NURS 623 FINAL EXAM -
MUSCULOSKELETAL SECTION
2025/2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS
A 13 year old obese (BMI greater than 95%) boy reports low-grade left
knee pain for the past 2 months. He denies antecedent trauma but admits
to frequent horseplay with his friends. The pain has progressively
worsened, and he is now unable to bear weight at all on his left leg. His
current complaints include left groin, thigh, and medial knee pain and
tenderness. His examination demonstrates negative Drawer, Lachman, and
McMurray tests; left hip with decreased internal rotation and abduction; and
knee flexion causing external hip rotation. Based on the above scenario,
the NP should suspect:
a. a left meniscal tear.
b. a left ACL tear
,c. a slipped capital femoral epiphysis
d. osgood-schlatter disease. - 🧠 ANSWER ✔✔C.
Colchicine may be used to terminate an acute attack of gouty arthritis as
well as prevent recurrent episodes. The mechanism of action is to:
a. interrupt the cycle of urate crystal deposition and inflammatory response.
b. increase serum uric acid levels.
c. potentiate the excretion of uric acid.
d. inhibit the tubular reabsorption of urate, promoting the excretion of uric
acid. - 🧠 ANSWER ✔✔A.
Cass, age 67, tells the NP that she has been diagnosed with a condition
that causes sudden flares of pain, swelling, and redness of the joints in her
toes. She cannot remember the name of the diagnosis, but she knows that
it is cause by urate crystals that "get stuck in the joint and cause pain".
Joan is on HcTz for management of her hypertension. The NP should
suspect a diagnosis of:
a. septic arthritis
b. gout.
,c. rheumatoid arthritis.
d. Charcot neuro-osteoarthropathy - 🧠 ANSWER ✔✔B.
Treatment of choice for polymyalgia rheumatica (PMR) is:
a. acetaminophen or NSAIDS
b. low dose steroids.
c. tricyclic antidepressants.
d. antibiotics - 🧠 ANSWER ✔✔B.
Dan, age 49, developed osteomyelitis of the femur after a motorcycle
accident. Which of the following statements about the clinical
manifestations of osteomyelitis is correct?
a. integumentary effects involve swelling, erythema, and warmth at the
involved site.
b. there is a low grade fever with intermittent chills
c. musculoskeletal effects include tenderness of the entire leg.
d. cardiovascular effects include bradycardia. - 🧠 ANSWER ✔✔A.
Matthew, age 52, is a chef who just severed two of his fingers with a meat
cutter. You would recommend that he:
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, a. wrap the severed fingers tightly in a dry towel for transport to the
emergency department with him.
b. leave the severed fingers at the scene because fingers cannot be
reattached.
c. immediately freeze the severed fingers for reattachment in the near
future.
d. pack the fingers in a saline-soaked dressing and seal in a plastic bag. - 🧠
ANSWER ✔✔D.
Bursitis is an inflammatory process that may be caused by infection,
trauma, repetitive motion disorders, gout, or neoplastic disease. The most
common cause of septic bursitis due to infection is from which of the
following:
a. Mycobacterium tuberculosis
b. Candida
c. Staphylococcus aureus.
d. streptococcus - 🧠 ANSWER ✔✔C.
When a provider elicits a painful Finkelstein's sign he or she is testing for:
MUSCULOSKELETAL SECTION
2025/2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS
A 13 year old obese (BMI greater than 95%) boy reports low-grade left
knee pain for the past 2 months. He denies antecedent trauma but admits
to frequent horseplay with his friends. The pain has progressively
worsened, and he is now unable to bear weight at all on his left leg. His
current complaints include left groin, thigh, and medial knee pain and
tenderness. His examination demonstrates negative Drawer, Lachman, and
McMurray tests; left hip with decreased internal rotation and abduction; and
knee flexion causing external hip rotation. Based on the above scenario,
the NP should suspect:
a. a left meniscal tear.
b. a left ACL tear
,c. a slipped capital femoral epiphysis
d. osgood-schlatter disease. - 🧠 ANSWER ✔✔C.
Colchicine may be used to terminate an acute attack of gouty arthritis as
well as prevent recurrent episodes. The mechanism of action is to:
a. interrupt the cycle of urate crystal deposition and inflammatory response.
b. increase serum uric acid levels.
c. potentiate the excretion of uric acid.
d. inhibit the tubular reabsorption of urate, promoting the excretion of uric
acid. - 🧠 ANSWER ✔✔A.
Cass, age 67, tells the NP that she has been diagnosed with a condition
that causes sudden flares of pain, swelling, and redness of the joints in her
toes. She cannot remember the name of the diagnosis, but she knows that
it is cause by urate crystals that "get stuck in the joint and cause pain".
Joan is on HcTz for management of her hypertension. The NP should
suspect a diagnosis of:
a. septic arthritis
b. gout.
,c. rheumatoid arthritis.
d. Charcot neuro-osteoarthropathy - 🧠 ANSWER ✔✔B.
Treatment of choice for polymyalgia rheumatica (PMR) is:
a. acetaminophen or NSAIDS
b. low dose steroids.
c. tricyclic antidepressants.
d. antibiotics - 🧠 ANSWER ✔✔B.
Dan, age 49, developed osteomyelitis of the femur after a motorcycle
accident. Which of the following statements about the clinical
manifestations of osteomyelitis is correct?
a. integumentary effects involve swelling, erythema, and warmth at the
involved site.
b. there is a low grade fever with intermittent chills
c. musculoskeletal effects include tenderness of the entire leg.
d. cardiovascular effects include bradycardia. - 🧠 ANSWER ✔✔A.
Matthew, age 52, is a chef who just severed two of his fingers with a meat
cutter. You would recommend that he:
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, a. wrap the severed fingers tightly in a dry towel for transport to the
emergency department with him.
b. leave the severed fingers at the scene because fingers cannot be
reattached.
c. immediately freeze the severed fingers for reattachment in the near
future.
d. pack the fingers in a saline-soaked dressing and seal in a plastic bag. - 🧠
ANSWER ✔✔D.
Bursitis is an inflammatory process that may be caused by infection,
trauma, repetitive motion disorders, gout, or neoplastic disease. The most
common cause of septic bursitis due to infection is from which of the
following:
a. Mycobacterium tuberculosis
b. Candida
c. Staphylococcus aureus.
d. streptococcus - 🧠 ANSWER ✔✔C.
When a provider elicits a painful Finkelstein's sign he or she is testing for:
