Nursing5336 FNP Final Exam 2024
x x x x x
The xfollowing xstatements xabout xthe xpathophysiology xof xOA xare xall xtrue xexcept: x-
xOA x
x
affects xonly xbone xand
xcartilage
x
WHich xstatement xor xstatements xabout xOA xis x(are) xnot xtrue? x- xA) xAlthough
xexcessive x
weight xmay xcontribute xto xthe xdevelopment xof xOA, xweight xloss xhas xNOT xbeen
xshown x
x
to xlead xto ximprovement xin xsymptoms xor
xfunctionality.
x
C) xStrength xtraining xhas xnot xbeen xshown xto xbe xhelpful xfor xpatients xwith xOA
xand xis x
x
likely xto xexacerbate
xsymptoms.
x
Which xstatement xabout xOA xis xnot xtrue? x- xPatients xwith xOA xof xthe xlower
xextremities x
x
should xavoid xtai xchi xas xit xhas xbeen xshown xto xexacerbate xlower xextremity
xOA.
x
New xInternational xRecommendations xfor xdiagnosis xof xmyofascial xpain xsyndrome
xfrom x
x
include: x- xAll xof xthe
xabove
x
Which xof xthe xfollowing xstatements xare xtrue xregarding xneedle xbased xinterventions
xfor x
x
myofascial xpain xsyndrome? x- xB x&
xC
x
B) xDry xand xwet xneedling xappear xto xhave xsimilar xbenefits xin xthe xshort
xterm.
x
C) xWet xneedling xappears xto xhave ximproved xbenefit xin xthe xmedium-term xvs
xdry
x
needling, xalthough xthe xlong-term xsignificance xof xthis xare
xunknown.
x
Which xof xthe xfollowing xstatements xare xtrue xregarding xphysical xtherapy
xinterventions xfor xmyofascial xpain xsyndrome? x- xThere xis xgood xevidence xthat xthe
xbest xoutcomes xare xderived xfrom xthe xcombination xof xindividualized xclinic xtherapies
xsupported xby xactive xself-management xtechniques x(exercise, xstretching,
xrelaxation). x
x
A x44-year-old xmale xpatient xpresents xto xyour xclinic xfor xevaluation xof xpersistent xlow
xback xpain xsymptoms. xHe xwould xlike xto xdiscuss xgetting xa xmagnetic xresonance
ximaging xscan xand xexplore xhis xtreatment xoptions. xHe xhas xa xprior xhistory xof
xintermittent xlow xback xpain xwith xflares xapproximately xtwice xper xyear xfor x10 xyears,
,xbut xhas xhad xpersistent xdaily xsymptoms xfor xthe xpast x6 xmonths. xHe xreports
xbilateral xparaspinal xpain xthat xdoes xnot xradiate xpast xthe xbuttocks. xHe xhas xtried
xnonsteroidal xantiinflammatory xdrugs, xwhich xprovided xsome xrelief, xbut xcaused
xstomach xdiscomfort, xand xhe xhas xcompleted xa xcourse xof xphysical xtherapy xwithout
xsignificant ximprovement. xIn xyour xdiscussion xof xtreatment xoptions, xall xare
xreasonable xapproaches xto xinclude, xexcept: x- xEpidural xsteroid xinjection x
x
Your xpatient xasks xyour xopinion xon xmind-body xtechniques xto xhelp xwith xpain
xmanagement. xWhich xof xthe xfollowing xstatements xis xconsistent xwith xcurrent
xevidence? x- xBehavioral xtherapies xas xa xwhole xhave xshown ximprovements xin
xfunctional xstatus xin xpatients xwith xlow xback xpain. x
x
Which xof xthe xfollow xstatements xabout xacupuncture xare xincorrect? x- xThe xAmerican
xCollege xof xPhysicians x(ACP) xlow xback xpain xguidelines xlist xacupuncture xas xa
xprimary xtreatment xoption xfor xacute xlow xback xpain. x
x
Out xof xthe xfollowing xlisted xchoices, xwhich xone xhas xthe xstrongest xassociation
xwith x
x
chronic xpain? x- xPhysiological
xfactors
x
Which xof xthe xfollowing xstatements xis xcorrect xregarding xacupuncture xtreatments
xfor x
x
neck xpain? x- xOverall, xthere xis xmoderate xevidence xin xfavor xof xacupuncture
xfor
x
treatment xof xchronic xneck
xpain
x
when xcompared xto xsham
xacupuncture
x
Which xof xthe xfollowing xis xtrue xregarding xthe xevidence xbase xfor xhands-on
xapproach xto xthe xtreatment xof xchronic xneck xpain? x- xA xmultimodal, xteam-based
xapproach xthat xutilizes xseveral xmodalities, xincluding xhands-on xbody xwork, xoften
xresults xin xthe xmost xeffective xlong-term xpain xrelief. x
x
When xmanaging xchronic xgouty xarthritis, xtitrate xurate-lowering xtherapies xto
xachieve x
x
serum xuric xacid xlevels xless xthan: x-
x6
x
Lifestyle xrecommendations xfor xgout xshould xinclude xall xof xthe xfollowing
xexcept: x-
x
Avoidance xof xall xpurine-rich
xfoods
x
Appropriate xpharmacological xtreatments xof xacute xgouty xflairs xinclude x(choose
xall xcorrect): x- xa. xIndomethacin xb. xNaproxen x
d. xPrednisone x
f. xColchicine x(low xdose) x
x
A x43-year-old xfemale xworking xin xjanitorial xservices xpresents xwith xpain xand
xweakness xin xher xright xhand. xShe xadmits xthat xsymptoms xhave xworsened xover xthe
,xpast xcouple xof xyears xand xnow xremain xalmost xconstant xand xhave xaffected xher
xability xto xgrip xa xmop xand xsqueeze xa xspray xbottle. xShe xfrequently xawakens xat
xnight xand xhas xto x"shake xout" xthe xpain xand xnumbness xshe xis xexperiencing. xOn
xphysical xexam xthere xis xdecreased xsensation xto xpinprick xover xthe xfirst xthrough
xthird xphalanges xand xyou xnote xthe xright xthenar xeminence xis xmuch xless xrobust
xthan xthe xleft. xBased xof xthe xcondition xin xthis xpatient? x- xRefer xpatient xfor
xelectrodiagnostic xstudies xand xto xvisit xa xhand xsurgeon. x
x
A x29-year-old xfemale xat xthe xend xof xher xsecond xtrimester xis xexperiencing
xincreasing xdiscomfort xof xboth xhands. xShe xstates xthat xpain xand xnumbness xare
xmost xnoticeable xwhile xperforming xdaily x
tasks xaround xthe xhouse xand xwashing xdishes. xAfter xa xthorough xhistory xand
xphysical xthe xmost xlikely xetiology xis xdetermined xto xbe xcarpal xtunnel xsyndrome
x(CTS). xWhich xof xthe xfollowing xmanagement xoptions xwould xnot xbe
xrecommended xfor xthis xpatient x- xObtaining xelectrodiagnostic xstudies xto xevaluate
xthe xneed xfor xsurgery. x
x
After xdetermining xa xmanagement xplan, xthe xpatient xwonders xif xthere xis xanything
xaside xfrom xmedications xthat xshe xcould xtake xto xhelp xwith xher xpain xrelief. xOf xnote
xshe xalso xmentions xshe xhas xhad xoccasional xnausea xthroughout xher xpregnancy.
xWhich xof xthe xfollowing xwould xbe xan xappropriate xoption xfor xthis xpatient? x-
xSuggest xdaily xdosing xof xginger xcapsules. x
x
The xunderlying xprogression xof xpathology xof xlateral xand xmedial xepicondylosis
xis x
x
currently xviewed xas: x- xAcutely xinflammatory xand xchronically
xdegenerative
x
Which xof xthe xfollowing xneedle xor xinjection-based xtherapies xhave xfor xepicondylosis
xshown xpositive xoutcomes xin xrandomized xcontrolled xtrials? xSelect xall xthat xapply. x-
xa. x
Acupuncture x
b. Platelet xrich xplasma x
c. Prolotherapy x
d. ********All xof xthe xabove x******* x
x
Current x"best xevidence" xfavors xcorticosteroid xinjections xas xstandard xof xcare xfor
xmost x
x
cases xof xlateral xand xmedical xepicondylosis. x-
xFalse
x
1. xWhen xcounseling xa xpatient xabout xthe xlong-term xeffects xof xfibromyalgia
xsyndrome, x
what xis ximportant xto xinclude xin xteaching? x- xA xmultidisciplinary xapproach xto
xtreatment x
x
is xmost
xeffective.
x
1. xWhich xare x symptoms x associated x with
xfibromyalgia?
, x
Select xall xthat xapply. x - x Gastrointestinal
xcomplaints
x
Musculoskeletal xpain x
Non-restorative
xsleep
x
1. xWhich xcause xis ximplicated xin xpatients xwith xfibromyalgia xsyndrome x(FMS)? x-
xCentral x
x
nervous xsystem
xdysfunction
x
1. xA xpatient xwith xgout xand ximpaired xrenal xfunction xwho xuses xurate-lowering
xtherapy x(ULT) xis xexperiencing xan xacute xgout xflare xinvolving xone xjoint. xWhat xis
xthe xrecommended xtreatment? x- xAdministration xof xintra-articular xcorticosteroid x
x
1. xA xpatient xexperiences xa xsecond xgouty xflare xand xthe xprovider xdecides xto xbegin
xurate-lowering xtherapy x(ULT). xHow xshould xthis xbe xprescribed? x- xStart xULT xin x5
xweeks xalong xwith xan xanti-inflammatory xdrug x
x
1. xA xpost-menopausal xfemale xpatient xhas xa xblood xtest xthat xreveals
xhyperuricemia, xalthough xthe xpatient xhas xno xsymptoms xof xgout. xWhat xwill xthe
xprovider xdo? x- xAsk xthe xpatient xabout xmedications xand xmedical xhistory x
x
1. xA xpatient xwith xchronic xhip xpain xcannot xtake xNSAIDs xand xtells xthe xprovider xthat
xacetaminophen xis xminimally xhelpful. xWhat xmight xthe xprovider xrecommend xinitially
xto ximprove xpain xrelief? x- xCapsaicin x
x
1. xAn xadult xpatient xwho xhas xbeen xtaking xhigh-dose xcorticosteroids xreports xa xdull,
xaching xpain xin xthe xgroin xand xpresents xwith xa xlimp. xWhat xcondition xdoes xthe
xprovider xsuspect, xbased xon xthis xhistory? x- xAvascular xnecrosis xof xthe xfemoral
xhead x
x
1. xA xpatient xreports xthe xsudden xonset xof xpain, xredness, xand xswelling xin xone xknee
xjoint x
along xwith xa xno xfever. xThe xprovider xelicits xexquisite xpain xwith xmanipulation xof xthe
xjoint x
x
and xnotes xno xdecrease xin xpain xwhen xthe xjoint xis xat xrest. xWhich xis xthe xlikely
xcause xof
x
this xarthritis? x- xBacterial
xinfection
x
1. xAn xadolescent xpatient xreports xpain xand xswelling xin xvarious xjoints xon xthe xright
xside xthat xcomes xand xgoes xand xoccurs xin xthe xknee, xelbow, xwrist, xand xankle. xA
xphysical xexamination xreveals xtenosynovitis xand xa xmaculopapular xrash. xWhich
xdiagnostic xtests xwill xbe xmost xhelpful xin xdetermining xa xdiagnosis xin xthis xpatient? x-
xCultures xof xthe xurethra, xpharynx, xcervix, xand xrectum x
x
1. xA xpatient xhas xmarked xswelling xof xa xshoulder xjoint xwith xerythema xand xsevere
xpain. x
x
The xprovider xsuspects xa xbacterial xcause. xWhich xculture xwill xbe xmost
xhelpful xto
x x x x x
The xfollowing xstatements xabout xthe xpathophysiology xof xOA xare xall xtrue xexcept: x-
xOA x
x
affects xonly xbone xand
xcartilage
x
WHich xstatement xor xstatements xabout xOA xis x(are) xnot xtrue? x- xA) xAlthough
xexcessive x
weight xmay xcontribute xto xthe xdevelopment xof xOA, xweight xloss xhas xNOT xbeen
xshown x
x
to xlead xto ximprovement xin xsymptoms xor
xfunctionality.
x
C) xStrength xtraining xhas xnot xbeen xshown xto xbe xhelpful xfor xpatients xwith xOA
xand xis x
x
likely xto xexacerbate
xsymptoms.
x
Which xstatement xabout xOA xis xnot xtrue? x- xPatients xwith xOA xof xthe xlower
xextremities x
x
should xavoid xtai xchi xas xit xhas xbeen xshown xto xexacerbate xlower xextremity
xOA.
x
New xInternational xRecommendations xfor xdiagnosis xof xmyofascial xpain xsyndrome
xfrom x
x
include: x- xAll xof xthe
xabove
x
Which xof xthe xfollowing xstatements xare xtrue xregarding xneedle xbased xinterventions
xfor x
x
myofascial xpain xsyndrome? x- xB x&
xC
x
B) xDry xand xwet xneedling xappear xto xhave xsimilar xbenefits xin xthe xshort
xterm.
x
C) xWet xneedling xappears xto xhave ximproved xbenefit xin xthe xmedium-term xvs
xdry
x
needling, xalthough xthe xlong-term xsignificance xof xthis xare
xunknown.
x
Which xof xthe xfollowing xstatements xare xtrue xregarding xphysical xtherapy
xinterventions xfor xmyofascial xpain xsyndrome? x- xThere xis xgood xevidence xthat xthe
xbest xoutcomes xare xderived xfrom xthe xcombination xof xindividualized xclinic xtherapies
xsupported xby xactive xself-management xtechniques x(exercise, xstretching,
xrelaxation). x
x
A x44-year-old xmale xpatient xpresents xto xyour xclinic xfor xevaluation xof xpersistent xlow
xback xpain xsymptoms. xHe xwould xlike xto xdiscuss xgetting xa xmagnetic xresonance
ximaging xscan xand xexplore xhis xtreatment xoptions. xHe xhas xa xprior xhistory xof
xintermittent xlow xback xpain xwith xflares xapproximately xtwice xper xyear xfor x10 xyears,
,xbut xhas xhad xpersistent xdaily xsymptoms xfor xthe xpast x6 xmonths. xHe xreports
xbilateral xparaspinal xpain xthat xdoes xnot xradiate xpast xthe xbuttocks. xHe xhas xtried
xnonsteroidal xantiinflammatory xdrugs, xwhich xprovided xsome xrelief, xbut xcaused
xstomach xdiscomfort, xand xhe xhas xcompleted xa xcourse xof xphysical xtherapy xwithout
xsignificant ximprovement. xIn xyour xdiscussion xof xtreatment xoptions, xall xare
xreasonable xapproaches xto xinclude, xexcept: x- xEpidural xsteroid xinjection x
x
Your xpatient xasks xyour xopinion xon xmind-body xtechniques xto xhelp xwith xpain
xmanagement. xWhich xof xthe xfollowing xstatements xis xconsistent xwith xcurrent
xevidence? x- xBehavioral xtherapies xas xa xwhole xhave xshown ximprovements xin
xfunctional xstatus xin xpatients xwith xlow xback xpain. x
x
Which xof xthe xfollow xstatements xabout xacupuncture xare xincorrect? x- xThe xAmerican
xCollege xof xPhysicians x(ACP) xlow xback xpain xguidelines xlist xacupuncture xas xa
xprimary xtreatment xoption xfor xacute xlow xback xpain. x
x
Out xof xthe xfollowing xlisted xchoices, xwhich xone xhas xthe xstrongest xassociation
xwith x
x
chronic xpain? x- xPhysiological
xfactors
x
Which xof xthe xfollowing xstatements xis xcorrect xregarding xacupuncture xtreatments
xfor x
x
neck xpain? x- xOverall, xthere xis xmoderate xevidence xin xfavor xof xacupuncture
xfor
x
treatment xof xchronic xneck
xpain
x
when xcompared xto xsham
xacupuncture
x
Which xof xthe xfollowing xis xtrue xregarding xthe xevidence xbase xfor xhands-on
xapproach xto xthe xtreatment xof xchronic xneck xpain? x- xA xmultimodal, xteam-based
xapproach xthat xutilizes xseveral xmodalities, xincluding xhands-on xbody xwork, xoften
xresults xin xthe xmost xeffective xlong-term xpain xrelief. x
x
When xmanaging xchronic xgouty xarthritis, xtitrate xurate-lowering xtherapies xto
xachieve x
x
serum xuric xacid xlevels xless xthan: x-
x6
x
Lifestyle xrecommendations xfor xgout xshould xinclude xall xof xthe xfollowing
xexcept: x-
x
Avoidance xof xall xpurine-rich
xfoods
x
Appropriate xpharmacological xtreatments xof xacute xgouty xflairs xinclude x(choose
xall xcorrect): x- xa. xIndomethacin xb. xNaproxen x
d. xPrednisone x
f. xColchicine x(low xdose) x
x
A x43-year-old xfemale xworking xin xjanitorial xservices xpresents xwith xpain xand
xweakness xin xher xright xhand. xShe xadmits xthat xsymptoms xhave xworsened xover xthe
,xpast xcouple xof xyears xand xnow xremain xalmost xconstant xand xhave xaffected xher
xability xto xgrip xa xmop xand xsqueeze xa xspray xbottle. xShe xfrequently xawakens xat
xnight xand xhas xto x"shake xout" xthe xpain xand xnumbness xshe xis xexperiencing. xOn
xphysical xexam xthere xis xdecreased xsensation xto xpinprick xover xthe xfirst xthrough
xthird xphalanges xand xyou xnote xthe xright xthenar xeminence xis xmuch xless xrobust
xthan xthe xleft. xBased xof xthe xcondition xin xthis xpatient? x- xRefer xpatient xfor
xelectrodiagnostic xstudies xand xto xvisit xa xhand xsurgeon. x
x
A x29-year-old xfemale xat xthe xend xof xher xsecond xtrimester xis xexperiencing
xincreasing xdiscomfort xof xboth xhands. xShe xstates xthat xpain xand xnumbness xare
xmost xnoticeable xwhile xperforming xdaily x
tasks xaround xthe xhouse xand xwashing xdishes. xAfter xa xthorough xhistory xand
xphysical xthe xmost xlikely xetiology xis xdetermined xto xbe xcarpal xtunnel xsyndrome
x(CTS). xWhich xof xthe xfollowing xmanagement xoptions xwould xnot xbe
xrecommended xfor xthis xpatient x- xObtaining xelectrodiagnostic xstudies xto xevaluate
xthe xneed xfor xsurgery. x
x
After xdetermining xa xmanagement xplan, xthe xpatient xwonders xif xthere xis xanything
xaside xfrom xmedications xthat xshe xcould xtake xto xhelp xwith xher xpain xrelief. xOf xnote
xshe xalso xmentions xshe xhas xhad xoccasional xnausea xthroughout xher xpregnancy.
xWhich xof xthe xfollowing xwould xbe xan xappropriate xoption xfor xthis xpatient? x-
xSuggest xdaily xdosing xof xginger xcapsules. x
x
The xunderlying xprogression xof xpathology xof xlateral xand xmedial xepicondylosis
xis x
x
currently xviewed xas: x- xAcutely xinflammatory xand xchronically
xdegenerative
x
Which xof xthe xfollowing xneedle xor xinjection-based xtherapies xhave xfor xepicondylosis
xshown xpositive xoutcomes xin xrandomized xcontrolled xtrials? xSelect xall xthat xapply. x-
xa. x
Acupuncture x
b. Platelet xrich xplasma x
c. Prolotherapy x
d. ********All xof xthe xabove x******* x
x
Current x"best xevidence" xfavors xcorticosteroid xinjections xas xstandard xof xcare xfor
xmost x
x
cases xof xlateral xand xmedical xepicondylosis. x-
xFalse
x
1. xWhen xcounseling xa xpatient xabout xthe xlong-term xeffects xof xfibromyalgia
xsyndrome, x
what xis ximportant xto xinclude xin xteaching? x- xA xmultidisciplinary xapproach xto
xtreatment x
x
is xmost
xeffective.
x
1. xWhich xare x symptoms x associated x with
xfibromyalgia?
, x
Select xall xthat xapply. x - x Gastrointestinal
xcomplaints
x
Musculoskeletal xpain x
Non-restorative
xsleep
x
1. xWhich xcause xis ximplicated xin xpatients xwith xfibromyalgia xsyndrome x(FMS)? x-
xCentral x
x
nervous xsystem
xdysfunction
x
1. xA xpatient xwith xgout xand ximpaired xrenal xfunction xwho xuses xurate-lowering
xtherapy x(ULT) xis xexperiencing xan xacute xgout xflare xinvolving xone xjoint. xWhat xis
xthe xrecommended xtreatment? x- xAdministration xof xintra-articular xcorticosteroid x
x
1. xA xpatient xexperiences xa xsecond xgouty xflare xand xthe xprovider xdecides xto xbegin
xurate-lowering xtherapy x(ULT). xHow xshould xthis xbe xprescribed? x- xStart xULT xin x5
xweeks xalong xwith xan xanti-inflammatory xdrug x
x
1. xA xpost-menopausal xfemale xpatient xhas xa xblood xtest xthat xreveals
xhyperuricemia, xalthough xthe xpatient xhas xno xsymptoms xof xgout. xWhat xwill xthe
xprovider xdo? x- xAsk xthe xpatient xabout xmedications xand xmedical xhistory x
x
1. xA xpatient xwith xchronic xhip xpain xcannot xtake xNSAIDs xand xtells xthe xprovider xthat
xacetaminophen xis xminimally xhelpful. xWhat xmight xthe xprovider xrecommend xinitially
xto ximprove xpain xrelief? x- xCapsaicin x
x
1. xAn xadult xpatient xwho xhas xbeen xtaking xhigh-dose xcorticosteroids xreports xa xdull,
xaching xpain xin xthe xgroin xand xpresents xwith xa xlimp. xWhat xcondition xdoes xthe
xprovider xsuspect, xbased xon xthis xhistory? x- xAvascular xnecrosis xof xthe xfemoral
xhead x
x
1. xA xpatient xreports xthe xsudden xonset xof xpain, xredness, xand xswelling xin xone xknee
xjoint x
along xwith xa xno xfever. xThe xprovider xelicits xexquisite xpain xwith xmanipulation xof xthe
xjoint x
x
and xnotes xno xdecrease xin xpain xwhen xthe xjoint xis xat xrest. xWhich xis xthe xlikely
xcause xof
x
this xarthritis? x- xBacterial
xinfection
x
1. xAn xadolescent xpatient xreports xpain xand xswelling xin xvarious xjoints xon xthe xright
xside xthat xcomes xand xgoes xand xoccurs xin xthe xknee, xelbow, xwrist, xand xankle. xA
xphysical xexamination xreveals xtenosynovitis xand xa xmaculopapular xrash. xWhich
xdiagnostic xtests xwill xbe xmost xhelpful xin xdetermining xa xdiagnosis xin xthis xpatient? x-
xCultures xof xthe xurethra, xpharynx, xcervix, xand xrectum x
x
1. xA xpatient xhas xmarked xswelling xof xa xshoulder xjoint xwith xerythema xand xsevere
xpain. x
x
The xprovider xsuspects xa xbacterial xcause. xWhich xculture xwill xbe xmost
xhelpful xto
