NURS 5433 MODULE 6 MSK EXAM QUESTIONS AND ANSWERS

How can you test for dequervains tenosynovitis? Finkelstein test: pain increases on active contraction against resistance on thumb extension How do you manage dequervains tenosynovitis? thumb spica splint for 3-4 weeks modify activity NSAIDs steroid injection if conservative treatment fails after 3 months=surgery Does tennis elbow affect medial or lateral epicondyle? lateral. another name for tennis elbow is lateral epidocondylitis What are the s/s of lateral epicondylitis gradual onset of pain/burning on the outer part of the elbow. They have a WEAK GRIP. What is the treatment for lateral epicondylitis? rest, NSAIDs, PT, steroid injections, counterforce brace, stretching the wrist up and down. if conservative treatment fails, either open or arthroscopic surgery What part of the epicondyle is affected in golfer's elbow? Medial epicondyle Where is the pain located in goler's elbow? boney bump on inside of elbow and radiates to forearm. What is the treatment of golfer's elbow? rest, insets, ice, heat, PT Define a fracture break in the structural continuity of a bone What is a complete fracture? bone is broken into two or more pieces What is an incomplete fracture? the break extends only across part of the bone What is a compound fracture? fracture that has soft tissue or wound involvement Type 1 Type 2 Type 3--has extensive disruption of soft tissue What is a simple fracture? fracture where the skin is intact over the broken bone What are the types of simple fractures? spiral, oblique, transverse What is a greenstick fracture? fracture when the bone bends and breaks, usually during early childhood or infancy What is a stress fracture? fracture that results from repeated stress to the bone, usually in soldiers or athletes What type of fracture is caused from compression? oblique What type of fracture is caused from twisting? spiral What type of fracture is caused from tension? transverse What are risk factors for fractures? osteoporosis, alcohol use, smoking, sedative use in elderly, postmenopausal women, contact sports What should you be examining when you suspect a fracture? look for swelling/bruising do a vascular and neuro check on the extremity check for point tenderness check mobility Check symmetry Assess any wounds associated Effusions and crepitus? What diagnostics are needed for a fracture? neuro-vascular check XRAY MRI if suspected spinal column injury if needed, assess underlying organs (like a rib fracture... assess lungs) How can we help prevent fractures? adequate calcium and vitamin D weight bearing exercises have athletes wear protective gear