Nutrition and Musculoskeletal Assessment Quiz

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116 Questions

Which type of bones is the femur classified as?

Long bones

Where is cancellous or spongy bone primarily found?

Epiphyses

What is the main function of osteoclasts in bone tissue?

Breaking down and resorbing bones

Which part of the bone covers the bones but not the joints?

Periosteum

Which type of bone tissue is dense and hard, typically found in the long shafts of bones?

Compact bone

Where is yellow bone marrow primarily located?

Ileum

Which type of muscles are described as voluntary muscles?

Skeletal muscles

What is the main function of osteoblasts in bone structure?

Building bones

Where are smooth muscles mainly found?

In the walls of blood vessels

What is the primary function of cartilage in joints?

To reduce friction between joint surfaces

What is the function of ligaments in the musculoskeletal system?

To stabilize bones and keep them in proper alignment

What is the characteristic of synarthrodial joints?

Immovable

Where is hyaline cartilage primarily found in the body?

Covering movable joints like the elbow

What is the function of tendons in the musculoskeletal system?

Attach muscles to bones

What is the role of bursae in the musculoskeletal system?

Reduce friction between areas

What is the purpose of arthrogram in diagnostic testing?

To view irregular joint surfaces and movement

What is the most common use of arthroscopy?

Evaluating the knee joint

What is the main purpose of elevating the entire leg without flexing the knee after arthroscopy?

To reduce swelling

What is the primary function of bone densitometry (DEXA scan)?

To measure bone density

What is the main purpose of a bone scan using intravenous radionuclide injection?

To detect metastatic bone lesions

When might electromyography (EMG) be performed?

To differentiate muscle and nerve problems

What does a Fracture Risk Assessment Tool (FRAX) help predict?

10-year fracture risk and risk for osteoporosis

'Arthrocentesis' refers to which medical procedure?

'Aspiration of synovial fluid'

Which factor helps maximize peak bone mass before the age of 30?

High calcium intake

What are the normal findings for circulation in neurovascular assessment?

Presence of strong distal pulses

What is the abnormal finding for sensation in arm injury assessment?

Numbness or tingling at the tip of the index finger

Which term describes an excessive concave curvature of the lumbar spine?

Lordosis

What is a gerontologic consideration related to the musculoskeletal system in older adults?

Compression of spinal column disks

What can accelerate the loss of bone mass according to the text?

Hypercalciuria

What is a possible consequence of bone resorption occurring more rapidly than bone formation?

Increased risk for osteoporosis

What is a normal finding regarding muscle strength assessment described in the text?

Demonstrating a 'hitchhiker's sign'

What is the purpose of a 24-hour urine collection in the context of musculoskeletal disorders?

To determine levels of uric acid and calcium excretion

What does an elevated alkaline phosphatase level typically indicate?

Paget's disease

Which condition may be suggested by an elevated serum uric acid level?

Gout

What significance does a decreased serum calcium level hold in the context of musculoskeletal disorders?

Osteomalacia

In the context of musculoskeletal disorders, what does an increased serum phosphorus level suggest?

Bone tumors and healing fractures

Which diagnostic finding may be associated with metastatic bone lesions?

Elevated acid phosphatase level

'Resume bathing and activity as directed by physician' is a teaching point related to:

'Client and Family Teaching 60-1 Musculoskeletal Care'

Where are osteocytes primarily found within the bone structure?

Inside the compact bone

Which bones are classified as irregular bones?

Sternum and vertebrae

What is the primary function of the periosteum in bone structure?

Supply bones with nourishment

What is the primary function of yellow bone marrow?

Store fat cells

Which cells are involved in the resorption and remodeling of bone tissue?

Osteoclasts

What is the composition of bones according to the text?

Cells, protein matrix, and mineral deposits

Where is cancellous or spongy bone primarily located?

At the ends of bones (epiphyses)

What is the main role of osteoblasts in bone metabolism?

Building bones by forming new bone tissue

What is the effect of an adequate calcium intake before the age of 30 on bone mass?

Maximizes peak bone mass

Which curvatures are described in the text as part of spinal inspection?

Kyphosis, Lordosis, and Scoliosis

What does a decrease in the fibrocartilage of intervertebral disks with age cause?

Compression of the spinal column

In older adults, what contributes to a height loss of as much as 1 to 2 cm every two decades?

Thinning and drying of intervertebral disk fibrocartilage

What does bone resorption occurring more rapidly than bone formation lead to?

Greater risk for skeletal fractures

How does age-related decline in estrogen and testosterone production impact bone?

Promotes bone resorption

What contributes to age-related changes affecting the musculoskeletal system in older adults?

Hereditary genetic patterns

How can older adults delay the decline in muscle strength and bone mass according to the text?

Regularly engaging in physical activity

What is the primary function of synovial fluid in diarthrodial joints?

Reducing friction during joint movement

In musculoskeletal disorders, what is the significance of obtaining a family history?

To identify if relatives have had similar symptoms

What is the primary function of tendons in relation to muscles?

Attach muscles to bone surfaces

How do ligaments contribute to joint stability?

By stabilizing adjacent movable bones

What is the characteristic of smooth muscles in the body?

Respond to involuntary impulses

What is the primary purpose of a bursa in the musculoskeletal system?

Prevent bone-to-bone contact at joints

Why is a thorough neurovascular assessment essential for clients with musculoskeletal disorders?

To detect alterations in nerve and blood supply

What is the purpose of checking capillary refill time in the musculoskeletal assessment?

To evaluate peripheral circulation

What is the main role of an arthrogram in diagnostic testing?

To visualize abnormal joint surfaces and movements

When might a bone scan be ordered in the context of musculoskeletal assessment?

To detect metastatic bone lesions and fractures

What does a Fracture Risk Assessment Tool (FRAX) consider when predicting a client's fracture risk?

Clinical risk factors and bone density results

In musculoskeletal assessment, what does an electromyography (EMG) primarily evaluate?

Muscle weakness or deterioration

What is the significance of aspirating synovial fluid in arthrocentesis?

To analyze the composition of synovium

Which procedure involves internal inspection of a joint using an arthroscope?

Arthroscopy

What is the primary function of an arthroscopy procedure?

Visualizing internal structures of a joint

What does an elevated acid phosphatase level typically indicate in the context of musculoskeletal disorders?

Paget's disease

In the context of musculoskeletal disorders, what does a decreased serum calcium level potentially suggest?

Osteomalacia

What is the significance of an elevated serum uric acid level in the context of musculoskeletal disorders?

Gout

Which musculoskeletal disorder could be suggested by an increased serum phosphorus level?

Bone tumors

What is the potential implication of having an elevated antinuclear antibody level in the context of musculoskeletal disorders?

Systemic lupus erythematosus

Why might a nurse order a 24-hour Urine analysis for a patient with musculoskeletal issues?

To measure serum uric acid levels

What is the possible interpretation of an elevated alkaline phosphatase level in relation to musculoskeletal conditions?

'Decreased serum calcium level'

Which type of bone tissue is described as light and containing many spaces?

Cancellous (spongy) bone

What is the primary role of osteocytes in bone structure?

Mature bone cells

Where is red bone marrow primarily found in the human body?

In the sternum and ileum

What is the main benefit of adequate calcium intake before the age of 30?

Maximizing peak bone mass

What is the main function of periosteum in relation to bones?

Supplying bones with nourishment

What does an exaggerated convex curvature of the thoracic spine refer to?

Kyphosis

Which type of bone cells are responsible for the destruction, resorption, and remodeling of bone?

Osteoclasts

In the musculoskeletal assessment, what can an absence of local edema indicate?

Normal tissue hydration

In which part of bones is cortical or compact bone primarily found?

Diaphyses

What is the composition of bones that includes cells, protein matrix, and mineral deposits?

All of the above

What is a potential consequence of bone resorption exceeding bone formation with age?

Higher susceptibility to osteoporosis

What is a common sign of abnormal circulation in neurovascular assessment?

Pale skin color

What is the primary function of yellow bone marrow in the human body?

Consists primarily of fat cells and connective tissue

Which neurological nerve damage can manifest as the 'hitchhiker's sign'?

Radial nerve

What contributes to a decrease in muscle strength and bone mass among older adults?

Hypercalciuria and malabsorption

What is the primary function of osteocytes within the bone structure?

'Communicating' between bone cells

What is the primary function of the synovial membrane in diarthrodial joints?

Acting as a lubricant by producing synovial fluid

Which type of cartilage is found in the larynx, epiglottis, and outer ear?

Elastic cartilage

In the context of musculoskeletal disorders, what is the main purpose of bursae?

Reducing friction between areas

Where are smooth muscles mainly found in the body?

In the walls of certain organs or body cavities

What is the characteristic of amphiarthrodial joints?

Slightly movable joints found at suture lines in the skull

What is the primary role of ligaments in the musculoskeletal system?

Stabilizing bones and keeping joints properly aligned

How do skeletal muscles differ from smooth muscles?

Skeletal muscles are voluntary while smooth muscles are involuntary

'What type of joint is a gliding joint like the one found in fingers?'

'Diarthrodial joint'

What is the primary purpose of bone densitometry, also known as a DEXA scan?

To predict a client's fracture risk

In musculoskeletal assessment, what is the significance of checking capillary refill time?

To assess tissue perfusion

What is the primary purpose of arthrocentesis in the context of musculoskeletal procedures?

To aspirate synovial fluid

Why might a bone scan using intravenous radionuclide injection be ordered?

To detect metastatic bone lesions

What is the primary purpose of electromyography (EMG) testing?

To differentiate muscle and nerve problems

What is the main role of an arthrogram in diagnostic testing?

To visualize internal joint structures

What is the primary function of an arthroscopy procedure?

To internally inspect a joint

What does the Fracture Risk Assessment Tool (FRAX) help predict?

The risk for having osteoporosis

What does an elevated alkaline phosphatase level typically indicate in the context of musculoskeletal disorders?

Metastatic bone lesions

In the context of musculoskeletal disorders, what does an increased serum phosphorus level suggest?

Bone tumors

What is the potential implication of having an elevated antinuclear antibody level in the context of musculoskeletal disorders?

Systemic lupus erythematosus

What is the significance of obtaining a family history in musculoskeletal disorders?

Predicting fracture risk

Why might a nurse order a 24-hour Urine analysis for a patient with musculoskeletal issues?

To determine levels of uric acid excretion

What is the main function of the periosteum in bone structure?

Nutrient and blood vessel supply to bones

What is the primary function of cartilage in joints?

Joint stability and cushioning

What is the main purpose of elevating the entire leg without flexing the knee after arthroscopy?

Help reduce swelling in the knee joint.

Test your knowledge on nutrition and musculoskeletal assessments. Topics include peak bone mass, calcium intake, bone density, and neurovascular assessment findings. Learn about normal and abnormal circulation and capillary refill.

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