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NR 509 Final Exam + Midterm Study Guide
,Contents
NR509 FINAL EXAM ..........................................................2
Midterm Exam: NR509 / NR-509 ...............................332
NR509 FINAL EXAM
Q1. Valgus Stress Test
A. Adduct the knee; pain or a gap in the lateral joint line
B. Abduct the knee; pain or a gap in the medial joint line
C. Forward movement of the tibia
D. Backward movement of the tibia
Correct Answer: B
Rationale:
Abducting the knee and detecting pain or a gap in the medial joint line indicates
ligamentous laxity or a partial tear of the medial collateral ligament (MCL). Most
injuries occur on the medial side of the knee.
Tip:
Think “Valgus = medial side stress.”
DIF: Analysis
OBJ: Identify ligamentous injuries of the knee
TOP: Musculoskeletal / Knee Examination / MCL
Q2. Varus Stress Test
A. Abduct the knee; pain in the medial joint line
B. Adduct the knee; pain in the lateral joint line
C. Forward tibial movement
D. Clicking in the meniscus
Correct Answer: B
Rationale:
,Adducting the knee and noting pain or a gap in the lateral joint line suggests
ligamentous laxity or a partial tear of the lateral collateral ligament (LCL).
Tip:
Think “Varus = lateral side stress.”
DIF: Analysis
OBJ: Identify ligamentous injuries of the knee
TOP: Musculoskeletal / Knee Examination / LCL
Q3. Anterior Drawer Test & Lachman
A. Backward movement of tibia
B. Pain on medial joint line
C. Forward movement of tibia with a “jerk”
D. Crepitus on knee flexion
Correct Answer: C
Rationale:
A few degrees of forward tibial movement are normal if equal bilaterally. A
forward jerk showing the contours of the upper tibia indicates an ACL tear.
Tip:
Lachman is more sensitive than the anterior drawer for ACL injuries.
DIF: Analysis
OBJ: Identify ACL injuries
TOP: Musculoskeletal / Knee Examination / ACL
Q4. Posterior Drawer Test
A. Forward movement of tibia
B. Backward movement of femur when tibia is pushed posteriorly
C. Pain on medial joint line
D. Clicking on knee extension
Correct Answer: B
Rationale:
A positive test shows backward movement of the femur when the tibia is pushed
, posteriorly, indicating a PCL tear.
Tip:
Posterior = PCL.
DIF: Analysis
OBJ: Identify PCL injuries
TOP: Musculoskeletal / Knee Examination / PCL
Q5. McMurray Test
A. Pain on lateral joint line only
B. Forward tibial movement
C. Click or pop along medial joint with valgus stress, external rotation, and leg
extension
D. Crepitus on knee flexion
Correct Answer: C
Rationale:
A click or pop along the medial joint during the maneuver suggests a posterior
medial meniscus tear. Displaced meniscal tissue can cause locking on full
extension.
Tip:
“McMurray = Meniscus click.”
DIF: Analysis
OBJ: Detect meniscus tears
TOP: Musculoskeletal / Knee Examination / Meniscus
Q6. Osteoarthritis
A. Chronic autoimmune joint pain with swelling
B. Progressive degenerative joint disease with loss of cartilage and crepitus
C. Painful joint with uric acid crystals
D. Red, scaly patches on skin
Correct Answer: B
Rationale:
FULL TESTBANK | RATED GRADE A|MULTICHOICES | DETAILED
RATIONALES|LATEST UPDATE| GUARANTEED PASS| 100% PASS
NR 509 Final Exam + Midterm Study Guide
,Contents
NR509 FINAL EXAM ..........................................................2
Midterm Exam: NR509 / NR-509 ...............................332
NR509 FINAL EXAM
Q1. Valgus Stress Test
A. Adduct the knee; pain or a gap in the lateral joint line
B. Abduct the knee; pain or a gap in the medial joint line
C. Forward movement of the tibia
D. Backward movement of the tibia
Correct Answer: B
Rationale:
Abducting the knee and detecting pain or a gap in the medial joint line indicates
ligamentous laxity or a partial tear of the medial collateral ligament (MCL). Most
injuries occur on the medial side of the knee.
Tip:
Think “Valgus = medial side stress.”
DIF: Analysis
OBJ: Identify ligamentous injuries of the knee
TOP: Musculoskeletal / Knee Examination / MCL
Q2. Varus Stress Test
A. Abduct the knee; pain in the medial joint line
B. Adduct the knee; pain in the lateral joint line
C. Forward tibial movement
D. Clicking in the meniscus
Correct Answer: B
Rationale:
,Adducting the knee and noting pain or a gap in the lateral joint line suggests
ligamentous laxity or a partial tear of the lateral collateral ligament (LCL).
Tip:
Think “Varus = lateral side stress.”
DIF: Analysis
OBJ: Identify ligamentous injuries of the knee
TOP: Musculoskeletal / Knee Examination / LCL
Q3. Anterior Drawer Test & Lachman
A. Backward movement of tibia
B. Pain on medial joint line
C. Forward movement of tibia with a “jerk”
D. Crepitus on knee flexion
Correct Answer: C
Rationale:
A few degrees of forward tibial movement are normal if equal bilaterally. A
forward jerk showing the contours of the upper tibia indicates an ACL tear.
Tip:
Lachman is more sensitive than the anterior drawer for ACL injuries.
DIF: Analysis
OBJ: Identify ACL injuries
TOP: Musculoskeletal / Knee Examination / ACL
Q4. Posterior Drawer Test
A. Forward movement of tibia
B. Backward movement of femur when tibia is pushed posteriorly
C. Pain on medial joint line
D. Clicking on knee extension
Correct Answer: B
Rationale:
A positive test shows backward movement of the femur when the tibia is pushed
, posteriorly, indicating a PCL tear.
Tip:
Posterior = PCL.
DIF: Analysis
OBJ: Identify PCL injuries
TOP: Musculoskeletal / Knee Examination / PCL
Q5. McMurray Test
A. Pain on lateral joint line only
B. Forward tibial movement
C. Click or pop along medial joint with valgus stress, external rotation, and leg
extension
D. Crepitus on knee flexion
Correct Answer: C
Rationale:
A click or pop along the medial joint during the maneuver suggests a posterior
medial meniscus tear. Displaced meniscal tissue can cause locking on full
extension.
Tip:
“McMurray = Meniscus click.”
DIF: Analysis
OBJ: Detect meniscus tears
TOP: Musculoskeletal / Knee Examination / Meniscus
Q6. Osteoarthritis
A. Chronic autoimmune joint pain with swelling
B. Progressive degenerative joint disease with loss of cartilage and crepitus
C. Painful joint with uric acid crystals
D. Red, scaly patches on skin
Correct Answer: B
Rationale:
