Nurb 435: Muscoskeletal

Front 1

What medications cause bones to demineralize?

Back 1

Anti-seizure meds

Front 2

Effects of corticosteroids on muscoskeletal system?

Back 2

Decrease bone and muscle mass

Front 3

Following surgery,Barry Jr. is instructed to perform ROM exercises in order to prevent foot drop and this type of gait?

Back 3

Steppage

Front 4

This gait is associated with Parkinson's

Back 4

Festinating

Front 5

This gait is associated with MS

Back 5

Ataxic

Front 6

Used to measure ROM?

Back 6

Goniometer

Front 7

A muscle strength rating of 1 means?

Back 7

Trace contraction is noted in the muscle via palpitation when patient attempts to contract it

Front 8

A muscle strength rating of 3 means?

Back 8

Patient can move against gravity but not resistance from the examiner

Front 9

Why would you use the straight leg raise during assessment

Back 9

Test for sciatic pain which is indicative of disk prolapse / rupture

Front 10

What does a Dexascan do?

Back 10

Tells the bone mass / density

Front 11

What can an increase uptake of isotopes on a bone scan mean?

Back 11

Osteomyletis or cancer

Front 12

What can a decrease uptake of isotopes on a bone scan mean?

Back 12

Avascular necrosis

Front 13

Twisting can cause this to a ligament?

Back 13

Sprain

Front 14

Strain affects what structures?

Back 14

Muscle or tendon

Front 15

When is heat appropriate for a sprain / strain?

Back 15

After the 1st 48 hours

Front 16

When a ligament or tendon pulls off a portion of bone this is called?

Back 16

Avulsion fracture

Front 17

Bleeding into the joint space is called?

Back 17

Hemarthrosis

Front 18

The practitioner is palpating along the median nerve to assess for carpal tunnel syndrome this is known as?

Back 18

Tennets sign

Front 19

Acromioplasty is?

Back 19

Remodeling of the acromion to alleviate impingement associated with rotator cuff injury

Front 20

Little Timmy has broken his femur and the bones are not lined up, this is referred to

Back 20

Displacement

Front 21

List the stages of fracture healing?

Back 21

1) Hematoma
2) Granulation tissue
3) Callous formation
4) Ossification
5) Consolidation and remodeling

Front 22

During this stage the patients cast may be removed but the bone is still relatively weak?

Back 22

Ossification

Front 23

Treatment of delayed / nonunion?

Back 23

Electrical stimulation

Pulsed electromagnetic field (PEMF)

Front 24

When is traction most often used?

Back 24

With muscle spasms

Front 25

Little Andy has a body jacket cast, upon assessment the nurse notices that he has decreased bowel sounds, a distended abdomen, and complains of nausea, what is likely occurring?

Back 25

Cast syndrome from compression of mesenteric artery

Front 26

Treatment of cast syndrome

Back 26

NG tube

Release cast

Front 27

What antibiotics are used with casts?

Back 27

Cephalosporins - penetrate bone

Front 28

How do you assess the ulnar nerve for sensation?

Back 28

Touch distal fat pad of the small fingers

Front 29

How do you assess the median nerve for sensation?

Back 29

Touch the distal surface of the index finger

Front 30

How do you assess the radial nerve for sensation

Back 30

Touch the web between index finger and thumb

Front 31

How do you assess the ulnar nerve for motion?

Back 31

Abduction of all fingers

Front 32

How do you assess the radial nerve for motion?

Back 32

Hyperextension of the thumb and wrist

Front 33

How do you assess median nerve for motion?

Back 33

Opposition of thumb and little finger

Front 34

How do you assess peroneal nerve for sensation

Back 34

Lateral surface of the great toe and medial surface of the second toe

Front 35

How do you assess tibial nerve for sensation?

Back 35

Medial and lateral surface of the sole of the foot

Front 36

How do you assess peroneal nerve for motion?

Back 36

Dorsiflexion of the ankle

Front 37

How do you assess tibial nerve for motion?

Back 37

Plantar flexion of the ankle

Front 38

Cardiopulmonary risk post op?

Back 38

Particular risk for orthostatic hypotension, lost lots of blood and fluid

Front 39

Patient has lower leg fracture and reports today that pain medicine is not working, is also experience numbness and tingling, as the nurse you suspect?

Back 39

Compartment syndrome

Front 40

What are the 6 p's?

Back 40

Parasthesia
Pain
Pressure
Pallor
Paralysis
Pulselessness

Front 41

What do you want to avoid in a patient with compartment syndrome?

Back 41

Elevation and ice

Front 42

Teaching for patients with a hip fracture?

Back 42

No internal rotation- always have feet pointing forward
No leg crossing
No bending beyond 90 in either direction

Front 43

Weight bearing with hip fractures?

Back 43

Cemented total hip replacement = can bear weight right away

ORIF= partial or toe touch

Front 44

For what type of fracture will there be an order to turn?

Back 44

Pelvis

Logroll

Front 45

Patient teaching for amputations

Back 45

No sitting in chair for more than 2 hrs

Lay in prone position

No pillow under stump after 1st 24hrs (contractures)

Front 46

Pavlik harness is used for?

Back 46

Developmental dysplasia of the hip (less than 6mos)

Front 47

When does developmental dysplasia of the hip require surgery

Back 47

After 6mos of age