NSG 6020- Orthopedics exam| 112 questions with 100% correct answers

When examining the foot of a patient, the nurse practitioner notes tenderness of the posterior medial malleolus. This could be suggestive of: Tibial tendinitis When testing hand grip strength on a patient, the nurse practitioner asks the patient to squeeze which finger(s)?: Second and third fingers A thickened nodule overlying the flexor tendon of the 4th finger and possibly the 5th finger near the distal palmar crease is suggestive of: Dupuytren's contracture The forward slippage of one vertebrae resulting in spinal cord compression is referred to as: Spondylolisthesis Apatient complains of shooting pains below the knee radiating into the lateral leg and calf. This type of low back pain is referred to as: radicular low back pain Thenar atrophy suggests: A median nerve disorder What test is performed when the nurse practitioner instructs the patient to hold his wrists in flexion for 60 seconds while pressing back on his hands together to form right angles: phalen's test When inspecting the should and shoulder girdle, the rounded lateral aspect of the should appears flattened. This finding could be associated with: Anterior should dislocation When inspecting the shoulder and shoulder girdle, an elevation of the right should was noted this finding could be associated with: Scoliosis On examination of the foot, the nurse practitioner notes acute inflammation of the first metatarsophalangeal joint. This finding could be consistent wit h Gout Decreased spinal mobility in the lumbar region could be suggestive of: osteoarthritis When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm behind himself. This motion of the should girdle would be an example of: Extension Passive flexion, valgus stress, and internal rotation of the lower leg evaluate the: medial meniscus A 35 year old female patient presents to the nurse practitioner 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 With the patient in the dorsal decubitus position, have him slowly extend the knee while maintaining the varus stress and external rotation. If a snap on the medial joint line is palpated, this may indicate a positive test for a : medial meniscal tear After attempting to elicit the Moro reflex in a newborn, the nurse practitioner identifies absence of movement of the left arm. The next assessment would be to: examine the clavical When examining the foot of a patient, the nurse practitioner notes a bony projection along the edge of the right calcaneus with minimal pain and tenderness to touch. This could be suggestive of: a bone spur When performing a spinal exam, the nurse practitioner notices unequal heights of the iliac crest. This finding could be suggestive of: unequal leg length To palpate the medial meniscus, slightly internally rotate the tibia and palpate the medial soft tissue along the: upper edge of the tibial plateau The medial and lateral menisci: cushions the action of the femur on the tibia The nurse practitioner instructs the patient to lie supine, bend his knee, and turn his lower leg and foot away from the midline. This maneuver would assess hip: internal rotation The nerve that provides sensation to the palm and palmar surface of most of the thumb, second and third fingers, and half of the fourth digit is the: median nerve. When performing a spinal exam, the nurse practitioner noted the appearance of poor posture and a "hump" appearance of the upper back. This finding could be suggestive of: Thoracic kyphosis When evaluating a patient who complains of thumb pain, the nurse practitioner would test thumb movement by instructing the patient to place his thumb in the palm and then move the wrist toward the midline in ulnar deviation. This maneuver is commonly known as: Finkelstein's test Blue sclera, weak muscles, and increased joint flexibility during a newborn assessment may be suggestive of: osteogenesis imperfecta Upon examination of the left shoulder, the patient complains of a dull, aching pain when attempting active or passive range of motion and localized tenderness with external rotation. these symptoms could be suggestive of: adhesive capsulitis Which one of the following ligaments of the foot is most at risk of injury from inversion? Anterior talofibular ligament Contracture of the sternocleidomastoid muscle could result in lateral deviation and rotation of the head. This condition is suggestive of: Torticollis 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 patients temperature of 102 degrees. These fingins are consistent with osteomyelitis A dislocation of the elbow joint caused by the sudden pull on the extended pronation forearm is referred to as: nursemaid's elbow When describing muscle strength, the term paraplegia means: paralysis of the legs On examination of the feet, the nurse practitioner notes a dusky red swelling extending beyond the margin of the metatarsophalangeal joint of the right great toe. It is hot on palpation and the patient states it is painful to touch. These findings are suggestive of acute gouty arthritis 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 Tenderness over the patellar tendon or inability to move the knee, suggests: a partial or complete patellar tendon tear Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the should level would be consistent with all the following conditions except: synovitis of the glenohumeral joint The nurse practitioner suspects a rotator cuff tear in a patient who is unable to: Touch his left scapula with his right hand Acromioclavicular arthritis usually arises from prior direct injury to the: shoulder girdle When examining the elbow for range of motion, the nurse practitioner instructs the patient to turn his palms downward. This motion is an example of: pronation when performing a spinal exam, the patient complains of vertebral tenderness. this finding could be suggestive of: A vertebral fracture 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 tendinitis When a patient complains of joint pain as progressing from one joint to another, the examiner should consider this pattern of involvement as migratory. This type of involvement would most likely be observed in a patient who has: rheumatic fever passive flexion, varus stress, and external rotation of the lower leg evaluates the: lateral menisucs The area located between the olecranon process and the skin is known as the: olecranon bursa Flexion contracture of the knee suggests hamstring tightness or: limb paralysis Olecranon bursitis may be caused by all the following except: frozen shoulder The gastrocnemius and soleus muscles are located by palpating the: posterior surface of the lower leg When examining the medial and lateral meniscus, a click along the medial joint with valgus stress, external rotation, and leg extension suggest a probable tear of the: posterior portion of the medial meniscus The nerve that provides sensation to the dorsal web of the thumb and index finger is the: radial nerve Which nerve in the arm is located in the ventral forearm and is just medial to the brachial artery in the antecubital fossa? Median nerve When assessing apatient with complaints consistent with carpal tunnel syndrome, which one of the following symptoms is unlikely? numbness of the last two digits of the hand