2
Musculoskeletal (Dunphy) Exam with accurate || || || || ||
detailed solutions ||
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
|| || || || || || || || || || || || || ||
whether the complaint is articular or nonarticular in origin. Which of the following is an example
|| || || || || || || || || || || || || || || ||
of an articular structure?
|| || ||
A. Bone||
B. Synovium
||
C. Tendons
||
D. Fascia - ✔✔B. Synovium
|| || || ||
You have detected the presence of crepitus on examination of a patient with a musculoskeletal
|| || || || || || || || || || || || || || ||
complaint. Additionally, there is limited range of motion (ROM) with both active and passive
|| || || || || || || || || || || || || ||
movement. These findings suggest that the origin of the musculoskeletal complaint is:
|| || || || || || || || || || ||
A. Articular
||
B. Inflammatory
||
C. Nonarticular
||
D. Noninflammatory - ✔✔A. Articular
|| || || ||
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
|| || || || || || || || || || || || ||
pain?
A. Decreased C-reactive protein
|| || ||
B. Hyperalbuminemia
||
C. Morning stiffness
|| ||
D. Weight gain - ✔✔C. Morning stiffness
|| || || || || ||
Which of the following statements concerning the musculoskeletal examination is true?
|| || || || || || || || || ||
A. The uninvolved side should be examined initially and then compared to the involved side.
|| || || || || || || || || || || || || ||
, 2
B. The part of the body that is causing the patient pain should be examined first.
|| || || || || || || || || || || || || || ||
C. When possible, the patient should not be asked to perform active ROM exercises to avoid
|| || || || || || || || || || || || || || || ||
causing pain. ||
D. Radiographs should always be obtained prior to examination so as not to cause further injury
|| || || || || || || || || || || || || || || ||
to the patient. - ✔✔A. The uninvolved side should be examined initially and then compared to the
|| || || || || || || || || || || || || || || ||
involved side.
|| ||
You are performing muscle strength testing on a patient presenting with musculoskeletal pain and
|| || || || || || || || || || || || || ||
find that the patient has complete ROM but cannot move it above gravity. Which numeric grade
|| || || || || || || || || || || || || || || ||
of muscle strength would you give this patient?
|| || || || || || ||
A. 1 ||
B. 2 ||
C. 3 ||
D. 4 - ✔✔B. 2
|| || || ||
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in
|| || || || || || || || || || || || || || ||
her right shoulder. She denies any history of trauma. Her examination reveals a 75% reduction in
|| || || || || || || || || || || || || || || ||
both active and passive ROM of the right shoulder. Mrs. Gray also is experiencing tenderness
|| || || || || || || || || || || || || || ||
with motion and pain at the deltoid insertion. Her medical history is significant for type 1 diabetes
|| || || || || || || || || || || || || || || ||
mellitus and hypertension. Her social history reveals that she is a secretary and that she is right-
|| || || || || || || || || || || || || || || || ||
handed. Based on her examination and medical history, you suspect adhesive capsulitis, or
|| || || || || || || || || || || || ||
"frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
|| || || || || || || || || ||
A. History of hypertension
|| || ||
B. Her affected shoulder is also her dominant arm.
|| || || || || || || ||
C. Her history of type 1 diabetes
|| || || || || ||
D. Her work as a secretary predisposes her to repetitive motions. - ✔✔C. Her history of type 1
|| || || || || || || || || || || || || || || || || ||
diabetes
Jennifer is an 18-year-old woman who comes to the emergency room after a fall during a soccer
|| || || || || || || || || || || || || || || || ||
game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall.
|| || || || || || || || || || || || || || || || || || || ||
She has been experiencing severe pain and limited ROM in her left shoulder. The clinician has
|| || || || || || || || || || || || || || || ||
Musculoskeletal (Dunphy) Exam with accurate || || || || ||
detailed solutions ||
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
|| || || || || || || || || || || || || ||
whether the complaint is articular or nonarticular in origin. Which of the following is an example
|| || || || || || || || || || || || || || || ||
of an articular structure?
|| || ||
A. Bone||
B. Synovium
||
C. Tendons
||
D. Fascia - ✔✔B. Synovium
|| || || ||
You have detected the presence of crepitus on examination of a patient with a musculoskeletal
|| || || || || || || || || || || || || || ||
complaint. Additionally, there is limited range of motion (ROM) with both active and passive
|| || || || || || || || || || || || || ||
movement. These findings suggest that the origin of the musculoskeletal complaint is:
|| || || || || || || || || || ||
A. Articular
||
B. Inflammatory
||
C. Nonarticular
||
D. Noninflammatory - ✔✔A. Articular
|| || || ||
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
|| || || || || || || || || || || || ||
pain?
A. Decreased C-reactive protein
|| || ||
B. Hyperalbuminemia
||
C. Morning stiffness
|| ||
D. Weight gain - ✔✔C. Morning stiffness
|| || || || || ||
Which of the following statements concerning the musculoskeletal examination is true?
|| || || || || || || || || ||
A. The uninvolved side should be examined initially and then compared to the involved side.
|| || || || || || || || || || || || || ||
, 2
B. The part of the body that is causing the patient pain should be examined first.
|| || || || || || || || || || || || || || ||
C. When possible, the patient should not be asked to perform active ROM exercises to avoid
|| || || || || || || || || || || || || || || ||
causing pain. ||
D. Radiographs should always be obtained prior to examination so as not to cause further injury
|| || || || || || || || || || || || || || || ||
to the patient. - ✔✔A. The uninvolved side should be examined initially and then compared to the
|| || || || || || || || || || || || || || || ||
involved side.
|| ||
You are performing muscle strength testing on a patient presenting with musculoskeletal pain and
|| || || || || || || || || || || || || ||
find that the patient has complete ROM but cannot move it above gravity. Which numeric grade
|| || || || || || || || || || || || || || || ||
of muscle strength would you give this patient?
|| || || || || || ||
A. 1 ||
B. 2 ||
C. 3 ||
D. 4 - ✔✔B. 2
|| || || ||
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in
|| || || || || || || || || || || || || || ||
her right shoulder. She denies any history of trauma. Her examination reveals a 75% reduction in
|| || || || || || || || || || || || || || || ||
both active and passive ROM of the right shoulder. Mrs. Gray also is experiencing tenderness
|| || || || || || || || || || || || || || ||
with motion and pain at the deltoid insertion. Her medical history is significant for type 1 diabetes
|| || || || || || || || || || || || || || || ||
mellitus and hypertension. Her social history reveals that she is a secretary and that she is right-
|| || || || || || || || || || || || || || || || ||
handed. Based on her examination and medical history, you suspect adhesive capsulitis, or
|| || || || || || || || || || || || ||
"frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
|| || || || || || || || || ||
A. History of hypertension
|| || ||
B. Her affected shoulder is also her dominant arm.
|| || || || || || || ||
C. Her history of type 1 diabetes
|| || || || || ||
D. Her work as a secretary predisposes her to repetitive motions. - ✔✔C. Her history of type 1
|| || || || || || || || || || || || || || || || || ||
diabetes
Jennifer is an 18-year-old woman who comes to the emergency room after a fall during a soccer
|| || || || || || || || || || || || || || || || ||
game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall.
|| || || || || || || || || || || || || || || || || || || ||
She has been experiencing severe pain and limited ROM in her left shoulder. The clinician has
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