Complete Solutions
Bulge sign - ANSWER -Used to identify excess fluid
Have patient extend the knee and milk the medial aspect of the knee upward 2-3
times, note bulge of returning fluid
McMurray Test - ANSWER -Used to identify torn medial/lateral meniscus
Have patient lie supine and flex the knee with the foot flat on the table, maintain
flexion with the thumb and index finger on either side of the joint space while
stabilizing the knee, hold the heel with the other hand, rotate the foot and lower leg
to the lateral position, extend the knee to a 90 degree angle, return the knee to full
flexion, repeat the procedure rotating the foot and lower leg to the medial position
Drawer Test - ANSWER -Used to identify instability of anterior cruciate
ligament/posterior cruciate ligament
Have patient lie supine, flex the knee, place the foot flat on examination table, pull
the tibia sliding forward of the femur and push the tibia backward
Varus and valgus stress test - ANSWER -Used to identify medial collateral
ligament instability
Have patient lie supine and extend the knee, stabilize the femur and apply varus
force against the ankle towad the midline and internally rotate, then apply valgus
force away from the midline against the ankle
To assess muscle strength of the temporalis and masseter muscles... - ANSWER -
have patient clench teeth while muscle contraction is palpated and opposing force
is applied
, To asses ROM of the temporomandibular joint... - ANSWER -Have patient move
jaw from side to side
To assess strength of the trapezius... - ANSWER -Have patient maintain shrugged
shoulder while an opposing force is applied
To assess ROM of cervical spine - ANSWER -Have patient bend the head
backward, chin toward the ceiling
When palpating the patient's elbow it should be flexed at __ degrees - ANSWER -
70
To evaluate the ROM of the thoracic and lumbar spine... - ANSWER -Have the
patient bend from side to side, bend forward at the waist and touch the toes and
swing the upper trunk in a circular motion
Barlow-Ortolani maneuver - ANSWER -To detect hip dislocation in newborn
Allis sign - ANSWER -To detect hip dislocation or shortened femur
Assess muscle strength in a child by... - ANSWER -asking the child to stand,
rising from a supine position
Which muscle characteristics should a nurse inspect as part of a thorough
musculoskeletal examination;
Tone
Atrophy
Symmetry
Hypertrophy
Fasciculations - ANSWER -Atrophy, symmetry, hypertrophy, fasiculations
tone is assessed on palpation, not inspection