Nurs 5433 Module 6 MSK questions with correct answers
1. What ligaments are involved in an inversion ankle sprain?: anterior
talofibular or calcaneofibular ligaments
2. What ligaments are involved in an eversion ankle sprain?: deltoid
ligament
3. What is a grade 1 ankle sprain?: stretching of a ligament with small
tears. No joint instability, mild swelling, patient is able to walk
4. What is a grade 2 ankle sprain?: larger tears but not a complete tear.
Moderate instability. Bruising, painful ambulation, swelling
5. What is a grade 3 ankle sprain?: complete tear of ligament, severe
pain, lots of swelling and tenderness. Mechanical instability and
decreased ROM. unable to ambulate. Snap is heard at time of injury
6. When do you refer out an ankle sprain?: Grade 3
7. What is the initial management of an ankle sprain?: PRICER
Protection (crutches, splint,
brace) Rest
Ice
Compressio
n Elevation
Rehabilitati
on
also analgesics such as NSAIDs
8.What is carpal tunnel syndrome?: compressive neuropathy in the median
nerve
9. What are s/s of carpal tunnel syndrome?: paresthesia, weakness of the
hands, aggravated by flexing and extending the wrist. Dull and achy
pain
10.What is the phalen test?: Used to test for Carpel Tunnel Syndrome.
Ask the patient to hold both wrists in a fully palmer flexed position with
the dorsal surfaces pressed together for one minute. Numbness and
paresthesia in the distribution of the median nerve are suggestive of
CTS.
11.What is Tinel's sign?: Tapping on the carpal tunnel causes
parathesias (tin- gling) in the median nerve distribution
12.What is the treatment for carpal tunnel syndrome?: NSAIDs, wrist
splint, yoga, steroid injections, surgery
,13.What is DeQuervain's tenosynovitis?: progressive stenosing
tenosynovitis that affects the 1st dorsal compartment of the wrist.
Degeneration and thickening of the tendon sheath
14.What causes DeQuervain's tenosynovitis?: Overuse of thumb
extension/ab- duction.
15.How can you test for dequervains tenosynovitis?: Finkelstein test:
pain increases on active contraction against resistance on thumb
extension
, 16.How do you manage dequervains tenosynovitis?: thumb spica splint for
3-4 weeks
modify
activity
NSAIDs
steroid injection
if conservative treatment fails after 3 months=surgery
17.Does tennis elbow affect medial or lateral epicondyle?: lateral.
another name for tennis elbow is lateral epidocondylitis
18.What are the s/s of lateral epicondylitis: gradual onset of pain/burning
on the outer part of the elbow. They have a WEAK GRIP.
19.What is the treatment for lateral epicondylitis?: rest, NSAIDs, PT,
steroid injections, counterforce brace, stretching the wrist up and
down.
if conservative treatment fails, either open or arthroscopic surgery
20.What part of the epicondyle is affected in golfer's elbow?: Medial
epicondyle
21.Where is the pain located in goler's elbow?: boney bump on inside of
elbow and radiates to forearm.
22.What is the treatment of golfer's elbow?: rest, insets, ice, heat, PT
23.Define a fracture: break in the structural continuity of a bone
24.What is a complete fracture?: bone is broken into two or more piece
s
25.What is an incomplete fracture?: the break extends only across part
of the bone
26.What is a compound fracture?: fracture that has soft tissue or wound
involve- ment
Type 1
Type 2
Type 3--has extensive disruption of soft tissue
27.What is a simple fracture?: fracture where the skin is intact over the
broken bone
28.What are the types of simple fractures?: spiral, oblique, transverse
1. What ligaments are involved in an inversion ankle sprain?: anterior
talofibular or calcaneofibular ligaments
2. What ligaments are involved in an eversion ankle sprain?: deltoid
ligament
3. What is a grade 1 ankle sprain?: stretching of a ligament with small
tears. No joint instability, mild swelling, patient is able to walk
4. What is a grade 2 ankle sprain?: larger tears but not a complete tear.
Moderate instability. Bruising, painful ambulation, swelling
5. What is a grade 3 ankle sprain?: complete tear of ligament, severe
pain, lots of swelling and tenderness. Mechanical instability and
decreased ROM. unable to ambulate. Snap is heard at time of injury
6. When do you refer out an ankle sprain?: Grade 3
7. What is the initial management of an ankle sprain?: PRICER
Protection (crutches, splint,
brace) Rest
Ice
Compressio
n Elevation
Rehabilitati
on
also analgesics such as NSAIDs
8.What is carpal tunnel syndrome?: compressive neuropathy in the median
nerve
9. What are s/s of carpal tunnel syndrome?: paresthesia, weakness of the
hands, aggravated by flexing and extending the wrist. Dull and achy
pain
10.What is the phalen test?: Used to test for Carpel Tunnel Syndrome.
Ask the patient to hold both wrists in a fully palmer flexed position with
the dorsal surfaces pressed together for one minute. Numbness and
paresthesia in the distribution of the median nerve are suggestive of
CTS.
11.What is Tinel's sign?: Tapping on the carpal tunnel causes
parathesias (tin- gling) in the median nerve distribution
12.What is the treatment for carpal tunnel syndrome?: NSAIDs, wrist
splint, yoga, steroid injections, surgery
,13.What is DeQuervain's tenosynovitis?: progressive stenosing
tenosynovitis that affects the 1st dorsal compartment of the wrist.
Degeneration and thickening of the tendon sheath
14.What causes DeQuervain's tenosynovitis?: Overuse of thumb
extension/ab- duction.
15.How can you test for dequervains tenosynovitis?: Finkelstein test:
pain increases on active contraction against resistance on thumb
extension
, 16.How do you manage dequervains tenosynovitis?: thumb spica splint for
3-4 weeks
modify
activity
NSAIDs
steroid injection
if conservative treatment fails after 3 months=surgery
17.Does tennis elbow affect medial or lateral epicondyle?: lateral.
another name for tennis elbow is lateral epidocondylitis
18.What are the s/s of lateral epicondylitis: gradual onset of pain/burning
on the outer part of the elbow. They have a WEAK GRIP.
19.What is the treatment for lateral epicondylitis?: rest, NSAIDs, PT,
steroid injections, counterforce brace, stretching the wrist up and
down.
if conservative treatment fails, either open or arthroscopic surgery
20.What part of the epicondyle is affected in golfer's elbow?: Medial
epicondyle
21.Where is the pain located in goler's elbow?: boney bump on inside of
elbow and radiates to forearm.
22.What is the treatment of golfer's elbow?: rest, insets, ice, heat, PT
23.Define a fracture: break in the structural continuity of a bone
24.What is a complete fracture?: bone is broken into two or more piece
s
25.What is an incomplete fracture?: the break extends only across part
of the bone
26.What is a compound fracture?: fracture that has soft tissue or wound
involve- ment
Type 1
Type 2
Type 3--has extensive disruption of soft tissue
27.What is a simple fracture?: fracture where the skin is intact over the
broken bone
28.What are the types of simple fractures?: spiral, oblique, transverse
