APEA Exam Question Bank (Ortho) | Questions with Correct Answers - Latest Update 2023/2024 (VERIFIED)

When Performing an examination of a painful left elbow on an adult, inspection of the surrounding tissue reveals Warmth. This finding could be suggestive of all of the following conditions except: Fibrosis Question: The lateral bone that serves as a strut between the scapula and the sternum is known as the: Clavicle Question: The nurse practitioner instruct the patient to bend at the waist moving from side to side from a standing position. This maneuver would elicit: Rotation of the lumbar spine Question: Physical sign associated with mechanical neck pain include: Local neck muscle tenderness Question: When examining the knee, the patient complains of pain with compression and patellar movement during quadriceps contraction. This finding to be suggestive of: A degenerative patella Question: When describing muscle strength, the term quadriplegia means: paralysis of all four extremities Explanation: Paraplegia means paralysis of the legs. Impaired strength is called weakness, or paresis. Absence of strength is called paralysis, or plegia. Quadriplegia means inability to move or paralysis of all four limbs. Question: Swelling noted 1-2 inches below the knee joint and on the medial surface of the knee would be suggestive of: Anserine bursitis Question: When evaluating the thumb, ask the patient to point his thumb upward as the NP applies downward resistance. This maneuver tests: Thumb Abduction Question: When examining the ankle and the foot of a patient, the NP instructs the patient to point the foot toward the ceiling. The motion assess: Ankle extension Question: To test the latissimus dorsi, teres major, posterior deltoid, and triceps brachii muscles, the NP would have the patient perform which shoulder movement? Extension Question: A patient reports sharp “catches” of pain, grating, and weakness in the right shoulder when lifting the arm overhead. These symptoms could be suggestive of: Rotator cuff tendonitis Question: The NP instructs the patient to place one hand behind his back and touch his shoulder blade. The shoulder movement elicits: Internal rotation Question: Which nerve in the arm originates from the axilla and travels down the arm in a shallow depression of the surface of the humerus? Radial nerve Question: The ligament of the foot that fans out from the inferior surface of the medial malleolus to the talus and the proximal tarsal bones is the: Deltoid ligament Question: When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of himself and overhead. This motion of the shoulder girdle would be an example of: Flexion Question: Tenderness at cervical vertebrae 1-2 (C1-2) in a patient with rheumatoid arthritis suggest possible risk for: Subluxation Question: A 35-year-old female patient presents to the NP with complaints of pain in the joints of both hands accompanied by stiffness, especially in the morning with tenderness and warmth to touch. Examination reveals swelling of the synovial tissue and limitation of motion. These findings are consistent with: Rheumatoid arthritis Question: A cartilage-like articulation between the pubic bones is known as the: Pubic Symphysis Question: When examining the foot of a patient, the nurse practitioner notes tenderness of the posterior medial malleolus. This could be suggestive of: Tibial tendinitis Question: The NP instructs the patient to move his chin to his chest. This maneuver assesses cervical Flexion Question: When grading muscle strength, a grade of two would indicate: Active movement of the body part with gravity eliminated Question: Pain and crepitus over the patella suggests: Roughening of the patellar undersurface Question: When grading muscle strength, a grade of four would indicate: Active movement against gravity with some resistance Question: A patient complains of aching pain in the neck and points to the cervical paraspinal muscles and ligaments. He complains of muscle spasms and stiffness in the upper back and shoulder for the past 6 weeks. These findings may be associated with: Mechanical neck pain Question: Lateral bending of the neck occurs primarily between the skull and: Cervical vertebrae 2-7 (C2-7) Question: When examining the ankle and foot, the NP moves the proximal phalanx of each toe up and down. This maneuver assesses the: Metatarsophalangeal joint Question: The lateral malleolus is located at the: Distal end of the fibula Question: To test the thumb for extension, ask the patient to: Move his thumb from the fifth finger and then as far away from the palm as possible. The prepatellar bursa of the knee lies: Between the patella and the overlying skin Question: The principal muscles involved when opening the mouth are the: External pterygoid muscles Question: With the patient standing and the examiner sitting in the chair, the examiner should observe: Alignment of the legs and feet Question: A normal finding in the musculoskeletal assessment of a 3-year-old child would be the presence of: Genu-valgum Question: Joints in which bones do not touch each other, and the joint articulations are freely moveable (within the limits surrounding ligaments) are called: Synovial Joints Question: Physical sign associated with mechanical neck pain with whiplash include: Decreased neck range of motion Question: When grading muscle strength, a grade of one would indicate: Barely detectable trace of contraction Question: When inspecting the shoulder girdle, an elevation of the right shoulder was noted. This finding could be associated with: Scoliosis Question: After attempting to elicit the Moro reflex in a newborn, the nurse practitioner identifies absence of movement of the left arm. Examine the clavicle Question: When performing a spinal exam, the NP noted the appearance of poor posture and a “hump” appearance of the upper back. This finding could be suggestive of: Thoracic kyphosis Question: When assessing the knee, the examiner instructs the patient to bend his knee. The motion would assess knee: Flexion Question: The NP instructs the patient to lie supine, and move his lower leg away from the midline. This maneuver would help assess hip: Abduction Question: Collagen fibers connecting muscle to bone are known as: Tendons Question: When examining the ankle and the foot of a patient, the NP instructs the patient to move the heel outward. This motion assesses: Ankle eversion A patient who presents with joint pain and accompanying butterfly rash on the face is suggestive of: Systemic Lupus erythematosus Question: The most appropriate position for examining a patient’s knees would be having the patient: Sit on the edge of the table with knees flexed Question: The abdominal muscles and intrinsic muscles of the back assist with: Rotation Question: The suprapatellar pouch of the knee lies: Upward and deep to the quadriceps muscle Question: The axiohumeral group of muscles: The axiohumeral group produces internal rotation of the shoulder Question: The abduction (or valgus) stress test is a maneuver used to assess the function of the: Medial collateral ligament (MCL) Question: Tenderness over the patellar tendon or inability to move the knee, suggests: A partial or complete patellar tendon tear Question: The vertebral column angles sharply posteriorly and becomes immovable at the: Lumbosacral junction Question: The concavities noted on each side and above the patella are known as the: Negative infrapatellar space Question: The NP instructs the patient to move his ear to his shoulder. This moves assesses: Lateral bending Question: Tenderness over the sacroiliac joint s commonly noted in patients with: Ankylosing spondylitis Question: A patient complains of low back pain when he walks, but improvement with rest of lumbar flexion. This type of low back pain is referred to as: Pseudoclaudication Question: The NP asks the patient to look over one shoulder, then the other. This maneuver will test cerivc rotation Question: A thickened nodule overlying the flexor tendon of the 4th finger and possibly the 5th finger bear the distal palmer crease is suggestive of: Dupuytren’s contracture Question: The quadriceps femoris muscle of the thigh: Extends the knee Question: The axioscapular group of muscles include which of the following: Trapezius Question: The longest part of the sternum extending from the end of the manubrium to the beginning of the xiphoid process is referred to as the: Body of the sternum Question: Acromioclavicular arthritis usually arises from prior direct injury to the: Shoulder girdle Question: When grading muscle strength, a grade of three would indicate: Active movement against gravity Question: The lateral end of the clavicle that articulates with the acromion process of the scapula is referred to as the: Acromioclavicular joint Question: On examination of the left wrist, the NP notes a slightly tender .75 cm swelling along the joint capsule during flexion of the wrist. This finding could be suggestive of: A ganglion cyst Question: On examination of the shoulder, tenderness is noted just below the tip of the acromion with pain on abduction and rotation and loss of smooth movement. This finding could be suggestive of: Subacromial bursitis Question: The structure that appears as a large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting is known as the: Ischial tuberosity Question: When examining the ankle and foot, the NP instructs the patient to dorsiflex and plantar flex the foot at the ankle. This maneuver assesses the: Tibiotalar joint Question: Decreased spinal mobility in the lumbar region could be suggestive of: Osteoarthritis Question: Physical signs associated with cervical myelopathy from cervical cord compression include: Neck flexion with resulting sensation of electrical shock radiating down the spine Question: When performing a spinal exam, the patient complains of vertebral tenderness. This finding could be suggestive of: A vertebral fracture Question: When examining the foot of a patient, the nurse practitioner notes localized tenderness over the ankle joint. This could be suggestive of: A ligamentous injury Question: The gastrocnemius and soleus muscles are located by palpating the: Posterior surface of the lower leg Question: When describing muscle strength, the term hemiplegia means: Paralysis on one half of the body Question: The group of muscles that lies lateral and moves the thigh away from the body is known as the: Abductor group Question: Swelling over the patella suggests: Prepatellar bursitis Question: When performing an examination of a painful left hip on an adult, there is a palpable bogginess over the area. This finding is referred to as: Synovitis Question: The structure that supports weight bearing anteriorly is referred to as the: Vertebral body Question: The scapulohumeral group of muscles include which one of the following? Supraspinatus Question: The medial and lateral menisci: Cushion the action of the femur on the tibia Question: The prevertebral muscles are located: In front of the cervical vertebrae Question: The hamstring muscles flex the knee and are located on the: Posterior aspect of the thigh Question: A patient complains of aching pain in the lumbosacral area that radiates into the upper leg. This type of low back pain is referred to as: Mechanical low back pain Question: The area where the iliac crest terminates anteriorly on the ilium is known as the: Anterior superior iliac spine Question: When compressing the suprapatellar pouch and pushing the patella sharply against the femur, fluid is noted to return to the suprapatellar pouch. This is known as positive: Balloting sign Question: Upon examination of the left shoulder, the NP notes an inflamed right subacromial bursa. An xray of the left shoulder demonstrates a calcium deposit in the AC joint. The pt holds her arm close to her side and experiences extreme pain when attempting any movement of the arm. These symptoms are most likely indicative of: Calcific tendinitis Question: When discussing the musculoskeletal system, which of the following statements is consistent with extra-articular disease? Extra-Articular disease typically involves selected regions of the joint and types of movement. Question: The groove of the radiocarpal joint is located: On the dorsum of the wrist Question: In the older adult, the test for leg mobility is known as the: Timed “get up and go test” Question: The subtalar joint is located: Where the talus and the calcaneus meet Question: Pouches of synovial fluid that cushion the movement of tendons and muscles over bone and other joint structures are referred to as: Bursae Question: Anserine bursitis arises from: Excessive running Question: The structure that supports weight during sitting is the: Coccyx Question: On examination of the feet, the NP observes a painful thickening of the skin on the bony prominence of the left fifth toe. This lesion is most likely a: Corn Question: A six-year-old male complains of ankle pain and difficulty walking, but denies any recent injuries. Findings reveal ankle tenderness, decreased mobility and range of motion. The pts temp is 102 degrees F. These findings are consistent with: Osteomyelitis Question: To test the supraspinatus, anterior and lateral deltoid, and pectoralis major, the NP would have the patient perform which shoulder movement? Abduction Question: When testing hand grip strength on a pt, the NP asks the pt to squeeze which finger(s)? Second and third fingers Question: The lateral epicondyle of the femur is located on the: Lateral surface Question: To test the thumb for flexion, ask the pt to: Move his thumb across his palm and touch the base of the fifth finger Question: Passive flexion, varus stress, and external rotation of the lower leg evaluates the: Medial meniscus Question: The joint that provides most of the flexion and extension of the wrist is the: Radiocarpal joint Question: To test the anterior and lateral deltoid, pectoralis major, coracobrachialis and biceps muscles, the NP would have the pt perfrom which shoulder movement? Flexion Question: The nerve that provides sensation to the dorsal web of the thumb and index finger is the: Radial nerve Question: When examining the elbow, swelling over the olecranon process is noted. This finding could be suggestive of: Bursitis Question: A decrease in the amount of density in a bone is referred to as: Osteopenia Question: Metatarsalgia is a term used to describe: Pain and tenderness in the metatarsals Question: Stumbling or “giving way” of the knee during the heel strike phase of gait suggests: Quadriceps weakness Question: The NP instructs the pt to raise his arm to his shoulder, bend his elbow, and rotate his forearm toward the ceiling. This shoulder movement elicits: External rotation Question: