Musculoskeletal - FNP Certification
Exam 4th ed. Winland-Brown and
Dunphy
if any limitation or any increase in range of motion occurs when assessing the
musculoskeletal system, the angles of the bones should be measured by
using:
a. Phalen's test
b. skeletometry
c. the Thomas test
d. a goniometer - correct answer ✔d. a goniometer
J., age 16, comes into the office with a human bit on his fist. what is the first
course of action?
a. de-bride and irrigate the wound thoroughly
b. initiate broad-spectrum antibiotics
c. leave the wound open for drainage
d. administer a tetanus injection - correct answer ✔a. de-bride and irrigate
the wound thoroughly
S. age 49 presents with loss of anal spincter tone, impaired micturition,
incontinence, and progressive loss of strength in the legs. you suspect cauda
equina syndrome. what is your next action?
a. order physical therapy
b. order a lumbar/sacral x-ray
c. order extensive lab work
d. refer to a neurosurgeon - correct answer ✔d. refer to a neurosurgeon
,in assessing the skeletal muscles, you turn the forearm so that the palm is up.
this is called:
a. supination
b. pronation
c. abduction
d. eversion - correct answer ✔a. supination
E. a 10 y/o boy, jumps off a 2 foot wall, twisting his foot and ankle upon
landing. his ankle xpray demonstrates a fx of the distal tibia over the articular
surface into the epiphysis and physis. based on the Salter-Harris classification
for growth plate injuries you know this is a:
a. Salter-Harris II
b. Salter-Harris III
c. Salter-Harris IV
d. Salter-Harris V - correct answer ✔b. Salter-Harris III
K. who is postmenopausal, is taking 1,500mg of calcium but does not
understand why she also needs to take vitamin D. you tell her that:
a. a deficiency of vitamin D results in an inadequate mineralization of bone
matrix
b. all vitamins need to be supplemented
c. vitamin D increases intestinal absorption of the dietary calcium and
mobilizes calcium from the bone
d. vitamin D binds with calcium to allow active transport into the cells - correct
answer ✔c. vitamin D increases intestinal absorption of the dietary calcium
and mobilizes calcium from the bone
the American College of Obstetricians and Gynecologists guidelines for
exercise during pregnancy and after delivery include which of the following?
,a. women should try to exercise moderately for at least 30 min on most, if not
all, days of the week
b. exercise in the supine position is the position of choice
c. anaerobic exercise during pregnancy is preferred over aerobic exercise
d. exercise should be discontinued upon discovery of pregnancy and be
resumed after delivery - correct answer ✔a. women should try to exercise
moderately for at least 30 min on most, if not all, days of the week
colchicine may be used to terminate an acute attack of gouty arthritis, as well
as to prevent recurrent episodes. the mechanism of action is to:
a. interrupt the cycle of urate crystal deposition and inflammatory response
b. increase serum uric acid levels
c. potentiate the excretion of uric acid
d. inhibit the tubular reabsorption of urate, promoting the excretion of uric acid
- correct answer ✔a. interrupt the cycle of urate crystal deposition and
inflammatory response
L., age 52, who has just been given a dx of sarcoidoxis, has joint sxs including
arthralgias and arthritis. your next plan of action would be to:
a. order a bone scan
b. obtain a tissue biopsy
c. begin a course of glucocorticoids
d. obtain an electrocardiogram - correct answer ✔begin a course of
glucocorticoids
G., age 26, runs marathons and frequently c/o painful contractions of his calf
muscles after running. you attribute this to:
a. hypercalcemia
b. hyponatremia
, c. heat exhaustion
d. dehydration - correct answer ✔b. hyponatremia
S., age 15, has only one testicle. when he asks you if he can play on the
soccer team at school, how do you respond?
a. no, you'd be taking too much of a chance of injuring your remaining testicle
b. you can play any noncontact sport; however, soccer is too strenuous
c. as long as you can protect the remaining testicle, go for it
d. it should have no bearing on any activity - correct answer ✔c. as long as
you can protect the remaining testicle, go for it
there are many precursors of deep venous thrombosis (DVT), such as
decreased blood flow, injury to the blood vessel wall, and altered blood
coagulation. which clinical risk factor for DVT is the result of
hypercoagulability?
a. high estrogen states, such as with oral contraceptive
b. trauma that results in orthopedic surgery
c. an indwelling intravenous catheter of a lower extremity
d. prolonged sedentary position related to immobility - correct answer ✔a.
high estrogen states, such as with oral contraceptive
H., age 29 is a nurse who has an acute episode of back pain. you have
determined that it is a simple "mechanical" backache and order:
a. bedrest for 2 days
b. muscle relaxants
c. let pain be your guide and continue activities
d. back-strengthening exercises - correct answer ✔c. let pain be your guide
and continue activities
Exam 4th ed. Winland-Brown and
Dunphy
if any limitation or any increase in range of motion occurs when assessing the
musculoskeletal system, the angles of the bones should be measured by
using:
a. Phalen's test
b. skeletometry
c. the Thomas test
d. a goniometer - correct answer ✔d. a goniometer
J., age 16, comes into the office with a human bit on his fist. what is the first
course of action?
a. de-bride and irrigate the wound thoroughly
b. initiate broad-spectrum antibiotics
c. leave the wound open for drainage
d. administer a tetanus injection - correct answer ✔a. de-bride and irrigate
the wound thoroughly
S. age 49 presents with loss of anal spincter tone, impaired micturition,
incontinence, and progressive loss of strength in the legs. you suspect cauda
equina syndrome. what is your next action?
a. order physical therapy
b. order a lumbar/sacral x-ray
c. order extensive lab work
d. refer to a neurosurgeon - correct answer ✔d. refer to a neurosurgeon
,in assessing the skeletal muscles, you turn the forearm so that the palm is up.
this is called:
a. supination
b. pronation
c. abduction
d. eversion - correct answer ✔a. supination
E. a 10 y/o boy, jumps off a 2 foot wall, twisting his foot and ankle upon
landing. his ankle xpray demonstrates a fx of the distal tibia over the articular
surface into the epiphysis and physis. based on the Salter-Harris classification
for growth plate injuries you know this is a:
a. Salter-Harris II
b. Salter-Harris III
c. Salter-Harris IV
d. Salter-Harris V - correct answer ✔b. Salter-Harris III
K. who is postmenopausal, is taking 1,500mg of calcium but does not
understand why she also needs to take vitamin D. you tell her that:
a. a deficiency of vitamin D results in an inadequate mineralization of bone
matrix
b. all vitamins need to be supplemented
c. vitamin D increases intestinal absorption of the dietary calcium and
mobilizes calcium from the bone
d. vitamin D binds with calcium to allow active transport into the cells - correct
answer ✔c. vitamin D increases intestinal absorption of the dietary calcium
and mobilizes calcium from the bone
the American College of Obstetricians and Gynecologists guidelines for
exercise during pregnancy and after delivery include which of the following?
,a. women should try to exercise moderately for at least 30 min on most, if not
all, days of the week
b. exercise in the supine position is the position of choice
c. anaerobic exercise during pregnancy is preferred over aerobic exercise
d. exercise should be discontinued upon discovery of pregnancy and be
resumed after delivery - correct answer ✔a. women should try to exercise
moderately for at least 30 min on most, if not all, days of the week
colchicine may be used to terminate an acute attack of gouty arthritis, as well
as to prevent recurrent episodes. the mechanism of action is to:
a. interrupt the cycle of urate crystal deposition and inflammatory response
b. increase serum uric acid levels
c. potentiate the excretion of uric acid
d. inhibit the tubular reabsorption of urate, promoting the excretion of uric acid
- correct answer ✔a. interrupt the cycle of urate crystal deposition and
inflammatory response
L., age 52, who has just been given a dx of sarcoidoxis, has joint sxs including
arthralgias and arthritis. your next plan of action would be to:
a. order a bone scan
b. obtain a tissue biopsy
c. begin a course of glucocorticoids
d. obtain an electrocardiogram - correct answer ✔begin a course of
glucocorticoids
G., age 26, runs marathons and frequently c/o painful contractions of his calf
muscles after running. you attribute this to:
a. hypercalcemia
b. hyponatremia
, c. heat exhaustion
d. dehydration - correct answer ✔b. hyponatremia
S., age 15, has only one testicle. when he asks you if he can play on the
soccer team at school, how do you respond?
a. no, you'd be taking too much of a chance of injuring your remaining testicle
b. you can play any noncontact sport; however, soccer is too strenuous
c. as long as you can protect the remaining testicle, go for it
d. it should have no bearing on any activity - correct answer ✔c. as long as
you can protect the remaining testicle, go for it
there are many precursors of deep venous thrombosis (DVT), such as
decreased blood flow, injury to the blood vessel wall, and altered blood
coagulation. which clinical risk factor for DVT is the result of
hypercoagulability?
a. high estrogen states, such as with oral contraceptive
b. trauma that results in orthopedic surgery
c. an indwelling intravenous catheter of a lower extremity
d. prolonged sedentary position related to immobility - correct answer ✔a.
high estrogen states, such as with oral contraceptive
H., age 29 is a nurse who has an acute episode of back pain. you have
determined that it is a simple "mechanical" backache and order:
a. bedrest for 2 days
b. muscle relaxants
c. let pain be your guide and continue activities
d. back-strengthening exercises - correct answer ✔c. let pain be your guide
and continue activities
