NURP 502 PRIMARY Exam 4 -
Musculoskeletal Questions and answers
2025
What .is .a .Grade .I .sprain? .- .ANS✓✓-Slight .stretching .or .microscopic .tear
No .instability
What .is .a .Grade .II .sprain? .- .ANS✓✓-Partial .ligamentous .tear
Moderate .joint .instability
Moderate .swelling
Mild .to .moderate .ecchymosis
What .is .a .Grade .III .sprain? .- .ANS✓✓-Complete .ligamentous .tear
Complete .ankle .instability
Significant .swelling
Moderate .to .severe .ecchymosis
Management .of .a .sprain? .- .ANS✓✓-Rest, .ice, .compression, .elevation .(RICE)
Immobilizer
Limit .weight-bearing
Analgesia
Length .of .disability .usually .several .weeks .to .a .few .months
Orthopedic .referral .(Grade .II/III)
What .is .a .strain? .- .ANS✓✓-A .stretching .or .tearing .of .a .muscle .or .a .tendon
What .is .tendinitis? .- .ANS✓✓-The .inflammation, .irritation, .and .swelling .of .a
.tendon
What .are .the .most .common .symptoms .of .tendonitis? .- .ANS✓✓-Reduced .ROM
.caused .by .joint .stiffness .and .discomfort .and .a .dull, .aching .pain .over .the
.affected .tendon, .especially .with
joint .use. .
This .pain .can .become .sharp .and .acute .when .the
tendon .is .squeezed.
How .are .minor .MSK .injuries .managed? .- .ANS✓✓-RICE .(rest, .ice, .compression,
.elevation)
Immobilization .(first .24 .hrs)
,Heat, .ROM, .ice .(after .24 .hrs)
NSAIDs, .acetiminophen
T/F .- .Neck .pain .is .CHRONIC .if .it .lasts .over .4 .months .- .ANS✓✓-FALSE; .3
.months
What .is .torticollis? .- .ANS✓✓-Contraction .or .spasm .of .neck .muscles .causing
.head .to .be .lifted .and .tilted .to .one .side; .usually .accompanied .by .rotation .of
.chin .upward
What .is .the .treatment .for .torticollis? .- .ANS✓✓-PT, .pain .control .(anti-
inflammatories), .muscle .relaxants, .and .possibly .neck .braces .if .prolonged
.(prescribed .by .an .orthopedic)
How .do .pts .w/ .acute .cervical .strain .present? .- .ANS✓✓-Sharp .neck .pain .with
.radiation .to .the .head, .shoulder, .or .hand
How .do .pts .w/ .chronic .cervical .strain .present? .- .ANS✓✓-Burning .or .aching, .w/
.or .w/o .radiation .to .the .arm .or .hand
When .would .imaging .be .necessary .for .neck .MSK? .- .ANS✓✓-If .neurological, .or
.pain .persists .or .worsens .after .conservative .treatment .(4-6 .weeks), .order .an .MRI
.or .CAT .scan
What .is .the .compression .test? .- .ANS✓✓-- .Compress .downward .on .head .to
.reproduce .radicular .symptoms; .+ .herniated .disc .is .present
- .Pain .doesn't .go .down .to .the .lower .back; .it .will .go .out .if .there .is .a .herniated
.disc
- .If .patient .presents .with .pain .all .along .spine, .and .you .press .on .his/her .head,
.you .need .to .evaluate .if .it's .a .true .injury
Which .test .is .demonstrated .when .the .examiner .applies .pressure .to .the .top .of
.the .head .with .the .neck
bending .forward, .producing .pain .or .numbness .in .the
upper .extremities?
A. .Spurling
B. .McMurray
C. .Lachman
D. .Newman .- .ANS✓✓-A
What .does .Adson's .test .look .at? .- .ANS✓✓-- .Abduct .and .externally .rotate
.shoulder .while .turning .head .toward .arm .being .tested
- .Looks .at .C5-T1
- .Check .pulse .at .same .time .for .thoracic .outlet .problem
What .does .EMG .assess? .- .ANS✓✓-- .Nerve .root .irritation .or .spinal .cord
.compromise
- .Won't .indicate .anything .until .6-8 .weeks .after .onset .of .radicular .pain
, Management .of .neck .MSK .injury: .- .ANS✓✓-- .Typical .conservative .treatment:
.anti-inflammatories, .ice, .muscle .relaxants
- .PT .for .soft .tissue .mobilization .and .sometimes .traction .to .release .pressure .on
.spine
- .Discuss .work .and .sleep .positioning .with .patient
When .do .you .refer .neck .pain/injury? .- .ANS✓✓-- .Cervical .fracture
- .Neurosurgical .or .orthopedic .consult .if .patient .has .intractable .pain .with
.neurological .deficit .(looking .for .weakness, .numbness, .tingling, .and .unremitting
.neurological .types .of .pain)
- .After .4-6 .weeks, .if .no .relief .from .treatment
Risk .factors .for .low .back .pain .include? .- .ANS✓✓-Older .age
Overactivity
Overweight .
Certain .physiologic .and .degenerative .disorders
What .is .the .#1 .cause .of .lumbosacral .pain? .- .ANS✓✓-Improper .lifting
Most .episodes .of .low .back .pain .are .caused .by:
A. .an .acute .precipitating .event.
B. .disk .herniation.
C. .muscle .or .ligamentous .strain.
D. .nerve .impingement. .- .ANS✓✓-C
S&S .of .lumbosacral .pain? .- .ANS✓✓-- .May .have .pain .along .waistband .and .into
.buttocks
- .Aggravated .by .sitting
- .Pain .is .typically .alleviated .with .rest .and .standing
- .Stiffness, .spasm, .and .reduced .ROM.
A .patient .with .a .lumbosacral .strain .will .typically .
report:
A. .numbness .in .the .extremities.
B. .stiffness, .spasm, .and .reduced .ROM.
C."electric" .sensation .running .down .one .or .both .
legs.
D. .pain .at .its .worst .when .in .sitting .position. .- .ANS✓✓-B
Risk .factors .for .lumbar .radiculopathy .include? .- .ANS✓✓-Smoking
Diabetes
Spinal .infection
Overweight .or .obesity
Male .gender
Older .age
Musculoskeletal Questions and answers
2025
What .is .a .Grade .I .sprain? .- .ANS✓✓-Slight .stretching .or .microscopic .tear
No .instability
What .is .a .Grade .II .sprain? .- .ANS✓✓-Partial .ligamentous .tear
Moderate .joint .instability
Moderate .swelling
Mild .to .moderate .ecchymosis
What .is .a .Grade .III .sprain? .- .ANS✓✓-Complete .ligamentous .tear
Complete .ankle .instability
Significant .swelling
Moderate .to .severe .ecchymosis
Management .of .a .sprain? .- .ANS✓✓-Rest, .ice, .compression, .elevation .(RICE)
Immobilizer
Limit .weight-bearing
Analgesia
Length .of .disability .usually .several .weeks .to .a .few .months
Orthopedic .referral .(Grade .II/III)
What .is .a .strain? .- .ANS✓✓-A .stretching .or .tearing .of .a .muscle .or .a .tendon
What .is .tendinitis? .- .ANS✓✓-The .inflammation, .irritation, .and .swelling .of .a
.tendon
What .are .the .most .common .symptoms .of .tendonitis? .- .ANS✓✓-Reduced .ROM
.caused .by .joint .stiffness .and .discomfort .and .a .dull, .aching .pain .over .the
.affected .tendon, .especially .with
joint .use. .
This .pain .can .become .sharp .and .acute .when .the
tendon .is .squeezed.
How .are .minor .MSK .injuries .managed? .- .ANS✓✓-RICE .(rest, .ice, .compression,
.elevation)
Immobilization .(first .24 .hrs)
,Heat, .ROM, .ice .(after .24 .hrs)
NSAIDs, .acetiminophen
T/F .- .Neck .pain .is .CHRONIC .if .it .lasts .over .4 .months .- .ANS✓✓-FALSE; .3
.months
What .is .torticollis? .- .ANS✓✓-Contraction .or .spasm .of .neck .muscles .causing
.head .to .be .lifted .and .tilted .to .one .side; .usually .accompanied .by .rotation .of
.chin .upward
What .is .the .treatment .for .torticollis? .- .ANS✓✓-PT, .pain .control .(anti-
inflammatories), .muscle .relaxants, .and .possibly .neck .braces .if .prolonged
.(prescribed .by .an .orthopedic)
How .do .pts .w/ .acute .cervical .strain .present? .- .ANS✓✓-Sharp .neck .pain .with
.radiation .to .the .head, .shoulder, .or .hand
How .do .pts .w/ .chronic .cervical .strain .present? .- .ANS✓✓-Burning .or .aching, .w/
.or .w/o .radiation .to .the .arm .or .hand
When .would .imaging .be .necessary .for .neck .MSK? .- .ANS✓✓-If .neurological, .or
.pain .persists .or .worsens .after .conservative .treatment .(4-6 .weeks), .order .an .MRI
.or .CAT .scan
What .is .the .compression .test? .- .ANS✓✓-- .Compress .downward .on .head .to
.reproduce .radicular .symptoms; .+ .herniated .disc .is .present
- .Pain .doesn't .go .down .to .the .lower .back; .it .will .go .out .if .there .is .a .herniated
.disc
- .If .patient .presents .with .pain .all .along .spine, .and .you .press .on .his/her .head,
.you .need .to .evaluate .if .it's .a .true .injury
Which .test .is .demonstrated .when .the .examiner .applies .pressure .to .the .top .of
.the .head .with .the .neck
bending .forward, .producing .pain .or .numbness .in .the
upper .extremities?
A. .Spurling
B. .McMurray
C. .Lachman
D. .Newman .- .ANS✓✓-A
What .does .Adson's .test .look .at? .- .ANS✓✓-- .Abduct .and .externally .rotate
.shoulder .while .turning .head .toward .arm .being .tested
- .Looks .at .C5-T1
- .Check .pulse .at .same .time .for .thoracic .outlet .problem
What .does .EMG .assess? .- .ANS✓✓-- .Nerve .root .irritation .or .spinal .cord
.compromise
- .Won't .indicate .anything .until .6-8 .weeks .after .onset .of .radicular .pain
, Management .of .neck .MSK .injury: .- .ANS✓✓-- .Typical .conservative .treatment:
.anti-inflammatories, .ice, .muscle .relaxants
- .PT .for .soft .tissue .mobilization .and .sometimes .traction .to .release .pressure .on
.spine
- .Discuss .work .and .sleep .positioning .with .patient
When .do .you .refer .neck .pain/injury? .- .ANS✓✓-- .Cervical .fracture
- .Neurosurgical .or .orthopedic .consult .if .patient .has .intractable .pain .with
.neurological .deficit .(looking .for .weakness, .numbness, .tingling, .and .unremitting
.neurological .types .of .pain)
- .After .4-6 .weeks, .if .no .relief .from .treatment
Risk .factors .for .low .back .pain .include? .- .ANS✓✓-Older .age
Overactivity
Overweight .
Certain .physiologic .and .degenerative .disorders
What .is .the .#1 .cause .of .lumbosacral .pain? .- .ANS✓✓-Improper .lifting
Most .episodes .of .low .back .pain .are .caused .by:
A. .an .acute .precipitating .event.
B. .disk .herniation.
C. .muscle .or .ligamentous .strain.
D. .nerve .impingement. .- .ANS✓✓-C
S&S .of .lumbosacral .pain? .- .ANS✓✓-- .May .have .pain .along .waistband .and .into
.buttocks
- .Aggravated .by .sitting
- .Pain .is .typically .alleviated .with .rest .and .standing
- .Stiffness, .spasm, .and .reduced .ROM.
A .patient .with .a .lumbosacral .strain .will .typically .
report:
A. .numbness .in .the .extremities.
B. .stiffness, .spasm, .and .reduced .ROM.
C."electric" .sensation .running .down .one .or .both .
legs.
D. .pain .at .its .worst .when .in .sitting .position. .- .ANS✓✓-B
Risk .factors .for .lumbar .radiculopathy .include? .- .ANS✓✓-Smoking
Diabetes
Spinal .infection
Overweight .or .obesity
Male .gender
Older .age
