NU 650 Musculoskeletal Questions With Complete Solutions

Articular correct answer: joint (synovium, synovial fluid, articular cartilage, intrarticular ligaments, joint capsule, juxta-articular bone) deep defuse pain, limited active and passive ROM, swelling, crepitation, instability, locking, deformity non-articular correct answer: painful active but not passive ROM dorsiflexion correct answer: bending of the foot or the toes upward plantarflexion correct answer: Ankle movement pointing the foot downward inflammatory conditions correct answer: swelling, erythema, morning stiffness, symmetric pain even at rest increased C-reactive protein and erythromycin sedimentation rate dx of gout correct answer: intracellular monosodium urate crystals on polarized microscopy-obtained by aspiration of joint fluid osteoarthritis correct answer: noninflammatory affects few joints, typically weight bearing joints (spine, knees) myotome correct answer: muscle or group of muscles supplied by a specific spinal nerve C4: lower neck, trapezius C5/C6: deltoid/biceps: shoulder shrug, elbow flexion; test with bicep and brachoradialus reflex C6/C7: Triceps: elbow extension; test with tricep reflex C8/T1: finger flexion/extension, thumb opposition, abduction T1-T12: intercostal and abdominal muscles L2/L3: hip flexion L2-L4: hip adduction/quads L4/L5: ankle dorsiflexion (heel walking), great toe dorsiflexion; test with patellar reflex S1/S2: ankle plantar flexion (toe walking); test with achilles reflex