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1. When examining the foot of a patient, the nurse practitioner notes
tenderness of the posterior medial malleolus. This could be suggestive of: -
Correct Answer: Tibial tendinitis
2. When testing hand grip strength on a patient, the nurse practitioner asks
the patient to squeeze which finger(s)?: - Correct Answer: Second and
third fingers
3. A thickened nodule overlying the flexor tendon of the 4th finger and
possibly the 5th finger near the distal palmar crease is suggestive of: -
Correct Answer: Dupuytren's contracture
4. The forward slippage of one vertebrae resulting in spinal cord compression
is referred to as: - Correct Answer: Spondylolisthesis
5. Apatient complains of shooting pains below the knee radiating into the
lateral leg and calf. This type of low back pain is referred to as: - Correct
Answer: radicular low back pain
,6. Thenar atrophy suggests: - Correct Answer: A median nerve disorder
7. What test is performed when the nurse practitioner instructs the patient to
hold his wrists in flexion for 60 seconds while pressing back on his hands
together to form right angles: - Correct Answer: phalen's test
8. When inspecting the should and shoulder girdle, the rounded lateral aspect
of the should appears flattened. This finding could be associated with: -
Correct Answer: Anterior should dislocation
9. When inspecting the shoulder and shoulder girdle, an elevation of the right
should was noted this finding could be associated with: - Correct
Answer: Scoliosis
10.On examination of the foot, the nurse practitioner notes acute
inflammation of the first metatarsophalangeal joint. This finding could be
consistent wit h - Correct Answer: Gout
11.Decreased spinal mobility in the lumbar region could be suggestive of: -
Correct Answer: osteoarthritis
12.When performing a musculoskeletal examination, the nurse practitioner
instructs the patient to move his arm behind himself. This motion of the
should girdle would be an example of: - Correct Answer: Extension
,13.Passive flexion, valgus stress, and internal rotation of the lower leg evaluate
the: - Correct Answer: medial meniscus
14.A 35 year old female patient presents to the nurse practitioner with
complaints of pain in the joints of both hands accompanied by stiffness,
especially in the morning with tenderness and warmth to touch.
Examination reveals swelling of the synovial tissue and limitation of motion.
These findings are consistent with: - Correct Answer: rheumatoid
arthritis
15.With the patient in the dorsal decubitus position, have him slowly extend
the knee while maintaining the varus stress and external rotation. If a snap
on the medial joint line is palpated, this may indicate a positive test for a : -
Correct Answer: medial meniscal tear
16.After attempting to elicit the Moro reflex in a newborn, the nurse
practitioner identifies absence of movement of the left arm. The next
assessment would be to: - Correct Answer: examine the clavical
17.When examining the foot of a patient, the nurse practitioner notes a bony
projection along the edge of the right calcaneus with minimal pain and
tenderness to touch. This could be suggestive of: - Correct Answer: a
bone spur
18.When performing a spinal exam, the nurse practitioner notices unequal
heights of the iliac crest. This finding could be suggestive of: - Correct
Answer: unequal leg length
, 19.To palpate the medial meniscus, slightly internally rotate the tibia and
palpate the medial soft tissue along the: - Correct Answer: upper edge
of the tibial plateau
20.The medial and lateral menisci: - Correct Answer: cushions the action
of the femur on the tibia
21.The nurse practitioner instructs the patient to lie supine, bend his knee, and
turn his lower leg and foot away from the midline. This maneuver would
assess hip: - Correct Answer: internal rotation
22.The nerve that provides sensation to the palm and palmar surface of most
of the thumb, second and third fingers, and half of the fourth digit is the: -
Correct Answer: median nerve.
23.When performing a spinal exam, the nurse practitioner noted the
appearance of poor posture and a "hump" appearance of the upper back.
This finding could be suggestive of: - Correct Answer: Thoracic kyphosis
When evaluating a patient who complains of thumb pain, the nurse practitioner
would test thumb movement by instructing the patient to place his thumb in the
palm and then move the wrist toward the midline in ulnar deviation. This
maneuver is commonly known as: - Correct Answer: Finkelstein's test