Musculoskeletal System

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Author:
Anonymous
ID:
79661
Filename:
Musculoskeletal System
Updated:
2011-04-15 00:00:21
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Musculoskeletal System
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Description:
Health Assessment Ch. 15
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  1. Long bones are generally longer, narrower and denser in _________. They are thus less subject to osteoporosis and other diseases involving bone loss.
    African Americans
  2. RISK FACTORS: MUSCULOSKELETAL
    Tepmoromandibular Joint Dysfunction (TMJ)
    Gender: _________
    Mechanical Factors: (4) __________
    • Females/between puberty-memopause 90%
    • Malocclusion "bad bite" - Bruxism (grinding teeth) abnormal bite and faulty dentures
  3. RISK FACTORS: MUSCULOSKELETAL
    Gout
    Gender: ________
    Diseases: ________
    Medications: ________
    _________
    _________
    _________
    • *Male
    • *Diabetes, hyperlipidemia & arteriosclerosis >risk for gout
    • *Meds: diuretics for hypertension & low dose aspirin >uric acid levels
    • *Alcohol-binge drinking>uric acid levels
    • *Obesity-gaining >30lbs. ideal body wt during adulthood increases risk
    • *Hypertension-25-50% have gout have hypertension
  4. RISK FACTORS: MUSCULOSKELETAL
    Osteoarthritis
    Gender:
    _______
    _______
    _______
    _______
    • *Women >45 years more than men
    • but in men <45 more than women
    • *being OVERWEIGHT puts stress on joint
    • *Repeated cartilage damage
    • *Injury to knee or hip increases risk
    • *Lack of exercise weakens muscles that support joints
  5. RISK FACTORS: MUSCULOSKELETAL
    Osteoporosis
    Age:
    Gender:
    Race:
    __________
    • *Age: bone density < beginning at 35 yrs
    • *Gender: Women have < bone tissue & lose it more redily than men
    • *Race: Whites & asians + risk
    • *Small boned & think women are at +risk
    • *Family history
    • *Cigarette smoking, excessive alcohol, inadequate calcium & inadequate wt bearing exercises + risk
    • *meds: glucocorticoids, thyroid hormone, antacids contining aluminum, cyclosporin A & heparin
    • *Estrogen deficiency from menopause
  6. Bone pain is typically described as:
    • deep
    • dull
    • boring
    • intense
  7. Muscle pain is described as:
    crampy
  8. Sudden onset of pain & erythema in the great toe, ankle & lower leg suggests:
    gout
  9. Pain from _______ & ________ may awaken the client, specially when the client is lying on the affected limb
    rheumatoid arthritis & tendonitis
  10. clients w/ _________experience pain when weight bearing that is releaved by rest
    osteoarthritis
  11. Joint pain that occurs 10-14 days after a sore throat may be associated with:
    rheumatic fever
  12. Screening recommedations for routine osteoporosis should occur for ________
    • women age 65 & older.
    • *for increased risk (low body weight) should begin at 60
  13. Muscle twitching of a single muscle group
    • Fasciculations (localized)
    • *may be caused by side effects of drugs
  14. Involuntary muscle contractions (generalized)
    spasms
  15. Movement in a full circle
    circumduction - combination of all movements of ball-and-socket joint
  16. To bend back as far as possible
    hyperextension
  17. spread apart
    abduction
  18. bring back
    adduction
  19. _______measures the angle of a joint
    goniometer
  20. _____is a posterior curvature (convexity) of the thoracic spine
    Kyphosis
  21. __________is an anterior curvature (concavity) of the spine
    lordosis
  22. ______a lateral curvature of the spine
    scoliosis
  23. Pt should be able to reach _____degrees of flexion while touching his or her toes
    70 degrees
  24. This test is performed by asking the client to flex both wrists and press the dorsum of the hands together for 1 minute
    Phalen's sign - testing for carpal tunnel
  25. This test is performed by tapping on the median nerve where it passes through the carpal tunnel under the flexor retinaculum
    Tinel's sign - carpal tunnel
  26. Rotator cuff damage can be determined with the ________
    drop arm test - abduct the pt affected arm & ask pt to lower arm slowley
  27. This tests for small effusions of the knee
    bulge sign test
  28. This test is used for larger effusions of the knee
    ballottement

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