• NR 511 Final Study Guidee Actual
Questions And Verified Answers With
Latest Update Grade A+.
Question 86. Morris, age 52, is in a new relationship and is not sure whether his erectile
dysfunction is organic or is caused by stress about his performance. What simple test could
you suggest to determine if he has the ability to have an erection?
1.
Nocturnal penile tumescence and rigidity (NPTR) test.
2.
Penile duplex ultrasonography.
3.
Intracavernous injection.
4.
Serum prostate-specific antigen (PSA). - ANSWER: 1.
Nocturnal penile tumescence and rigidity (NPTR) test.
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
whether the complaint is articular or nonarticular in origin. Which of the following is an
example of an articular structure?
A.
Bone
B.
Synovium
C.
Tendons
D.
Fascia - ANSWER: B.
Synovium
You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both
,active and passive movement. These findings suggest that the origin of the musculoskeletal
complaint is:
A.
Articular
B.
Inflammatory
C.
Nonarticular
D.
Noninflammatory - ANSWER: A.
Articular
3. Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
A.
Decreased C-reactive protein
B.
Hyperalbuminemia
C.
Morning stiffness
D.
Weight gain - ANSWER: C.
Morning stiffness
Which of the following statements concerning the musculoskeletal examination is true?
A.
The uninvolved side should be examined initially and then compared to the involved side.
B.
The part of the body that is causing the patient pain should be examined first.
C.
When possible, the patient should not be asked to perform active ROM exercises to avoid
causing pain.
,D.
Radiographs should always be obtained prior to examination so as not to cause further injury
to the patient. - ANSWER: A.
The uninvolved side should be examined initially and then compared to the involved side.
5. You are performing muscle strength testing on a patient presenting with musculoskeletal
pain and find that the patient has complete ROM but cannot move it above gravity. Which
numeric grade of muscle strength would you give this patient?
A.
1
B.
2
C.
3
D.
4 - ANSWER: B.
2
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement
in her right shoulder. She denies any history of trauma. Her examination reveals a 75%
reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is
experiencing tenderness with motion and pain at the deltoid insertion. Her medical history is
significant for type 1 diabetes mellitus and hypertension. Her social history reveals that she is
a secretary and that she is right-handed. Based on her examination and medical history, you
suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports
this diagnosis?
A.
History of hypertension
B.
Her affected shoulder is also her dominant arm.
C.
Her history of type 1 diabetes
D.
Her work as a secretary predisposes her to repetitive motions. - ANSWER: C.
, Her history of type 1 diabetes
Jennifer is an 18-year-old woman who comes to the emergency room after a fall during a
soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to
break her fall. She has been experiencing severe pain and limited ROM in her left shoulder.
The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation?
A.
Anterior dislocations are not painful, and ROM is normal.
B.
There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
C.
X-rays are the only diagnostic testing appropriate to assess a dislocation.
D.
Most traumatic dislocations are posterior. - ANSWER: B.
There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
8. Fred has been diagnosed with a trigger finger of the ring finger. Which of the following
management strategies is appropriate?
A.
Surgical removal of the tendon sheath
B.
NSAIDs
C.
Local anesthetic injection into the tendon sheath
D.
Splinting - ANSWER: C.
Local anesthetic injection into the tendon sheath
9. Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal
tunnel syndrome. She has two young children and asks the clinician what the chances are that
Questions And Verified Answers With
Latest Update Grade A+.
Question 86. Morris, age 52, is in a new relationship and is not sure whether his erectile
dysfunction is organic or is caused by stress about his performance. What simple test could
you suggest to determine if he has the ability to have an erection?
1.
Nocturnal penile tumescence and rigidity (NPTR) test.
2.
Penile duplex ultrasonography.
3.
Intracavernous injection.
4.
Serum prostate-specific antigen (PSA). - ANSWER: 1.
Nocturnal penile tumescence and rigidity (NPTR) test.
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
whether the complaint is articular or nonarticular in origin. Which of the following is an
example of an articular structure?
A.
Bone
B.
Synovium
C.
Tendons
D.
Fascia - ANSWER: B.
Synovium
You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both
,active and passive movement. These findings suggest that the origin of the musculoskeletal
complaint is:
A.
Articular
B.
Inflammatory
C.
Nonarticular
D.
Noninflammatory - ANSWER: A.
Articular
3. Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
A.
Decreased C-reactive protein
B.
Hyperalbuminemia
C.
Morning stiffness
D.
Weight gain - ANSWER: C.
Morning stiffness
Which of the following statements concerning the musculoskeletal examination is true?
A.
The uninvolved side should be examined initially and then compared to the involved side.
B.
The part of the body that is causing the patient pain should be examined first.
C.
When possible, the patient should not be asked to perform active ROM exercises to avoid
causing pain.
,D.
Radiographs should always be obtained prior to examination so as not to cause further injury
to the patient. - ANSWER: A.
The uninvolved side should be examined initially and then compared to the involved side.
5. You are performing muscle strength testing on a patient presenting with musculoskeletal
pain and find that the patient has complete ROM but cannot move it above gravity. Which
numeric grade of muscle strength would you give this patient?
A.
1
B.
2
C.
3
D.
4 - ANSWER: B.
2
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement
in her right shoulder. She denies any history of trauma. Her examination reveals a 75%
reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is
experiencing tenderness with motion and pain at the deltoid insertion. Her medical history is
significant for type 1 diabetes mellitus and hypertension. Her social history reveals that she is
a secretary and that she is right-handed. Based on her examination and medical history, you
suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports
this diagnosis?
A.
History of hypertension
B.
Her affected shoulder is also her dominant arm.
C.
Her history of type 1 diabetes
D.
Her work as a secretary predisposes her to repetitive motions. - ANSWER: C.
, Her history of type 1 diabetes
Jennifer is an 18-year-old woman who comes to the emergency room after a fall during a
soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to
break her fall. She has been experiencing severe pain and limited ROM in her left shoulder.
The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation?
A.
Anterior dislocations are not painful, and ROM is normal.
B.
There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
C.
X-rays are the only diagnostic testing appropriate to assess a dislocation.
D.
Most traumatic dislocations are posterior. - ANSWER: B.
There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
8. Fred has been diagnosed with a trigger finger of the ring finger. Which of the following
management strategies is appropriate?
A.
Surgical removal of the tendon sheath
B.
NSAIDs
C.
Local anesthetic injection into the tendon sheath
D.
Splinting - ANSWER: C.
Local anesthetic injection into the tendon sheath
9. Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal
tunnel syndrome. She has two young children and asks the clinician what the chances are that
