NP Cert Exam -
Musculoskeletal Disorders
Exams Questions with Correct
Answers
User [Date] [Course title]
,1. The most common cause of acute bursitis is:
A. inactivity.
B. joint overuse.
C. fibromyalgia.
D. bacterial infection. - Correct Answer: 1. Correct: B. joint overuse.
Possessing a knowledge of risk factors for a specific condi-
tion can be important in guiding patient care and counsel-
ing patients on how to prevent the condition in the future.
Joint overuse is the most common cause of acute superficial
bursitis (B).
Incorrect:
Other common risk factors for bursitis include
trauma or arthritic conditions such as RA and OA.
Bacterial infection is a cause of septic bursitis, which
occurs much less frequently than bursitis caused by
joint overuse (D). Inactivity is not a risk factor for
bursitis (A) while fibromyalgia does not impact the
bursa in joints (C).
2. A 42-year-old man presents with complaints of sudden-onset swelling and severe pain in both knees.
He reports that he went for a run the day before for the first time in "a long while." Suspecting bursitis,
a first-line treatment option would include:
A. corticosteroid bursal injection.
B. heat to area.
C. weight-bearing exercises.
D. oral NSAIDs. - Correct Answer: 2. Correct: D. oral NSAIDs.
First-line treatment of bursitis would commonly utilize
conservative approaches, which can include rest, ice
,to the affected area, and oral NSAIDs (D). Alternative approaches can be considered if conservative
treatment
does not provide relief within 4 to 8 weeks.
Incorrect:
Conservative approaches should be considered as the
initial treatment approach in bursitis. Cold, rather than
heat, to the affected area can provide relief from pain
and swelling (B). Rest and elevation of the joint should
be encouraged, while weight-bearing exercises should
be avoided (C). With an inadequate response to conser-
vative therapy, alternative approaches can include corti-
costeroid injection (A) or aspiration of bursal fluid.
3. Patients with olecranon bursitis typically present with:
A. swelling and redness over the affected area.
B. limited elbow ROM.
C. nerve impingement.
D. destruction of the joint space. - Correct Answer: 3. Correct: A. swelling and redness over the affected
area.
Presentation of bursitis usually includes complaints of
pain at the joint as well as redness and swelling (A).
Incorrect:
In bursitis, the ROM of the joint is usually normal, though
it can be limited because of pain (B). Bursitis is not typically
associated with nerve impingement (C) or destruction of
the joint space (D).
4. Patients with subscapular bursitis typically present with:
A. limited shoulder ROM.
, B. heat over affected area.
C. localized tenderness under the superomedial angle of the scapula
D. cervical nerve root irritation. - Correct Answer: 4. Correct: C. localized tenderness under the
superomedial
angle of the scapula.
Knowledge of the most common presentation of disease is
critical for safe clinical practice. Common signs of bursitis
include pain, redness, and swelling. In subscapular bursitis,
this can include tenderness under the superomedial angle
of the scapula over the adjacent rib (C).
Incorrect:
Subscapular bursitis will normally present with full
ROM of the shoulder (A) without nerve root impinge-
ment (D). Heat over the affected area is not a typical
finding (B), though this can occur in the presence of
infection (septic bursitis).
5. Patients with gluteus medius or deep trochanteric bursitis typically present with:
A. increased pain from resisted hip abduction.
B. limited hip ROM.
C. sciatic nerve pain.
D. heat over the affected area. - Correct Answer: 5. Correct: A. increased pain from resisted hip
abduction.
Signs of bursitis in the hip can include gait disturbance,
local tenderness, pain on hip rotation, and pain with
resisted hip abduction (A).
Incorrect:
Trochanter bursitis is characterized with normal hip
ROM (B) without sciatic nerve pain (C). Heat over the
Musculoskeletal Disorders
Exams Questions with Correct
Answers
User [Date] [Course title]
,1. The most common cause of acute bursitis is:
A. inactivity.
B. joint overuse.
C. fibromyalgia.
D. bacterial infection. - Correct Answer: 1. Correct: B. joint overuse.
Possessing a knowledge of risk factors for a specific condi-
tion can be important in guiding patient care and counsel-
ing patients on how to prevent the condition in the future.
Joint overuse is the most common cause of acute superficial
bursitis (B).
Incorrect:
Other common risk factors for bursitis include
trauma or arthritic conditions such as RA and OA.
Bacterial infection is a cause of septic bursitis, which
occurs much less frequently than bursitis caused by
joint overuse (D). Inactivity is not a risk factor for
bursitis (A) while fibromyalgia does not impact the
bursa in joints (C).
2. A 42-year-old man presents with complaints of sudden-onset swelling and severe pain in both knees.
He reports that he went for a run the day before for the first time in "a long while." Suspecting bursitis,
a first-line treatment option would include:
A. corticosteroid bursal injection.
B. heat to area.
C. weight-bearing exercises.
D. oral NSAIDs. - Correct Answer: 2. Correct: D. oral NSAIDs.
First-line treatment of bursitis would commonly utilize
conservative approaches, which can include rest, ice
,to the affected area, and oral NSAIDs (D). Alternative approaches can be considered if conservative
treatment
does not provide relief within 4 to 8 weeks.
Incorrect:
Conservative approaches should be considered as the
initial treatment approach in bursitis. Cold, rather than
heat, to the affected area can provide relief from pain
and swelling (B). Rest and elevation of the joint should
be encouraged, while weight-bearing exercises should
be avoided (C). With an inadequate response to conser-
vative therapy, alternative approaches can include corti-
costeroid injection (A) or aspiration of bursal fluid.
3. Patients with olecranon bursitis typically present with:
A. swelling and redness over the affected area.
B. limited elbow ROM.
C. nerve impingement.
D. destruction of the joint space. - Correct Answer: 3. Correct: A. swelling and redness over the affected
area.
Presentation of bursitis usually includes complaints of
pain at the joint as well as redness and swelling (A).
Incorrect:
In bursitis, the ROM of the joint is usually normal, though
it can be limited because of pain (B). Bursitis is not typically
associated with nerve impingement (C) or destruction of
the joint space (D).
4. Patients with subscapular bursitis typically present with:
A. limited shoulder ROM.
, B. heat over affected area.
C. localized tenderness under the superomedial angle of the scapula
D. cervical nerve root irritation. - Correct Answer: 4. Correct: C. localized tenderness under the
superomedial
angle of the scapula.
Knowledge of the most common presentation of disease is
critical for safe clinical practice. Common signs of bursitis
include pain, redness, and swelling. In subscapular bursitis,
this can include tenderness under the superomedial angle
of the scapula over the adjacent rib (C).
Incorrect:
Subscapular bursitis will normally present with full
ROM of the shoulder (A) without nerve root impinge-
ment (D). Heat over the affected area is not a typical
finding (B), though this can occur in the presence of
infection (septic bursitis).
5. Patients with gluteus medius or deep trochanteric bursitis typically present with:
A. increased pain from resisted hip abduction.
B. limited hip ROM.
C. sciatic nerve pain.
D. heat over the affected area. - Correct Answer: 5. Correct: A. increased pain from resisted hip
abduction.
Signs of bursitis in the hip can include gait disturbance,
local tenderness, pain on hip rotation, and pain with
resisted hip abduction (A).
Incorrect:
Trochanter bursitis is characterized with normal hip
ROM (B) without sciatic nerve pain (C). Heat over the
