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NU 650 Musculoskeletal Exam Questions And Answers
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NU 650 Musculoskeletal Exam Questions And Answers
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NU 650 Musculoskeletal ExamQuestions And Answers
Articular - correct answer ✅joint (synovium, synovial fluid, articular
cartilage, intrarticular ligaments, joint capsule, juxta-articular bone)
deep defuse pain, limited active and passive ROM, swelling, crepitation,
instability, locking, deformity
non-articular - correct answer ✅painful active but not passive ROM
dorsiflexion - correct answer ✅bending of the foot or the toes upward
plantarflexion - correct answer ✅Ankle movement pointing the foot
downward
inflammatory conditions - correct answer ✅swelling, erythema,
morning stiffness, symmetric pain even at rest
increased C-reactive protein and erythromycin sedimentation rate
dx of gout - correct answer ✅intracellular monosodium urate crystals
on polarized microscopy-obtained by aspiration of joint fluid
osteoarthritis - correct answer ✅noninflammatory
affects few joints, typically weight bearing joints (spine, knees)
,NU 650 Musculoskeletal Exam
Questions And Answers
myotome - correct answer ✅muscle or group of muscles supplied by a
specific spinal nerve
C4: lower neck, trapezius
C5/C6: deltoid/biceps: shoulder shrug, elbow flexion; test with bicep
and brachoradialus reflex
C6/C7: Triceps: elbow extension; test with tricep reflex
C8/T1: finger flexion/extension, thumb opposition, abduction
T1-T12: intercostal and abdominal muscles
L2/L3: hip flexion
L2-L4: hip adduction/quads
L4/L5: ankle dorsiflexion (heel walking), great toe dorsiflexion; test with
patellar reflex
S1/S2: ankle plantar flexion (toe walking); test with achilles reflex
,NU 650 Musculoskeletal Exam
Questions And Answers
S2-S4: rectal tonee
imaging for MSK issues - correct answer ✅reserve imaging for
symptoms persistenting > 4-6 weeks or with red flags
red flags: radicular symptoms > 4-6 weeks, increasing symptoms,
osteomyelitis, cauda equina, herniation of disc, epidural abscess,
bilateral sacroilitis
indicated after trauma, if you cannot localize anatomical structure
causing symptoms, loss of joint function, pain continues despite
conservative management, suspect fracture or bone infection, hx of
malignancy
cauda equina - correct answer ✅"horse's tail", a fan of nerve fibers
below the spinal cord
s/s: saddle anesthesia (perianal area, loss of bowel and bladder control-
retention or incontinence), flaccidity of lower extremities, loss of rectal
tone, loss of LE DTR
dx: MRI, CT myelogram
corticosteroid injections - correct answer ✅not long term solution
used in :
adhesive capsulitis
, NU 650 Musculoskeletal Exam
Questions And Answers
carpal tunnel
de quervain tendosynovitis
greater trochanter bursitis
hip osteoarthritis
knee osteoarthritis
lateral epicondylitis
medial epicondylitis
Morton neuroma
subacromial impingment syndrome
trigger finger
wrist and hand osteoarthritis
indication for ER referral - correct answer ✅open fracture
compartment syndrome
neurovascular compromise
Polymyalgia Rheumatica (PMR) - correct answer ✅inflammatory
disorder of the muscles and joints characterized by pain and stiffness in
the neck, shoulders, upper arms, and hips and thighs
acute MSK injury - correct answer ✅< 6 weeks
spasm, strain, sprain
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