NU 216 Musculoskeletal Exam Questions with Correct Answers

NU 216 Musculoskeletal Exam Questions with Correct Answers Purpose of MS Assessment (4) - Answer-Evaluate a patient's level of functioning with ADL's. Determine patient's nutrition, activity and exercise. Evaluate: Posture, Stiffness, Pain Assess in conjunction with the neurological system Subjective Data Questions (9) - Answer-Pain Stiffness Swelling Heat/Redness Limitation of Movement Weakness Deformities Trauma ADLs Unilateral vs Bilateral Pain - Answer-Uni-usually trauma Bi-usually systemic what to assess for joint pain (2) - Answer-edema erythema Characteristics of bone pain (4) - Answer-- deep, - dull, - boring, - intense Characteristics of bone pain r/t movement - Answer-knife like sharp may indicate fracture Characteristics of muscle pain associated with weakness - Answer-crampy/aching Family History of - Answer-abnormal spine curvature back problems arthritis gout congenital bone or joint issues Personal questions to ask pt - Answer-loss of height accidents/trauma surgery habits: smoking/alcohol health promotion -bone density testing -supplements self care behaviors to take into consideration - Answer-occupational hazard -heavy lifting -repetitive motion exercise -frequency -warm up weight gain medications -aspirin -anti-inflammatory -muscle relaxers -pain reliever chronic disability/illness big cause for concern when taking NSAIDs frequently - Answer-bleeding pediatric developmental considerations - Answer-birth trauma milestones any injuries? deformities? adolescent considerations - Answer-extracurricular sports life balance aging adult considerations - Answer-responses to functional assessment -loss of function -self care deficit -safety risk any falls? any mobility aids? how is normality established in exam? - Answer-Because there are often no "normal" for musculoskeletal system, normality is established best by comparing with the pt.'s other side. spine/posture inspection& palpation (5) - Answer-alignment of head posture gait/mobility position changes deformities Scoliosis - Answer-abnormal lateral curvature of the spine kyphosis - Answer-hunchback lordosis - Answer-abnormal anterior curvature of the lumbar spine (sway-back condition) characteristics of poor posture (5) - Answer-forward head flat back swayback rounded shoulders weak abdominal muscles Dislocation - Answer-displacement of a bone from its joint subluxation - Answer-partial dislocation contracture - Answer-The lack of joint mobility caused by abnormal shortening of a muscle ankylosis - Answer-frozen joint anchored in place if tenderness does occur in joints... - Answer-try to localize it to a specific anatomical structure -ex. skin, muscles, tendons etc. active vs passive rom - Answer-Active = the patient performing the motions themselves Passive = the nurse completely assisting the motions being accomplished