MUSCULOSKELETAL COMPREHENSIVE EXAM QUESTIONS
WITH CORRECT WELL DETAILED ANSWERS GRADED A+
hematoma formation - ✔✔ Torn blood vessels hemorrhage, forming mass of clotted blood called
a hematoma
Site is swollen, painful, and inflamed
Fibrocartilage formation - ✔✔ 3 days to 2 weeks
callus formation - ✔✔ mass of tissue that forms at a fracture site and connects the broken ends of
the bone
What is callus made of? - ✔✔ cartilage, osteoblasts, calcium and phosphorus
Osteoblasts - ✔✔ bone forming cells
Osteoclasts - ✔✔ Bone-destroying cells
Using a cane - ✔✔ Flex elbow 30 degrees and hold handle; tip of cane should be 15cm lateral to
the base of the 5th toe
Hold in hand opposite affected extremity; advance cane and affected leg together; lean on cane
when moving good leg
,UP= cane and good leg
DOWN= cane and bad leg
Goals of treatment expected in a care plan of a patient with a fracture - ✔✔ Pain relief
Intact skin
Good skin perfusion
Maintenance of mobility
Independence with ADL
Prevention of complications
When caring for a client recovering from total hip replacement in which position would you
place them?
A) adduction and flexion
B) abduction and extension
C) adduction and internal rotation
D) abduction and external rotation - ✔✔ B) abduction and extension
A client has a BKA and asks why the prosthesis is applied immediately after surgery? Which
explanation is the primary reason?
A) to decrease phantom limb sensations
B) to encourage a normal walking pattern
C) to reduce the incidence of wound infection
, D) to allow for the fitting of the prosthesis before discharge - ✔✔ B) to encourage a normal
walking pattern
Which explanation does the nurse make for swollen finger joints in a client who is having an
episode of rheumatoid arthritis?
A) urate crystals in synovial tissue
B) inflammation in the joints synovial lining
C) formation of bony spurs on the joint surfaces
D) erosion of cartilage that lines the inside of joints - ✔✔ B) inflammation in the joints synovial
lining
urate crystals - ✔✔ Gout disease, this is accumulated in joints and other body tissues
Conditions that may result in amputation - ✔✔ Gangrene
Arteriosclerosis
Diabetes mellitus
Chronic osteomyelitis
Peripheral vascular disease
phantom limb pain - ✔✔ pain in a limb (or extremity) that has been amputated
Burning, stinging or crushing pain
WITH CORRECT WELL DETAILED ANSWERS GRADED A+
hematoma formation - ✔✔ Torn blood vessels hemorrhage, forming mass of clotted blood called
a hematoma
Site is swollen, painful, and inflamed
Fibrocartilage formation - ✔✔ 3 days to 2 weeks
callus formation - ✔✔ mass of tissue that forms at a fracture site and connects the broken ends of
the bone
What is callus made of? - ✔✔ cartilage, osteoblasts, calcium and phosphorus
Osteoblasts - ✔✔ bone forming cells
Osteoclasts - ✔✔ Bone-destroying cells
Using a cane - ✔✔ Flex elbow 30 degrees and hold handle; tip of cane should be 15cm lateral to
the base of the 5th toe
Hold in hand opposite affected extremity; advance cane and affected leg together; lean on cane
when moving good leg
,UP= cane and good leg
DOWN= cane and bad leg
Goals of treatment expected in a care plan of a patient with a fracture - ✔✔ Pain relief
Intact skin
Good skin perfusion
Maintenance of mobility
Independence with ADL
Prevention of complications
When caring for a client recovering from total hip replacement in which position would you
place them?
A) adduction and flexion
B) abduction and extension
C) adduction and internal rotation
D) abduction and external rotation - ✔✔ B) abduction and extension
A client has a BKA and asks why the prosthesis is applied immediately after surgery? Which
explanation is the primary reason?
A) to decrease phantom limb sensations
B) to encourage a normal walking pattern
C) to reduce the incidence of wound infection
, D) to allow for the fitting of the prosthesis before discharge - ✔✔ B) to encourage a normal
walking pattern
Which explanation does the nurse make for swollen finger joints in a client who is having an
episode of rheumatoid arthritis?
A) urate crystals in synovial tissue
B) inflammation in the joints synovial lining
C) formation of bony spurs on the joint surfaces
D) erosion of cartilage that lines the inside of joints - ✔✔ B) inflammation in the joints synovial
lining
urate crystals - ✔✔ Gout disease, this is accumulated in joints and other body tissues
Conditions that may result in amputation - ✔✔ Gangrene
Arteriosclerosis
Diabetes mellitus
Chronic osteomyelitis
Peripheral vascular disease
phantom limb pain - ✔✔ pain in a limb (or extremity) that has been amputated
Burning, stinging or crushing pain
