Questions with 100% Correct
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Differentiate between an acute and a chronic musculoskeletal complaint. -
🧠ANSWER ✔✔Acute: days to weeks
Chronic: months to years
Differentiate between an articular or non-articular MSK complaint. -
🧠ANSWER ✔✔Articular: joint capsule, articular cartilage, synovium,
,synovial fluid, intraarticular ligament. Anything having to do with the joint
itself
Non-articular: ligaments, tendons, bursa, muscles, fascia, non-articular
bone, nerves, skin
A ligament connects _______ to _______. - 🧠ANSWER ✔✔bone to bone
A tendon connects ______ to ___________ - 🧠ANSWER ✔✔muscle to
bone
Name the four cardinal signs of inflammation. - 🧠ANSWER ✔✔Warmth,
swelling, redness, pain
If your musculoskeletal complaint is accompanied by systemic signs, what
should be on your differential list? - 🧠ANSWER ✔✔septic arthritis
Back pain can indicate what concerning condition in older adults? -
🧠ANSWER ✔✔malignancy
should always consider, r/o
,Describe a painful arc test for the shoulder and what you suspect. -
🧠ANSWER ✔✔Have patient abduct both their arms and extend their arms
above their head. If painful in the 'middle' of the arc (60-120 degrees),
positive for rotator cuff issue/subacromial impingement.
What is Apley's test? - 🧠ANSWER ✔✔Tests for external and internal
rotation of the shoulder by having the patient try and place the back of their
hand in the middle of the scalpulae of their back (internal), then reach over
their heads and try and place their palm in that same spot (external)
In general, when should imaging be ordered for musculoskeletal problems?
- 🧠ANSWER ✔✔>4-6 weeks of symptoms
or
red flag symptoms
Describe some general red flag symptoms for MSK problems. - 🧠ANSWER
✔✔Radicular s/s >4-6 weeks
Increasing symptoms
Osteomyelitis s/s (fever, warmth, redness, pain)
cauda equina syndrome
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, herniation of disc
epidural abscess
Describe s/s of cauda equina syndrome. - 🧠ANSWER ✔✔Saddle
anesthesia, bowel/bladder dysfunction, loss of reflexes, sexual dysfunction
Describe radicular s/s. - 🧠ANSWER ✔✔Weakness, tingling, paresthesias,
numbness of the extremities
Sprain is due to a stretching or tearing of... - 🧠ANSWER ✔✔ligaments
Strain is due from stretching or tearing of... - 🧠ANSWER ✔✔tendons
What patients with fractures required an immediate ED referral? -
🧠ANSWER ✔✔compound or crush fractures
fracture w/ neurovascular compromise (pulses, cap refill, temperature,
sensation)
Ottawa Ankle Rules - 🧠ANSWER ✔✔Ankle imagery if:
-Bone tenderness at lateral malleolus
-Bone tenderness at medial malleolus
-Bone tenderness at the base of the fifth metatarsal