskeletal + Neurological Review for Health Assessment Exam 3
What is expected Assess active BEFORE passive.
when assessing a Coordinated
client's ROM? Smooth
Full range
Minimal effort
Without hesitation
Without obstruction
Without crepitation
No muscle spasms
9. What are move- Flexion, extension, hyperextension, dorsiflexion, plantar flexion, lateral flexion, ab-
ments associat- duction, adduction, opposition, pronation, supination, circumduction, inversion,
ed with ROM? eversion, rotation, retraction, protraction
Remember to
demonstrate as
well.
10. Describe the Grade 5 = Full ROM against gravity, full resistance
scale for muscle Grade 4 = Full ROM against gravity, some resistance
testing. Grade 3 = Full ROM with gravity, no resistance
Grade 2 = Full ROM with gravity eliminated (PASSIVE)
Grade 1 = Slight contraction
Grade 0 = No contraction
11. What is the ex- Greater than 3
pecting finding
for the muscle
test grading?
12. What do the pari- Addressing sensory information such as touch, proprioception and stereognosis
etal lobes con-
trol?
, Musculoskeletal + Neurological Review for Health Assessment Exam 3
13. What does the Coordination of movement, equillibrium, proprioception, and maintaining muscle
cerebellum con- tone
trol?
14. What are der- A band of skin innervated by the sensory root of a single spinal nerve. Knowing
matomes? these helps localize a lesion to a specific spinal cord segment and helps anesthe-
siologists target specific areas of the body for anesthesia or analgesia.
15. What are liga- Strong flexible bands of connective tissue that support the joints and serve to
ments? connect bones to allow for a degree of movement.
16. What are ten- Nonelastic connective tissue that connect muscles to bones themselves which
dons? allows bones to move.
17. Where are the Name these joints.
metacarpopha-
langeal (MCP)
joints?
18. Where are the Name these joints.
proximal inter-
phalangeal (PIP)
joints?
, Musculoskeletal + Neurological Review for Health Assessment Exam 3
19. Where are the Name these joints.
distal interpha-
langeal (DIP)
joints?
20. Define carpal When the median nerve is compressed due to swelling in the wrist which causes
tunnel disorder. numbness or tingling in the thumb, 2nd, 3rd, and maybe 4th fingers. The pain
extends to the elbow and causes a weak grip and difficulty with fine motor
movements.
21. Define kyphosis. Excessive forward curvature of the thoracic spine, often referred to as hunchback.
Often related to weakness, compression, or fractures of the spine.
22. Define lordosis. Inward curvature of the spine. Also known as sway-back.
1. When observing Smooth, rhythmic, effortless, opposing arm swing is coordinated
a client's gait,
what should the
nurse look for?
2. What can indi- Feelings of pins and needles or a burning sensation in the hands or arms. A
cate neurologi- complete health history must also be obtained.
cal involvement
when assess-
ing the mus-
culoskeletal sys-
tem?
3. What does the Warmness, tenderness, crepitus, muscle tone
nurse palpate for
in the mus-
culoskeletal sys-
tem?
4. What is crepitus? Bone rubbing against bone or bone rubbing against degenerated cartilage.
5. What is a contrac- A joint deformity in which it is permanently in flexion that is primarily unilateral
ture? which results in a limited ROM. It can result from atrophy, disuse, and shortening
of the muscle caused by injury or neurologic damage.
6. Define active A client can move that joint without assistance.
ROM.
7. Define passive When the nurse moves the muscle for the client. They should NOT extend the
ROM. muscle any further than the point of resistance or if the client gives any indication
of pain.
8.
, Musculoskeletal + Neurological Review for Health Assessment Exam 3
What is expected Assess active BEFORE passive.
when assessing a Coordinated
client's ROM? Smooth
Full range
Minimal effort
Without hesitation
Without obstruction
Without crepitation
No muscle spasms
9. What are move- Flexion, extension, hyperextension, dorsiflexion, plantar flexion, lateral flexion, ab-
ments associat- duction, adduction, opposition, pronation, supination, circumduction, inversion,
ed with ROM? eversion, rotation, retraction, protraction
Remember to
demonstrate as
well.
10. Describe the Grade 5 = Full ROM against gravity, full resistance
scale for muscle Grade 4 = Full ROM against gravity, some resistance
testing. Grade 3 = Full ROM with gravity, no resistance
Grade 2 = Full ROM with gravity eliminated (PASSIVE)
Grade 1 = Slight contraction
Grade 0 = No contraction
11. What is the ex- Greater than 3
pecting finding
for the muscle
test grading?
12. What do the pari- Addressing sensory information such as touch, proprioception and stereognosis
etal lobes con-
trol?
, Musculoskeletal + Neurological Review for Health Assessment Exam 3
13. What does the Coordination of movement, equillibrium, proprioception, and maintaining muscle
cerebellum con- tone
trol?
14. What are der- A band of skin innervated by the sensory root of a single spinal nerve. Knowing
matomes? these helps localize a lesion to a specific spinal cord segment and helps anesthe-
siologists target specific areas of the body for anesthesia or analgesia.
15. What are liga- Strong flexible bands of connective tissue that support the joints and serve to
ments? connect bones to allow for a degree of movement.
16. What are ten- Nonelastic connective tissue that connect muscles to bones themselves which
dons? allows bones to move.
17. Where are the Name these joints.
metacarpopha-
langeal (MCP)
joints?
18. Where are the Name these joints.
proximal inter-
phalangeal (PIP)
joints?
, Musculoskeletal + Neurological Review for Health Assessment Exam 3
19. Where are the Name these joints.
distal interpha-
langeal (DIP)
joints?
20. Define carpal When the median nerve is compressed due to swelling in the wrist which causes
tunnel disorder. numbness or tingling in the thumb, 2nd, 3rd, and maybe 4th fingers. The pain
extends to the elbow and causes a weak grip and difficulty with fine motor
movements.
21. Define kyphosis. Excessive forward curvature of the thoracic spine, often referred to as hunchback.
Often related to weakness, compression, or fractures of the spine.
22. Define lordosis. Inward curvature of the spine. Also known as sway-back.
