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nur 203 musculo-skeletal
nur 203 musculo-skeletal
75
Nursing
Undergraduate 2
12/04/2010

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Term
bones
Definition
provide structure, give protection, serve as levers, sotre calcium, and produce blood cells
Term
compact bone
Definition
hard and dense. makes up the outter layers and the shaft
Term
spongy bone
Definition
contains numerous spaces and makes up the ends and centers of the bone. 
Term
osteoblasts
Definition
cells that form bone tissue
Term
osteoclasts
Definition
break down bone tissue
Term
periosteum
Definition
covers the bone and contains osteoblasts that promote nourishment and formation of new bones
Term
tendons
Definition
fibrous cords that attach bones to muscles
Term
abduction
Definition
moving away from the midline of the body
Term
adduction
Definition
moving towards the midline of the body
Term
inversion
Definition
moving inward
Term
eversion
Definition
moving away from the body
Term
extension
Definition
straightening of the extremity joint and increasing of the joint
Term
flexion
Definition
bending the extremity at the joint and decreasing the angle of the joint
Term
dorsiflexion
Definition
toes drawn up to the ankle
Term
plantar flexion
Definition
toes point away from the ankle
Term
protraction
Definition
moving forward
Term
retraction
Definition
moving backwards
Term
what are the 3 types of joints?
Definition
fibrous, cartilaginous, and synovial
Term
fibrous joints
Definition
immovable. found in skull sutures
Term
cartilaginous joints
Definition
joints in the vertabra joined by cartilage
Term
synovial joints
Definition
contain a spca inbetween bones that has synovial fluid. 
Term
T OR F: bones in synovial joints are filled with synovial fluid that serve to cushion the bone?
Definition
true!
Term
bursae
Definition
small saqc filled with synovial fluid that can cushion the joint
Term
calcaneus
Definition
heel bone
Term
where is the tibia?
Definition
medial lower leg bone
Term
temperomandibular joint
Definition
open and closes the mouth, project and retracts jaw, moves jaw from side to side
Term
shoulder
Definition
flexion and extension, abduction and adduction, circumduction, rotation
Term
elbow
Definition
flexion and extension of the forearm, supination and pronation of the forearm
Term
knee
Definition
flexion, extension. has fibrocartilaginous discs. many bursae
Term
the achilles tenden is attached to the?
Definition
calcaneous
Term
what tendon attaches the femur to the tibia?
Definition
the medial ligament
Term
what tendon attaches the femur to the fibula?
Definition
the lateral ligament
Term
bone pain is often describes as...?
Definition
deep, dull, and throbbing
Term
joint of murscle pain is described as?
Definition
aching
Term
pain with fractures is usually described as?
Definition
sharp knife like
Term
t or f: motion decreases pain for rheumatoid arthritis?
Definition
true
Term
how does tetanus or polio affect the joints?
Definition
it causes stiffening. 
Term
what puts a client as risk for developement of musculoskeletal problems?
Definition
diabetes mellitis, sickle cell anemia, SLE
Term
what puts woman at a greater risk for osteoporosis?
Definition
late menarche or early menopause
Term
why do diuretics cause muscle weakness?
Definition
they alter the electrolyte levels
Term
how do steroids lead to osteoporosis?
Definition
they deplete bone mass
Term
vitamin c does what?
Definition
promotes the healing of tissues and bones
Term
a vitamin d deficiency can cause?
Definition
osteomalacia
Term
what can happen with over use of high heels?
Definition
contracture of the achilles tendon
Term
how do you inspect and palpate the TMJ?
Definition
open mouth, tips of fingers in joint space, move the jaw from side to side, protrude the jaw, retract jaw
Term
falling backwards easily is seen with?
Definition
cervical spondylosis and parkinson's disease
Term
symptoms of arthritis?
Definition
decrease ROM, swelling, tenderness, or crepitus. 
Term
the cervical and lumbar spines are what shaped?
Definition
concave
Term
the thoracic spine is?
Definition
convex
Term
a flattended lumbar curvature is due to?
Definition
a herniated disc
Term
an exagerated lumbar curvature can be due to?
Definition
lordosis. caused by obesity and pregnancy
Term
lasegues test
Definition
used for low back pain. checks for herniated discs. lift legs straight to point of pain then dorsiflex foot. 
Term
unequal leg lengths are often assoiated with?
Definition
scoliosis
Term
the inability to shrug the shoulders against resistance can be due to?
Definition
a lesion on spinal nerve XI
Term
 what can be seen in rheumatoid arthritis?
Definition
tenderness and nodules
Term
snuffbox tenderness can be indicative of?
Definition
a scafoid fracture
Term
phalen test
Definition
ask the client to place the back of both hands together while flexing the wrist at 90. hold for 60 sec's. 
Term
what would be a abnormal phalen test?
Definition
tingling numbess, and pain which can be indicative of carpal tunnel syndrom
Term
closing the mouth checks for?
Definition
trigeminal nerve V integrity
Term
tinels sign
Definition
percussing lightly over the median nerve. any pain etc is indicative of carpal tunnel syndrome
Term
what deformities are often seen with rheumatoid arthritis?
Definition
boutonniere deformity and swan neck deformity
Term
the inability to extend the ring and little fingers is seen with?
Definition
dupuytren's contracture. 
Term
heberden's nodes
Definition
hard, painless nodules over the distal interphalangeal joints
Term
inability to abduct hip is commonly seen with?
Definition
hip disease
Term
swelling tests
Definition
stroke the medial side of the knee 3 times, then press on the lateral side of the knee, look for a buldge on the medial side of knee
Term
ballottement test
Definition
helps detect large amounts of fluids, displaces fluid in the suprapatellar bursa. a fluid wave or click is due to meniscal tears
Term
a positive mcmurray test
Definition
pain or clicking when knee is knee and hip are flexed. 
Term
bunion
Definition
painful inflammed bursa
Term
ples planus
Definition
flat feet
Term
corns
Definition
painful thickening of the skin at pressure points
Term
painful warts
Definition
platar warts. verruca vulgaris
Term
ganglion
Definition
a round, enlarged, swollen, fluid filled cyst. 
Term
fascia
Definition
muscle sheath that assists with posture. allows body heat to move
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