Nurs 5433 Module 6 MSK Revision
Questions and Answers
1. What ligaments are involved in an inversion ankle sprain?: anterior talofibular or
calcaneofibular ligaments
2. What ligaments are involved in an eversion ankle sprain?: deltoid ligament
3. What is a grade 1 ankle sprain?: stretching of a ligament with small tears. No joint
instability, mild swelling, patient is able to walk
4. What is a grade 2 ankle sprain?: larger tears but not a complete tear. Moderate
instability. Bruising, painful ambulation, swelling
5. What is a grade 3 ankle sprain?: complete tear of ligament, severe pain, lots of
swelling and tenderness. Mechanical instability and decreased ROM. unable to
ambulate. Snap is heard at time of injury
6. When do you refer out an ankle sprain?: Grade 3
7. What is the initial management of an ankle sprain?: PRICER
Protection (crutches, splint, brace)
Rest
Ice
Compression
Elevation
Rehabilitation
also analgesics such as NSAIDs
8. What is carpal tunnel syndrome?: compressive neuropathy in the median nerve
9. What are s/s of carpal tunnel syndrome?: paresthesia, weakness of the hands,
aggravated by flexing and extending the wrist. Dull and achy pain
10. What is the phalen test?: Used to test for Carpel Tunnel Syndrome. Ask the patient
to hold both wrists in a fully palmer flexed position with the dorsal surfaces pressed
together for one minute. Numbness and paresthesia in the distribution of the median
nerve are suggestive of CTS.
11. What is Tinel's sign?: Tapping on the carpal tunnel causes parathesias (tingling) in
the median nerve distribution
, Nurs 5433 Module 6 MSK Revision
Questions and Answers
12. What is the treatment for carpal tunnel syndrome?: NSAIDs, wrist splint, yoga,
steroid injections, surgery
13. What is DeQuervain's tenosynovitis?: progressive stenosing tenosynovitis that
affects the 1st dorsal compartment of the wrist. Degeneration and thickening of the
tendon sheath
14. What causes DeQuervain's tenosynovitis?: Overuse of thumb extension/abduction.
15. How can you test for dequervains tenosynovitis?: Finkelstein test: pain increases on
active contraction against resistance on thumb extension
16. 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
17. Does tennis elbow affect medial or lateral epicondyle?: lateral. another name for
tennis elbow is lateral epidocondylitis
18. 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.
19. 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
20. What part of the epicondyle is affected in golfer's elbow?: Medial epicondyle
21. Where is the pain located in goler's elbow?: boney bump on inside of elbow and
radiates to forearm.
22. What is the treatment of golfer's elbow?: rest, insets, ice, heat, PT
23. Define a fracture: break in the structural continuity of a bone
Questions and Answers
1. What ligaments are involved in an inversion ankle sprain?: anterior talofibular or
calcaneofibular ligaments
2. What ligaments are involved in an eversion ankle sprain?: deltoid ligament
3. What is a grade 1 ankle sprain?: stretching of a ligament with small tears. No joint
instability, mild swelling, patient is able to walk
4. What is a grade 2 ankle sprain?: larger tears but not a complete tear. Moderate
instability. Bruising, painful ambulation, swelling
5. What is a grade 3 ankle sprain?: complete tear of ligament, severe pain, lots of
swelling and tenderness. Mechanical instability and decreased ROM. unable to
ambulate. Snap is heard at time of injury
6. When do you refer out an ankle sprain?: Grade 3
7. What is the initial management of an ankle sprain?: PRICER
Protection (crutches, splint, brace)
Rest
Ice
Compression
Elevation
Rehabilitation
also analgesics such as NSAIDs
8. What is carpal tunnel syndrome?: compressive neuropathy in the median nerve
9. What are s/s of carpal tunnel syndrome?: paresthesia, weakness of the hands,
aggravated by flexing and extending the wrist. Dull and achy pain
10. What is the phalen test?: Used to test for Carpel Tunnel Syndrome. Ask the patient
to hold both wrists in a fully palmer flexed position with the dorsal surfaces pressed
together for one minute. Numbness and paresthesia in the distribution of the median
nerve are suggestive of CTS.
11. What is Tinel's sign?: Tapping on the carpal tunnel causes parathesias (tingling) in
the median nerve distribution
, Nurs 5433 Module 6 MSK Revision
Questions and Answers
12. What is the treatment for carpal tunnel syndrome?: NSAIDs, wrist splint, yoga,
steroid injections, surgery
13. What is DeQuervain's tenosynovitis?: progressive stenosing tenosynovitis that
affects the 1st dorsal compartment of the wrist. Degeneration and thickening of the
tendon sheath
14. What causes DeQuervain's tenosynovitis?: Overuse of thumb extension/abduction.
15. How can you test for dequervains tenosynovitis?: Finkelstein test: pain increases on
active contraction against resistance on thumb extension
16. 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
17. Does tennis elbow affect medial or lateral epicondyle?: lateral. another name for
tennis elbow is lateral epidocondylitis
18. 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.
19. 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
20. What part of the epicondyle is affected in golfer's elbow?: Medial epicondyle
21. Where is the pain located in goler's elbow?: boney bump on inside of elbow and
radiates to forearm.
22. What is the treatment of golfer's elbow?: rest, insets, ice, heat, PT
23. Define a fracture: break in the structural continuity of a bone
