MARYVILLE NURS 623 EXAM 1 ACTUAL
QUESTIONS AND CORRECT ANSWERS
◉ 2. You have detected the presence of crepitus on examination of a
patient with a musculoskeletal complaint. Additionally, there is
limited range of motion (ROM) with both active and passive
movement. These findings suggest that the origin of the
musculoskeletal complaint is:
a. Articular
b. Inflammatory
c. Nonarticular
d. A and B.
Answer: a. Articular
◉ 3. Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain.
Answer: c. Morning stiffness
,◉ 4. Which of the following statements concerning the
musculoskeletal examination is true?
a. The uninvolved side should be examined initially and then
compared to the involved side.
b. The part of the body that is causing the patient pain should be
examined first.
c. When possible, the patient should not be asked to perform active
range-of-motion (ROM) exercises to avoid causing pain.
d. Radiographs should always be obtained prior to examination so as
not to cause further injury to the patient..
Answer: a. The uninvolved side should be examined initially and
then compared to the involved side.
◉ 5. You are performing muscle strength testing on a patient
presenting with musculoskeletal pain and find that the patient has
complete ROM with gravity eliminated. Which numeric grade of
muscle strength would you give this patient?
a. 1
b. 2
c. 3
d. 4
e. 5.
Answer: b. 2
, ◉ 6. Mrs. Gray is a 55-year-old woman who presents with tightness,
pain, and limited movement in her right shoulder. She denies any
history of trauma. Her examination reveals a 75% reduction in both
active and passive ROM of the right shoulder. Mrs. Gray also is
experiencing tenderness with motion and pain at the deltoid
insertion. Her medical history is significant for type 1 diabetes
mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination
and medical history, you suspect adhesive capsulitis, or "frozen
shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions..
Answer: c. Her history of diabetes mellitus
◉ Mrs. Anderson is a 35-year-old woman who has been recently
diagnosed with carpal tunnel syndrome. She has two young children
and asks the clinician what the chances are that they also will
develop carpal tunnel syndrome. Which of the following responses
would be correct regarding the risk of developing carpal tunnel
syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about one-half the risk of
developing carpal tunnel.
QUESTIONS AND CORRECT ANSWERS
◉ 2. You have detected the presence of crepitus on examination of a
patient with a musculoskeletal complaint. Additionally, there is
limited range of motion (ROM) with both active and passive
movement. These findings suggest that the origin of the
musculoskeletal complaint is:
a. Articular
b. Inflammatory
c. Nonarticular
d. A and B.
Answer: a. Articular
◉ 3. Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain.
Answer: c. Morning stiffness
,◉ 4. Which of the following statements concerning the
musculoskeletal examination is true?
a. The uninvolved side should be examined initially and then
compared to the involved side.
b. The part of the body that is causing the patient pain should be
examined first.
c. When possible, the patient should not be asked to perform active
range-of-motion (ROM) exercises to avoid causing pain.
d. Radiographs should always be obtained prior to examination so as
not to cause further injury to the patient..
Answer: a. The uninvolved side should be examined initially and
then compared to the involved side.
◉ 5. You are performing muscle strength testing on a patient
presenting with musculoskeletal pain and find that the patient has
complete ROM with gravity eliminated. Which numeric grade of
muscle strength would you give this patient?
a. 1
b. 2
c. 3
d. 4
e. 5.
Answer: b. 2
, ◉ 6. Mrs. Gray is a 55-year-old woman who presents with tightness,
pain, and limited movement in her right shoulder. She denies any
history of trauma. Her examination reveals a 75% reduction in both
active and passive ROM of the right shoulder. Mrs. Gray also is
experiencing tenderness with motion and pain at the deltoid
insertion. Her medical history is significant for type 1 diabetes
mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination
and medical history, you suspect adhesive capsulitis, or "frozen
shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions..
Answer: c. Her history of diabetes mellitus
◉ Mrs. Anderson is a 35-year-old woman who has been recently
diagnosed with carpal tunnel syndrome. She has two young children
and asks the clinician what the chances are that they also will
develop carpal tunnel syndrome. Which of the following responses
would be correct regarding the risk of developing carpal tunnel
syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about one-half the risk of
developing carpal tunnel.
