NR304 Musculoskeletal System Lab Book Work

Musculoskeletal System

Lab Book Work

Vocabulary: Define each of these terms:

Abduction

Adduction

Ankylosis

Ataxia

Bursa

Circumduction

Crepitation

Dorsal

Dupuytren contracture

Eversion

Extension

Flexion

Ganglion

Hallux valgus

Inversion

Kyphosis

Ligament

Lordosis

Nucleus pulposus

Olecranon process

Patella

Plantar

Pronation

Protraction

Range of motion (ROM)

Retraction

Rheumatoid arthritis

Sciatica

Supination

Talipes equinovarus

Tendon

Torticollis

Study Guide

1.            Differentiate synovial from nonsynovial joints.

2.            List 4 signs that suggest acute inflammation in a joint.

3.            Differentiate the following:

a.            Dislocation –

b.            Subluxation –

c.             Contracture –

d.            Ankylosis –

4.            Differentiate testing of active range of motion versus passive range of motion.

5.            Explain the method of measuring a leg length.

6.            Describe the Ortolani maneuver for checking an infant’s hip.

7.            When performing a functional assessment for an older adult, state the common adaptations that the older adult makes when attempting these maneuvers:

a.            Walking

b.            Climbing up stairs

c.             Walking down stairs

d.            Picking up object from floor

e.            Rising up from sitting in chair

f.             Rising up from lying in bed

8.            Describe swan neck deformity and boutonniere deformity in rheumatoid arthritis.

9.            Contrast Bouchard nodes with Heberden nodes in osteoarthritis.

10.          Fill in the labels:

 

 

 

 

Review Questions

1.            During the assessment of the spine, the patient would be askedto:

a.            Adduct andextend

b.            Supinate, evert andretract

c.             Extend, adduct, invert androtated. Flex, extend, abduct and rotate

2.            Pronationandsupinationofthehandandforearmaretheresultofthearticulationof the:

a.            Scapula andclavicle b. Radius andulna

c.             Patella and condyle offibula

d.            Femur andacetabulum

3.            Anterior and posterior stability are provided to the knee joint bythe:

a.            Medial and lateralmenisci

b.            Patellar tendon andligament

c.             Medial collateral ligament andquadriceps

d. Anterior and posterior cruciateligaments

5.            A70-year-oldwomanhascomeforahealthexamination.Whichofthefollowingisa common age-related change in the curvature of the spinalcolumn?

a.            Lordosis

b.            Scoliosis

c.             Kyphosis

d.            Lateral scoliosis

6.            Examination of the shoulder includes 4 motions. Theseare:

a.            Forward flexion, internal rotation, abduction and externalrotation

b.            Abduction, adduction, pronation and supination

c.             Circumduction, inversion, eversion and rotation

d.            Elevation, retraction, protraction andcircumduction

7.            The bulge sign is a testfor:

a.            Swelling in the suprapatellarpouch

b.            Carpal tunnelsyndrome

c.             Heberden nodes

d.            Olecranon bursa inflammation

8.            Theexaminermeasuresapatient’slegsforlengthdiscrepancy.Whichisanormal finding?

a.            No difference inmeasurements

b.            0.5 cmdifference

c.             Within 1 cm of eachother

d.            2 cmdifference

9.            A2-year-oldchildcomestotheclinicforahealthexamination.Acommonfindingfor this age groupis:

a.            Kyphosisb.Lordosis

c.             Scoliosis

d.            No deviation isnormal

10.          A positive Phalen test and Tinel sign are found in a patientwith:

a.            A tornmeniscus

b.            Halluxvalgus

c.             Carpel tunnelsyndrome

d.            Tenniselbow

11.          When assessing an infant, the examiner completes the Ortolani maneuverby:

a.            Lifting the newborn and noting a C-shaped curvature of thespine.

b.            Gentlyliftingandabductionstheinfant’sflexedkneeswhilepalpatingthegreater trochanter with thefingers.

c.             Comparing the height of the tops of the knees when the knees are flexedup.

d.            Palpating the length of theclavicles.

12.          Hematopoiesis takes place in which of thefollowing?

a.            Liver

b.            Spleen

c.             Kidneys

d.            Bonemarrow

13.          Fibrousbandsrunningdirectlyfromonebonetoanotherthatstrengthenthejointand help prevent movement in undesirable directions are knowas:

a.            Bursa

b.            Tendons

c.             Cartilage

d.Ligaments

 

 

Match Column A to Column B:

ColumnA:Movement                                               Column B:Description

1. _         Flexion                              a. Turning the forearm so that the palm isup
2. _       Extension                           b. Bending a limb at ajoint
3. _         Abduction                         c. Lowering a bodypart
4. _      Adduction                            d. Turning the forearm so that the palm isdown
5. _       Pronation                           e. Straightening a limb at ajoint
6. _         Supination                       f. Raising a bodypart
7. _        Circumduction                  g. Moving a limb away from the midline of thebody
8. _          Inversion                         h. Moving a body part backward and parallel to theground
9. _         Eversion                           i. Moving a limb toward the midline of thebody
10.            Rotation                            j. Moving the arm in a circle around theshoulder
11.          Protraction                          k. Moving the sole of the foot outward at theankle
12.            Retraction                         l. Moving a body part forward and parallel to theground
13.           Elevation                           m. Moving the sole of the foot inward at theankle
14.            Depression                       n. Moving the head around a centralaxis