ADULT MSK (BOARDS REVIEW)
what connect bone to bone? ligaments
what connect muscle to bone? tendon
what are dense connective tissue with no blood supply? cartilage
what is a normal BUN? 10-20
what is a normal creatinine? 0.5 to 1.5
if on NSAIDS, should you test renal and serum cratinine? yes
do ACL and PCS happen in basketball and football players due to the mechanism of injury? yes
should you raise your eyebrows when elderly complain of pain because they have an increased pain
tolerance and a decreased sensation? yes
are medial meniscus tears 10x more common than lateral tears and they have grapefruit swelling and a
"pop" sound? yes
what are these s/s of:
locking
"pop"
,giving way
swelling crepitus
mcmurrays test
lachman test
apleys grind test? knee injury/pain
what does MMM stand for for knee? mc murray, medial, meniscus
what are the 3 tests we do for knee injury or pain? mcmurray test
lachmans test
apleys grind test
what test for the knee is an audible palpable click when the knee is raised slowly with one foot
externally rotated (knee is flexed and then quickly straightened) and the NPs hand rests on the joint line,
the test is positive for medial meniscus injuries? mcmurray test
what test for the knee is a drawer test to assess for anterior/posterior cruciate ligament tear, it is the
most sensitive and easy to perform test on a swollen painful knee, you place the knee in 20-30 degree
flexion, grasp the leg with one hand with anterior force to the proximal tibial (stresses the ACL/PCL)
while the opposite hand stabilizes the thigh and it is graded 1+ to 3_ grade of displacement? lachman
test
what test for the knee is when you flex knee 90 degrees with the patient prone, put pressure on the heel
with one hand while rotating the lower leg internally and externally, pain or click is positive for medial or
lateral collateral ligament damage and/or meniscus injury? apleys grind test
what position are you in for the apleys grind test? prone position
what test shows bone? x ray
, what test shows ligament, tendon, muscle, soft tissue, and tears? MRI
what is the treatment for knee injury/pain? RICE
NSAIDS
ROM
aspiration
referral
what is a stretched, partially torn, or completely ruptured ligament in the ankle? ankle sprain
what type of ankle sprain is the most frequent sports related injury? lateral
do ankle sprains most commonly involve the anterior talofibular and fibulocalcaneal ligaments? yes
what are the different classifications of an ankle sprain? grade 1
grade 2
grade 3
what ankle sprain classification is mild localized tenderness with normal ROM and no disability? grade 1
what ankle sprain classification is moderate/severe pain with weight bearing, difficulty with walking,
swelling, and ecchymosis, and there is pain immediately after injury? grade 2
what ankle sprain classification is impossible to ambulate, resists any motion of feet, "egg shaped"
swelling within 2 hours of injury? grade 3
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