Adv physical assessment exam 3 questions with answers

Adv physical assessment exam 3 |\ |\ |\ |\




questions with answers
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25. A patient is complaining of pain in his joints that is
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worse in the morning, better after he moves around for
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a while, and then gets worse again if he sits for long
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periods. The nurse should assess for other signs of what
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problem?
a. Tendinitis
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b. Osteoarthritis
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c. Rheumatoid arthritis
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d. Intermittent claudication - CORRECT ANSWERS ✔✔ANS:
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C
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Rheumatoid arthritis is worse in the morning when a |\ |\ |\ |\ |\ |\ |\ |\ |\



person arises. Movement increases most joint pain,
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except
Test Bank - Physical Examination and Health Assessment
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8e (by Jarvis) 346
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the pain with rheumatoid arthritis, which decreases with
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movement. The other options are not correct. |\ |\ |\ |\ |\ |\




27. A patient is able to flex his right arm forward without
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difficulty or pain but is unable to abduct his arm |\ |\ |\ |\ |\ |\ |\ |\ |\

,because of pain and muscle spasms. The nurse should
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suspect:
a. Crepitation.
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b. Rotator cuff lesions.
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c. Dislocated shoulder.
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d. Rheumatoid arthritis. - CORRECT ANSWERS ✔✔ANS: B
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Rotator cuff lesions may limit range of motion and cause
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pain and muscle spasms during abduction, whereas
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forward flexion remains fairly normal. The other options
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are not correct.
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28. A professional tennis player comes into the clinic
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complaining of a sore elbow. The nurse will assess for |\ |\ |\ |\ |\ |\ |\ |\ |\




tenderness at the: |\ |\




a. Olecranon bursa.
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b. Annular ligament.
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c. Base of the radius.
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d. Medial and lateral epicondyle. - CORRECT ANSWERS
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✔✔ANS: D |\




The epicondyles, the head of the radius, and the tendons
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are common sites of inflammation and local
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tenderness, commonly referred to as tennis elbow. The |\ |\ |\ |\ |\ |\ |\ |\



other locations are not affected
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,29. The nurse suspects that a patient has carpal tunnel
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syndrome and wants to perform the Phalen test. To |\ |\ |\ |\ |\ |\ |\ |\




perform this test, the nurse should instruct the patient to:
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a. Dorsiflex the foot.
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b. Plantarflex the foot.
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c. Hold both hands back to back while flexing the wrists
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90 degrees for 60 seconds.
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d. Hyperextend the wrists with the palmar surface of both
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hands touching, and wait for 60 seconds. - CORRECT
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ANSWERS ✔✔ANS: C |\ |\




For the Phalen test, the nurse should ask the person to
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hold both hands back to back while flexing the wrists 90
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degrees. Acute flexion of the wrist for 60 seconds |\ |\ |\ |\ |\ |\ |\ |\ |\



produces no symptoms in the normal hand. The Phalen |\ |\ |\ |\ |\ |\ |\ |\ |\



test
reproduces numbness and burning in a person with carpal |\ |\ |\ |\ |\ |\ |\ |\



tunnel syndrome. The other actions are not correct
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when testing for carpal tunnel syndrome.
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31. The nurse has completed the musculoskeletal
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examination of a patients knee and has found a positive |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



bulge
sign. The nurse interprets this finding to indicate:
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a. Irregular bony margins.
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b. Soft-tissue swelling in the joint.
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, c. Swelling from fluid in the epicondyle.
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d. Swelling from fluid in the suprapatellar pouch. -
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CORRECT ANSWERS ✔✔ANS: D |\ |\ |\




A positive bulge sign confirms the presence of swelling
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caused by fluid in the suprapatellar pouch. The other
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options are not correct. |\ |\ |\




32. During an examination, the nurse asks a patient to
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bend forward from the waist and notices that the patient
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has lateral tilting. When his leg is raised straight up, the
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patient complains of a pain going down his buttock
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into his leg. The nurse suspects:
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a. Scoliosis.
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b. Meniscus tear.
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c. Herniated nucleus pulposus.
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d. Spasm of paravertebral muscles. - CORRECT ANSWERS
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✔✔ANS: C |\




Lateral tilting and sciatic pain with straight leg raising are
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findings that occur with a herniated nucleus
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pulposus. The other options are not correct.
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36. A 40-year-old man has come into the clinic with
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complaints of extreme pain in his toes. The nurse notices|\ |\ |\ |\ |\ |\ |\ |\ |\