Podcast
Questions and Answers
What is the primary range of motion that allows the hand to rotate from palm facing up to palm facing down?
What is the primary range of motion that allows the hand to rotate from palm facing up to palm facing down?
Which of the following is NOT one of the key points of interest when examining the shoulder?
Which of the following is NOT one of the key points of interest when examining the shoulder?
What is the normal range of motion for shoulder abduction?
What is the normal range of motion for shoulder abduction?
Which of the following is NOT a recommended technique for examining the major joints?
Which of the following is NOT a recommended technique for examining the major joints?
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What is the normal range of motion for shoulder internal rotation?
What is the normal range of motion for shoulder internal rotation?
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Which of the following is NOT considered an important bone of the shoulder?
Which of the following is NOT considered an important bone of the shoulder?
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Which of the following is the most sensitive test for assessing weak abduction of the thumb?
Which of the following is the most sensitive test for assessing weak abduction of the thumb?
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What is the recommended duration for the Phalen's sign test?
What is the recommended duration for the Phalen's sign test?
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How many types of vertebrae are found in the spine?
How many types of vertebrae are found in the spine?
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What is the recommended range of motion for spinal flexion?
What is the recommended range of motion for spinal flexion?
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What is the recommended range of motion for spinal lateral bending?
What is the recommended range of motion for spinal lateral bending?
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What is the most important characteristic to identify when evaluating a musculoskeletal complaint?
What is the most important characteristic to identify when evaluating a musculoskeletal complaint?
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In a patient under 60 years old with a musculoskeletal complaint, which of the following should be considered first?
In a patient under 60 years old with a musculoskeletal complaint, which of the following should be considered first?
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If a patient presents with an acute musculoskeletal complaint with inflammation, which of the following should be considered?
If a patient presents with an acute musculoskeletal complaint with inflammation, which of the following should be considered?
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In a patient over 60 years old with a musculoskeletal complaint, which of the following should be prioritized in the differential diagnosis?
In a patient over 60 years old with a musculoskeletal complaint, which of the following should be prioritized in the differential diagnosis?
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What is the significance of the term 'varus' in the context of musculoskeletal disorders?
What is the significance of the term 'varus' in the context of musculoskeletal disorders?
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If a patient presents with a chronic musculoskeletal complaint without inflammation, what should be considered?
If a patient presents with a chronic musculoskeletal complaint without inflammation, what should be considered?
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Which of the following is NOT a part of the inspection and palpation examination for the ankle and foot?
Which of the following is NOT a part of the inspection and palpation examination for the ankle and foot?
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Which of the following joints is NOT assessed during the range of motion examination for the ankle and foot?
Which of the following joints is NOT assessed during the range of motion examination for the ankle and foot?
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Which of the following muscles is primarily responsible for ankle dorsiflexion (pointing the foot toward the ceiling)?
Which of the following muscles is primarily responsible for ankle dorsiflexion (pointing the foot toward the ceiling)?
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Which of the following motions is NOT specific to the ankle joint, but rather occurs at the subtalar joint?
Which of the following motions is NOT specific to the ankle joint, but rather occurs at the subtalar joint?
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Which of the following muscle groups is primarily responsible for toe flexion (curling the toes)?
Which of the following muscle groups is primarily responsible for toe flexion (curling the toes)?
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Which of the following motions is assessed by stabilizing the ankle, grasping the heel, and inverting/everting the foot?
Which of the following motions is assessed by stabilizing the ankle, grasping the heel, and inverting/everting the foot?
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Which of the following muscle groups is primarily responsible for knee extension?
Which of the following muscle groups is primarily responsible for knee extension?
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Which maneuver is used to test the integrity of the medial meniscus?
Which maneuver is used to test the integrity of the medial meniscus?
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Which ligament is assessed using the pivot shift test?
Which ligament is assessed using the pivot shift test?
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Which of the following ligaments is considered the most stable in the ankle and foot region?
Which of the following ligaments is considered the most stable in the ankle and foot region?
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Which muscle group is primarily responsible for internal rotation of the knee?
Which muscle group is primarily responsible for internal rotation of the knee?
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Which test is used to assess the integrity of the posterior cruciate ligament (PCL)?
Which test is used to assess the integrity of the posterior cruciate ligament (PCL)?
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Study Notes
Rotational Range of Motion
- Primary range of motion that allows the hand to rotate from palm facing up to palm facing down is forearm rotation.
Shoulder Examination
- Not one of the key points of interest when examining the shoulder is the wrist joint.
- Normal range of motion for shoulder abduction is 0-180 degrees.
- Not a recommended technique for examining the major joints is bouncing the joint.
Shoulder Range of Motion
- Normal range of motion for shoulder internal rotation is 0-70 degrees.
Shoulder Bones
- Not considered an important bone of the shoulder is the fibula.
Thumb Abduction
- Most sensitive test for assessing weak abduction of the thumb is the Froment's sign test.
Phalen's Sign Test
- Recommended duration for the Phalen's sign test is 1 minute.
Spine
- There are 5 types of vertebrae found in the spine: cervical, thoracic, lumbar, sacrum, and coccyx.
- Recommended range of motion for spinal flexion is 40-60 degrees.
- Recommended range of motion for spinal lateral bending is 20-40 degrees.
Musculoskeletal Complaint
- Most important characteristic to identify when evaluating a musculoskeletal complaint is pain.
- In a patient under 60 years old with a musculoskeletal complaint, trauma should be considered first.
- If a patient presents with an acute musculoskeletal complaint with inflammation, trauma should be considered.
- In a patient over 60 years old with a musculoskeletal complaint, degenerative changes should be prioritized in the differential diagnosis.
- Term 'varus' in the context of musculoskeletal disorders refers to inward angulation of a bone.
- If a patient presents with a chronic musculoskeletal complaint without inflammation, degenerative changes should be considered.
Ankle and Foot Examination
- Not part of the inspection and palpation examination for the ankle and foot is testing the strength of the muscles.
- Tibiotalar joint is not assessed during the range of motion examination for the ankle and foot.
- Tibialis anterior muscle is primarily responsible for ankle dorsiflexion (pointing the foot toward the ceiling).
- Inversion and eversion motions are not specific to the ankle joint, but rather occur at the subtalar joint.
- Flexor digitorum longus muscle group is primarily responsible for toe flexion (curling the toes).
- Inversion and eversion motions are assessed by stabilizing the ankle, grasping the heel, and inverting/everting the foot.
Knee
- Quadriceps muscle group is primarily responsible for knee extension.
- McMurray's maneuver is used to test the integrity of the medial meniscus.
- Pivot shift test is used to assess the integrity of the anterior cruciate ligament (ACL).
- Deltoid ligament is considered the most stable in the ankle and foot region.
- Popliteus muscle group is primarily responsible for internal rotation of the knee.
- Posterior drawer test is used to assess the integrity of the posterior cruciate ligament (PCL).
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Description
Test your knowledge on characterizing musculoskeletal complaints based on key features such as articular vs extraarticular, acute vs chronic, inflammatory status, and localized vs diffuse. Learn to identify age-related clues to differentiate between various disorders such as arthritis and osteoarthritis.
