NURS 671 Dunphy clinical Final Exam
Questions And Answers 100% Pass
One of the initial steps in assessing pt's w/musculoskeletal
complaints is to determine whether the complaint is articular or
nonarticular in origin. Which of the following is an example of an
articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - - -
correct answer ✅b. Synovium
You have detected the presence of crepitus on exam of a pt with a
musculskeletal complaint. Additionally, there is limited ROM
w/both active and passive movement. These findings suggest that
the origin of the musculoskeletal complaint is: - - -
correct answer ✅Articular
Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?
a. Decreased CRP
b. Hyperalbuminemia
,NURS 671 Dunphy clinical Final Exam
Questions And Answers 100% Pass
c. Morning stiffness
d. Weight gain - - -
correct answer ✅c. Morning stiffness
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 pain should be examined
first.
c. When possible, the pt 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 pt. - - -
correct answer ✅a. The uninvolved side should be examined
initially and then compared to the involved side.
You are performing muscle strength testing on a pt presenting
w/musculoskeletal pain and find that the pt has complete ROM
w/gravity eliminated. Which numeric grade of muscle strength
would you give this pt, 1-5? - - -
correct answer ✅2
,NURS 671 Dunphy clinical Final Exam
Questions And Answers 100% Pass
Mrs. Gray is a 55yo woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any h/o trauma.
Her exam reveals a 75% reduction in both active and passive ROM
of the right shoulder. Mrs. Gray also is experiencing tenderness
with motion and pain at the deltoid insertion. Her medical hx is
significant for type 1 diabetes mellitus and HTN. Her social hx
reveals that she is a secretary and that she is right-handed. Based
on her examination and medical hx, you suspect adhesive capsulitis,
or "frozen shoulder." Which clue in Mrs. Gray's hx supports this dx?
---
correct answer ✅Her h/o diabetes
Jennifer is an 18yo who comes to the ER 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 ROM 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
, NURS 671 Dunphy clinical Final Exam
Questions And Answers 100% Pass
c. Recurrent dislocations are uncommon and would require great
force to result in injury.
d. Surgery is most commonly the treatment of choice - - -
correct answer ✅b. There is a risk of neurovascular and
neurosensory trauma, so the clinician should check for distal pulses
Mrs. Anderson is a 35yo woman who has been recently diagnosed
with carpal tunnel syndrome. She has 2 young children and asks the
clinician what the chances are that they also will develop carpal
tunnel syndrome. Which of the following responses would be
correct regarding the risk of developing carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about one-half the risk of
developing carpal tunnel.
b. Only people w/occupations that require repeated flexion
extension of the wrist, use of hand tools that require forceful
gripping, or use of hand tools that vibrate are at risk for developing
carpal tunnel.
c. An underlying musculoskeletal disorder must be present for a
person to develop carpal tunnel.
d. Carpal tunnel syndrome only occurs in the presence of a
hormonal imbalance. - - -
correct answer ✅a. Carpal tunnel syndrome commonly occurs in
Questions And Answers 100% Pass
One of the initial steps in assessing pt's w/musculoskeletal
complaints is to determine whether the complaint is articular or
nonarticular in origin. Which of the following is an example of an
articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - - -
correct answer ✅b. Synovium
You have detected the presence of crepitus on exam of a pt with a
musculskeletal complaint. Additionally, there is limited ROM
w/both active and passive movement. These findings suggest that
the origin of the musculoskeletal complaint is: - - -
correct answer ✅Articular
Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?
a. Decreased CRP
b. Hyperalbuminemia
,NURS 671 Dunphy clinical Final Exam
Questions And Answers 100% Pass
c. Morning stiffness
d. Weight gain - - -
correct answer ✅c. Morning stiffness
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 pain should be examined
first.
c. When possible, the pt 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 pt. - - -
correct answer ✅a. The uninvolved side should be examined
initially and then compared to the involved side.
You are performing muscle strength testing on a pt presenting
w/musculoskeletal pain and find that the pt has complete ROM
w/gravity eliminated. Which numeric grade of muscle strength
would you give this pt, 1-5? - - -
correct answer ✅2
,NURS 671 Dunphy clinical Final Exam
Questions And Answers 100% Pass
Mrs. Gray is a 55yo woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any h/o trauma.
Her exam reveals a 75% reduction in both active and passive ROM
of the right shoulder. Mrs. Gray also is experiencing tenderness
with motion and pain at the deltoid insertion. Her medical hx is
significant for type 1 diabetes mellitus and HTN. Her social hx
reveals that she is a secretary and that she is right-handed. Based
on her examination and medical hx, you suspect adhesive capsulitis,
or "frozen shoulder." Which clue in Mrs. Gray's hx supports this dx?
---
correct answer ✅Her h/o diabetes
Jennifer is an 18yo who comes to the ER 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 ROM 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
, NURS 671 Dunphy clinical Final Exam
Questions And Answers 100% Pass
c. Recurrent dislocations are uncommon and would require great
force to result in injury.
d. Surgery is most commonly the treatment of choice - - -
correct answer ✅b. There is a risk of neurovascular and
neurosensory trauma, so the clinician should check for distal pulses
Mrs. Anderson is a 35yo woman who has been recently diagnosed
with carpal tunnel syndrome. She has 2 young children and asks the
clinician what the chances are that they also will develop carpal
tunnel syndrome. Which of the following responses would be
correct regarding the risk of developing carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about one-half the risk of
developing carpal tunnel.
b. Only people w/occupations that require repeated flexion
extension of the wrist, use of hand tools that require forceful
gripping, or use of hand tools that vibrate are at risk for developing
carpal tunnel.
c. An underlying musculoskeletal disorder must be present for a
person to develop carpal tunnel.
d. Carpal tunnel syndrome only occurs in the presence of a
hormonal imbalance. - - -
correct answer ✅a. Carpal tunnel syndrome commonly occurs in
