ONC -ORTHOPEDIC NURSING |ACTUAL QUESTIONS
AND VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
2. A 33-year-old man complains of left anterior shoulder pain for 4 weeks. The pain is
made worse
with overhead activities. On examination, you note maximal pain in the shoulder with
palpation
between the greater and lesser tubercle. Pain in the shoulder is exacerbated when the arm
is held
at the side, elbow flexed to 90° and the patient is asked to supinate and flex the forearm
against
your resistance. On the basis of this presentation, what is the most likely diagnosis?
(A) rotator cuff tendonitis
(B) myocardial infarction
(C) anterior shoulder dislocation
(D) rotator cuff tear
(E) bicipital tendonitis
CORRECT ANSWER
(E) bicipital tendonitis
Question 2
4. A 73-year-old woman presents to the emergency department following a fall in her
home. She
tripped over a throw rug, fell forward, and landed with her arms extended and hands
outstretched. She presents complaining of left wrist pain. Radiographs reveal a dorsally
1
,angulated and displaced distal radius metaphyseal fracture. What is the most likely
diagnosis?
(A) Barton fracture
(B) Colles fracture
(C) Smith fracture
(D) boxer fracture
CORRECT ANSWER
(B) Colles fracture
Question 3
5. Idiopathic osteonecrosis of the femoral head is the most likely diagnosis in which of the
following patients?
(A) Five-year-old boy who complains of significant hip and knee pain
(B) Six-year-old boy who reports a limp and aching in the groin and proximal thigh
(C) Seven-year-old obese girl who manifests a painless limp
(D) Twelve-year-old girl who complains of progressively worsening hip pain, fever, and chills
(E) Eighteen-year-old boy who complains of bilateral hip pain that is worse in the morning
and
is relieved with activity
CORRECT ANSWER
(B) Six-year-old boy who reports a limp and aching in the groin and proximal thigh
Question 4
6. A 22-year-old female person was playing basketball when she tripped and landed on the
pavement with her hands outstretched. She presents complaining of abrasions on the right
thenar
2
,eminence and "wrist pain." Physical examination reveals tenderness to palpation between
the
extensor pollicis longus and the extensor pollicis brevis. Assessment of the median, ulnar,
and
radial nerves reveals no sensor or motor changes when compared with the left hand. Radial
and
ulnar pulses are 2+ bilaterally with capillary refill less than 2 seconds on all five fingers of the
right hand. Posterior-anterior view radiographs of the wrist and posterior-anterior wrist
radiographs with the wrist in ulnar deviation reveal no fractures or dislocations. What is the
appropriate management for this patient at this time?
(A) immediate orthopedic referral
(B) cock-up splint until symptoms resolve
(C) physical therapy referral for assessment an
CORRECT ANSWER
(D) thumb spica splint and repeat radiographs in 3 weeks
Question 5
7. A 53-year-old patient of Scandinavian descent presents with pain in the ring finger of
the right
hand. The patient states that he/she has pain when he/she extends his/her finger after
making a
fist. The finger will not extend on its own, requiring the patient to manually extend the
finger, a
maneuver that produces both an audible snap and considerable pain. What is the most likely
diagnosis?
(A) jersey finger
(B) trigger finger
(C) Dupuytren contracture
3
, (D) gamekeeper finger
(E) ganglion cyst
CORRECT ANSWER
(B) trigger finger
Question 6
9. A 27-year-old woman with no significant medical history presents complaining of left
elbow
pain for 3 days. The patient states that over the last 3 days, her left elbow has become
increasingly red, swollen, and painful. The patient is left-hand-dominant. The patient is
employed as a chiropractor, she is sexually active but denies a history of sexually transmitted
infections. The patient is currently having her menses, denies any recent foreign travel, and
acknowledges that while she regularly plays tennis, she does not recall any history of elbow
trauma. On physical examination, you discover an elbow joint that is markedly
erythematous,
warm to touch, and tender to palpation. Range of motion is decreased secondary to edema
and
pain. Radiograph of the elbow reveals only soft tissue swelling but no fracture or dislocation.
Joint aspiration is performed and a gram-negative diplococcus is identified on cytological
exa
CORRECT ANSWER
(C) Neisseria gonorrhoeae
Question 7
10. A 53-year-old woman presents with pain in her right wrist. The pain is aggravated by
movement
4
AND VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
2. A 33-year-old man complains of left anterior shoulder pain for 4 weeks. The pain is
made worse
with overhead activities. On examination, you note maximal pain in the shoulder with
palpation
between the greater and lesser tubercle. Pain in the shoulder is exacerbated when the arm
is held
at the side, elbow flexed to 90° and the patient is asked to supinate and flex the forearm
against
your resistance. On the basis of this presentation, what is the most likely diagnosis?
(A) rotator cuff tendonitis
(B) myocardial infarction
(C) anterior shoulder dislocation
(D) rotator cuff tear
(E) bicipital tendonitis
CORRECT ANSWER
(E) bicipital tendonitis
Question 2
4. A 73-year-old woman presents to the emergency department following a fall in her
home. She
tripped over a throw rug, fell forward, and landed with her arms extended and hands
outstretched. She presents complaining of left wrist pain. Radiographs reveal a dorsally
1
,angulated and displaced distal radius metaphyseal fracture. What is the most likely
diagnosis?
(A) Barton fracture
(B) Colles fracture
(C) Smith fracture
(D) boxer fracture
CORRECT ANSWER
(B) Colles fracture
Question 3
5. Idiopathic osteonecrosis of the femoral head is the most likely diagnosis in which of the
following patients?
(A) Five-year-old boy who complains of significant hip and knee pain
(B) Six-year-old boy who reports a limp and aching in the groin and proximal thigh
(C) Seven-year-old obese girl who manifests a painless limp
(D) Twelve-year-old girl who complains of progressively worsening hip pain, fever, and chills
(E) Eighteen-year-old boy who complains of bilateral hip pain that is worse in the morning
and
is relieved with activity
CORRECT ANSWER
(B) Six-year-old boy who reports a limp and aching in the groin and proximal thigh
Question 4
6. A 22-year-old female person was playing basketball when she tripped and landed on the
pavement with her hands outstretched. She presents complaining of abrasions on the right
thenar
2
,eminence and "wrist pain." Physical examination reveals tenderness to palpation between
the
extensor pollicis longus and the extensor pollicis brevis. Assessment of the median, ulnar,
and
radial nerves reveals no sensor or motor changes when compared with the left hand. Radial
and
ulnar pulses are 2+ bilaterally with capillary refill less than 2 seconds on all five fingers of the
right hand. Posterior-anterior view radiographs of the wrist and posterior-anterior wrist
radiographs with the wrist in ulnar deviation reveal no fractures or dislocations. What is the
appropriate management for this patient at this time?
(A) immediate orthopedic referral
(B) cock-up splint until symptoms resolve
(C) physical therapy referral for assessment an
CORRECT ANSWER
(D) thumb spica splint and repeat radiographs in 3 weeks
Question 5
7. A 53-year-old patient of Scandinavian descent presents with pain in the ring finger of
the right
hand. The patient states that he/she has pain when he/she extends his/her finger after
making a
fist. The finger will not extend on its own, requiring the patient to manually extend the
finger, a
maneuver that produces both an audible snap and considerable pain. What is the most likely
diagnosis?
(A) jersey finger
(B) trigger finger
(C) Dupuytren contracture
3
, (D) gamekeeper finger
(E) ganglion cyst
CORRECT ANSWER
(B) trigger finger
Question 6
9. A 27-year-old woman with no significant medical history presents complaining of left
elbow
pain for 3 days. The patient states that over the last 3 days, her left elbow has become
increasingly red, swollen, and painful. The patient is left-hand-dominant. The patient is
employed as a chiropractor, she is sexually active but denies a history of sexually transmitted
infections. The patient is currently having her menses, denies any recent foreign travel, and
acknowledges that while she regularly plays tennis, she does not recall any history of elbow
trauma. On physical examination, you discover an elbow joint that is markedly
erythematous,
warm to touch, and tender to palpation. Range of motion is decreased secondary to edema
and
pain. Radiograph of the elbow reveals only soft tissue swelling but no fracture or dislocation.
Joint aspiration is performed and a gram-negative diplococcus is identified on cytological
exa
CORRECT ANSWER
(C) Neisseria gonorrhoeae
Question 7
10. A 53-year-old woman presents with pain in her right wrist. The pain is aggravated by
movement
4
