MUSCULOSKELETAL FNP REVIEW FITZGERALD
AND WELL DETAILED ANSWERS|LATEST
The most common cause of acute bursitis is:
A. inactivity.
B. joint overuse.
C. fibromyalgia.
D. bacterial infection. - ANSWER B
First-line treatment options for bursitis usually include:
A. corticosteroid bursal injection.
B. heat to area.
C. weight-bearing exercises.
D. non-steroidal anti-inflammatory drugs (NSAIDs) - ANSWER D
Patients with olecranon bursitis typically present with:
A. swelling and redness over the affected area.
B. limited elbow range of motion (ROM).
C. nerve impingement.
D. destruction of the joint space. - ANSWER A
Patients with subscapular bursitis typically present with:
A. limited shoulder ROM.
B. heat over affected area.
C. localized tenderness under the superomedial angle of the scapula.
D. cervical nerve root irritation. - ANSWER C
,Patients with gluteus medius or deep trochanteric bursitis typically present with:
A. increased pain from resisted hip abduction.
B. limited hip ROM.
C. sciatic nerve pain.
D. heat over the affected area. - ANSWER A
First-line therapy for prepatellar bursitis should include:
A. bursal aspiration.
B. intrabursal corticosteroid injection.
C. acetaminophen.
D. knee splinting. - ANSWER A
Clinical conditions with a presentation similar to acute bursitis include: (More than
one option can apply.)
A. rheumatoid arthritis.
B. septic arthritis.
C. joint trauma.
D. pseudogout. - ANSWER ABCD
What develops when the synovial tissue that lines the sac becomes thickened and
produces excessive fluid, leading to swelling and resulting pain. -
ANSWER Bursitis
The most commonly affected bursa are in bursitis are: - ANSWER the subdeltoid,
olecranon, ischial, trochanter, and prepatellar.
In contrast to most forms of arthritis, bursitis typically presents with an ______ (slow
or abrupt) onset with focal tenderness and swelling. - ANSWER abrupt
,In acute bursitis, the joint range of motion (ROM) is usually _______ (full or
decreased). - ANSWER Full
T/F: Risk factors for acute bursitis include joint overuse, trauma, infection, or arthritis
conditions such as rheumatoid arthritis or osteoarthritis. - ANSWER True
T/F: After corticosteroid injection, infection, tissue atrophy, and inflammatory reaction
are possible, but rarely encountered, complications. - ANSWER True
Patients with lateral epicondylitis typically present with: - ANSWER Decreased
hand grip strength
Patients with medial epicondylitis typically present with: A. forearm numbness. B.
reduction in ROM. C. pain on elbow flexion. D. decreased grip strength. -
ANSWER D
Risk factors for medial epicondylitis include playing: A. tennis. B. golf. C. baseball. D.
volleyball. - ANSWER B
Patient complains of pain over lateral epicondyle or outer aspect of lower humerus,
which increases with resisted wrist extension, especially with elbow. Hand grip is
often weak on affected side. Elbow ROM usually is normal. - ANSWER Lateral
epicondylitis
T/F : Medial epicondylitis, often called golfer's elbow, lateral is called tennis elbow -
ANSWER True
Patient complains of pain over medial epicondyle or inner aspect of lower humerus.
Pain worsens with wrist flexion and pronation activities. Local epicondylar tenderness,
elbow pain, forearm weakness, pain aggravated by wrist flexion, and pronation
activities with decreased grip strength and full ROM occur. - ANSWER Medial
epicondylitis
, Treatment of epicondylitis - ANSWER Rest
NSAIDs
T/F in epicondylitis Local corticosteroid injection can be helpful if symptoms persist
beyond 6 to 8 weeks or are particularly severe. - ANSWER True
The use of all of the following medications can trigger gout except:
A. aspirin.
B. statins.
C. diuretics.
D. niacin. - ANSWER B
Secondary gout can be caused by all of the following conditions except:
A. psoriasis.
B. hemolytic anemia.
C. bacterial cellulitis.
D. renal failure. - ANSWER C
The clinical presentation of acute gouty arthritis affecting the base of the great toe
includes:
A. slow onset of discomfort over many days.
B. greatest swelling and pain along the median aspect of the joint.
C. improvement of symptoms with joint rest.
D. fever. - ANSWER B
AND WELL DETAILED ANSWERS|LATEST
The most common cause of acute bursitis is:
A. inactivity.
B. joint overuse.
C. fibromyalgia.
D. bacterial infection. - ANSWER B
First-line treatment options for bursitis usually include:
A. corticosteroid bursal injection.
B. heat to area.
C. weight-bearing exercises.
D. non-steroidal anti-inflammatory drugs (NSAIDs) - ANSWER D
Patients with olecranon bursitis typically present with:
A. swelling and redness over the affected area.
B. limited elbow range of motion (ROM).
C. nerve impingement.
D. destruction of the joint space. - ANSWER A
Patients with subscapular bursitis typically present with:
A. limited shoulder ROM.
B. heat over affected area.
C. localized tenderness under the superomedial angle of the scapula.
D. cervical nerve root irritation. - ANSWER C
,Patients with gluteus medius or deep trochanteric bursitis typically present with:
A. increased pain from resisted hip abduction.
B. limited hip ROM.
C. sciatic nerve pain.
D. heat over the affected area. - ANSWER A
First-line therapy for prepatellar bursitis should include:
A. bursal aspiration.
B. intrabursal corticosteroid injection.
C. acetaminophen.
D. knee splinting. - ANSWER A
Clinical conditions with a presentation similar to acute bursitis include: (More than
one option can apply.)
A. rheumatoid arthritis.
B. septic arthritis.
C. joint trauma.
D. pseudogout. - ANSWER ABCD
What develops when the synovial tissue that lines the sac becomes thickened and
produces excessive fluid, leading to swelling and resulting pain. -
ANSWER Bursitis
The most commonly affected bursa are in bursitis are: - ANSWER the subdeltoid,
olecranon, ischial, trochanter, and prepatellar.
In contrast to most forms of arthritis, bursitis typically presents with an ______ (slow
or abrupt) onset with focal tenderness and swelling. - ANSWER abrupt
,In acute bursitis, the joint range of motion (ROM) is usually _______ (full or
decreased). - ANSWER Full
T/F: Risk factors for acute bursitis include joint overuse, trauma, infection, or arthritis
conditions such as rheumatoid arthritis or osteoarthritis. - ANSWER True
T/F: After corticosteroid injection, infection, tissue atrophy, and inflammatory reaction
are possible, but rarely encountered, complications. - ANSWER True
Patients with lateral epicondylitis typically present with: - ANSWER Decreased
hand grip strength
Patients with medial epicondylitis typically present with: A. forearm numbness. B.
reduction in ROM. C. pain on elbow flexion. D. decreased grip strength. -
ANSWER D
Risk factors for medial epicondylitis include playing: A. tennis. B. golf. C. baseball. D.
volleyball. - ANSWER B
Patient complains of pain over lateral epicondyle or outer aspect of lower humerus,
which increases with resisted wrist extension, especially with elbow. Hand grip is
often weak on affected side. Elbow ROM usually is normal. - ANSWER Lateral
epicondylitis
T/F : Medial epicondylitis, often called golfer's elbow, lateral is called tennis elbow -
ANSWER True
Patient complains of pain over medial epicondyle or inner aspect of lower humerus.
Pain worsens with wrist flexion and pronation activities. Local epicondylar tenderness,
elbow pain, forearm weakness, pain aggravated by wrist flexion, and pronation
activities with decreased grip strength and full ROM occur. - ANSWER Medial
epicondylitis
, Treatment of epicondylitis - ANSWER Rest
NSAIDs
T/F in epicondylitis Local corticosteroid injection can be helpful if symptoms persist
beyond 6 to 8 weeks or are particularly severe. - ANSWER True
The use of all of the following medications can trigger gout except:
A. aspirin.
B. statins.
C. diuretics.
D. niacin. - ANSWER B
Secondary gout can be caused by all of the following conditions except:
A. psoriasis.
B. hemolytic anemia.
C. bacterial cellulitis.
D. renal failure. - ANSWER C
The clinical presentation of acute gouty arthritis affecting the base of the great toe
includes:
A. slow onset of discomfort over many days.
B. greatest swelling and pain along the median aspect of the joint.
C. improvement of symptoms with joint rest.
D. fever. - ANSWER B
