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NR 511 DIFFERENTIAL DIAGNOSIS & PRIMARY CARE
PRACTICUM FINAL EXAM|| ALL QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+|| LATEST
AND COMPLETE VERSION 2024 WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!
1. One of the initial steps in assessing patients with musculoskeletal com-
plaints is to determine whether the complain is articular or nonarticular in origin.
Which of the following in an example of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
- ANSWER: Synovium
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: Articular
3. Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?
A. Decreased CRP B.hyperalbuminemia
C. Morning stiffness
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D. Weight gain
- ANSWER: Morning stiffness
4. Which of the following statements concerning the musculoskeletal exam 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 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: When possible, the patient should not be asked to perform active
ROM exercises to avoid causing pain
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
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- ANSWER: B
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
exam reveals a 75% reduction in both active and passive range of motion
of the right shoulder. Mrs. Gray is also 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 exam and medical history, you suspect adhesive
capulitis or "frozen shoulder." Which clue in Mrs. Gray's history supports this
diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive motions
- ANSWER: HX of DM
7. Jennifer is an 18-year-old girl who comes to the emergency room after a fall
during a soccer game. Jennifer explains that she fell on her left side and kept her
arm out straight to break her fall. She has been experiencing severe pain and
limited range of motion in her left shoulder. The clinician has diagnosed Jennifer
with a dislocated shoulder. Which of the following statements are true concerning
shoulder dislocation?
A. Posterior dislocations are more common than anterior dislocations
B. There is a risk of neurovascular and neurosensory trauma, so the clinician
should check for distal pulses
C. Recurrent dislocations are uncommon and would require great force to result
in injury
D. Surgery is the most common treatment of choice
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- ANSWER: There is a risk of neurovas- cular and neurosensory trauma, so the
clinician should check for distal pulses
8. 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 clini- cian
what the chances are that they will also develop carpal tunnel syndrome. Which of
the following responses would be correct regarding the risk of developing carpal
tunnel syndrome?
- Carpal tunnel syndrome commonly occurs in families. Genetic factors are
thought to account for about half the risk of developing carpal tunnel.
- Only people with occupations that require repeated flexion extension of the
wrist, use of hand tools that require forceful gripping, or hand tools that vibrate
are at risk for developing carpal tunnel.
- An underlying musculoskeletal disorder must be present for a person to
develop carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a hormonal imbal-
ance.
- ANSWER: Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about half the risk of developing carpal tunnel.
9. Which of the following statements is true regarding the treatment of carpal
tunnel syndrome?
A. The goal of TX is to prevent flexion and extension movements of the wrist
NR 511 DIFFERENTIAL DIAGNOSIS & PRIMARY CARE
PRACTICUM FINAL EXAM|| ALL QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+|| LATEST
AND COMPLETE VERSION 2024 WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!
1. One of the initial steps in assessing patients with musculoskeletal com-
plaints is to determine whether the complain is articular or nonarticular in origin.
Which of the following in an example of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
- ANSWER: Synovium
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: Articular
3. Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?
A. Decreased CRP B.hyperalbuminemia
C. Morning stiffness
,2|Page
D. Weight gain
- ANSWER: Morning stiffness
4. Which of the following statements concerning the musculoskeletal exam 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 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: When possible, the patient should not be asked to perform active
ROM exercises to avoid causing pain
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
,3|Page
- ANSWER: B
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
exam reveals a 75% reduction in both active and passive range of motion
of the right shoulder. Mrs. Gray is also 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 exam and medical history, you suspect adhesive
capulitis or "frozen shoulder." Which clue in Mrs. Gray's history supports this
diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive motions
- ANSWER: HX of DM
7. Jennifer is an 18-year-old girl who comes to the emergency room after a fall
during a soccer game. Jennifer explains that she fell on her left side and kept her
arm out straight to break her fall. She has been experiencing severe pain and
limited range of motion in her left shoulder. The clinician has diagnosed Jennifer
with a dislocated shoulder. Which of the following statements are true concerning
shoulder dislocation?
A. Posterior dislocations are more common than anterior dislocations
B. There is a risk of neurovascular and neurosensory trauma, so the clinician
should check for distal pulses
C. Recurrent dislocations are uncommon and would require great force to result
in injury
D. Surgery is the most common treatment of choice
, 4|Page
- ANSWER: There is a risk of neurovas- cular and neurosensory trauma, so the
clinician should check for distal pulses
8. 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 clini- cian
what the chances are that they will also develop carpal tunnel syndrome. Which of
the following responses would be correct regarding the risk of developing carpal
tunnel syndrome?
- Carpal tunnel syndrome commonly occurs in families. Genetic factors are
thought to account for about half the risk of developing carpal tunnel.
- Only people with occupations that require repeated flexion extension of the
wrist, use of hand tools that require forceful gripping, or hand tools that vibrate
are at risk for developing carpal tunnel.
- An underlying musculoskeletal disorder must be present for a person to
develop carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a hormonal imbal-
ance.
- ANSWER: Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about half the risk of developing carpal tunnel.
9. Which of the following statements is true regarding the treatment of carpal
tunnel syndrome?
A. The goal of TX is to prevent flexion and extension movements of the wrist
