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Musculoskeletal for NP Question and answers already passed
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Musculoskeletal for NP Question and answers already passed What does a ligament connect - correct answer bone to bone What does a tendon connect - correct answer muscle to bone Describe the blood supply to cartilage. - correct answer no blood supply Management for all types of soft t...

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  • August 18, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Musculoskeletal
  • Musculoskeletal

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Musculoskeletal for NP
What does a ligament connect - correct answer ✔bone to bone


What does a tendon connect - correct answer ✔muscle to bone


Describe the blood supply to cartilage. - correct answer ✔no blood supply


Management for all types of soft tissue injuries involves implementation of -
correct answer ✔The R-I-C-E method
Rest
Ice
Compression
Elevation


(Medial/Lateral) meniscus tears are ten times more common than
(medial/lateral) tears and most often associated with sports-related injury. -
correct answer ✔Medial


Lateral


Signs of "locking" may indicate this type of injury - correct answer ✔foreign
body


meniscus tear


Describe the evaluation of a knee injury - correct answer ✔history first

,examine the uninjured knee first
ability to bear weight
stance and gait observed
onset and degree of knee effusion should be noted if present
palpation and stress testing of the injured knee joint
McMruuay's test
Lachman's test
Apley's grind test
X-ray
labe if rheumatoid suspected esp if synovila effusion is present


Describe the McMurray's test - correct answer ✔Place the distal hand on the
foot and raise the knee slowly, keeping the foot and tibia externally rotated
with the proximal hand resting on the joint line. The knee is flexed and then
quickly straightened. If an audible or palpable click occurs during this test, the
outcome is positive for medial meniscal injuries.


Describe the Lachman's test - correct answer ✔A drawer test. Assesses for
anterior and/or posterior cruciate tears.


Flex the knee 20 to 30 degrees. As one hand stabilizes the thigh, the NP
grasps the leg with the other hand and applies anterior force to the proximal
tibia, stressing the anterior cruciate ligament and/or posterior cruciate
ligamine. If the knee has a 1+ to 3+ grade of displacement, the test is positive.


Describe the Apley's grind test. - correct answer ✔flex the patient's knee 90
degrees with the patient in the prone position. The NP places pressure on his
or her heel with one hand while using the other to rotate the patient's lower leg
internally and externally. If there is pain or a click at the knee, the test either is

, positive for damage to the medial or is positive for damage to the lateral
collateral ligament and/or injury to the meniscus.


What is an ankle sprain? - correct answer ✔stretched, partially torn, or
completely ruptured ligaments.


What type of ankle sprain is most frequent type of sports-related injury? What
does it involve injury to? - correct answer ✔Lateral sprains


anterior talofibular and fibulocalcaneal ligaments


How are ankle sprains graded? - correct answer ✔1-3
1. slight stretching or tearing of the legamnet. mild, localized tenderness,
swelling ans stiffness. Normal ROM. Pt able to walk with min pain.
2. Immediate pain after injury. Partial tearing of the ligament. difficulty walking
and mod to severe pain during weight bearing. Mod swelling and tenderness,
ecchymosis and limited ROM.
3. complete rupture or tear of the injured ligament ofr ligaments. Impossible to
ambulate and resistance of any motion of the foot. Sign swelling ("egg-
shaped") within 2 hours of injury; sig tenderness, ecchymosis, instability.


How do you work up an ankle sprain? - correct answer ✔may need x-ray to
determine if fractured
MRI may be ordered if unusual features (like extensive swelling or
ecchymosis continue)


How do you treat an ankle sprain? - correct answer ✔high doses of NSAIDs
RICE
GR I -- weight bearing as tol and isometric exercises, ROM and
stretching/strengthening

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