Musculoskeletal System Overview
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Questions and Answers

What are the primary functions of the musculoskeletal system?

  • To store energy and produce hormones
  • To provide movement, support, and protection to the body (correct)
  • To produce heat and control body temperature
  • To transport nutrients and oxygen throughout the body

Which type of bone cells are responsible for bone growth?

  • Osteoblasts (correct)
  • Osteoclasts
  • Osteocytes
  • Chondrocytes

What is the composition of spongy bone?

  • Dense minerals with high levels of calcium
  • Collagen fibers without any marrow
  • Red bone marrow and blood vessels (correct)
  • A mix of fat cells and connective tissue

How many bones make up the human skeleton?

<p>206 (D)</p> Signup and view all the answers

Which classification does not belong to bones?

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

What is the function of osteoclasts in the musculoskeletal system?

<p>To dissolve minerals for release into the bloodstream (B)</p> Signup and view all the answers

What connects muscles to bones in the musculoskeletal system?

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

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

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

What type of joint allows for rotational movement to supinate and pronate?

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

Which connective tissue provides cushioning at friction points in freely movable joints?

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

What is the primary role of skeletal muscle fibers when they contract?

<p>To provide movement and joint stability (B)</p> Signup and view all the answers

What happens to bone mass as individuals age, especially in women?

<p>Bone density decreases due to resorption of minerals (A)</p> Signup and view all the answers

Which of the following is NOT a type of movable joint?

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

What condition is characterized by a significant decrease in bone mass with aging?

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

How does Tai Chi primarily benefit older adults?

<p>By enhancing balance and cognitive function (B)</p> Signup and view all the answers

What process is responsible for the replacement of cartilage with bony tissue during development?

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

Which dietary component is crucial for building strong bones throughout life?

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

What contributes to increased muscle cramping in older adults?

<p>Impaired circulation and accumulation of wastes (B)</p> Signup and view all the answers

Which activity is suggested to help prevent long-term orthopedic disability?

<p>Weight-bearing exercise throughout life (B)</p> Signup and view all the answers

What is the main function of ligaments in the skeletal system?

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

What effect does aging have on joint cartilage?

<p>It thins and erodes over time (D)</p> Signup and view all the answers

What role do tendons play in the musculoskeletal system?

<p>They attach skeletal muscles to bones (B)</p> Signup and view all the answers

What is the primary benefit of refraining from long-term steroid use?

<p>Prevents osteoporosis and fractures (B)</p> Signup and view all the answers

Which food source is considered the best for calcium absorption?

<p>Dairy products (C)</p> Signup and view all the answers

Which nutrient is essential for the healthy formation of bones alongside calcium and phosphorus?

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

What is one of the negative impacts of smoking on musculoskeletal health?

<p>Decreases bone density (A)</p> Signup and view all the answers

What is goniometry used to measure?

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

What does an elevated alkaline phosphatase (ALP) level potentially indicate?

<p>Bone metastasis (C)</p> Signup and view all the answers

Before undergoing diagnostic tests for musculoskeletal disorders, what precaution is important for women of childbearing age?

<p>Taking a pregnancy test (C)</p> Signup and view all the answers

Which test would most likely detect muscle damage?

<p>Creatine kinase (CPK) test (B)</p> Signup and view all the answers

What is the normal range for total calcium in blood tests?

<p>9.0–10.5 mg/dL (A)</p> Signup and view all the answers

In active range-of-motion testing, how is the joint moved?

<p>By the patient independently (C)</p> Signup and view all the answers

Flashcards

Musculoskeletal system

The framework of the body that provides support, movement, and protection. Consists of bones, joints, cartilage, ligaments, tendons, and muscles.

Cartilage

Specialized connective tissue that makes up the skeletal system and provides structure, flexibility, and support to joints.

Ligaments

Strong, fibrous bands of connective tissue that connect bones to bones, providing stability and limiting joint movement.

Tendons

Strong, fibrous cords of connective tissue that attach muscles to bones, allowing for muscle contractions to produce movement.

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Osteoblasts

Specialized cells responsible for bone formation by making new bone cells and secreting collagen.

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Osteocytes

Cells that help maintain bone tissue by regulating mineral uptake and release.

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Osteoclasts

Cells that dissolve minerals for release into the bloodstream, contributing to bone resorption.

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Ossification

The process of bone formation.

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What is a joint?

The point where two or more bones meet, allowing for movement.

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What are ligaments?

Connective tissue that joins bones together, providing stability.

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What are tendons?

Connective tissue that attaches muscles to bones, enabling movement.

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What is cartilage?

Specialized connective tissue that acts as a cushion in joints, providing flexibility and shock absorption.

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What is a bursa?

A fluid-filled sac that reduces friction in joints, acting as a cushion between bones and tendons.

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What is an immovable joint?

Joint where movement is limited, like the skull.

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What is a slightly movable joint?

Joint that allows for a small amount of movement, like the vertebrae.

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What is a freely movable joint?

Joint allowing for a wide range of motion, like the shoulder and hip.

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What is a pivot joint?

Type of movable joint where one bone rotates around another, like the head turning.

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What is skeletal muscle?

Bundles of muscle fibers covered in connective tissue.

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What is ossification?

The process of bone formation, where cartilage is replaced by bone tissue.

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What is osteoporosis?

Loss of bone mass, making bones weaker and prone to fractures.

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What is kyphosis?

The condition of having a curved spine, often due to age and bone loss.

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How do we prevent osteoporosis?

Regular exercise, calcium intake, and vitamin D are crucial for bone health.

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What is bone remodeling?

The process of breaking down and rebuilding bone tissue, maintaining bone health.

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Why are steroids bad for bones?

Steroids can weaken bones and increase the risk of fractures, especially over long periods.

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What's the best calcium source?

Dairy products like milk, cheese, and yogurt provide readily absorbed calcium, crucial for bone health.

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How does smoking affect bones?

Smoking harms bones by increasing the risk of osteoporosis, fractures, and delayed healing.

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What is goniometry?

Goniometry measures joint movement using a goniometer, a tool that measures angles in degrees.

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What's the difference between active and passive range of motion (ROM)?

Active ROM testing involves the patient moving the joint, while passive ROM testing involves the evaluator moving the joint.

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Explain the difference between a bone scan and DEXA scan.

Bone scan uses a radioactive tracer to detect bone abnormalities, while DEXA scan measures bone density to assess osteoporosis risk.

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How is muscle strength graded?

Muscle strength grading uses a system from 0 to 5, with 5 being normal strength and 0 being complete paralysis.

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How can disorders of other systems affect the musculoskeletal system?

Conditions like sickle cell disease, hemophilia, and psoriasis can affect bones and muscles indirectly by causing joint damage or inflammation.

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Which lab tests are used to diagnose bone disorders?

Laboratory tests on minerals like calcium, phosphorus, and alkaline phosphatase can help diagnose bone disorders.

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What are the main components of a musculoskeletal assessment?

Evaluation of a musculoskeletal patient includes inspecting, palpating, and testing joint stability to assess movement and function.

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Study Notes

Musculoskeletal System Overview

  • The musculoskeletal system comprises bones, joints, cartilage, ligaments, tendons, and muscles.
  • Bone cells include osteoblasts (form new bone), osteocytes (regulate minerals), and osteoclasts (dissolve minerals).
  • The human skeleton has 206 bones, categorized as long, short, flat, or irregular.
  • Bones have internal canal systems (haversian systems) for blood and lymph vessel transport.
  • Joints connect bones and are classified as immovable, slightly movable, or freely movable (e.g., hinge, pivot, ball-and-socket).
  • Ligaments connect bones within a joint, tendons connect muscles to bones, and cartilage acts as a cushion in joints.
  • Bursae are fluid-filled sacs that cushion friction points in joints.

Bone Functions

  • Bones give the body shape and support internal organs.
  • Bones protect vital organs.
  • Bones provide attachment points for tendons and ligaments, enabling movement.
  • Red bone marrow produces red blood cells, white blood cells, and platelets.
  • Bones store and release minerals (calcium, phosphorus).
  • Bone remodeling involves resorption and replacement by osteoblasts.

Muscle Functions

  • Skeletal muscle contractions produce movement, maintain posture, and generate body heat.
  • Opposing muscle groups enable joint movement through shortening and lengthening.
  • Full ossification (cartilage to bone) is complete by 20-25 years.
  • Bone density decreases in older adults, more pronounced in women (osteoporosis).
  • Older bones are brittle, heal slower, and have decreased mineral exchange.
  • Intervertebral cartilage thins, leading to kyphosis (dowager's hump).
  • Joint cartilage thins, causing stiffness and crepitation.
  • Muscle mass, strength, and endurance decrease.
  • Tendons become less elastic and slower.

Musculoskeletal Disorders

  • Causes include disease, trauma, malnutrition, and aging.
  • Trauma can lead to bruising, strains, sprains, and fractures.
  • Poor nutrition can lead to insufficient bone development.
  • Tumors (primary or metastatic) can increase nutritional demands on the body and lead to bone mineral imbalance.
  • Post-menopausal estrogen loss contributes to osteoporosis.

Prevention and Health Promotion

  • Weight-bearing exercise maintains bone mass and muscle strength.
  • Proper lifting techniques prevent strains.
  • Wearing safety gear (seat belts, helmets) reduces injury.
  • Adequate calcium, vitamin D, and protein intake are necessary for bone and muscle health.
  • Avoiding long-term steroid use is crucial in preventing osteoporosis.
  • Tai chi can improve balance and reduce falls in older adults.

Nutritional Considerations

  • Calcium and phosphorus are essential for bone health.
  • Dairy products, certain fish, and some nondairy options are good sources of calcium.
  • Magnesium and vitamin K also support bone health and found in various foods.

Smoking and Musculoskeletal Health

  • Smoking increases osteoporosis risk, hip fracture risk, exercise injury risk, and negatively impacts fracture healing and athletic performance.
  • Smoking is often associated with low back pain and rheumatoid arthritis.

Diagnostic Tests

  • Blood tests analyze minerals (calcium, phosphorus), detect bone disorders (alkaline phosphatase, CPK), and diagnose conditions like gout (uric acid), RA, and other connective tissue diseases.
  • Specific musculoskeletal tests (bone scan, arthrocentesis, electromyography) exist.
  • Before testing, assess for allergies and pregnancy in women of childbearing age.
  • Techniques like goniometry (measuring joint movement in degrees) and muscle strength grading (0–5) determine function.
  • Consider the purpose and procedure of a bone scan and dual-energy X-ray absorptiometry (DEXA) scan during patient discussions.

Nursing Care for Musculoskeletal Disorders

  • Assess patient history, considering systemic disorders affecting bones.
  • Develop care plans for musculoskeletal problems.
  • Prevent contractures for injured patients.
  • Aid in active/passive range-of-motion exercises.
  • Teach appropriate use of assistive devices.

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Description

Explore the anatomy and functions of the musculoskeletal system, including bones, joints, and connective tissues. This quiz will help you understand the various components and their roles in the human body. Test your knowledge on the classification of bones, the types of joints, and the functions of ligaments and tendons.

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