Bates' Advanced Health Assessment
Chapters 1-4, & 7 (Health History, HEENT)
QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+ 2024/2025
1.Examination of Joints; Expose bilateral joints - ANSWER Expose
bilateral joints so that you can inspect from all angles for symmetry and
alignment.
2. Examination of the Temporomandibular Joint (TMJ) - ANSWER -
Begin with inspection and palpation of the area just in front of the tragus
of the ear.
-As the pt goes through the ROM of the joint, your fingers will fall into
the joint space.
-Palpate for smoothness of joint motion, swelling, and tenderness. Also
palpate the surrounding muscles.
-ROM should include opening and closing of the jaw, jutting the
mandible forward and back, and lateral movements.
3.Primary issues you are looking for in TMJ disorders. - ANSWER This
is orofacial pain with multiple etiologies.
Can also find temporal arteritis or trigeminal neuralgia.
, 4.Shoulder; Glenohumeral joint: - ANSWER Humoral head contacts
less than 1/3 of the glenoid fossa and somewhat dangles from the
scapula, Attached by the joint capsule, intra-articular ligaments, labrum,
and muscles and tendons.
5.Shoulder Girdle - ANSWER The combination of joints, muscles, and
bones is referred to as the shoulder girdle.
6.The Shoulder bony structures include - ANSWER The bony structures
include the humerus, the clavicle, and the scapula.
7.Shoulder joints include - ANSWER Shoulder Joints include the
sternoclavicular joint and the acromioclavicular joint, in addition to the
glenohumeral joint.
8.Shoulder muscles include - ANSWER Shoudler muscles include the
scapulohumeral group, the axioscapular group, and the axiohumeral
groups.
9.Because of the proximity to the neck and the shared muscle groups -
ANSWER It is often difficult to distinguish neck complaints from
shoulder ones.
10. Shoulder: Examination• Inspect - ANSWER For swelling, deformity,
muscle atrophy or
fasciculations, or abnormal positioning
,11.Shoulder: Examination• Palpate - ANSWER Palpate over the three
bony landmarks and any areas of tenderness
12.Shoulder: Examination• ROM - ANSWER Check range of motion:
flexion, extension, abduction, adduction, and internal and external
rotation
13.Shoulder: Examination; Perform maneuvers to assess: - ANSWER -
Acromioclavicular joint
- Subacromial and subdeltoid bursae
- Overall shoulder rotation (Apley scratch test)
- Rotator cuff
14.Shoulder: Bony Landmarks: (described on pg. 649) - ANSWER
Acromion (summit of the shoulder)
Coracoid process (inferior and medial to the acromion)
Greater tubercle (distal to the acromion)
15. Shoulder Palpate - ANSWER Biceps tendon
Bursae and muscles
16.Shoulder ROM: flexion and extension - ANSWER Flexion to 90 (in
front of pt) and the 180 degrees (overhead from front)
Extension posteriorly to 60 degrees
, 17.Shoulder ROM: abduction & adduction - ANSWER Abduction
(unilateral wingspan) equal to shoulder height (palm down) and then
arm up to ear (palm up)
18.Leading reason for Primary care visits - ANSWER Musculoskeletal
Disorders
19. Most common musculoskeletal condition - ANSWER Arthritis,
Affects 1 in 5 American and leading cause of disability
20. Leading chief complaint patients seek health care for - ANSWER
Joint pain
21.Represents a chronic clinical challenge from diagnosis to treatment
throughout the continuum. - ANSWER Low back Pain
22. Vital for diagnosis, appropriate diagnostic testing, and treatment of
musculoskeletal pain - ANSWER Complete physical examination
25.Articular structures - ANSWER joint capsule, articular cartilage,
synovium, synovial fluid, intra-articular ligaments, juxta-articular bone
26. Extra-articular structures - ANSWER periarticular ligaments,
tendons, bursae, muscle, fascia, bone, nerve, overlying skin
Chapters 1-4, & 7 (Health History, HEENT)
QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+ 2024/2025
1.Examination of Joints; Expose bilateral joints - ANSWER Expose
bilateral joints so that you can inspect from all angles for symmetry and
alignment.
2. Examination of the Temporomandibular Joint (TMJ) - ANSWER -
Begin with inspection and palpation of the area just in front of the tragus
of the ear.
-As the pt goes through the ROM of the joint, your fingers will fall into
the joint space.
-Palpate for smoothness of joint motion, swelling, and tenderness. Also
palpate the surrounding muscles.
-ROM should include opening and closing of the jaw, jutting the
mandible forward and back, and lateral movements.
3.Primary issues you are looking for in TMJ disorders. - ANSWER This
is orofacial pain with multiple etiologies.
Can also find temporal arteritis or trigeminal neuralgia.
, 4.Shoulder; Glenohumeral joint: - ANSWER Humoral head contacts
less than 1/3 of the glenoid fossa and somewhat dangles from the
scapula, Attached by the joint capsule, intra-articular ligaments, labrum,
and muscles and tendons.
5.Shoulder Girdle - ANSWER The combination of joints, muscles, and
bones is referred to as the shoulder girdle.
6.The Shoulder bony structures include - ANSWER The bony structures
include the humerus, the clavicle, and the scapula.
7.Shoulder joints include - ANSWER Shoulder Joints include the
sternoclavicular joint and the acromioclavicular joint, in addition to the
glenohumeral joint.
8.Shoulder muscles include - ANSWER Shoudler muscles include the
scapulohumeral group, the axioscapular group, and the axiohumeral
groups.
9.Because of the proximity to the neck and the shared muscle groups -
ANSWER It is often difficult to distinguish neck complaints from
shoulder ones.
10. Shoulder: Examination• Inspect - ANSWER For swelling, deformity,
muscle atrophy or
fasciculations, or abnormal positioning
,11.Shoulder: Examination• Palpate - ANSWER Palpate over the three
bony landmarks and any areas of tenderness
12.Shoulder: Examination• ROM - ANSWER Check range of motion:
flexion, extension, abduction, adduction, and internal and external
rotation
13.Shoulder: Examination; Perform maneuvers to assess: - ANSWER -
Acromioclavicular joint
- Subacromial and subdeltoid bursae
- Overall shoulder rotation (Apley scratch test)
- Rotator cuff
14.Shoulder: Bony Landmarks: (described on pg. 649) - ANSWER
Acromion (summit of the shoulder)
Coracoid process (inferior and medial to the acromion)
Greater tubercle (distal to the acromion)
15. Shoulder Palpate - ANSWER Biceps tendon
Bursae and muscles
16.Shoulder ROM: flexion and extension - ANSWER Flexion to 90 (in
front of pt) and the 180 degrees (overhead from front)
Extension posteriorly to 60 degrees
, 17.Shoulder ROM: abduction & adduction - ANSWER Abduction
(unilateral wingspan) equal to shoulder height (palm down) and then
arm up to ear (palm up)
18.Leading reason for Primary care visits - ANSWER Musculoskeletal
Disorders
19. Most common musculoskeletal condition - ANSWER Arthritis,
Affects 1 in 5 American and leading cause of disability
20. Leading chief complaint patients seek health care for - ANSWER
Joint pain
21.Represents a chronic clinical challenge from diagnosis to treatment
throughout the continuum. - ANSWER Low back Pain
22. Vital for diagnosis, appropriate diagnostic testing, and treatment of
musculoskeletal pain - ANSWER Complete physical examination
25.Articular structures - ANSWER joint capsule, articular cartilage,
synovium, synovial fluid, intra-articular ligaments, juxta-articular bone
26. Extra-articular structures - ANSWER periarticular ligaments,
tendons, bursae, muscle, fascia, bone, nerve, overlying skin
