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Ortho NCLEX - practice questions and answers correct and verified A+

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Ortho NCLEX - practice questions and answers correct and verified A+Ortho NCLEX - practice questions and answers correct and verified A+ 2. A 33-year-old man complains of left anterior shoulder pain for 4 weeks. The pain is made worse with overhead activities. On examination, you note maximal pain in the shoulder with palpation between the greater and lesser tubercle. Pain in the shoulder is exacerbated when the arm is held at the side, elbow flexed to 90° and the patient is asked to supinate and flex the forearm against your resistance. On the basis of this presentation, what is the most likely diagnosis? (A) rotator cuff tendonitis (B) myocardial infarction (C) anterior shoulder dislocation (D) rotator cuff tear (E) bicipital tendonitis - correct answers-(E) bicipital tendonitis 4. A 73-year-old woman presents to the emergency department following a fall in her home. She tripped over a throw rug, fell forward, and landed with her arms extended and hands outstretched. She presents complaining of left wrist pain. Radiographs reveal a dorsally angulated and displaced distal radius metaphyseal fracture. What is the most likely diagnosis? (A) Barton fracture (B) Colles fracture (C) Smith fracture (D) boxer fracture - correct answers-(B) Colles fracture 5. Idiopathic osteonecrosis of the femoral head is the most likely diagnosis in which of the following patients? (A) Five-year-old boy who complains of significant hip and knee pain (B) Six-year-old boy who reports a limp and aching in the groin and proximal thigh (C) Seven-year-old obese girl who manifests a painless limp (D) Twelve-year-old girl who complains of progressively worsening hip pain, fever, and chills (E) Eighteen-year-old boy who complains of bilateral hip pain that is worse in the morning and is relieved with activity - correct answers-(B) Six-year-old boy who reports a limp and aching in the groin and proximal thigh 6. A 22-year-old female person was playing basketball when she tripped and landed on the pavement with her hands outstretched. She presents complaining of abrasions on the right thenar eminence and "wrist pain." Physical examination reveals tenderness to palpation between the extensor pollicis longus and the extensor pollicis brevis. Assessment of the median, ulnar, and radial nerves reveals no sensor or motor changes when compared with the left hand. Radial and ulnar pulses are 2+ bilaterally with capillary refill less than 2 seconds on all five fingers of the right hand. Posterior-anterior view radiographs of the wrist and posterior-anterior wrist radiographs with the wrist in ulnar deviation reveal no fractures or dislocations. What is the appropriate management for this patient at this time? (A) immediate orthopedic referral (B) cock-up splint until symptoms resolve (C) physical therapy referral for assessment an - correct answers-(D) thumb spica splint and repeat radiographs in 3 weeks 7. A 53-year-old patient of Scandinavian descent presents with pain in the ring finger of the right hand. The patient states that he/she has pain when he/she extends his/her finger after making a fist. The finger will not extend on its own, requiring the patient to manually extend the finger, a maneuver that produces both an audible snap and considerable pain. What is the most likely diagnosis? (A) jersey finger (B) trigger finger (C) Dupuytren contracture (D) gamekeeper finger (E) ganglion cyst - correct answers-(B) trigger finger 9. A 27-year-old woman with no significant medical history presents complaining of left elbow pain for 3 days. The patient states that over the last 3 days, her left elbow has become increasingly red, swollen, and painful. The patient is left-hand-dominant. The patient is employed as a chiropractor, she is sexually active but denies a history of sexually transmitted infections. The patient is currently having her menses, denies any recent foreign travel, and acknowledges that while she regularly plays tennis, she does not recall any history of elbow trauma. On physical examination, you discover an elbow joint that is markedly erythematous, warm to touch, and tender to palpation. Range of motion is decreased secondary to edema and pain. Radiograph of the elbow reveals only soft tissue swelling but no fracture or dislocation. Joint aspiration is performed and a gram-negative diplococcus is identified on cytological exa - correct answers-(C) Neisseria gonorrhoeae 10. A 53-year-old woman presents with pain in her right wrist. The pain is aggravated by movement of the thumb and when she makes a fist. She also notes that when she moves her thumb, there is an occasional locking sensation in the radial aspect of her wrist. Physical examination of the wrist reveals swelling and tenderness over the distal radius, and full flexion of the thumb into the palm, with ulnar deviation of the wrist, produces pain. Radiographic evaluation of the wrist shows no bone abnormalities. Which of the following would be the treatment of choice in this patient presentation? (A) immobilization of the wrist with a thumb spica splint (B) tendon sheath corticosteroid injection (C) operative treatment to restore functionality (D) prompt neurological evaluation (E) proceed to bone scan to evaluate the area of pain - correct answers-(A) immobilization of the wrist with a thumb spica splint 11. Which of the following most accurately describes the physical examination findings suggestive of a boutonniere deformity? (A) hyperextension of the proximal interphalangeal joint with fixed flexion of the distal interphalangeal joint (B) persistent extension of the proximal interphalangeal joint with hyperflexion of the distal interphalangeal joint (C) hyperextension of the distal interphalangeal joint with flexion of the proximal interphalangeal joint (D) persistent flexion of the proximal interphalangeal joint with hyperextension of the distal interphalangeal joint (E) hyperextension of the distal interphalangeal joint with extension of the proximal interphalangeal joint - correct answers-(D) persistent flexion of the proximal interphalangeal joint with hyperextension of the distal interphalangeal joint 13. You have been following a 52-year-old man with a complaint of back pain over the past 7 weeks. During the first 5 weeks of his condition, Abraham's back pain was steadily declining and his neurological findings on physical examination were decreasing. Over the past 2 weeks, Abraham has complained of worsening pain that is currently unrelenting, especially at night. On physical examination, Abraham demonstrates findings on both the straight leg raise and crossed straight leg raise tests. His muscle weakness has likewise accelerated over the past 2 weeks, and he is no longer able to heel walk using his left ankle. What is the most appropriate management strategy at this time? (A) conservative therapy including application of ice and physical therapy referral for muscle stretching and strengthening (B) plain radiographs

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ortho nclex practice questions and answers corre

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Ortho NCLEX - yr yr

practice questions and answers correct a
yr yr yr yr yr yr

nd verified A+
yr yr

2.yrAyr33-year-oldyrmanyrcomplainsyrofyrleftyranterioryrshoulderyrpainyrforyr4yrweeks.yrTheyrpainyrisyrmadeyrworse
withyroverheadyractivities.yrOnyrexamination,yryouyrnoteyrmaximalyrpainyrinyrtheyrshoulderyrwithyrpalpation
betweenyrtheyrgreateryrandyrlesseryrtubercle.yrPainyrinyrtheyrshoulderyrisyrexacerbatedyrwhenyrtheyrarmyrisyrheld
atyrtheyrside,yrelbowyrflexedyrtoyr90°yrandyrtheyrpatientyrisyraskedyrtoyrsupinateyrandyrflexyrtheyrforearmyragainst
youryrresistance.yrOnyrtheyrbasisyrofyrthisyrpresentation,yrwhatyrisyrtheyrmostyrlikelyyrdiagnosis?
(A)yrrotatoryrcuffyrtendonitis
(B)yrmyocardialyrinfarction
(C)yranterioryrshoulderyrdislocation
(D)yrrotatoryrcuffyrtear
(E)yrbicipitalyrtendonitisyr-yrcorrectyranswers-(E)yrbicipitalyrtendonitis
4.yrAyr73-year-oldyrwomanyrpresentsyrtoyrtheyremergencyyrdepartmentyrfollowingyrayrfallyrinyrheryrhome.yrShe
trippedyroveryrayrthrowyrrug,yrfellyrforward,yrandyrlandedyrwithyrheryrarmsyrextendedyrandyrhands
outstretched.yrSheyrpresentsyrcomplainingyrofyrleftyrwristyrpain.yrRadiographsyrrevealyrayrdorsally
angulatedyrandyrdisplacedyrdistalyrradiusyrmetaphysealyrfracture.yrWhatyrisyrtheyrmostyrlikelyyrdiagnosis?
(A)yrBartonyrfracture
(B)yrCollesyrfracture
(C)yrSmithyrfracture
(D)yrboxeryrfractureyr-yrcorrectyranswers-(B)yrCollesyrfracture
5.yrIdiopathicyrosteonecrosisyrofyrtheyrfemoralyrheadyrisyrtheyrmostyrlikelyyrdiagnosisyrinyrwhichyrofyrthe
followingyrpatients?
(A)yrFive-year-oldyrboyyrwhoyrcomplainsyrofyrsignificantyrhipyrandyrkneeyrpain
(B)yrSix-year-oldyrboyyrwhoyrreportsyrayrlimpyrandyrachingyrinyrtheyrgroinyrandyrproximalyrthigh
(C)yrSeven-year-oldyrobeseyrgirlyrwhoyrmanifestsyrayrpainlessyrlimp
(D)yrTwelve-year-oldyrgirlyrwhoyrcomplainsyrofyrprogressivelyyrworseningyrhipyrpain,yrfever,yrandyrchills
(E)yrEighteen-year-oldyrboyyrwhoyrcomplainsyrofyrbilateralyrhipyrpainyrthatyrisyrworseyrinyrtheyrmorningyrand
isyrrelievedyrwithyractivityyr-yrcorrectyranswers-(B)yrSix-year-
oldyrboyyrwhoyrreportsyrayrlimpyrandyrachingyrinyrtheyrgroinyrandyrproximalyrthigh
6.yrAyr22-year-oldyrfemaleyrpersonyrwasyrplayingyrbasketballyrwhenyrsheyrtrippedyrandyrlandedyronyrthe
pavementyrwithyrheryrhandsyroutstretched.yrSheyrpresentsyrcomplainingyrofyrabrasionsyronyrtheyrrightyrthenar
eminenceyrandyr"wristyrpain."yrPhysicalyrexaminationyrrevealsyrtendernessyrtoyrpalpationyrbetweenyrthe
extensoryrpollicisyrlongusyrandyrtheyrextensoryrpollicisyrbrevis.yrAssessmentyrofyrtheyrmedian,yrulnar,yrand
radialyrnervesyrrevealsyrnoyrsensoryroryrmotoryrchangesyrwhenyrcomparedyrwithyrtheyrleftyrhand.yrRadialyrand
ulnaryrpulsesyrareyr2+yrbilaterallyyrwithyrcapillaryyrrefillyrlessyrthanyr2yrsecondsyronyrallyrfiveyrfingersyrofyrthe
rightyrhand.yrPosterior-anterioryrviewyrradiographsyrofyrtheyrwristyrandyrposterior-anterioryrwrist
radiographsyrwithyrtheyrwristyrinyrulnaryrdeviationyrrevealyrnoyrfracturesyroryrdislocations.yrWhatyrisyrthe
appropriateyrmanagementyrforyrthisyrpatientyratyrthisyrtime?
(A)yrimmediateyrorthopedicyrreferral
(B)yrcock-upyrsplintyruntilyrsymptomsyrresolve
(C)yrphysicalyrtherapyyrreferralyrforyrassessmentyranyr-yrcorrectyranswers-
(D)yrthumbyrspicayrsplintyrandyrrepeatyrradiographsyrinyr3yrweeks

,7.yrAyr53-year-oldyrpatientyrofyrScandinavianyrdescentyrpresentsyrwithyrpainyrinyrtheyrringyrfingeryrofyrtheyrright
hand.yrTheyrpatientyrstatesyrthatyrhe/sheyrhasyrpainyrwhenyrhe/sheyrextendsyrhis/heryrfingeryrafteryrmakingyra
fist.yrTheyrfingeryrwillyrnotyrextendyronyritsyrown,yrrequiringyrtheyrpatientyrtoyrmanuallyyrextendyrtheyrfinger,yra
maneuveryrthatyrproducesyrbothyranyraudibleyrsnapyrandyrconsiderableyrpain.yrWhatyrisyrtheyrmostyrlikely
diagnosis?
(A)yrjerseyyrfinger
(B)yrtriggeryrfinger
(C)yrDupuytrenyrcontracture
(D)yrgamekeeperyrfinger
(E)yrganglionyrcystyr-yrcorrectyranswers-(B)yrtriggeryrfinger
9.yrAyr27-year-oldyrwomanyrwithyrnoyrsignificantyrmedicalyrhistoryyrpresentsyrcomplainingyrofyrleftyrelbow
painyrforyr3yrdays.yrTheyrpatientyrstatesyrthatyroveryrtheyrlastyr3yrdays,yrheryrleftyrelbowyrhasyrbecome
increasinglyyrred,yrswollen,yrandyrpainful.yrTheyrpatientyrisyrleft-hand-dominant.yrTheyrpatientyris
employedyrasyrayrchiropractor,yrsheyrisyrsexuallyyractiveyrbutyrdeniesyrayrhistoryyrofyrsexuallyyrtransmitted
infections.yrTheyrpatientyrisyrcurrentlyyrhavingyrheryrmenses,yrdeniesyranyyrrecentyrforeignyrtravel,yrand
acknowledgesyrthatyrwhileyrsheyrregularlyyrplaysyrtennis,yrsheyrdoesyrnotyrrecallyranyyrhistoryyrofyrelbow
trauma.yrOnyrphysicalyrexamination,yryouyrdiscoveryranyrelbowyrjointyrthatyrisyrmarkedlyyrerythematous,
warmyrtoyrtouch,yrandyrtenderyrtoyrpalpation.yrRangeyrofyrmotionyrisyrdecreasedyrsecondaryyrtoyredemayrand
pain.yrRadiographyrofyrtheyrelbowyrrevealsyronlyyrsoftyrtissueyrswellingyrbutyrnoyrfractureyroryrdislocation.
Jointyraspirationyrisyrperformedyrandyrayrgram-negativeyrdiplococcusyrisyridentifiedyronyrcytological
exayr-yrcorrectyranswers-(C)yrNeisseriayrgonorrhoeae
10.yrAyr53-year-oldyrwomanyrpresentsyrwithyrpainyrinyrheryrrightyrwrist.yrTheyrpainyrisyraggravatedyrbyyrmovement
ofyrtheyrthumbyrandyrwhenyrsheyrmakesyrayrfist.yrSheyralsoyrnotesyrthatyrwhenyrsheyrmovesyrheryrthumb,yrthereyris
anyroccasionalyrlockingyrsensationyrinyrtheyrradialyraspectyrofyrheryrwrist.yrPhysicalyrexaminationyrofyrthe
wristyrrevealsyrswellingyrandyrtendernessyroveryrtheyrdistalyrradius,yrandyrfullyrflexionyrofyrtheyrthumbyrintoyrthe
palm,yrwithyrulnaryrdeviationyrofyrtheyrwrist,yrproducesyrpain.yrRadiographicyrevaluationyrofyrtheyrwrist
showsyrnoyrboneyrabnormalities.yrWhichyrofyrtheyrfollowingyrwouldyrbeyrtheyrtreatmentyrofyrchoiceyrinyrthis
patientyrpresentation?
(A)yrimmobilizationyrofyrtheyrwristyrwithyrayrthumbyrspicayrsplint
(B)yrtendonyrsheathyrcorticosteroidyrinjection
(C)yroperativeyrtreatmentyrtoyrrestoreyrfunctionality
(D)yrpromptyrneurologicalyrevaluation
(E)yrproceedyrtoyrboneyrscanyrtoyrevaluateyrtheyrareayrofyrpainyr-yrcorrectyranswers-
(A)yrimmobilizationyrofyrtheyrwristyrwithyrayrthumbyrspicayrsplint
11.yrWhichyrofyrtheyrfollowingyrmostyraccuratelyyrdescribesyrtheyrphysicalyrexaminationyrfindingsyrsuggestiveyrof
ayrboutonniereyrdeformity?
(A)yrhyperextensionyrofyrtheyrproximalyrinterphalangealyrjointyrwithyrfixedyrflexionyrofyrtheyrdistalyrinterphalang
ealyrjoint
(B)yrpersistentyrextensionyrofyrtheyrproximalyrinterphalangealyrjointyrwithyrhyperflexionyrofyrtheyrdistalyrinterpha
langealyrjoint
(C)yrhyperextensionyrofyrtheyrdistalyrinterphalangealyrjointyrwithyrflexionyrofyrtheyrproximalyrinterphalangealyrjoi
nt
(D)yrpersistentyrflexionyrofyrtheyrproximalyrinterphalangealyrjointyrwithyrhyperextensionyrofyrtheyrdistalyrinterpha
langealyrjoint
(E)yrhyperextensionyrofyrtheyrdistalyrinterphalangealyrjointyrwithyrextensionyrofyrtheyrproximalyrinterphalangealyr
jointyr-yrcorrectyranswers-
(D)yrpersistentyrflexionyrofyrtheyrproximalyrinterphalangealyrjointyrwithyrhyperextensionyrofyrtheyrdistalyrinterpha
langealyrjoint

, 13.yrYouyrhaveyrbeenyrfollowingyrayr52-year-
oldyrmanyrwithyrayrcomplaintyrofyrbackyrpainyroveryrtheyrpastyr7yrweeks.yrDuringyrtheyrfirstyr5yrweeksyrofyrhisyrcondi
tion,yrAbraham'syrbackyrpainyrwasyrsteadilyyrdecliningyrandyrhisyrneurologicalyrfindingsyronyrphysicalyrexaminatio
nyrwereyrdecreasing.yrOveryrtheyrpastyr2yrweeks,yrAbrahamyrhasyrcomplainedyrofyrworseningyrpainyrthatyrisyrcurre
ntlyyrunrelenting,yrespeciallyyratyrnight.yrOnyrphysicalyrexamination,yrAbrahamyrdemonstratesyrfindingsyronyrbo
thyrtheyrstraightyrlegyrraiseyrandyrcrossedyrstraightyrlegyrraiseyrtests.yrHisyrmuscleyrweaknessyrhasyrlikewiseyraccele
ratedyroveryrtheyrpastyr2yrweeks,yrandyrheyrisyrnoyrlongeryrableyrtoyrheelyrwalkyrusingyrhisyrleftyrankle.yrWhatyrisyrthey
rmostyrappropriateyrmanagementyrstrategyyratyrthisyrtime?

(A)yrconservativeyrtherapyyrincludingyrapplicationyrofyriceyrandyrphysicalyrtherapyyrreferralyrforyrmuscle
stretchingyrandyrstrengthening
(B)yrplainyrradiographsyrofyrtheyrspine
(C)yrcomputedyrtomographyyr(CT)yrofyrtheyrspine
(D)yrMRIyrofyrtheyrspineyr-yrcorrectyranswers-(D)yrMRIyrofyrtheyrspine
16.yrAyr10-year-oldyrboyyrisyrbroughtyrtoyrtheyremergencyyrdepartmentyrafteryrfallingyrduringyrtheyrrecessyrat
school.yrTheyrpatientyrstatesyrthatyrheyrwasyrrunningyrwithyrayrfootballyrwhenyrtwoyrofyrhisyrclassmatesyrtackled
him.yrHeyrcomplainsyrofyrpainyrinyrhisyrrightyrwrist.yrRadiographsyrrevealyrayrfractureyrtoyrtheyrrightyrradius.yrTheyrfr
actureyrlineyrrunsyrdiagonallyyrfromyrtheyrepiphysisyrthroughyrtheyrmetaphysealyrbone.yrByyrdefinition,yrhowyrwo
uldyryouyrclassifyyrthisyrpatient'syrfracture?
(A)yrSalter-HarrisyrtypeyrI
(B)yrSalter-HarrisyrtypeyrII
(C)yrSalter-HarrisyrtypeyrIII
(D)yrSalter-HarrisyrtypeyrIV
(E)yrSalter-HarrisyrtypeyrVyr-yrcorrectyranswers-(B)yrSalter-HarrisyrtypeyrII
17.yrAyr25-year-
oldyrmanyrwasyrinvolvedyrinyrayrmotoryrvehicleyraccidentyr(MVA)yrandyrcomplainsyrofyrrightyrlegyrpain.yrTheyrcaryrw
asyrtravelingyrapproximatelyyr50yrmilesyrperyrhouryrwhenyrtheyrdriveryrlostyrcontrolyrofyrtheyrvehicle,yrcausingyrityrt
oyrleaveyrtheyrroadyrandyrrunyrhead-
onyrintoyrayrtree.yrAtyrtheyrtimeyrofyrtheyraccident,yrheyrwasyrsittingyrinyrtheyrpassengeryrsideyrofyrtheyrfrontyrseat.yrT
heyrforceyrofyrtheyrcollisionyrcausedyrtheyrdashboardyrtoyrbeyrdrivenyrviolentlyyrbackyragainstyrtheyrpatient'syrknee
s.yrOnyrtheyrbasisyrofyrthisyrmechanismyrofyrinjury,yrwhatyrwouldyryouyrexpectyrtoyrfindyrwhenyryouyrinspectyrtheyrri
ghtyrleg?
(A)yrflexed,yrabducted,yrandyrexternallyyrrotated
(B)yrshortened,yrabducted,yrandyrexternallyyrrotated
(C)yrshortened,yrabducted,yrandyrinternallyyrrotated
(D)yrshortenedyrandyrexternallyyrrotated
(E)yrshortened,yradducted,yrandyrinternallyyrrotatedyr-yrcorrectyranswers-
(E)yrshortened,yradducted,yrandyrinternallyyrrotated
18.yrAyr42-year-oldyrautomobileyrmechanicyrpresentsyrcomplainingyrofyrneckyrpainyrthatyrradiatesyrdownyrthe
lateralyraspectyrofyrhisyrarmyrandyrintoyrhisyrleftyrhand.yrTheyrpatientyrstatesyrthatyrtheyrpainyrhasyrbecome
progressivelyyrmoreyrconstantyroveryrtheyrpastyr3yrweeks.yrHeyrfeelsyrthatyrheyrisyr"loosingyrstrength"yrinyrhis
leftyrhandyrandyrthatyrpartsyrofyrhisyrleftyrhandyrareyrfeelingyrnumb.yrHeyrstatesyrthatyrhisyrsymptomsyrseemyrto
lessenyrwhenyrheyrplacesyrhisyrhandyronyrtopyrofyrhisyrhead.yrPhysicalyrexaminationyrrevealsyrvitalyrsignsyrthat
areyrwithinyrnormalyrlimits;yrnoyrmuscleyratrophyyroryrspasmyrareyrnotedyrinyrtheyrneckyroryrupperyrextremities
bilaterally.yrSensoryyrabilityyrisyrdiminishedyrinyrtheyrlongyrfingeryronyrtheyrleftyrhand.yrTricepsyrmuscle
strengthyrisyr5/5yronyrtheyrrightyrandyr4/5yronyrtheyrleft.yrBicepyrstrengthyrisyr5/5yrbilaterally.yrBicepsyrand
brachioradialisyrreflexesyrareyr+2yrbilaterally,yrright-sidedyrtricepsyrreflexyrisyr2+,yrandyrleft-sidedyrtriceps
reflexyrisyr1+.yrOnyrtheyrbasisyrofyrthisyrpresentation,yrwhatyrspinalyrryr-yrcorrectyranswers-(C)yrC7
20.yrAyr7-year-oldyrboyyrisyrbroughtyrtoyrtheyremergencyyrdepartmentyrafteryrsustainingyrayrfallyrontoyrhis

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