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EXAMINATION OF THE MUSCULOSKELETAL SYSTEM

Student__________________________ Date______ Examiner___________________________


TOTAL POINTS__________ (104)

TIME__________ (30 min)

Correctly
Completed

1.

Wash hands

VITAL SIGNS (patient seated)

2.

Take blood pressure - bilateral

3.

Palpate radial arteries for rate, rhythm and symmetry.

4.

Determine respiratory rate

5.

Pain assessment

GAIT

6.

Observe the patients ability to rise from chair.

7.

Note gait/balance

8.

Note heel/toe (tandem walking)

9.

Observe lower limb alignment.

HEAD AND NECK (patient standing)


Inspection: (from behind)

10.

Inspect cervical spine for:


a. alignment
b. posture
c. cervical curve

Palpate from behind the patient:

11.

Sternocleidomastoid Lymph Nodes, Masses

12.

Cervical lymph nodes

13.

Thyroid

14.

Supraclavicular fossa - Bilaterally

15.

Spinous processes of the cervical spine

16.

Trapezius muscles

17.

Paraspinal muscles

18.

Parascapular muscles

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Pass Repeat

Student______________________________

Correctly
Completed
Range of motion (ROM) of cervical spine

19.

Extension

20.

Flexion

21.

Rotation

22.

Lateral bend

THORACOLUMBAR SPINE (patient standing)


Inspection for curvatures:

23.

Cervical spine (lordosis)

24.

Thoracic curve (kyphosis)

25.

Lumbar curve (lordosis)

26.

Iliac crest height

Palpation

27.

Spinous process

28.

Paraspinal muscles

29.

SI joints.

Range of Motion (ROM) with pelvis stabilized by examiner

30.

Lateral bend

31.

Extension

32.

Flexion check for scoliosis

SHOULDER (patient seated), bilateral


Inspection

33.

Inspect shoulder for atrophy, deformity, posture, contours

Palpation - bilateral

34.

Sternoclavicular joint

35.

Acromioclavicular joint

36.

Subacromial / anterior great tuberosity area over supraspinatous insertion

37.

Crepitus with passive range of motion

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Student______________________________

Correctly
Completed

Patient Seated, Bilateral Active Range of Motion

38.

Forward elevation

39.

Internal rotation

40.

Cross Body Adduction

41.

Full Extension (supraspinatus against resistance)

42.

External Rotation (infraspinatus against resistance)

ELBOW (patient seated) bilateral


Inspection

43.

Deformity and swelling

Palpation for tenderness

44.

Olecranon process

45.

Lateral epicondyle

46.

Medial epicondyle

47.

Radial head with supination and pronation

48.

Ulnar groove

Range of Motion (ROM)

49.

Alignment and carrying angle

50.

Flexion

51.

Extension

WRISTS AND HANDS (patient seated) bilateral


Inspection

52.

Inspect for swelling, deformity, atrophy

Palpation

53.

Radial and ulnar pulses

54.

Synovitis, bogginess of joints, crepitus

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Student______________________________

Correctly
Completed

Range of Motion (ROM) of wrist

55.

Flexion

56.

Extension

57.

Radial deviation

58.

Ulnar deviation

59.

Supination

60.

Pronation

Range of Motion (ROM) of hand (fingers)

61.

Flexion

62.

Extension

63.

Abduction

64.

Adduction

65.

Opposition

LYMPHATICS - bilateral

66.

Axillary lymph nodes Pectoral, Subscapular, Humeral, Deep Central

Reflexes (upper extremity) - bilateral

67.

Biceps

68.

Triceps

FOOT AND ANKLE

(patient seated) - bilateral

Inspection

69.

Deformity (claw, bunion)

70.

Swelling, corns, calluses

71.

Vascular assessment (nails, hair distribution)

Palpation

72.

Posterior tibial and dorsal pedis pulses

73.

Joint bogginess and synovitis

74.

Achilles tendon

75.

Metatarsal head

11-12

Student______________________________

Correctly
Completed

Range of Motion (ROM) Passive

76.

Forefoot and midfoot. (pronation, supination)

77.

Subtalar. (eversion, inversion)

78.

Tibiotalar. (dorsiflexion, plantar flexion)

Reflex

79.

Achilles tendon

KNEE (patient seated) - bilateral


Inspection

80.

Inspect knee for swelling, redness, deformity

Palpation

81.

Palpate for patellar crepitus with passive ROM

82.

Hip Rotation with passive ROM

Range of Motion (ROM) active

83.

Flexion

84.

Extension

Reflex

85.

Patellar reflex

KNEE (patient supine) - Bilateral

86.

Swelling, deformity, atrophy

87.

Effusion (Ballotable Patella)

Palpation with Knee Flexed

88.

Medial joint line

89.

Tibial tubercle

90.

Patellar tendon

91.

Pes Anserine Bursa

11-12

Student______________________________

Correctly
Completed

Stress Maneuvers patient supine

92.

Lachman test - anterior cruciate ligament (ACL)

93.

Varus stress - lateral collateral ligament

94.

Valgus stress - medial collateral ligament

95.

Drawer test - ACL and posterior cruciate ligament (PCL)

HIP bilateral patient supine


Inspection

96.

Inspect hip for swelling, deformity, atrophy

Range of Motion (ROM)- passive

97.

Flexion

98.

Extension

99.

Abduction - stabilize pelvis

100.

Adduction

101.

External rotation

102.

Internal rotation

Log Roll Patient onto Sides - Bilateral

103.

Palpation of Trochanteric bursa bilateral

Patient Supine

11-12

104.

Palpate Femoral triangle bilateral (lymph nodes, pulse, masses)

Student________________________________

Repeat

PRESENTATION

INTERPERSONAL SKILLS

COMMENTS __________________________________________________________________________

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