Update ) Differential
Diagnosis and Primary Care
Practicum | Questions and Answers |
100% correct| Grade A - Chamberlain
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
whether the complain is articular or nonarticular in origin. Which of the following in an example
of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
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. A and B
Articular
, NR 511 / NR511 Final Exam (Latest
Update ) Differential
Diagnosis and Primary Care
Practicum | Questions and Answers |
100% correct| Grade A - Chamberlain
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain
Morning stiffness
Which of the following statements concerning the musculoskeletal exam 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.
When possible, the patient should not be asked to perform active ROM exercises to avoid
causing pain
, NR 511 / NR511 Final Exam (Latest
Update ) Differential
Diagnosis and Primary Care
Practicum | Questions and Answers |
100% correct| Grade A - Chamberlain
advanced practice
nursingYoufarefperformingfmusclefstrengthftestingfonfafpatientfpresentingfwithfmusculoskeletalf
painfandffindfthatfthefpatientfhasfcompletefROMfwithfgravityfeliminated.fWhichfnumericfgradef
offmusclefstrengthfwouldfyoufgivefthisfpatient?
A. 1
B. 2
C. 3
D. 4
E. 5
B
f
Mrs.fGrayfisfaf55-year-
oldfwomanfwhofpresentsfwithftightness,fpain,fandflimitedfmovementfinfherfrightfshoulder.fShefde
niesfanyfhistoryfofftrauma.fHerfexamfrevealsfaf75%freductionfinfbothfactivefandfpassivefrangefoffm
otionfoffthefrightfshoulder.fMrs.fGrayfisfalsofexperiencing
tendernessfwithfmotionfandfpainfatfthefdeltoidfinsertion.fHerfmedicalfhistoryfisfsignificantfforftypef
1fdiabetesfmellitusfandfhypertension.fHerfsocialfhistoryfrevealsfthatfshefisfafsecretaryfandfthatfshefi
sfright-
handed.fBasedfonfherfexamfandfmedicalfhistory,fyoufsuspectfadhesivefcapulitisforf"frozenfshoulder.
"fWhichfcluefinfMrs.fGray'sfhistoryfsupportsfthisfdiagnosis?
A. HXfHTN
B. Herfaffectedfshoulderfisfherfdominantfarm
C. HerfHXfoffDM
D. Herfworkfasfafsecretaryfpredisposesfherftofrepetitivefmotions
, NR 511 / NR511 Final Exam (Latest Update
f f f f f f f f
) Differential Diagnosis and Pr
f f f f f f
imary Care f
Practicum | Questions and Answers | 1
f f f f f f
00% correct| Grade A - Chamberlain
f f f f f
HXfoffDM
Jenniferfisfanf18-year-
oldfgirlfwhofcomesftofthefemergencyfroomfafterfaffallfduringfafsoccerfgame.fJenniferfexplainsfthatfs
heffellfonfherfleftfsidefandfkeptfherfarmfoutfstraightftofbreakfher
fall.fShefhasfbeenfexperiencingfseverefpainfandflimitedfrangefoffmotionfinfherfleftfshoulder.fThefclini
cianfhasfdiagnosedfJenniferfwithfafdislocatedfshoulder.fWhichfofftheffollowingfstatements
areftruefconcerningfshoulderfdislocation?
A. Posteriorfdislocationsfarefmorefcommonfthanfanteriorfdislocations
B. Therefisfafriskfoffneurovascularfandfneurosensoryftrauma,fsofthefclinicianfshouldfcheckfforfdis
talfpulses
C. Recurrentfdislocationsfarefuncommonfandfwouldfrequirefgreatfforceftofresultfinfinjury
D. Surgeryfisfthefmostfcommonftreatmentfoffchoice
Therefisfafriskfoffneurovascularfandfneurosensoryftrauma,fsofthefclinicianfshouldfcheckfforfdistalfp
ulses
Mrs.fAndersonfisfaf35-year-
oldfwomanfwhofhasfbeenfrecentlyfdiagnosedfwithfcarpalftunnelfsyndrome.fShefhasftwofyoungfchil
drenfandfasksfthefclinicianfwhatfthefchancesfarefthatftheyfwillfalsofdevelopfcarpalftunnelfsyndrome.f
Whichfofftheffollowingfresponsesfwouldfbefcorrect
regardingfthefriskfoffdevelopingfcarpalftunnelfsyndrome?