NUR 612 FINAL EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
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Which of the following joints is most likely to be affected by OA?
A. Wrists
B. Elbows
C. metacarpophalangeal joint
D. DIP Joint - ANSWER: D. DIP Joint
Clinical finding of the knee in a patient with OA include which of the following
(SATA)
A. Coarse crepitus
B. Joint Effusion
C. Warm joint
D. Knee often locks or a pop is heard
E. redness and heat over the anterior and posterior knee - ANSWER: A.
Coarse crepitus
B. Joint Effusion
D. Knee often locks or pop is heard
Deformity of the PIP joints found in an elderly patient with OA are knowns as
A. Herberdens Nodes
B. Bouchards nodes
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C. Hallus valgus
D. Dupuytrens contracture - ANSWER: B. Bouchards nodes
The McMurray test is performed by
A. Compressing the knee while externally or internally rotating the tibia
B. Moving the knee from full extension with hip flexed and knee externally rotated
C. having the individual attempt to duck walk
D. Having the patient stand with knee fully extended and then rotate the trunk -
ANSWER: B. Moving the knee from full extension with hip flexed and knee
externally rotated
The most common type of injury causing a sport-related meniscal tear involves
A. Twisting of the knee
B. Hyperextension of the knee
C. Repetadive striking impact on the knee
D. Unknown origin - ANSWER: A. Twisting of the knee
A patient with a complete meniscal tear will present with:
A. Joint Effusion
B. Heat over the knee
C. Inability to kneel
D. Loss of smooth joint movement - ANSWER: C. Inability to kneel
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For a patient with a suspected meniscal tear with an xray that does not reveal acute
changes, the preferred next step is:
A. Order an MRI
B. Order an US
C. Advise that arthroscopy is next step
D. Consider an alternate DX as meniscal tear is unlikely - ANSWER: A. MRI
The Phalen test is described as: - ANSWER: Reproduction of symptoms with
forced flexion of the wrists.
The tinel test is best described as: - ANSWER: abnormal tingling when the
median nerve is tapped.
With the straight-leg-raising test, the NP is evaluating tension on which of the
following nerve roots?
A. L1 and L2
B. L3 and L4
C. L5 and S1
D. S2 and S3 - ANSWER: C. L5-S1
You see a 48-year-old woman who reports LBP. She mentions new onset of loss of
bowel and bladder function. This most likely indicates:
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A. Cauda equina syndrome
B. Muscular sprain
C. Vertebral fracture
D. Sciatic nerve entrapment - ANSWER: Cauda Equina Syndrome
Immediate diagnostic imaging for LPB should be reserved for all the following
except the presence of:
A. Signs of cauda equina
B. Severe neurological deficits
C. Risk for Cancer
D. Moderate pain lasting at least 2 weeks - ANSWER: D. Moderate pain lasting at
least 2 weeks
A lumbosacral X-ray would be most helpful to aid in diagnosis of new onset- LPB
in which of the following patients?
A. 49 year old man with 1 day of paint after yard work
B. 63 year old women who slipped on icy walkway
C. 54 year old obese man who reports pain radiating to buttocks
D. 61 year old woman reporting pain after attempting to lift her grandson -
ANSWER: B. 63-year-old woman who slipped on icy walkway
The most common sites for lumbar disc herniation are: - ANSWER: L4-L5 & L5-
S1