Musculoskeletal Disorders and Management
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Questions and Answers

What is the primary purpose of synovial fluid in a joint?

  • Lubricates and cushions (correct)
  • Provides structural support
  • Stores minerals
  • Facilitates blood flow
  • Which condition involves a total failure to heal after a fracture?

  • Subluxation
  • Dislocation
  • Nonunion (correct)
  • Kyphosis
  • What type of surgery is referred to as arthroplasty?

  • Joint replacement surgery (correct)
  • Fusion of bones
  • Repair of a sprain
  • Removal of joint fluid
  • What should a patient avoid after a total hip replacement?

    <p>Crossing their legs</p> Signup and view all the answers

    What is a strain characterized by?

    <p>Pulling or tearing of muscle and/or tendon</p> Signup and view all the answers

    Which of the following age-related changes occurs in the musculoskeletal system?

    <p>Increased brittleness and fragility of bones</p> Signup and view all the answers

    Which factor contributes to an increased risk for falls in older adults?

    <p>Increased postural sway</p> Signup and view all the answers

    What is the primary purpose of traction in a clinical setting?

    <p>To promote and maintain alignment of the injured area</p> Signup and view all the answers

    Which of the following is a common cause of musculoskeletal disorders?

    <p>Sedentary lifestyle</p> Signup and view all the answers

    What is the function of a ligament in the musculoskeletal system?

    <p>To join the bones of a joint together</p> Signup and view all the answers

    What should be done before a patient who had a knee replacement goes to physical therapy?

    <p>Administer pain medication</p> Signup and view all the answers

    Which of the following clinical findings under a splint should be a cause for greatest concern?

    <p>Redness of skin under the splint</p> Signup and view all the answers

    Which tests are typically ordered for a patient involved in a car accident?

    <p>CBC, X-ray, BMP, MRI, CT scan</p> Signup and view all the answers

    Which of the following is NOT a function of the musculoskeletal system?

    <p>Maintaining hormone levels</p> Signup and view all the answers

    What primary issue should be closely monitored in patients with mobility problems?

    <p>Self-care deficit</p> Signup and view all the answers

    Which statement about crutches is correct?

    <p>They should be placed two finger breadths below the axilla.</p> Signup and view all the answers

    What is the most common complication following a hip fracture?

    <p>Fat embolism</p> Signup and view all the answers

    Which of the following conditions is assessed using the 6 P's?

    <p>Compartment syndrome</p> Signup and view all the answers

    What is a characteristic sign of a fat embolism?

    <p>Petechiae</p> Signup and view all the answers

    Which of the following is a correct definition of 'crepitation'?

    <p>A grating sound from bone fragments</p> Signup and view all the answers

    Which finding during pin site care would indicate a need for medical attention?

    <p>Odor and pus</p> Signup and view all the answers

    Signup and view all the answers

    Study Notes

    Types of Fractures

    • Pathologic
    • Longitudinal
    • Spiral
    • Greenstick
    • Simple
    • Compound
    • Oblique
    • Comminuted
    • Transverse
    • Joint cartilage thins and erodes
    • Increased brittleness and fragility of bones
    • Decreased muscle mass

    Risk Factors for Falls in Older Adults

    • Increased postural sway

    Causes of Musculoskeletal Disorders

    • Not too much calcium and phosphorus intake

    Synovial Fluid Culture

    • Can detect infection-causing organisms

    Problems with 56-Year-Old Man

    • Joint pain
    • Difficulty rising
    • Limping
    • Poor posture
    • Uncoordinated gait
    • Priority problem: Altered physical activity

    Managing Joint Discomfort in Rheumatoid Arthritis

    • Schedule pain medication administration before exercise

    Assessment of Patient with Splint

    • Redness of skin under the splint (cause for concern)

    Saddle Joint

    • The thumb

    Purpose of Traction

    • Promote and maintain alignment of the injured area
    • Hold the injured area in a particular position during immobilization

    Canal System in Bones

    • Blood and lymph vessels

    Pre-Physical Therapy for Knee Replacement

    • Administer pain medication

    Tests for Car Accident Patient

    • CBC
    • X-ray
    • BMP
    • MRI
    • CT scan
    • DEXA
    • Arthrography
    • Arthroscopy
    • Arthrocentesis
    • EMG
    • Biopsy

    Function of Ligaments

    • Join bones in a joint

    Function of Musculoskeletal System

    • Support the body
    • Provide structure
    • Enable movement

    Components of Musculoskeletal System

    • Motion
    • Support
    • Protection of organs
    • Body shape

    Primary Issues with Mobility

    • Self-care deficit
    • Altered self-esteem

    Crutch Placement

    • Two finger breadths below the axilla

    Hip Fracture Complications

    • Fat embolism (can occur 72 hours after pelvic fracture)

    Avascular Necrosis

    • Circulatory compromise, common in hip fractures

    Hip Fracture Types

    • Bryant's traction (congenital hip dislocation in children)
    • Buck's traction (preoperative for hip fractures, adults)

    Neurovascular Assessment (6 P's)

    • Pain
    • Pallor
    • Paresthesia
    • Pulselessness
    • Paralysis
    • Poikilothermia (cold to the touch)

    Foods High in Purine

    • Organ meat
    • Sardines
    • Red meat
    • Shellfish
    • Gravies

    Compartment Syndrome Indicators

    • Severe pain

    Fat Embolism Symptoms

    • Dyspnea
    • Increased respiratory rate
    • Decreased oxygen saturation
    • Headache
    • Decreased mental status related to low arterial oxygen level
    • Respiratory distress
    • Tachycardia
    • Confusion
    • Chest pain
    • Crackles and wheezes on auscultation
    • Fever
    • Petechiae

    Pin Site Care Concerns

    • Redness
    • Swelling
    • Odor
    • Pus

    Cartilage

    • Connective tissue with fibers and cells in a semisolid gel material

    Tendons

    • Connective tissue that enables joint movement

    Ligaments

    • Connect bones in joints

    Crepitation

    • Bone fragment rubbing, grating sound

    Ossification

    • Bone formation

    Ankylosis

    • Abnormal immobility and consolidation of a joint

    Contractures

    • Shortening of skeletal muscle, causing deformities

    Kyphosis

    • Increased curvature of the thoracic spine, "hunchback"

    Arthroplasty

    • Joint replacement surgery for increased mobility or decreased pain

    Dislocation

    • Bone displacement from joint, ligaments are stretched/torn

    Subluxation

    • Partial dislocation

    Fasciotomy

    • Incisions in fascia to address extremity issues related to a break or interruption

    Fracture

    • Break of bone continuity

    Nonunion

    • Failure of fracture healing

    Gout

    • Arthritis caused by high uric acid levels

    Diagnosing Fractures, Avulsions, and Joint Damage

    • X-rays

    Synovial Fluid Function

    • Lubrication and cushioning of joints

    Post-Hip Replacement Restrictions

    • Crossing legs
    • Bending forward
    • Sitting in low chairs

    Open Fracture Risks

    • Infection

    Strain Definition

    • Tearing of muscle, tendon, or both

    Knee Immobilizer Function

    • Prevents motion, provides compression, reduces pain and swelling

    Definition of Sprain

    • Partial or complete tearing of the ligament

    Goniometry Measurement

    • Range of motion (ROM)

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    Related Documents

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    Description

    This quiz covers various types of fractures, age-related changes in the musculoskeletal system, and risk factors for falls in older adults. It also addresses issues related to rheumatoid arthritis management and assessment of patients with splints. Test your knowledge on the complexities of musculoskeletal disorders and their treatment.

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