NSG6001 Musculoskeletal/Immune Disorder Exam

1. A 45-year-old patient reports a recent onset of unilateral shoulder pain which is described as diffuse and is associated with weakness of the shoulder but no loss of passive range of motion. What does the provider suspect as the cause of these symptoms? a. Acromioclavicular joint disease b. Cervical radicular pain c. Glenohumeral arthritis d. Rotator cuff injury - D. Rotator Cuff Injury Rotator cuff injury is usually characterized by diffuse pain, weakness of the joint, but no change in range of motion. Acromioclavicular joint disease is associated with anteriorsuperior shoulder pain. Glenohumeral arthritis has similar symptoms, but with loss of range of motion. Cervical radicular pain is characterized by pain distal to the elbow.REF: Clinical Presentation 1. A patient comes to a provider with reports of unilateral arm pain and weakness with mild neck pain. The provider notes that the patient prefers holding the affected arm crossed in front of the throat. A history reveals a recent onset of sexual dysfunction. What does the provider suspect based on this history? a. Axial neck pain b. Cervical myelopathy c. Diabetic neuropathy d. Facet joint pain - ANS: B Cervical myelopathy Patients with neurological symptoms have radicular neck pain, which is usually greater in one arm and involves neurological findings. Patients with concurrent lower extremity findings may have cervical myelopathy and should be evaluated immediately. Axial neck pain does not involve neurological findings. Diabetic neuropathy typically does not include neck pain. Facet joint pain is a cause of axial neck pain, associated with injuries and headaches.REF: Clinical Presentation 1. A patient has chronic elbow pain associated with arthritis. What is included in management of this condition? Select all that apply. a. Avoidance of certain activities b. Balanced rest and exercise c. Long-term NSAIDs d. Occupational therapy e. Splinting of the elbow - ANS: A a. Avoidance of certain activities B Balanced rest and exercise