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 (D)</p> Signup and view all the answers

What is a strain characterized by?

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

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

<p>Increased postural sway (B)</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 (D)</p> Signup and view all the answers

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

<p>Sedentary lifestyle (C)</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 (D)</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 (C)</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 (B)</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 (B)</p> Signup and view all the answers

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

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

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

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

Which statement about crutches is correct?

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

What is the most common complication following a hip fracture?

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

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

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

What is a characteristic sign of a fat embolism?

<p>Petechiae (B)</p> Signup and view all the answers

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

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

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

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

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Flashcards

Thinning and erosion of joint cartilage

Degeneration of joint cartilage due to aging, leading to decreased mobility and increased pain.

Brittleness and fragility of bones

Bones become more fragile and prone to fractures with age, making falls and minor impacts more dangerous.

Decreased muscle mass

Loss of muscle mass with age, reducing strength and making it harder to maintain balance and perform daily activities.

Why is a synovial fluid culture ordered?

A synovial fluid culture helps identify microorganisms that may be causing joint infection.

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Main purpose of traction

The pulling force helps maintain alignment of the injured area, promoting healing and reducing pain.

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What is the function of a ligament?

Ligaments connect bones to other bones, providing stability to joints and limiting excessive movement.

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What does RICE stand for?

RICE stands for Rest, Ice, Compression, and Elevation, a common treatment for acute musculoskeletal injuries.

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Main function of the musculoskeletal system

The musculoskeletal system provides support and structure for our bodies, enabling movement and allowing us to perform daily tasks.

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What is kyphosis?

An abnormally increased curvature of the thoracic spine, giving a "hunchback" appearance.

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What is a fracture?

A break or interruption in the continuity of a bone.

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What is subluxation?

A partial dislocation of a joint.

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What is a strain?

A pulling or tearing of a muscle, a tendon, or both.

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What is a sprain?

A partial or complete tearing of the ligaments that hold various bones together to form a joint.

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Musculoskeletal system function

The musculoskeletal system provides support, movement, and protection for the body. It also contributes to body shape.

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Mobility problems and self-care

Patients with mobility problems may face difficulties with self-care, such as bathing, dressing, and toileting.

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Crutch adjustment

Crutches should be adjusted so that the top of the crutch rests two finger widths below the armpit.

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Fat embolism

A fat embolism is a serious complication that can occur after a hip fracture or pelvic fracture. It happens when fat particles from the bone marrow enter the bloodstream and travel to the lungs.

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Hip fracture and avascular necrosis

Avascular necrosis, or death of bone tissue due to lack of blood supply, can occur in patients who have suffered a hip fracture. This happens because the blood supply to the hip joint can be disrupted during the fracture.

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6 P's of neurovascular assessment

The 6 P's of a neurovascular assessment help evaluate nerve and blood flow damage by looking at pain, pallor, paresthesia, pulselessness, paralysis, and poikilothermia.

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Compartment syndrome

Severe pain is a major indication of compartment syndrome, a condition where pressure builds up in a muscle compartment leading to tissue damage.

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Cartilage

Cartilage is a smooth, slippery tissue that covers the ends of bones in joints, allowing for smooth movement.

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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

NUR 236 Test 4 PDF

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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