Podcast
Questions and Answers
What is the primary role of articular cartilage within the musculoskeletal system?
What is the primary role of articular cartilage within the musculoskeletal system?
Which of the following is NOT a function of the skeletal system as described in the text?
Which of the following is NOT a function of the skeletal system as described in the text?
What is the role of tendons in the musculoskeletal system?
What is the role of tendons in the musculoskeletal system?
Which tissue is primarily responsible for generating body heat as a byproduct of its function?
Which tissue is primarily responsible for generating body heat as a byproduct of its function?
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What are osteocytes?
What are osteocytes?
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What is the composition of the nonliving matrix in bone tissue?
What is the composition of the nonliving matrix in bone tissue?
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What is the function of fasciae in the muscular system?
What is the function of fasciae in the muscular system?
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Besides movement and heat production, what is another significant function of the muscular system mentioned in the text?
Besides movement and heat production, what is another significant function of the muscular system mentioned in the text?
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Which function is NOT primarily associated with the periosteum?
Which function is NOT primarily associated with the periosteum?
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What is the primary role of osteoclasts in bone tissue?
What is the primary role of osteoclasts in bone tissue?
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Which vitamin is most critical for the absorption of calcium and phosphorus in the small intestine, directly impacting bone health?
Which vitamin is most critical for the absorption of calcium and phosphorus in the small intestine, directly impacting bone health?
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Which hormone primarily promotes the retention of calcium in bones, counteracting the effects of parathyroid hormone?
Which hormone primarily promotes the retention of calcium in bones, counteracting the effects of parathyroid hormone?
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The axial skeleton primarily consists of bones that perform which function?
The axial skeleton primarily consists of bones that perform which function?
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What type of joint is characteristic of the sutures found in the skull?
What type of joint is characteristic of the sutures found in the skull?
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Which vertebrae articulate with the ribs in the thoracic cage?
Which vertebrae articulate with the ribs in the thoracic cage?
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What is the function of intervertebral discs located between vertebrae?
What is the function of intervertebral discs located between vertebrae?
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What is the primary mechanism by which the thoracic cage facilitates inhalation?
What is the primary mechanism by which the thoracic cage facilitates inhalation?
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Which type of joint is characterized by being freely movable and is exemplified by most joints in the appendicular skeleton?
Which type of joint is characterized by being freely movable and is exemplified by most joints in the appendicular skeleton?
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What is the role of bursae associated with synovial joints?
What is the role of bursae associated with synovial joints?
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In skeletal muscle, what is referred to as the 'origin' of a muscle?
In skeletal muscle, what is referred to as the 'origin' of a muscle?
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What term describes a muscle that directly produces a desired movement?
What term describes a muscle that directly produces a desired movement?
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What is the functional role of synergist muscles in relation to agonists?
What is the functional role of synergist muscles in relation to agonists?
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Initiation of voluntary skeletal muscle contraction originates in which part of the brain?
Initiation of voluntary skeletal muscle contraction originates in which part of the brain?
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What is the primary use of myelography?
What is the primary use of myelography?
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How does a nuclear bone scan function?
How does a nuclear bone scan function?
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What diagnostic information can an X-ray examination provide?
What diagnostic information can an X-ray examination provide?
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Which diagnostic technique is used for examining synovial joints?
Which diagnostic technique is used for examining synovial joints?
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What disorders can ultrasound detect according to the context provided?
What disorders can ultrasound detect according to the context provided?
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What could be a possible cause for red streaks that are warm to touch on a patient's arm who had shoulder arthrocentesis?
What could be a possible cause for red streaks that are warm to touch on a patient's arm who had shoulder arthrocentesis?
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Which abnormal lab test finding indicates bone cancer?
Which abnormal lab test finding indicates bone cancer?
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What is a common complication after arthroscopy that patients should be educated to report?
What is a common complication after arthroscopy that patients should be educated to report?
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A patient shows altered sensation such as tingling post-surgery. What might this indicate?
A patient shows altered sensation such as tingling post-surgery. What might this indicate?
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Which symptom should prompt immediate concern during postoperative care for an arthroscopy patient?
Which symptom should prompt immediate concern during postoperative care for an arthroscopy patient?
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What is the significance of pale palms or soles in a patient after musculoskeletal surgery?
What is the significance of pale palms or soles in a patient after musculoskeletal surgery?
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Which abnormal finding post-arthroscopy is likely due to inflammation or infection?
Which abnormal finding post-arthroscopy is likely due to inflammation or infection?
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What would you expect to find during the assessment of a patient with compartment syndrome?
What would you expect to find during the assessment of a patient with compartment syndrome?
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What is not typically a complication following bone or muscle biopsy?
What is not typically a complication following bone or muscle biopsy?
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Which neurovascular check would indicate a potential complication in a post-arthroscopy patient?
Which neurovascular check would indicate a potential complication in a post-arthroscopy patient?
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When should a patient report increased joint pain after arthroscopy?
When should a patient report increased joint pain after arthroscopy?
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Which condition is associated with an increase in serum myoglobin levels?
Which condition is associated with an increase in serum myoglobin levels?
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What laboratory test can be indicative of Paget disease when elevated?
What laboratory test can be indicative of Paget disease when elevated?
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Which of the following would not be a symptom of infection in a postoperative musculoskeletal patient?
Which of the following would not be a symptom of infection in a postoperative musculoskeletal patient?
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What typically guides the treatment plan in the case of a skeletal abnormality?
What typically guides the treatment plan in the case of a skeletal abnormality?
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What is the main function of the cerebellum in the human body?
What is the main function of the cerebellum in the human body?
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Which type of joint allows for movement in several planes and is found in the thumb?
Which type of joint allows for movement in several planes and is found in the thumb?
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What neurotransmitter is released at the neuromuscular junction to stimulate muscle contraction?
What neurotransmitter is released at the neuromuscular junction to stimulate muscle contraction?
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Which of the following factors contributes significantly to the loss of calcium in bones with age?
Which of the following factors contributes significantly to the loss of calcium in bones with age?
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Which aspect of musculoskeletal data collection includes assessing posture and gait?
Which aspect of musculoskeletal data collection includes assessing posture and gait?
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What happens when acetylcholine diffuses across the synaptic cleft at the neuromuscular junction?
What happens when acetylcholine diffuses across the synaptic cleft at the neuromuscular junction?
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What is the effect of weight-bearing exercise on bone health in post-menopausal women?
What is the effect of weight-bearing exercise on bone health in post-menopausal women?
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How does aging affect muscle strength and what can mitigate this effect?
How does aging affect muscle strength and what can mitigate this effect?
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When a muscle has increased work to do, how does it respond?
When a muscle has increased work to do, how does it respond?
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Which type of joints are common between the vertebrae?
Which type of joints are common between the vertebrae?
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What role does calcium play in muscle contraction at the molecular level?
What role does calcium play in muscle contraction at the molecular level?
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What is the significance of bilateral muscle strength evaluation in musculoskeletal examination?
What is the significance of bilateral muscle strength evaluation in musculoskeletal examination?
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Which joint type allows rotation and is located in the neck?
Which joint type allows rotation and is located in the neck?
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What is the role of the T tubules in muscle contraction?
What is the role of the T tubules in muscle contraction?
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How is the psychological aspect of musculoskeletal disorders addressed in patient care?
How is the psychological aspect of musculoskeletal disorders addressed in patient care?
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What is a common cause of increased alkaline phosphatase (ALP) levels in the blood?
What is a common cause of increased alkaline phosphatase (ALP) levels in the blood?
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How are calcium and phosphorus levels in the blood related?
How are calcium and phosphorus levels in the blood related?
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Which enzyme is indicative of muscle injury when found elevated in the bloodstream?
Which enzyme is indicative of muscle injury when found elevated in the bloodstream?
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What condition is characterized by dangerous levels of muscle destruction?
What condition is characterized by dangerous levels of muscle destruction?
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What is the purpose of an arthrocentesis procedure?
What is the purpose of an arthrocentesis procedure?
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In which scenario would a high myoglobin level likely be found?
In which scenario would a high myoglobin level likely be found?
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Which diagnostic marker is monitored in cases of rhabdomyolysis?
Which diagnostic marker is monitored in cases of rhabdomyolysis?
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Which condition can result from elevated serum uric acid levels?
Which condition can result from elevated serum uric acid levels?
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For what reason might a health professional administer antibiotics during arthrocentesis?
For what reason might a health professional administer antibiotics during arthrocentesis?
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What factor increases the risk of vitamin D deficiency?
What factor increases the risk of vitamin D deficiency?
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How does the enzyme creatine kinase indicate muscle damage?
How does the enzyme creatine kinase indicate muscle damage?
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Which symptom is NOT typically associated with rhabdomyolysis?
Which symptom is NOT typically associated with rhabdomyolysis?
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What data is important to collect from musculoskeletal patients to prevent allergies?
What data is important to collect from musculoskeletal patients to prevent allergies?
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Which indicator suggests muscle enzyme release following trauma?
Which indicator suggests muscle enzyme release following trauma?
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What can a localized buildup of synovial fluid in a joint indicate?
What can a localized buildup of synovial fluid in a joint indicate?
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What does a 'hot spot' on a bone scan indicate?
What does a 'hot spot' on a bone scan indicate?
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Which imaging technique uses sound waves to detect osteomyelitis?
Which imaging technique uses sound waves to detect osteomyelitis?
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Which of the following tests involves injecting a contrast medium into a synovial joint?
Which of the following tests involves injecting a contrast medium into a synovial joint?
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Mrs. Gardenio requires morphine delivered intramuscularly at a dose of 4 mg. If the available morphine concentration is 5 mg/mL, how many milliliters should be administered?
Mrs. Gardenio requires morphine delivered intramuscularly at a dose of 4 mg. If the available morphine concentration is 5 mg/mL, how many milliliters should be administered?
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After Mrs. Gardenio's hip surgery, which team member is NOT typically part of the post-operative care team?
After Mrs. Gardenio's hip surgery, which team member is NOT typically part of the post-operative care team?
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What common follow-up advice should be given to patients after an arthrogram?
What common follow-up advice should be given to patients after an arthrogram?
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Which tissue type is NOT directly part of the skeletal system structure?
Which tissue type is NOT directly part of the skeletal system structure?
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What factor contributes to the decline in muscle strength as people age?
What factor contributes to the decline in muscle strength as people age?
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What is the primary function of the cerebellum related to movement?
What is the primary function of the cerebellum related to movement?
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What is the purpose of removing synovial fluid during an arthrocentesis?
What is the purpose of removing synovial fluid during an arthrocentesis?
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Which diagnostic method is primarily used to assess bone density?
Which diagnostic method is primarily used to assess bone density?
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After how many years do weight-bearing joints most commonly experience damage?
After how many years do weight-bearing joints most commonly experience damage?
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What should be monitored closely if a home health nurse identifies a patient as at risk for falls?
What should be monitored closely if a home health nurse identifies a patient as at risk for falls?
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What is NOT typically observed during a musculoskeletal data collection?
What is NOT typically observed during a musculoskeletal data collection?
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Which laboratory test is performed to diagnose musculoskeletal disorders?
Which laboratory test is performed to diagnose musculoskeletal disorders?
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Which diagnostic method uses electromagnets for visualization?
Which diagnostic method uses electromagnets for visualization?
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What is a common indication for using myelography?
What is a common indication for using myelography?
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What is the primary purpose of a bone density scan?
What is the primary purpose of a bone density scan?
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What should be monitored after an invasive arthrography procedure?
What should be monitored after an invasive arthrography procedure?
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Which of the following is crucial to verify before performing a nuclear medicine scan?
Which of the following is crucial to verify before performing a nuclear medicine scan?
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Which imaging method requires patients to avoid lotions before the procedure?
Which imaging method requires patients to avoid lotions before the procedure?
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In arthrocentesis, what might be analyzed from the withdrawn synovial fluid?
In arthrocentesis, what might be analyzed from the withdrawn synovial fluid?
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What is the function of gallium in gallium/thallium scans?
What is the function of gallium in gallium/thallium scans?
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What is not an effect of a positive electromyography (EMG) result?
What is not an effect of a positive electromyography (EMG) result?
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What is the role of ultrasound in diagnostic imaging?
What is the role of ultrasound in diagnostic imaging?
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What is an arthroscopy primarily used for?
What is an arthroscopy primarily used for?
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What is checked before an MRI regarding patient implants?
What is checked before an MRI regarding patient implants?
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Which substance is injected in nuclear medicine scans?
Which substance is injected in nuclear medicine scans?
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How is joint abnormality diagnosed in invasive arthrography?
How is joint abnormality diagnosed in invasive arthrography?
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What should be done immediately after a myelogram?
What should be done immediately after a myelogram?
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Flashcards
Musculoskeletal System
Musculoskeletal System
The system formed by the skeletal and muscular systems to enable body movement.
Skeleton
Skeleton
The framework of the body that supports and protects organs.
Muscle Contraction
Muscle Contraction
The process where muscles shorten to change the angle of a joint.
Nerve Impulses
Nerve Impulses
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Bone Tissue
Bone Tissue
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Osteons
Osteons
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Red Bone Marrow
Red Bone Marrow
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Calcium Homeostasis
Calcium Homeostasis
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Compact Bone
Compact Bone
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Periosteum
Periosteum
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Osteoblast
Osteoblast
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Osteoclast
Osteoclast
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Vitamin D
Vitamin D
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Growth Hormone (GH)
Growth Hormone (GH)
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Axial Skeleton
Axial Skeleton
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Appendicular Skeleton
Appendicular Skeleton
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Vertebral Column
Vertebral Column
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Thoracic Cage
Thoracic Cage
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Synovial Joints
Synovial Joints
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Agonist Muscle
Agonist Muscle
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Antagonist Muscle
Antagonist Muscle
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Motor Nerves
Motor Nerves
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Tendons
Tendons
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Cerebellum
Cerebellum
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Muscle Tone
Muscle Tone
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Neuromuscular Junction
Neuromuscular Junction
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Acetylcholine (ACh)
Acetylcholine (ACh)
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Sarcoplasmic Reticulum
Sarcoplasmic Reticulum
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Calcium's Role in Muscles
Calcium's Role in Muscles
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Articular Cartilage
Articular Cartilage
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Osteoporosis
Osteoporosis
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Weight-Bearing Exercise
Weight-Bearing Exercise
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Range of Motion (ROM)
Range of Motion (ROM)
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Crepitation
Crepitation
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Muscle Strength Assessment
Muscle Strength Assessment
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Inspection in Physical Exam
Inspection in Physical Exam
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Troponin
Troponin
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Support Systems
Support Systems
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Myelography
Myelography
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Electromyography
Electromyography
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Nuclear Bone Scan
Nuclear Bone Scan
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Arthrogram
Arthrogram
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Ultrasound in Orthopedics
Ultrasound in Orthopedics
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Sedatives
Sedatives
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Analgesics
Analgesics
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Hot spots
Hot spots
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Radiographs
Radiographs
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Ultrasonography
Ultrasonography
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Osteomyelitis
Osteomyelitis
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Femoral neck fracture
Femoral neck fracture
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Morphine
Morphine
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Pulse palpation
Pulse palpation
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Arthrocentesis
Arthrocentesis
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Bone density scan
Bone density scan
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CT scan
CT scan
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MRI
MRI
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Home health criteria
Home health criteria
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Signs of infection after surgery
Signs of infection after surgery
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Arthroscopy
Arthroscopy
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Neurovascular Checks
Neurovascular Checks
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Capillary refill time
Capillary refill time
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Elevated alkaline phosphatase
Elevated alkaline phosphatase
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Creatine kinase increase
Creatine kinase increase
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Normal calcium levels
Normal calcium levels
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Signs of compartment syndrome
Signs of compartment syndrome
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Post-operative activity restrictions
Post-operative activity restrictions
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Bone or muscle biopsy
Bone or muscle biopsy
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Neuromuscular symptoms
Neuromuscular symptoms
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X-ray
X-ray
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Physical therapy after surgery
Physical therapy after surgery
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Symptoms of thrombophlebitis
Symptoms of thrombophlebitis
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NPO before tests
NPO before tests
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Contrast medium allergy
Contrast medium allergy
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MRI function
MRI function
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Electromyography (EMG)
Electromyography (EMG)
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Invasive arthrography
Invasive arthrography
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Myelogram
Myelogram
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Nuclear medicine scans
Nuclear medicine scans
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Bone Density Scan (DEXA)
Bone Density Scan (DEXA)
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Computed Tomography (CT) scan
Computed Tomography (CT) scan
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Gallium/thallium scans
Gallium/thallium scans
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Post-procedural care
Post-procedural care
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Synovitis
Synovitis
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Alkaline Phosphatase (ALP)
Alkaline Phosphatase (ALP)
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Inverse Relationship
Inverse Relationship
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Myoglobin
Myoglobin
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Rhabdomyolysis
Rhabdomyolysis
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Gout
Gout
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Muscle Enzymes
Muscle Enzymes
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Calcium and Phosphorus Levels
Calcium and Phosphorus Levels
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Clinical Judgment in Data Collection
Clinical Judgment in Data Collection
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Subjective Data
Subjective Data
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Objective Data
Objective Data
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Health History Questions
Health History Questions
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Fluid and Electrolyte Balance
Fluid and Electrolyte Balance
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Fractured Hip Care
Fractured Hip Care
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Study Notes
Musculoskeletal System Overview
- The skeletal and muscular systems work together to move the body.
- Bones form a framework for muscles to attach to and move joints.
- Movement relies on the nervous, cardiovascular, and respiratory systems for nerve impulses, blood supply, and oxygen.
Musculoskeletal System Tissues
- Skeletal system tissues: bone, articular cartilage (cushions joints, reduces friction), and fibrous connective tissue (ligaments).
- Muscular system tissues: skeletal muscle tissue and fibrous connective tissue (tendons, fasciae).
Skeletal System Functions Beyond Movement
- Protection of internal organs: skull (brain), thoracic cage (heart & lungs).
- Blood cell production in red bone marrow (flat and irregular bones, ends of long bones).
- Calcium storage and resorption for blood calcium homeostasis.
Muscular System Functions
- Movement and stabilization of the skeleton and heat production.
- Maintaining normal body temperature via voluntary muscles.
- Contribution to venous return in the legs through muscle compression.
Bone Tissue and Growth
- Bone tissue: osteocytes in a matrix of calcium salts and collagen.
- Compact bone: densely structured osteons.
- Spongy bone: irregularly structured, sponge-like.
- Periosteum: connective tissue covering, crucial for protection, growth, repair, and blood supply.
- Osteoblasts build bone, osteoclasts resorb bone.
- Bone growth factors: nutrition (calcium, phosphorus, protein), hormones (growth hormone, thyroxine, insulin), and vitamins (D, A, C) are all essential.
- Bone remodeling: constant removal and replacement of calcium and phosphate to maintain blood levels.
- Parathyroid hormone increases calcium release from bones; calcitonin decreases calcium release.
Structure of the Skeleton
- Adult skeleton: 206 bones, axial (central), and appendicular (limbs) divisions.
- Axial bones: flat/irregular, contain red bone marrow.
- Appendicular bones: mainly long, with a shaft (diaphysis) and ends (epiphyses).
- Skull: cranial (8) and facial (14) bones, sutures.
- Vertebral column: 33 vertebrae, supports trunk & head, protects spinal cord; intervertebral discs cushion and permit movement.
- Thoracic cage (ribs & sternum): protects heart, lungs, and upper abdominal organs.
- Synovial joints: freely movable, characterized by a joint capsule and synovial fluid, with bursae (fluid sacs) in many joints.
Muscle Structure and Arrangement
- Muscle structure: thousands of skeletal muscle cells (fibers), with motor nerve endings.
- Muscle contraction: shortening of fibers to move attached bones.
- Muscle attachments: origin (stationary) and insertion (movable).
- Agonist, antagonists, and synergists: muscle interactions for movement, balance, and control.
Nervous System Role
- Skeletal muscles are voluntary, controlled by nerve impulses from motor areas of the frontal lobes.
- Cerebellum coordinates voluntary movements.
- CNS regulates involuntary muscle tone (maintains posture, coordination).
Neuromuscular Junction
- Neuromuscular junction: synapse between motor neuron and muscle fiber.
- Acetylcholine (ACh) neurotransmitter triggers muscle contraction.
Aging and Musculoskeletal System
- Calcium levels in bones decrease, especially in postmenopausal women.
- Bone matrix loss from estrogen & testosterone decreases
- Wear and tear: cartilage wear from aging and activities, muscle strength decline due to protein synthesis.
Musculoskeletal System Data Collection
- Health history: includes demographics, occupation & geographic location, prior history (allergies, medical issues), activities, risk factors, nutrition & family history.
- Subjective: pain level, treatment & impact on daily life.
- Psychosocial: impact on body image and self-esteem, coping strategies & support.
- Objective: inspection, (posture, gait, deformities, joint & muscle observation), range of motion (ROM), muscle tone and palpation, and presence of any abnormalities.
Diagnostic Tests
- Laboratory tests: alkaline phosphatase, calcium, phosphorus, muscle enzymes, myoglobin, uric acid.
- Diagnostic imaging: X-rays, CT scans, MRIs, arthrography, ultrasonography.
- Invasive procedures: arthrocentesis, arthroscopy, nerve conduction studies, myelography, bone or muscle biopsy, bone density scan.
Studying That Suits You
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Description
Test your knowledge on the functions and components of the musculoskeletal system. This quiz covers topics from articular cartilage to the roles of various tissues and hormones involved in bone health. Ideal for students studying anatomy and physiology.