Nurs 611 Final Exam Study Guide

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Nurs 611 Final Exam Study Guide 1. 3 types of joints: 1. Synovial (freely movable, knee and shoulder) 2. Cartilaginous (slightly movable, vertebral bodies, symphysis pubis, sternomanubr- ial joint) 3. Fibrous (immovable, skull sutures) 2. Types of synovial joints: 1. Ball and socket (shoulder/hip) 2. Hinge (wrist, interphalangeal joints of hands/foot) 3. Condylar (knee, temporomandibular joint) 3. Tips for assessing joint pain: 1. Point to the pain 2. Clarify onset, mechanism of injury, activity 3. Articular or extraarticular, acute or chronic, inflammatory or noninflammatory, localized (monoarticular) or diffuse (polyarticular) 4. Clarify the attributes of each symptom including context, associations, etc. 5. Symptom analysis 4. Describe the following types of pain Muscle Nerve root Nerve Sympathetic nerve Bone Fracture Vascular: Muscle: dull, cramping, aching Nerve root: sharp shooting nerve: sharp, lightening like Sympathetic: burning, pressure like, stinging Bone: deep, nagging, dull Fracture: sharp, severe, intolerable Vascular: throbbing, diffuse 5. Red flags for lower back pain: Age <20 or >50 History of cancer Unexplained weight loss, fever, or general decline in health Pain lasting >1mo, unresponsive to treatment Pain worse at night or present at rest history of IVDA, addiction, immunosuppression Presence of active infection or HIV Long term steroid therapy Saddle anesthesia Bladder or bowel incontinence Neurological deficits Lower extremity weakness 6. Shoulder pain can be two nonmusculoskeletal reasons: Referred abdominal pain Cardiac pain 7. Hawkins test Indication Movement Positive: Subacromial impingement 90 degree arm, 90 degree elbow flexed Forcibly internally rotate Positive if pain, nerve burning 8. Empty can test Indication Movement Positive: Impingement, rotater cuff tear ARms elevated 90 degrees, then internally rotate 30 degrees (dumping out cans) Resist abduction Unable, positive 9. Apley's test Indication Movement Positive: Rotator cuff tendonitis REach overhead, reach behind as far as possible

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