NR 511 Final Exam QUESTIONS AND CORRECT
DETAILED ANSWERS|| LATEST UPDATE 2025
GRADED A+
Lachman maneuver -ANSWER: Anterior Cruciate Ligament (ACL) injury (knee exam)
McMurray sign -ANSWER: Injury to the meniscus (knee exam); Cause of meniscus injury:
suddenly planting leg on the ground and twisting; can cause immediate pain in the planted leg
and inability to bear weight. Can lock up when trying to straighten it.
Phalen's test -ANSWER: Numbness and tingling in the first 3 digits when pressing the dorsal
surface of both hands together in a forced wrist flexion for at least 1 minute (wrist exam)
Radial head fracture -ANSWER: palpate for tenderness, swelling, and crepitus just distal to the
lateral epicondyle. (wrist exam)
Articular and a non-articular musculoskeletal complaint-differentiation between the two is that -
ANSWER: non-articular complaints involves a point or focal tenderness
Bulge Test -ANSWER: use to check for knee joint effusion
carpal tunnel syndrome
initial tx -ANSWER: inflammation of median nerve
wrist splint and NSAID
herniated disk most common area
,evaluation -ANSWER: L4-L5 (weakness in the great toe)
Straight leg test: with patient in supine position, elevate affected leg; if this elicits back and
sciatic nerve pain, this is a positive test for herniated disk
straight leg test -ANSWER: Patient supine, passively raise patient's leg to point of pain or 90
degrees
+ pain from 0-35: piriformis syndrome, SI joint lesion
+ pain from 35-70: herniated disc
+ pain from 70-90: lumbar joint problem
shoulder dislocation assessment
Due to -ANSWER: pain noted when shrugging shoulders
excessive pressure put on the shoulders
muscle strains degree of ankle sprains:
first
second
third -ANSWER: 1st-ligaments are stretched but not torn
2nd-most common; partial tearing of the ligament
3rd-most severe; ligament is torn completely
•Strain-can be due to
•How do you know it's a strain?
, •Treat with -ANSWER: -not warming up prior to exercise; Teachable moment when the patient
presents with a strain is just to suggest stretching and warm-up exercises prior to the full exercise
routine
-Look for location; e.g. acute low back strain; low back pain that is not associated with sciatica;
Is aggravated by sitting, standing, and certain movements; alleviated with rest; pain locally on
palpation and muscle spasms are felt.
-NSAID and recommend low back strengthening exercises; the type and intensity of the
strengthening exercises depends on the patient's pain tolerance. Be careful to not add insult to
injury!
Cauda equine syndrome occurs when
s/s
tx -ANSWER: bundle of nerves below the end of the spinal cord known as the cauda equina is
damaged.
low back pain, pain that radiates down the leg, numbness around the anus, and loss of bowel or
bladder control.
referred to the ER for evaluation since it's going to require surgery (laminectomy)
spinal fracture can present as
consider red flags from the patient history that alerts you to a potential spinal fracture that may
include -ANSWER: low back pain
fall history, prolonged steroid use, osteopenia, osteoporosis
DETAILED ANSWERS|| LATEST UPDATE 2025
GRADED A+
Lachman maneuver -ANSWER: Anterior Cruciate Ligament (ACL) injury (knee exam)
McMurray sign -ANSWER: Injury to the meniscus (knee exam); Cause of meniscus injury:
suddenly planting leg on the ground and twisting; can cause immediate pain in the planted leg
and inability to bear weight. Can lock up when trying to straighten it.
Phalen's test -ANSWER: Numbness and tingling in the first 3 digits when pressing the dorsal
surface of both hands together in a forced wrist flexion for at least 1 minute (wrist exam)
Radial head fracture -ANSWER: palpate for tenderness, swelling, and crepitus just distal to the
lateral epicondyle. (wrist exam)
Articular and a non-articular musculoskeletal complaint-differentiation between the two is that -
ANSWER: non-articular complaints involves a point or focal tenderness
Bulge Test -ANSWER: use to check for knee joint effusion
carpal tunnel syndrome
initial tx -ANSWER: inflammation of median nerve
wrist splint and NSAID
herniated disk most common area
,evaluation -ANSWER: L4-L5 (weakness in the great toe)
Straight leg test: with patient in supine position, elevate affected leg; if this elicits back and
sciatic nerve pain, this is a positive test for herniated disk
straight leg test -ANSWER: Patient supine, passively raise patient's leg to point of pain or 90
degrees
+ pain from 0-35: piriformis syndrome, SI joint lesion
+ pain from 35-70: herniated disc
+ pain from 70-90: lumbar joint problem
shoulder dislocation assessment
Due to -ANSWER: pain noted when shrugging shoulders
excessive pressure put on the shoulders
muscle strains degree of ankle sprains:
first
second
third -ANSWER: 1st-ligaments are stretched but not torn
2nd-most common; partial tearing of the ligament
3rd-most severe; ligament is torn completely
•Strain-can be due to
•How do you know it's a strain?
, •Treat with -ANSWER: -not warming up prior to exercise; Teachable moment when the patient
presents with a strain is just to suggest stretching and warm-up exercises prior to the full exercise
routine
-Look for location; e.g. acute low back strain; low back pain that is not associated with sciatica;
Is aggravated by sitting, standing, and certain movements; alleviated with rest; pain locally on
palpation and muscle spasms are felt.
-NSAID and recommend low back strengthening exercises; the type and intensity of the
strengthening exercises depends on the patient's pain tolerance. Be careful to not add insult to
injury!
Cauda equine syndrome occurs when
s/s
tx -ANSWER: bundle of nerves below the end of the spinal cord known as the cauda equina is
damaged.
low back pain, pain that radiates down the leg, numbness around the anus, and loss of bowel or
bladder control.
referred to the ER for evaluation since it's going to require surgery (laminectomy)
spinal fracture can present as
consider red flags from the patient history that alerts you to a potential spinal fracture that may
include -ANSWER: low back pain
fall history, prolonged steroid use, osteopenia, osteoporosis
