Muscle Strength Grading Quiz

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10 Questions

What muscle strength grade is characterized by the patient completing ROM against gravity with moderate resistance and slight weakness?

4/5

Which crutch maneuvering technique involves the therapist or nurse carrying out the exercise without assistance from the patient?

Passive ROM

What is the process of restoring fracture fragments into an anatomic position and alignment known as?

Reduction

Which of the following is NOT a clinical manifestation of compartment syndrome?

Nausea & vomiting

What is the main reason for performing a fasciotomy in compartment syndrome?

To release pressure and prevent muscle and nerve damage

Which of the following is a common clinical manifestation of fat embolism?

Respiratory distress with tachypnea and crackles

What is the most appropriate initial nursing intervention for a suspected fat embolism in a patient with a fracture?

Notify the physician immediately

Which of the following best describes the pathophysiology of Carpal Tunnel Syndrome?

Compression or entrapment of the median nerve resulting in pain and loss of function

Which nursing intervention is most appropriate for a patient with Carpal Tunnel Syndrome?

Rest and apply a wrist splint while avoiding repetitive wrist flexion

What distinguishes Duchenne's Muscular Dystrophy from Carpal Tunnel Syndrome?

Absence of protein dystrophin causing muscle degeneration

Study Notes

Muscle Strength Grades

  • A muscle strength grade of 4 is characterized by the patient completing ROM (Range of Motion) against gravity with moderate resistance and slight weakness.

Crutch Maneuvering Techniques

  • The dependent crutch maneuvering technique involves the therapist or nurse carrying out the exercise without assistance from the patient.

Fracture Management

  • Reduction is the process of restoring fracture fragments into an anatomic position and alignment.

Clinical Manifestations of Compartment Syndrome

  • The absence of pain is NOT a clinical manifestation of compartment syndrome.

Fasciotomy in Compartment Syndrome

  • The main reason for performing a fasciotomy in compartment syndrome is to relieve pressure and restore blood flow.

Clinical Manifestations of Fat Embolism

  • Shortness of breath is a common clinical manifestation of fat embolism.

Initial Nursing Intervention for Fat Embolism

  • The most appropriate initial nursing intervention for a suspected fat embolism in a patient with a fracture is to administer oxygen and monitor vital signs.

Pathophysiology of Carpal Tunnel Syndrome

  • The pathophysiology of Carpal Tunnel Syndrome is compression of the median nerve in the carpal tunnel, leading to numbness, tingling, and pain in the hand.

Nursing Interventions for Carpal Tunnel Syndrome

  • The most appropriate nursing intervention for a patient with Carpal Tunnel Syndrome is to instruct the patient to avoid flexion of the wrist and to perform wrist extension exercises.

Duchenne's Muscular Dystrophy vs. Carpal Tunnel Syndrome

  • Duchenne's Muscular Dystrophy is distinguished from Carpal Tunnel Syndrome by its progressive muscular weakness and atrophy, whereas Carpal Tunnel Syndrome is a peripheral nerve entrapment disorder.

Test your knowledge on grading muscle strength based on a patient's ability to move joints through ROM and against gravity. From normal to severe weakness, understand the different levels of muscle strength assessment.

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