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Flashcards in MS exam Deck (19)
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1

Physical Exam steps?
4

Inspection
Palpation
Range of Motion (ROM)
Special Techniques

2

Three parts of ROM?

--Active ROM (AROM)
--Passive ROM (PROM)
--Goniometer

3

Inspection- Begin exam by observing gait and posture when the patient enters the exam room. What positions?
5

Walking
Sitting
Rising from a sitting position
Balance
Limp

4

Looking for the acronym SEADS on inspections?

Swelling
Erythema
Atrophy
Deformity
Symmetry

5

What aspects of posture are we looking at?

Anterior, posterior and lateral

6

In each aspect what are we looking at?
6

1. Asymmetry
2. Alignment
3. Tissues overlying muscles, cartilage, joints
4. Bone enlargement and length
5. Contour, circumference
6. Muscle size

7

Palpate bones, joints, and surrounding muscles for the following:
6

Heat
Tenderness
Swelling
Crepitus (abnormal)
Resistance to pressure
Muscle tone

8

Active ROM and passive ROM for each joint and related muscle group. What should we note?
5

Pain
Limited or spastic movement
Joint instability
Deformity
Contracture
-passive= move them yourself

9

PROM may exceed AROM by how many degrees?

5

10

AROM and PROM should be equal in what kind of joints?

contralateral joints

11

What would dicrepancies in AROM and PROM indicate?

muscle weakness or disorder

12

Muscle Strength
compare bilateral muscles for?
4

Strength
Symmetry
Equality
Resistance

13

What are the Muscle function levels and grades?

5/5 (none at all), 4/5 (gives a little), 3/5
For complete ROM
3/5 is against gravity

14

Temporomandibular Joint (TMJ)
4

Inspect
Palpate
Strength
ROM

15

What muscles are we looking at for strength in TMJ?
2

of temporalis and masseter muscles

16

ROM exercises for TMJ?
4

Open and close mouth
Laterally move the lower jaw to each side
Protrude and retract chin

Dont do passive range of motion for TMJ

17

Cervical Spine inspection?
2

1. Alignment with head and shoulders, posterior and anterior
2. Asymmetric skin folds

18

Cervical spine palpation?
2

1. Note muscle tone
2. symmetry, tenderness, spasms

19

Thoracic and lumbar palpation?

1. Paravertebral muscles
2. Have patient slowly bend forward
-Palpate along the spinal processes of the vertebrae
-Again, observe curvature