NSG 500 exam 3
1. What is the best way to assess for joint symmetry?: inspection by comparing
joint from one side to the other
2. What is the correct position when performing a rectal/prostate exam?: -
side-lying position
3. When doing your prostate exam, what area are you palpating?: Posterior
aspect
4. What should a normal prostate feel like?: Rubbery and smooth
5. How do you know that someone has rectal prolapse?: When the patient is
experiencing sliding of the rectum, occurs during straining
6. What do external hemorrhoids look like?: small masses that are pink/red and
beefy.
....If it's purple/really dark in color; that is a concern for a thrombus hemmroid and a
bad finding!!
7. What do internal hemorrhoids feel like?: soft masses.
....Hard is a concern and a bad finding!
8. What are some causes of rectal bleeding?: 1) Cancer - change in bowel habits,
pain, blood in stool.
2) hemorrhoid's
3) Constipation/straining
4) colitis/inflammation or infection of the bowel
5) Fissures
6) GI bleed
7) NSAIDS, aspirin (NOT TYLENOL)
8) Chrohn's
9. What color is the blood of a Lower GI bleed?: Bright red
10. What color is the blood of an upper GI bleed?: Dark red/tarry/melanotic
11. Sequence of musculoskeletal exam: Inspect, Palpate, Passive/Active ROM,
and Joint Stability/Assess
-Stability tests; if your pt has knee pain and you're concerned about an ACL tear,
you'll do stability testing and load joint to see if joint is stable
12. Normal musculoskeletal changes in aging: decreased ROM, joint pain, stiff-
ness, increased risk of osteoarthritis, increased bone reabsorption—this can cause
instability
13. What is the best way to assess for joint effusion?: Palpate; it will be feel soft
an spongy (that's the fluid in the joint you are feeling)
1/9
, NSG 500 exam 3
14. Osteoarthritis; What is the tinel test?: -tapping on ulnar side and indicates if
medial nerve is involved
15. What is the phalen test?: An exam that assess for carpal tunnel syndrome.
-Inverse praying hands.
-Tingling will indicate compression of carpal tunnel nerve
16. Lachman test: A stability test that can indicate an ACL tear
17. Distinguishing characteristics of OA: During inspection you visualize heber-
den nodes. They will be in the distal region of extremities
(bouchards will be more proximal)
18. Risk factors for OA: previous joint injuries, overuse injury (like older men
who were catchers while playing baseball), old age, family hx, vitamin deficiency,
smoking, obesity, runners
19. What decreases your risk for OA?: An active lifestyle and low joint impact
exercises like walking and swimming
20. What test will look at the meniscus?: McMurray test; internal and external
rotation at the knee
21. Exams for hip dislocation/displacia in an infant: Ortalani and Barlow test
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1. What is the best way to assess for joint symmetry?: inspection by comparing
joint from one side to the other
2. What is the correct position when performing a rectal/prostate exam?: -
side-lying position
3. When doing your prostate exam, what area are you palpating?: Posterior
aspect
4. What should a normal prostate feel like?: Rubbery and smooth
5. How do you know that someone has rectal prolapse?: When the patient is
experiencing sliding of the rectum, occurs during straining
6. What do external hemorrhoids look like?: small masses that are pink/red and
beefy.
....If it's purple/really dark in color; that is a concern for a thrombus hemmroid and a
bad finding!!
7. What do internal hemorrhoids feel like?: soft masses.
....Hard is a concern and a bad finding!
8. What are some causes of rectal bleeding?: 1) Cancer - change in bowel habits,
pain, blood in stool.
2) hemorrhoid's
3) Constipation/straining
4) colitis/inflammation or infection of the bowel
5) Fissures
6) GI bleed
7) NSAIDS, aspirin (NOT TYLENOL)
8) Chrohn's
9. What color is the blood of a Lower GI bleed?: Bright red
10. What color is the blood of an upper GI bleed?: Dark red/tarry/melanotic
11. Sequence of musculoskeletal exam: Inspect, Palpate, Passive/Active ROM,
and Joint Stability/Assess
-Stability tests; if your pt has knee pain and you're concerned about an ACL tear,
you'll do stability testing and load joint to see if joint is stable
12. Normal musculoskeletal changes in aging: decreased ROM, joint pain, stiff-
ness, increased risk of osteoarthritis, increased bone reabsorption—this can cause
instability
13. What is the best way to assess for joint effusion?: Palpate; it will be feel soft
an spongy (that's the fluid in the joint you are feeling)
1/9
, NSG 500 exam 3
14. Osteoarthritis; What is the tinel test?: -tapping on ulnar side and indicates if
medial nerve is involved
15. What is the phalen test?: An exam that assess for carpal tunnel syndrome.
-Inverse praying hands.
-Tingling will indicate compression of carpal tunnel nerve
16. Lachman test: A stability test that can indicate an ACL tear
17. Distinguishing characteristics of OA: During inspection you visualize heber-
den nodes. They will be in the distal region of extremities
(bouchards will be more proximal)
18. Risk factors for OA: previous joint injuries, overuse injury (like older men
who were catchers while playing baseball), old age, family hx, vitamin deficiency,
smoking, obesity, runners
19. What decreases your risk for OA?: An active lifestyle and low joint impact
exercises like walking and swimming
20. What test will look at the meniscus?: McMurray test; internal and external
rotation at the knee
21. Exams for hip dislocation/displacia in an infant: Ortalani and Barlow test
2/9
