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MSK Disorders 36
| Question | Answer |
|---|---|
| Depression, smoking, obesity and stress | frequent co morbidities with Low back pain |
| Low back pain related to these is typically aggravated by activity , whereas pain due to other conditions is not | musculoskeletal disorders |
| Depression, smoking, obesity and stress | frequent co morbidities with Low back pain |
| pain that is described as radiating down the leg ( from a diseased nerve root ) | radiculopathy |
| Low back pain related to these is typically aggravated by activity , whereas pain due to other conditions is not | musculoskeletal disorders |
| These are subjected to the greatest amount of mechanical stress and the greatest amount of degeneration | The lower lumbar discs L4-L5 and L5-S1 |
| pain that is described as radiating down the leg ( from a diseased nerve root ) | radiculopathy |
| These are subjected to the greatest amount of mechanical stress and the greatest amount of degeneration | The lower lumbar discs L4-L5 and L5-S1 |
| low back pain lasting longer than 3 months | chronic low back pain |
| pain that is described as radiating down the leg (from an inflamed sciatic nerve root) | sciatica |
| cauda equina sy | |
| Disc protrusion or facet joint changes can cause pressure on the nerve roots as they leave the spinal canal which results in ..... | pain that radiates along the nerve |
| low back pain that lasting less than 3 months | acute low back pain |
| low back pain lasting longer than 3 months | chronic low back pain |
| pain that is described as radiating down the leg (from an inflamed sciatic nerve root) | sciatica |
| results from compression of the bundle of spinal nerves that arise from the lower portion of the spinal cord. | cauda equina syndrome |
| is characterized by parathesias in the perineal, inner thigh, or buttock region | saddle anesthesia |
| Why is cauda equina syndrome considered a medical emergency? | If treatment is delayed nerve damage can occur |
| Treatment of cauda equina syndrome may consist of ...... | surgical removal of vertebral fragments or decompression of tumor mass |
| This diagnostic study would be useful to help identify underlying soft tissue lesions adjacent to the vertebral column and problems of vertebral discs. | CT Scan |
| This diagnostic procedure may be used when a MRI is contraindicated | Myelogram |
| These are essential for avoidance of recurrence of low back pain | Good body mechanics and good posture |
| What action is recommended for clients who are required to stand for long periods? | To shift weight frequently and rest one foot on a low stool |
| What information is important when teaching a client about lifting properly? | Using the strong quadricep muscles of the thigs with minimal use of the weak back muscles. Place feet apart for a wide base of support |
| May occur as the result of articular cartilage wear and bone erosion | Loose bodies "joint mice" |
| When inflammation of the fluid filled sacs that prevent friction between joint structures | bursitis |
| Inflammation of the muscle sheath tendons that occurs with repetitive stretching | Tendonitis |
| Conservative treatment for tendonitis and bursitis include..... | rest of the extremity, intermittent ice and heat and NSAIDS |
| A general term that describes impaired movement of the rotator cuff of the shoulder is usually the result of repetitive overhead moovement of the arm | impingement syndrome |
| This may be elicited in clients with carpal tunnel syndrome by percussing lightly over the median nerve producing tingling numbness or pain | Tinel sign |
| This condition is an entrapment neuropathy that occurs when the median nerve at the wrist is compressed by thickened flexor tendon sheath, skeletal encroachment, edema, or a soft tissue mass. | Carpal Tunnel Syndrome |
| a collection of neurologic gelatinous material near the tendon sheath and joints Appears round firm and cystic | Ganglion |
| Is a slowly progressing contracture of the palmar fascia that causes flexion of the fourth, fifth and sometimes the middle finger rendering these fingers more or less useless | Dupuytren Disease |
| After hand or wrist surgery hourly neurovascular checks is essential for monitoring for.... | function of the nerves and perfusion |
| A thickened area of the skin that has been exposed to persistent pressure or friction | Callus |
| An area of hyperkeratosis produced by internal pressure or external pressure | Corn |
| A flexion deformity of the interphalangeal joint. May involve several toes | Hammer toe |
| Another name for ingrown toe nail. The free edge af a nail penetrates the surrounding skin | Onychocryptosis |
| Describes a foot with an abnormally high arch and a fixed equines deformity of the forefoot | Pes Cavus |
| A deformity in which the great toe deviates laterally | Hallux valgus |
| Swelling near the third (lateral) branch of the median plantar nerve results in throbbing burning pain that is usually relieved with rest and massage | Morton Neuroma |
| Condition in which the longitudinal arch of the foot is diminished. | Pes Planus |
| An inflammation of the foot-supporting fascia causing heel pain experienced with the first steps in the morning pain diminishes with gentle stretching | Plantar fasciitis |
| This condition is a non inflammatory degenerative disorder of the joints. is limited to the affected joints with no systemic effects. | Osteoarthritis |
| By 40 years of age this percentage of the population has degenerative changes in their weight bearing joints even though they may have no clinical manifestations | 90% |
| The bony plate t which articular cartilage is attached. | subchondral bone |
| a lubricated sooth tissue that protects the bone from damage with physical activity | articular cartilage |
| Bone spurs that protrude into the joint space | osteophytes |
| The most prominent modifiable risk factor associated with osteoarthritis | obesity |
| the injection of gel-like substances (most often hyaluronates) into a joint space | viscosupplementation |
| the surgical removal of an unhealthy joint and replacement of joint surfaces with metal or synthetic materials | Arthroplasty |
| death of tissue due to insufficient blood supply | avascular necrosis |
| An abduction pillow is used after total hip arthroplasty to..... | prevent dislocation of the prothesis |
| low bone mineral density | osteopenia |
| Is the result of medications or diseases that affect bone metabolism | secondary osteoporosis |
| Peak bone mass is achieved between these ages | 18-25 years of age |
| a fracture that occurs when one falls from their natural height or lower or falls at a low velocity | fragility fracture |
| is characterized by reduced bone mass, deterioration of the bone matrix and diminished bone architectural strength | osteoporosis |
| a metabolic bone disease characterized by inadequate maintenance of bone. As a resullt the skeleton softens and weakens | osteomalacia |
| a disorder of localized rapid bone turnover most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae | Padget's Disease of the bone |
| an infection of the bone that results in inflammation, necrosis and formation of new bone | Osteomyelitis |
| The most common type of benign bone tumor usually occurs as a large projection of bone at the end of long bones | osteochondroma |