Dr Bruce Musculoskeletal Exam

Front 1

arthritis quiescent at rest aggravated by exercise

Back 1

degenerative arthritis

Front 2

arth wakes up with pain and tenderness

Back 2

rheumatoid

Front 3

tenderness around joints

Back 3

inflamation generally
can be from degenerative arth or rheumatoid

Front 4

spine bulging forward

Back 4

lordosis

Front 5

spine bulging backward

Back 5

kyphosis

Front 6

spine bending sideways

Back 6

scoliosis

Front 7

feeling for 3 things on shoulders?

Back 7

coricoid process of scapula
promintory of scapula
top of humerous

Front 8

checking neck do 4 things?

1

Back 8

bend to sides, ears to shoulders
touch chin to chest
bend neck back
touch chin to shoulders

Front 9

when doing neck range of motion your listening for?

Back 9

grating sounds

Front 10

shoulders... check range of motion how many ways?

Back 10

raise arm to parallel w ground
move arm back
move arm forward
top 3 with elbow bent
raise arms out straight extended
above head
down to sides
extend back
extend forward
extended out to side and rotate

Front 11

arthritis quiescent at rest aggravated by exercise

Back 11

degenerative arthritis

Front 12

arth wakes up with pain and tenderness

Back 12

rheumatoid

Front 13

tenderness around joints

Back 13

inflamation generally
can be from degenerative arth or rheumatoid

Front 14

spine bulging forward

Back 14

lordosis

Front 15

spine bulging backward

Back 15

kyphosis

Front 16

spine bending sideways

Back 16

scoliosis

Front 17

feeling for 3 things on shoulders?

Back 17

coricoid process of scapula
promintory of scapula
top of humerous

Front 18

checking neck do 4 things?

1

Back 18

bend to sides, ears to shoulders
touch chin to chest
bend neck back
touch chin to shoulders

Front 19

when doing neck range of motion your listening for?

Back 19

grating sounds

Front 20

shoulders... check range of motion how many ways?

Back 20

raise arm to parallel w ground
move arm back
move arm forward
top 3 with elbow bent
raise arms out straight extended
above head
down to sides
extend back
extend forward
extended out to side and rotate

Front 21

abductin wrist

Back 21

toward body

Front 22

aducting wrist toward or away from body?

Back 22

away from body

Front 23

flex and extend fingers to check for which nerve

Back 23

radial nerve

Front 24

flex and extend fingers to check for which nerve

Back 24

radial nerve

Front 25

flex and extend fingers then do the same for what by itself

Back 25

thumb

Front 26

open web and close fingers back together to check for what nerve

Back 26

ulnar

Front 27

oppose each finger with thumb to check for which nerve

Back 27

median

Front 28

nerve distribution to 5 and part of 4 finger

Back 28

ulnar nerve

Front 29

nerve distribution for 1st 3 fingers and half of fourth

Back 29

median

Front 30

above thumb is which nerve

Back 30

radial

Front 31

what type of arthritis has symptoms of localized redness, swelling and heat?

Back 31

rhuematoid arthritis

Front 32

middle age and older people a fibrous thickening of the palm or fascia?

Back 32

dupuytrens contracture
or
palmar fasciaitis

Front 33

how much energy a material can absorb before it fractures.

Back 33

Toughness

Front 34

gives the material more mass

Back 34

Density

Front 35

resistance to bending

Back 35

Tensile strength

Front 36

resistance to deformation of shape, with return to this shape afterward, especially bending or twisting

Back 36

Viscoelasticity

Front 37

the amount of deformation a material can undergo in the face of traction strain (pulling apart) or compressive strain (pushing together)

Back 37

Ductility

Front 38

There are two kinds of bone

Back 38

Cortical bone
Cancellous bone

Front 39

dense and hard: on the outside
provides the strength, protection, resistance to bending

Back 39

Cortical bone

Front 40

softer and more porous: on the inside of bones
absorbs and distributes externally applied forces throughout the entire bone, to soften their impact on the integrity of the bone

Back 40

Cancellous bone

Front 41

3 kinds of joints

Back 41

fibrous joints
synovial joints
cartilaginous joints

Front 42

boundary lubricant released from within the surface of the cartilage to cope with greater stress

Back 42

squeeze film

Front 43

what is activated when joints are significantly stressed and the pressure between the two opposing surfaces begin to compress and deform their shape?

Back 43

elastohydrodynamic lubrication mechanism

Front 44

vascular membrane that lines articular joints in the body, such as the knee joint. This membrane secretes a small amount of lubricating fluid to reduce friction over the joint surfaces as the joint moves.

Back 44

synovial membrane

Front 45

in the musculoskeletal exam how should the patient be clothed

Back 45

unclothed.... :)

from the waist up

Front 46

spine bending inward toward the front

Back 46

lordosis

Front 47

spine bending backward

Back 47

kyphosis

Front 48

spine bending laterally abnormally

Back 48

scoliosis

Front 49

normal flexion is?

Back 49

patient bending forward almost able to touch the toes with knees unbent

Front 50

head and neck flexes how many degrees forward?

Back 50

almost 90

Front 51

head and neck flexes how many degrees backward?

Back 51

about 30

Front 52

neck twists how many degrees left and right?

Back 52

almost 90 each way

Front 53

bend the back laterally how many degrees left

Back 53

about 30 each way

Front 54

bend back backward how many degrees

Back 54

about 30

Front 55

twist back left and right about how many degrees each way

Back 55

about 90

Front 56

twist neck and put chin on shoulders about how many degrees

Back 56

about 90

Front 57

bend neck sideways to put ears on shoulders about how many degrees

Back 57

45

Front 58

supinate the palms is palm up or down

Back 58

palm up

Front 59

pronate the hands is palms up or down

Back 59

palm down

Front 60

how many fingers do you use when having the patient squeeze them?

Back 60

2 fingers

Front 61

feel for tenderness of the ________ _________ or ________'s _______ between the _____ and ______ toe which can also be very tender

Back 61

plantar fascia
Morton's neuromas
third and fourth

Front 62

you check the patella for ______ and possible ______

Back 62

mobility
effusion

Front 63

build up of fluid in a joint

Back 63

effusion

Front 64

check the knee joint laterally and medially for _______ and _______

Back 64

tenderness and swelling

Front 65

check each knee for laxity with ________ ________

Back 65

lateral flexion

Front 66

the knee joint is usually held firmly in place by the ______ and ______ ligaments

Back 66

medial and collateral ligaments

Front 67

with the knee bent, pull the lower leg forward at the knee joint then push it backward to check the _______ and ______ ________ ligaments

Back 67

anterior and posterior cruciate ligaments

Front 68

posterior cruciate weakness causes the knee to be weak with posterior push is called_______ _______

Back 68

drawer sign

Front 69

bend and extend each knee joint and check it for locking or catching, suggesting a possible _______ _______

Back 69

meniscus tear

Front 70

If you have patient bend knee and flex hip and other knee and or hip leave the table there is _______ _______ of the opposite hip

Back 70

flexion deformity

Front 71

straight leg test test for?

there will be pain before how many degrees?

Back 71

sciatica

70-80

Front 72

dorsiflex the foot when doing straight leg test is called_____ ______

Back 72

Lessegs sign