NGR6202 Final Test M9-13 Questions with
Verified Correct Answers
Willow is a 67-year-old female and her bone mineral density is more than 1 SD below
the young adult reference mean. What is her diagnosis?
A. Normal bone mineral density
B. Osteopenia
C. Osteoporosis
D. Severe osteoporosis
B. Osteopenia
Tinel's sign and Phalen's maneuver are used in identifying a common workplace
condition that the family nurse practitioner recognizes as:
A. Carpal tunnel syndrome
B. Lateral epicondylitis
C. Dupuytren's disease
D. Thoracic outlet syndrome
A. Carpal tunnel syndrome
The clinician suspects that a client has patellar instability. In order to test for this, the
client is seated with the quadriceps relaxed, and the knee is placed in extension. Next the
patella is displaced laterally, and the knee flexed to 30°. If instability is present, this
maneuver displaces the patella to an abnormal position on the lateral femoral condyle,
and the client will perceive pain. Testing for patellar instability in this way is known as:
,A. Apprehension sign
B. Bulge sign
C. Thumb sign
D. Lachman sign
A. Apprehension sign
Felice is a 66-year-old female who complains that walking and prolonged standing
causes pain and weakness in her legs and buttocks. She expresses that she has short-
term relief when she leans on the shopping cart. When she sleeps on her back, she
sometimes wakes up in the night in pain. Which of the following diagnoses is most
likely?
A. Multiple sclerosis
B. Herniated lumbar disc
C. Lumbar spinal stenosis
D. Cervical spondylosis
C. Lumbar spinal stenosis
Sam is a 25-year-old who has been diagnosed with low back strain based on his history
of localized low back pain and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low back pain is a diagnosis of
exclusion. Which of the following symptoms would alert the clinician to the more
serious finding of a herniated nucleus pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the lumbar spine
B. Unilateral radicular pain symptoms that extend below the knee and are equal to or
,greater than the back pain
C. Fever, chills, and elevated erythrocyte sedimentation rate
D. Pathologic fractures, severe night pain, weight loss, and fatigue
B. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain
Which diagnostic test is the diagnostic gold standard for patients that have tendinitis
and have failed conservative treatment?
A. Plain x-ray films
B. MRI
C. CT scan
D. Surgical exploration
B. MRI
Debbie is a 43-year-old female being evaluated for a wrist injury. The clinician is
assessing for median nerve compression by having Debbie maintain forced flexion of
her wrist for 1 minute with the dorsal surface of each hand pressed together. Which of
these tests did the clinician just perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test
B. Phalen's test
, You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion with both
active and passive movement. These findings suggest that the origin of the
musculoskeletal complaint is:
A. Articular
B. Inflammatory
C. Nonarticular
D. Noninflammatory
A. Articular
Connie is a 63-year-old seamstress who presents with pain at the base of her right
thumb on abduction and extension of her right thumb. She also complains of pain on
the radial side of her right wrist with lifting. Which of these diagnostic tests will help to
determine if she has de Quervain's tenosynovitis?
A. Allen's test
B. Phalen's maneuver
C. Tinel's sign
D. Finkelstein's test
D. Finkelstein's test
Chris is a 28-year-old male who complains of lower back pain that began 3 days ago.
The pain is worse when he stands or bends, and it is somewhat relieved when he sits.
The clinician performs the straight-leg raise test and it is negative. Plain film x-ray is
positive. Which diagnosis is most likely?
Verified Correct Answers
Willow is a 67-year-old female and her bone mineral density is more than 1 SD below
the young adult reference mean. What is her diagnosis?
A. Normal bone mineral density
B. Osteopenia
C. Osteoporosis
D. Severe osteoporosis
B. Osteopenia
Tinel's sign and Phalen's maneuver are used in identifying a common workplace
condition that the family nurse practitioner recognizes as:
A. Carpal tunnel syndrome
B. Lateral epicondylitis
C. Dupuytren's disease
D. Thoracic outlet syndrome
A. Carpal tunnel syndrome
The clinician suspects that a client has patellar instability. In order to test for this, the
client is seated with the quadriceps relaxed, and the knee is placed in extension. Next the
patella is displaced laterally, and the knee flexed to 30°. If instability is present, this
maneuver displaces the patella to an abnormal position on the lateral femoral condyle,
and the client will perceive pain. Testing for patellar instability in this way is known as:
,A. Apprehension sign
B. Bulge sign
C. Thumb sign
D. Lachman sign
A. Apprehension sign
Felice is a 66-year-old female who complains that walking and prolonged standing
causes pain and weakness in her legs and buttocks. She expresses that she has short-
term relief when she leans on the shopping cart. When she sleeps on her back, she
sometimes wakes up in the night in pain. Which of the following diagnoses is most
likely?
A. Multiple sclerosis
B. Herniated lumbar disc
C. Lumbar spinal stenosis
D. Cervical spondylosis
C. Lumbar spinal stenosis
Sam is a 25-year-old who has been diagnosed with low back strain based on his history
of localized low back pain and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low back pain is a diagnosis of
exclusion. Which of the following symptoms would alert the clinician to the more
serious finding of a herniated nucleus pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the lumbar spine
B. Unilateral radicular pain symptoms that extend below the knee and are equal to or
,greater than the back pain
C. Fever, chills, and elevated erythrocyte sedimentation rate
D. Pathologic fractures, severe night pain, weight loss, and fatigue
B. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain
Which diagnostic test is the diagnostic gold standard for patients that have tendinitis
and have failed conservative treatment?
A. Plain x-ray films
B. MRI
C. CT scan
D. Surgical exploration
B. MRI
Debbie is a 43-year-old female being evaluated for a wrist injury. The clinician is
assessing for median nerve compression by having Debbie maintain forced flexion of
her wrist for 1 minute with the dorsal surface of each hand pressed together. Which of
these tests did the clinician just perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test
B. Phalen's test
, You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion with both
active and passive movement. These findings suggest that the origin of the
musculoskeletal complaint is:
A. Articular
B. Inflammatory
C. Nonarticular
D. Noninflammatory
A. Articular
Connie is a 63-year-old seamstress who presents with pain at the base of her right
thumb on abduction and extension of her right thumb. She also complains of pain on
the radial side of her right wrist with lifting. Which of these diagnostic tests will help to
determine if she has de Quervain's tenosynovitis?
A. Allen's test
B. Phalen's maneuver
C. Tinel's sign
D. Finkelstein's test
D. Finkelstein's test
Chris is a 28-year-old male who complains of lower back pain that began 3 days ago.
The pain is worse when he stands or bends, and it is somewhat relieved when he sits.
The clinician performs the straight-leg raise test and it is negative. Plain film x-ray is
positive. Which diagnosis is most likely?
