NUR 220 - Musculoskeletal Exam Review
Questions and Correct Answers
Musculoskeletal System
-(3) components?
-Functions
->Provides structure
->Allows movement
->Protects vital organs
->Stores minerals
->Produces blood components (bone marrow) ✅muscles, bones, joints
-.... hold bones together with ligaments and tendons
->.... are bone to bone
->.... are muscle to bone
-.... are fluid-filled sacs which reduce friction and allow free movement of joints.
✅muscles; ligaments; tendons; bursae
Disease and Injury
-Musculoskeletal diseases rank first among disease conditions that alter the .... .... ....
-This relates to limitation of activity, disability, and impairment
-Diseases fall into two categories:
->.... - e.g. rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE)
->.... - e.g. back pain or bursitis
-Injury ✅Quality of Life; systemic; localized
Health History
*Screening for potential problems
-.... history
->Musculoskeletal diseases, e.g. arthritis, gout, congenital defects, or neurological
problems
-.... history
->Fractures, sprains, strains, dislocation
->Sports or trauma
-Associated phenomena
->Fever, chills
->Headache, numbness, tingling, weakness, eye changes
-Chronic vs. acute issues
->.... asymmetry of arm or leg
->Difficulty with .... movement
->Swelling, tenderness, erythema ✅family; injury; bilateral; joint
Focused Subjective Data: JOINTS
, -Do you have any pain in or problems with moving your joints?
-....: How long ago did pain start? What brought it on?
-....: How would you describe the pain? (aching, still, sharp, dull, shooting?
-....: Which joint? One or both sides?
-....: How strong is the pain? (Pain scale)
-....: When does pain occur? (Time of day, situation) How long does it last? How often
does it occur?
-Is pain aggravated by movement, rest, position, or weather; is it relieved by rest,
medications, or application of heat or ice?
-Is pain associated with chills, fever, recent sore throat, trauma, or repetitive activity?
-Do you have any stiffness in your joints?
-Do you have any swelling, heat, or redness in the joints?
-Do you have any limitation of movement in joint? Which joint?
-Which activities give you problems? ✅presentation; quality; location; severity; timing
Focused Subjective Data: MUSCLES
-Any problems, such as pain or cramping? Which muscles
-If in .... muscles: Is there pain with walking? Does it go away with rest?
-Are muscle aches associated with fever, chills, or flu?
-Do you have any .... in your muscles?
-....: Where is the weakness? How long have you noticed it? ✅calf; weakness; location
Focused Subjective Data: ....
-Do you have any bone pain? Is pain affected by movement?
-Do you have any deformity of bones or joint? Is it due to injury or trauma? Does it affect
ROM?
-Have any accidents of trauma ever affected your bones or joints: fractures, joint strain,
sprain, or dislocation? Which ones?
-When did it occur? What treatment was given? Any problems or limitations as a result?
-Do you have any back pain? In which part of your back? Is pain felt anywhere else, like
shooting down leg?
-Do you have any numbness and tingling? Any limping? ✅bones
Functional Assessment of ....
-Do joint, muscle, or bone problems create any limits on your usual ADLs? Explain
->....: Do you have trouble getting in and out of tub or using faucets?
->....: Can you get on and off toilet and wipe yourself?
->....: Can you do buttons, zippers, fasten things behind neck, pull clothes over head,
pull up pants, tie shoes, and can you get shoes that fit?
->....: Can you shave, brush teeth, brush or fix hair, and apply makeup?
->....: Can you prepare meals, pour liquids, cut up foods, bring food to mouth, and
drink?
->....: Can you walk, up and down stairs, get in and out of bed, get out of house?
->....: Can you talk, use the telephone, and write? ✅ADLs; bathing; toileting; dressing;
grooming; eating; mobility; communicating
