Deck 10: Assessment of the Musculoskeletal System

Question 1

Nuchal rigidity, which is associated with meningitis, is the inability to move the neck side to side, not the inability to move it up and down.

Answer 1

False

Question 2

Upper extremities-note any asymmetry, deformity, swelling, or redness. Compare one extremity to the other. Palpate, flex, and extend each major joint, noting heat, crepitation, or tenderness.

Answer 2

True

Question 3

To check for a meniscal tear, hold the child's heel in one hand and the knee in the other. Rotate the tibia externally and internally while slowly extending the knee, palpating for a click or clunk with possible pain associated.

Answer 3

True

Question 4

If a wide-based stance is seen in a school-aged child, inform the parents that a neurologist or orthopedist evaluation is needed.

Question 5

A severe sprain (grade III)is caused by a complete tear or rupture of a ligament.

Question 6

Match each item to the statement or sentence listed below.

-Stabilizes the hips.

A)Straddle a chair
B)Lordotic
C)Cross arms
D)Rotate at the waist while sitting

Question 7

Match each item to the statement or sentence listed below.

-Tests spinal rotation.

A)Straddle a chair
B)Lordotic
C)Cross arms
D)Rotate at the waist while sitting

Question 8

Match each item to the statement or sentence listed below.

-Normal curvature of the younger child's spine.

A)Straddle a chair
B)Lordotic
C)Cross arms
D)Rotate at the waist while sitting

Question 9

Match each item to the statement or sentence listed below.

-Stabilizes the shoulders.

A)Straddle a chair
B)Lordotic
C)Cross arms
D)Rotate at the waist while sitting

Question 10

Match each item to the statement or sentence listed below.

-Legg-Calve-Perthes disease

A)Adolescent
B)Preschooler
C)School-aged child

Question 11

Match each item to the statement or sentence listed below.

-Slipped capital femoral epiphysis

A)Adolescent
B)Preschooler
C)School-aged child

Question 12

Match each item to the statement or sentence listed below.

-Genu valgus

A)Adolescent
B)Preschooler
C)School-aged child

Question 13

Match each item to the statement or sentence listed below.

-Scoliosis

A)Adolescent
B)Preschooler
C)School-aged child

Question 14

Match each item to the statement or sentence listed below.

-Osgood-Schlatter's disease

A)Adolescent
B)Preschooler
C)School-aged child

Question 15

Match each item to the statement or sentence listed below.

-Flexion deformity

A)Adolescent
B)Preschooler
C)School-aged child

Question 16

Match each item to the statement or sentence listed below.

-Check for flexion deformity by using the ___________ test.

A)Genu varum (bowleg)
B)Genu valgum
C)Avascular necrosis of the femoral head (Legg-Calve-Perthes Disease)
D)Flat-footed
E)Slipped capital femoral epiphysis
F)Thomas.
G)Trendelenburg

Question 17

Match each item to the statement or sentence listed below.

-Knock knee

A)Genu varum (bowleg)
B)Genu valgum
C)Avascular necrosis of the femoral head (Legg-Calve-Perthes Disease)
D)Flat-footed
E)Slipped capital femoral epiphysis
F)Thomas.
G)Trendelenburg

Question 18

Match each item to the statement or sentence listed below.

-Pes planus-collapsed arch or instep of the foot.

A)Genu varum (bowleg)
B)Genu valgum
C)Avascular necrosis of the femoral head (Legg-Calve-Perthes Disease)
D)Flat-footed
E)Slipped capital femoral epiphysis
F)Thomas.
G)Trendelenburg

Question 19

Match each item to the statement or sentence listed below.

-To check for hip girdle weakness, perform the______________ test.

A)Genu varum (bowleg)
B)Genu valgum
C)Avascular necrosis of the femoral head (Legg-Calve-Perthes Disease)
D)Flat-footed
E)Slipped capital femoral epiphysis
F)Thomas.
G)Trendelenburg

Question 20

Match each item to the statement or sentence listed below.

-Should resolve by 7 or 8 years of age.

A)Genu varum (bowleg)
B)Genu valgum
C)Avascular necrosis of the femoral head (Legg-Calve-Perthes Disease)
D)Flat-footed
E)Slipped capital femoral epiphysis
F)Thomas.
G)Trendelenburg

Question 21

Match each item to the statement or sentence listed below.

-Usually occurs in adolescence, but short, obese children with delayed puberty and children during a growth spurt are also prone to this problem.

A)Genu varum (bowleg)
B)Genu valgum
C)Avascular necrosis of the femoral head (Legg-Calve-Perthes Disease)
D)Flat-footed
E)Slipped capital femoral epiphysis
F)Thomas.
G)Trendelenburg

Question 22

Match each item to the statement or sentence listed below.

-Symptoms include limping, decreased range of motion of the hip, and hip pain.

A)Genu varum (bowleg)
B)Genu valgum
C)Avascular necrosis of the femoral head (Legg-Calve-Perthes Disease)
D)Flat-footed
E)Slipped capital femoral epiphysis
F)Thomas.
G)Trendelenburg

Question 23

Inspect muscles for:

A)Symmetry.
B)Redness and swelling.
C)Nodules and atrophy.
D)Crepitation.

Question 24

Start checking for scoliosis in the early school-aged years. Which area is not inspected for scoliosis?

A)Clavicle
B)Shoulders
C)Scapula
D)Hips

Question 25

To evaluate a child's arms, have the child do all of the following except:

A)Have the child flex and extend the wrist.
B)Have the child bend the elbows to 90 degrees.
C)Have the child to pronate (place palms down)and supinate (place palms up)the forearm.
D)Have the child shrug the shoulders.

Question 26

Teaching children guidelines for backpack usage to avoid back pain should include the following:

A)The shoulder straps should be thin.
B)Wear the backpack evenly distributed on both shoulders.
C)The backpack should weigh no more than 30% of a student's body weight.
D)The heaviest items should be placed away from the student's back.

Question 27

If edema is noted above the patella, elicit the "bulge sign." _______________ on the medial aspect of the knee, and then tap the lateral side of the patella. Observe the medial aspect for a bulge, which indicates returning fluid.

Question 28

If in-toeing or out-toeing is seen in the school-aged child and is greater than ____ degrees, refer to orthopedics.

Question 29

The musculoskeletal system consists of bones, joints, and muscles along with _______________________________________.

Question 30

Always do a complete _____________________ inspection, comparing one side with the other.

Question 31

Check for pelvic girdle muscle weakness (Gower's sign), which is seen with muscular dystrophy. With Gower's sign, when a child squats, she is _______________________________________________________________.