Questions and Answers
What is the reported pain level for the patient's right knee at rest?
What is the maximum knee flexion achieved in the right leg during the assessment?
Which joint has a range of motion limitation due to pain in the assessment?
What is the degree of passive range of motion (PROM) for knee extension on the right side?
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How does the muscle strength of the left elbow compare to the right elbow based on the findings?
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Which of the following indicates a significant limitation in the knee flexion strength?
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In terms of functional mobility interventions, what is the primary concern based on the pain levels and range of motion?
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What does a passive range of motion (PROM) of +10 degrees indicate for the left knee?
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Which assessment finding shows no activity limitations for the patient?
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What is the level of muscle strength in both wrists according to the assessment?
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What was the pain level reported at the fusion site during resting?
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What is the range of motion for hip flexion on both the right and left side?
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Which muscle strength assessment scored lower than the maximum on the hip flexors?
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What is indicated by the terms 'WNL' for knee flexion/extension and ankle dorsiflexion/plantarflexion?
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In which area was muscle strength tested but fell short compared to other muscle groups?
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What does a strength score of '5' indicate for the tested muscle groups?
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What limitation was indicated for hip range of motion during assessments?
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What is the primary concern when assessing mobility post-surgery?
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Which functional mobility assessment's outcome was noted as 'No'?
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Which joint movement assessed showed limitations on both sides?
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How is a joint's range measured during assessments?
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What is the purpose of conducting a musculoskeletal assessment?
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What ankle movement was observed as normal during assessments?
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What is the main goal during post-surgery rehabilitation?
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What does a 'limited by pain' status indicate during muscle strength testing?
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What is the primary approach described for the surgery?
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Which measure suggests that the patient is capable of safe mobility post-surgery?
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What is the appropriate duration for the standard hip precautions as noted in the surgical plan?
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Which of the following medications was administered 1 hour ago for pain management?
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What significant vital sign indicates the patient's respiratory condition?
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What is the primary complaint regarding the patient's mobility assessment?
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Which of the following assessments indicates a limitation in hip extension?
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Which hip strength assessment score suggests normal functionality?
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What rehabilitation intervention is suggested following the surgery?
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What is a key component of fall risk assessment for the patient living alone?
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What symptom was noted in the nursing assessment that may indicate underlying respiratory issues?
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What aspect of the patient's social history is relevant for rehabilitation planning?
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What indicates that the patient's pain management protocol is effective?
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What is a potential complication that needs to be monitored following the surgery?
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Study Notes
Impairments and Activity Limitations
- Pain rating at fusion site: 2/10 at rest for the right hip, NAD (no abnormalities detected) for the left.
- Knee pain: 4/10 for the right knee at rest, NAD for the left knee.
Joint Range of Motion
- Right and left hip flex: 45 degrees
- Right and left hip abduction: 25 degrees
- Knee flexion: Right 65 degrees (limited), Left 130 degrees (full range)
- Knee extension: Right -10 degrees (limited), Left +10 degrees (full range)
- Ankle dorsiflexion/plantarflexion: Both within normal limits (WNL)
Muscle Strength Assessment
- Shoulder flexion and abduction strength: 5 for both sides
- Elbow flexion and extension strength: 5 for both sides
- Hip flexion: Right 3- (limited by pain), Left 5
- Hip extension: Right 3- (limited by pain), Left 5
- Knee flexion: Right 3 limited (due to pain), Left 5
- Knee extension: Right 2 limited (due to pain), Left 5
- Ankle and finger strength: 5 for both sides
Functional Assessment
- Previous independent mobility without assistance, able to perform activities of daily living (ADLs) and drive
- Lives alone in a split-level house with specific stairs and railings
- Engages in social activities like bingo and walking with friends
- BMI is 18
Surgical and Recovery Context
- Underwent surgery with a posterior approach; no complications reported
- Post-operative management includes oral analgesia, weight bearing as tolerated (WBAT), and standard post-operative hip precautions for 6 weeks
- Use of TED (thromboembolic deterrent) socks recommended
Vital Signs and Nursing Notes
- Heart rate: 69 bpm, oxygen saturation: 99%, respiratory rate: 18 breaths/min, blood pressure: 118/70 (lying)
- Temperature: 37.6°C, ECG shows normal sinus rhythm
- Recent pain management included Panadol 500mg and Endone 10mg taken 1 hour prior with good effect
- Observed decreased breath sounds and coarse crackles in the lower zones of the lungs
Past Medical History
- Relevant conditions include hypothyroidism and a history of smoking (quit 15 years ago, 14 pack-years)
Summary of Functional Ability
- Currently experiencing limitations in hip function and strength, particularly affecting mobility and daily activities due to pain and range of motion challenges.
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Description
This quiz focuses on evaluating musculoskeletal impairments and activity limitations. It aims to help assess current conditions and monitor progress over time. Ideal for healthcare professionals involved in rehabilitation and therapy.