NURS 623 UPDATED TESTED QUESTIONS AND ANSWERS
RATED A+
✔✔Symptoms are related to compression of the median nerve, which results in pain,
paresthesia's, numbness and tingling, and associated weakness in the hand and wrist
that radiate to the thumb, index finger, middle finger, and radial half of the ring finger -
✔✔Carpal Tunnel Syndrome
✔✔Form of arthritis characterized by painful flare-ups in joints of distal extremities? -
✔✔Gout
✔✔Pain on the inside of elbow, Elbow stiffness, Hand and wrist weakness, Tingling
sensation or numbness in the fingers, especially the ring and little fingers, Difficulty
moving the elbow - ✔✔Medial Epicondylitis (Golfer's Elbow)
✔✔Can cause neck pain, radiating arm pain, shoulder pain, and numbness or tingling in
the arm or hand. The quality and type of pain can vary from dull, aching, and difficult to
localize to sharp, burning, and easy to pinpoint, Can cause weakness in arm (s) -
✔✔Ruptured Cervical Disc
✔✔In elderly patients, fracture of WHAT would lead to potentially fatal outcomes or
problematic long term issues in elderly patients, - ✔✔Hip Fracture
✔✔What is gold standard test for dx osteoporosis? - ✔✔DEXA Bone Density test
✔✔Was is an important step during examination of an ortho complaint to be able to
have a comparative value of both extremities - ✔✔always exam the non-effected side
and then effected side for comparison
✔✔What medications cause a patient to be at risk for developing osteoporosis? - ✔✔•
Glucocorticoids
• Excessive thyroxine
• Long-term phenytoin
✔✔What populations are at risk for developing osteoporosis? - ✔✔• Age (65+)
* medications
• Family history
• Menopause
• Genetics
✔✔In a patient who is elderly and falls (does not remember the fall), but there is no
clear cause of falls, what should your workup center around? - ✔✔syncope associated
with Cardiac and neurologic causes
, ✔✔If a patient is alert and oriented and refuses to give consent for a procedure, how do
you move forward as a provider? - ✔✔Respec their wishes, Discuss risks of NOT
having procedure, abort procedure, document refusal
✔✔In elderly patients, what factors can contribute to loss of appetite and
malnourishment? - ✔✔*Diminished taste/smell/vision
*dry mouth
*poor dentition
*chronic illness
*meds
*pain
*depression
*loneliness
✔✔How would you assess for a suspected meniscal tear with a physical exam? -
✔✔McMurray circumduction test.
✔✔Which test assesses the integrity of the anterior cruciate ligament? - ✔✔Lachman
✔✔Which test assesses for De Quervain's Tenosynovitis? - ✔✔Finkelstein's
✔✔Pt education for Carpal Tunnel Syndrome - ✔✔* prevent flexion and extension
movements of the wrist.
* Thumb Spika 24/7 x 3 weeks
*ergonomic Modifications
✔✔Patients who would like to incorporate non-traditional therapies for treatment of pain-
how do you respond? - ✔✔Educate on efficacy of other treatments but ultimately allow
them and support them on their own decision as long as the cessation of
pharmacological intervention is not detrimental
✔✔In terms of physical activity in a patient with Osteoporosis, what would encourage -
✔✔*Muscle strengthening activities (Weight Bearing)
*Heat followed by ice
*Physical therapy
✔✔In terms of physical activity in a patient with Osteoporosis, what would Discourage -
✔✔strenuous activity
✔✔Patient education for Osteoporosis - ✔✔* Home environment Safety
* Adequate nutrition (Vit D, calcium, Protein)
* Vit D & Calcium Supplements
*Weight bearing exercises
RATED A+
✔✔Symptoms are related to compression of the median nerve, which results in pain,
paresthesia's, numbness and tingling, and associated weakness in the hand and wrist
that radiate to the thumb, index finger, middle finger, and radial half of the ring finger -
✔✔Carpal Tunnel Syndrome
✔✔Form of arthritis characterized by painful flare-ups in joints of distal extremities? -
✔✔Gout
✔✔Pain on the inside of elbow, Elbow stiffness, Hand and wrist weakness, Tingling
sensation or numbness in the fingers, especially the ring and little fingers, Difficulty
moving the elbow - ✔✔Medial Epicondylitis (Golfer's Elbow)
✔✔Can cause neck pain, radiating arm pain, shoulder pain, and numbness or tingling in
the arm or hand. The quality and type of pain can vary from dull, aching, and difficult to
localize to sharp, burning, and easy to pinpoint, Can cause weakness in arm (s) -
✔✔Ruptured Cervical Disc
✔✔In elderly patients, fracture of WHAT would lead to potentially fatal outcomes or
problematic long term issues in elderly patients, - ✔✔Hip Fracture
✔✔What is gold standard test for dx osteoporosis? - ✔✔DEXA Bone Density test
✔✔Was is an important step during examination of an ortho complaint to be able to
have a comparative value of both extremities - ✔✔always exam the non-effected side
and then effected side for comparison
✔✔What medications cause a patient to be at risk for developing osteoporosis? - ✔✔•
Glucocorticoids
• Excessive thyroxine
• Long-term phenytoin
✔✔What populations are at risk for developing osteoporosis? - ✔✔• Age (65+)
* medications
• Family history
• Menopause
• Genetics
✔✔In a patient who is elderly and falls (does not remember the fall), but there is no
clear cause of falls, what should your workup center around? - ✔✔syncope associated
with Cardiac and neurologic causes
, ✔✔If a patient is alert and oriented and refuses to give consent for a procedure, how do
you move forward as a provider? - ✔✔Respec their wishes, Discuss risks of NOT
having procedure, abort procedure, document refusal
✔✔In elderly patients, what factors can contribute to loss of appetite and
malnourishment? - ✔✔*Diminished taste/smell/vision
*dry mouth
*poor dentition
*chronic illness
*meds
*pain
*depression
*loneliness
✔✔How would you assess for a suspected meniscal tear with a physical exam? -
✔✔McMurray circumduction test.
✔✔Which test assesses the integrity of the anterior cruciate ligament? - ✔✔Lachman
✔✔Which test assesses for De Quervain's Tenosynovitis? - ✔✔Finkelstein's
✔✔Pt education for Carpal Tunnel Syndrome - ✔✔* prevent flexion and extension
movements of the wrist.
* Thumb Spika 24/7 x 3 weeks
*ergonomic Modifications
✔✔Patients who would like to incorporate non-traditional therapies for treatment of pain-
how do you respond? - ✔✔Educate on efficacy of other treatments but ultimately allow
them and support them on their own decision as long as the cessation of
pharmacological intervention is not detrimental
✔✔In terms of physical activity in a patient with Osteoporosis, what would encourage -
✔✔*Muscle strengthening activities (Weight Bearing)
*Heat followed by ice
*Physical therapy
✔✔In terms of physical activity in a patient with Osteoporosis, what would Discourage -
✔✔strenuous activity
✔✔Patient education for Osteoporosis - ✔✔* Home environment Safety
* Adequate nutrition (Vit D, calcium, Protein)
* Vit D & Calcium Supplements
*Weight bearing exercises
