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Health Assessment - Exam 3: MSK Verified
and Updated Questions and Answers (100%
Correct Answers)
Articulation
Answer: where 2 bones come together (i.e. a joint)
Synovial joints
Answer: freely movable
- Spheroidal, Ex. ball and socket
- Hinge, Ex. elbow, knee
- Condyloid, Ex. knuckles
Cartilaginous joints
Answer: slightly movable, Ex. Bones of spine
Fibrous joints
Answer: not movable, Ex. sutures in skull
Tendons
Answer: Connect muscles to bone. Tendon contracts > muscle moves >
bone moves Example: Achilles tendon calf attaches to the calcaneus (heel).
Ligaments
Answer: Connect bones to other bones, for stability
Example: ACL in the knee connect femur to tibia
Bursa
Answer: Pouches of synovial fluid that cushion movement of tendons, muscle, and
skin over bony prominences. Often occurs near joints that perform frequent
repetitive motions.
Example: Hip (a bursa that covers the greater trochanter that keeps skin from
rubbing the bony prominence). Same with the elbow.
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Ipsilateral =
Answer: same side
Contralateral =
Answer: opposite side
Pronation =
Answer: palm/forearm down
Supination =
Answer: palm up
Subjective Interview - MSK
Answer: History of Present Illness
- Location of the pain. Quality of the pain. Severity. Duration. Timing. Context.
Modifying factors. Associated signs and symptoms.
- Previous treatment — RICE, medications, therapy
Past Medical, family, surgical, social history.
- Family Hx — arthritis, auto-immune disorders
- Surgical Hx — previous surgeries to the affected body part
- Social Hx — Particularly alcohol, tobacco, drug use/abuse
Medications and allergies
Review of Systems
Objective Info - MSK Exam
Answer: Vital Signs
General Examination
Focused Exam: IPPA— (a little different here)
- Inspection — alignment, color, swelling, deformity
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- Palpation/Percussion — warmth, tenderness, crepitus, pulses
- Passive ROM — mobility, stability
- Active ROM — mobility, stability, strength, reflexes
Assessment and Plan
Answer: Assessment
-Differential Diagnoses
-Use Pain codes when unsure of a diagnosis
Plan
-R.I.C.E
-Activity Level
-NSAlDs and other medications
-Physical Therapy
-Wait and watch (time is a good medication)
-Labs
-Imaging (x-ray)
-Referrals
Can you bill/code for "pain in ___" if you don't know what the actual diagnosis is?
Answer: yes
Chief complaint: Shoulder pain
Answer: -HPI — Location. Quality. Severity. Duration. Timing. Context. Modifying
factors. Associated signs and symptoms. Previous Treatment.
-Past medical history
Health Assessment - Exam 3: MSK Verified
and Updated Questions and Answers (100%
Correct Answers)
Articulation
Answer: where 2 bones come together (i.e. a joint)
Synovial joints
Answer: freely movable
- Spheroidal, Ex. ball and socket
- Hinge, Ex. elbow, knee
- Condyloid, Ex. knuckles
Cartilaginous joints
Answer: slightly movable, Ex. Bones of spine
Fibrous joints
Answer: not movable, Ex. sutures in skull
Tendons
Answer: Connect muscles to bone. Tendon contracts > muscle moves >
bone moves Example: Achilles tendon calf attaches to the calcaneus (heel).
Ligaments
Answer: Connect bones to other bones, for stability
Example: ACL in the knee connect femur to tibia
Bursa
Answer: Pouches of synovial fluid that cushion movement of tendons, muscle, and
skin over bony prominences. Often occurs near joints that perform frequent
repetitive motions.
Example: Hip (a bursa that covers the greater trochanter that keeps skin from
rubbing the bony prominence). Same with the elbow.
,Inquire through: | Professional | Confidential Support
Ipsilateral =
Answer: same side
Contralateral =
Answer: opposite side
Pronation =
Answer: palm/forearm down
Supination =
Answer: palm up
Subjective Interview - MSK
Answer: History of Present Illness
- Location of the pain. Quality of the pain. Severity. Duration. Timing. Context.
Modifying factors. Associated signs and symptoms.
- Previous treatment — RICE, medications, therapy
Past Medical, family, surgical, social history.
- Family Hx — arthritis, auto-immune disorders
- Surgical Hx — previous surgeries to the affected body part
- Social Hx — Particularly alcohol, tobacco, drug use/abuse
Medications and allergies
Review of Systems
Objective Info - MSK Exam
Answer: Vital Signs
General Examination
Focused Exam: IPPA— (a little different here)
- Inspection — alignment, color, swelling, deformity
, Inquire through: | Professional | Confidential Support
- Palpation/Percussion — warmth, tenderness, crepitus, pulses
- Passive ROM — mobility, stability
- Active ROM — mobility, stability, strength, reflexes
Assessment and Plan
Answer: Assessment
-Differential Diagnoses
-Use Pain codes when unsure of a diagnosis
Plan
-R.I.C.E
-Activity Level
-NSAlDs and other medications
-Physical Therapy
-Wait and watch (time is a good medication)
-Labs
-Imaging (x-ray)
-Referrals
Can you bill/code for "pain in ___" if you don't know what the actual diagnosis is?
Answer: yes
Chief complaint: Shoulder pain
Answer: -HPI — Location. Quality. Severity. Duration. Timing. Context. Modifying
factors. Associated signs and symptoms. Previous Treatment.
-Past medical history
