MARYVILLE UNIVERSITY NURS 623 EXAM 4 REVIEW
QUESTIONS AND ANSWERS WITH VERIFIED COMPLETE
SOLUTION. 2025 VERIFIED UPDATE (RATED A+)
One of the initial steps in assessing patients with 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?
-- CORRECT ANSWER ->> b. Synovium
You have detected the presence of crepitus on examination of a patient with a musculoskeletal
complaint. Additionally, there is limited range of motion (ROM) with both active and passive
movement. These findings suggest that the origin of the musculoskeletal complaint is:
- - CORRECT ANSWER ->> a. Articular
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain?
- - CORRECT ANSWER ->> c. Morning stiffness
Which of the following statements concerning the musculoskeletal examination is true?
- - 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 patient presenting with musculoskeletal pain
and find that the patient has complete ROM with gravity eliminated. Which numeric grade of
muscle strength would you give this patient?
- CORRECT ANSWER ->> b. 2
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in
her right shoulder. She denies any history of trauma. Her examination 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 history is significant for type 1
diabetes mellitus and hypertension. Her social history reveals that she is a secretary and that
she is right-handed. Based on her examination and medical history, you suspect adhesive
capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
-- CORRECT ANSWER ->> c. Her history of diabetes mellitus
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel
syndrome. She has two 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?
-- CORRECT ANSWER ->> a. Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about one-half the risk of developing carpal tunnel.
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
The goal of treatment is to prevent flexion and extension movements of the wrist.
Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers
, and thumb while maintaining the wrist in a neutral position.
Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of
the risks for median nerve damage, scarring, and infection.
All of the above - - CORRECT ANSWER ->> d. All of the above
Sam is a 25-year-old who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
- - CORRECT ANSWER ->> b. Unilateral radicular pain symptoms that extend below the knee
and are equal to or greater than the back pain
The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to
manage his symptoms of pain and discomfort. Which of the following statements would be most
appropriate when teaching Sam about the use of NSAIDs?
- - CORRECT ANSWER ->> a. "You should start with the lowest dose that is effective in
managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI)
disorders such as ulcers and hemorrhage."
Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-
S1. She is currently in the emergency room with suspicion of cauda equina compression. Which
of the following is a sign or symptom of cauda equina compression?
- - CORRECT ANSWER ->> d. Paresthesia of the perineum and buttocks
Which of the following statements is true concerning the management of the client with a
herniated disc?
- - CORRECT ANSWER ->> c. Intolerable pain for more than a 3-month period is an indication
for surgical intervention.
John is a 16-year-old boy who presents to the emergency room after hurting his knee in a
football game. He described twisting his knee and then being unable to extend it completely.
John tells the clinician that he heard a pop when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to
assess for the presence of a meniscal tear?
- - CORRECT ANSWER ->> b. McMurray circumduction test
Normal estrogen function is important for preventing osteoporosis in both men and women.
Estrogen works to prevent osteoporosis in which of the following ways?
- - CORRECT ANSWER ->> a. By decreasing the erosive activity of osteoclasts
Which of the following tests is considered the gold standard for definitively diagnosing
osteoporosis?
-- CORRECT ANSWER ->> c. Bone mass density measurement by densitometry
Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very
QUESTIONS AND ANSWERS WITH VERIFIED COMPLETE
SOLUTION. 2025 VERIFIED UPDATE (RATED A+)
One of the initial steps in assessing patients with 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?
-- CORRECT ANSWER ->> b. Synovium
You have detected the presence of crepitus on examination of a patient with a musculoskeletal
complaint. Additionally, there is limited range of motion (ROM) with both active and passive
movement. These findings suggest that the origin of the musculoskeletal complaint is:
- - CORRECT ANSWER ->> a. Articular
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain?
- - CORRECT ANSWER ->> c. Morning stiffness
Which of the following statements concerning the musculoskeletal examination is true?
- - 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 patient presenting with musculoskeletal pain
and find that the patient has complete ROM with gravity eliminated. Which numeric grade of
muscle strength would you give this patient?
- CORRECT ANSWER ->> b. 2
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in
her right shoulder. She denies any history of trauma. Her examination 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 history is significant for type 1
diabetes mellitus and hypertension. Her social history reveals that she is a secretary and that
she is right-handed. Based on her examination and medical history, you suspect adhesive
capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
-- CORRECT ANSWER ->> c. Her history of diabetes mellitus
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel
syndrome. She has two 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?
-- CORRECT ANSWER ->> a. Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about one-half the risk of developing carpal tunnel.
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
The goal of treatment is to prevent flexion and extension movements of the wrist.
Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers
, and thumb while maintaining the wrist in a neutral position.
Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of
the risks for median nerve damage, scarring, and infection.
All of the above - - CORRECT ANSWER ->> d. All of the above
Sam is a 25-year-old who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
- - CORRECT ANSWER ->> b. Unilateral radicular pain symptoms that extend below the knee
and are equal to or greater than the back pain
The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to
manage his symptoms of pain and discomfort. Which of the following statements would be most
appropriate when teaching Sam about the use of NSAIDs?
- - CORRECT ANSWER ->> a. "You should start with the lowest dose that is effective in
managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI)
disorders such as ulcers and hemorrhage."
Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-
S1. She is currently in the emergency room with suspicion of cauda equina compression. Which
of the following is a sign or symptom of cauda equina compression?
- - CORRECT ANSWER ->> d. Paresthesia of the perineum and buttocks
Which of the following statements is true concerning the management of the client with a
herniated disc?
- - CORRECT ANSWER ->> c. Intolerable pain for more than a 3-month period is an indication
for surgical intervention.
John is a 16-year-old boy who presents to the emergency room after hurting his knee in a
football game. He described twisting his knee and then being unable to extend it completely.
John tells the clinician that he heard a pop when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to
assess for the presence of a meniscal tear?
- - CORRECT ANSWER ->> b. McMurray circumduction test
Normal estrogen function is important for preventing osteoporosis in both men and women.
Estrogen works to prevent osteoporosis in which of the following ways?
- - CORRECT ANSWER ->> a. By decreasing the erosive activity of osteoclasts
Which of the following tests is considered the gold standard for definitively diagnosing
osteoporosis?
-- CORRECT ANSWER ->> c. Bone mass density measurement by densitometry
Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very
