BATES TEST BANK
Study online at https://quizlet.com/_9xkzvn
1. tenderness You are assessing a patient with joint pain and are trying to decide whether it is
inflammatory or noninflammatory in nature. Which one of the following symptoms
is consistent with an inflammatory process?
A) Tenderness
B) Cool temperature
C) Ecchymosis
D) Nodules
2. lupus You are assessing a patient with diffuse joint pains and want to make sure that
only the joints are the problem, and that the pain is not related to other diseases.
Which of the following is a systemic cause of joint pain?
A) Gout
B) Osteoarthritis
C) Lupus
D) Spondylosis
3. lyme disease A 19-year-old college sophomore comes to the clinic for evaluation of joint pains.
The student has been back from spring break for 2 weeks; during her holiday, she
went camping. She notes that she had a red spot, shaped like a target, but then
it started spreading, and then the joint pains started. She used insect repellant
but was in an area known to have ticks. She has never been sick and takes no
medications routinely; she has never been sexually active. What is the most likely
cause of her joint pain?
4. foot arched An 85-year-old retired housewife comes with her daughter to establish care. Her
daughter is concerned because her mother has started to fall more. As part of her
physical examination, you ask her to walk across the examination room. Which of
the following is not part of the stance phase of gait?
A) Foot arched
B) Heel strike
C) Mid-stance
D) Push-off
, BATES TEST BANK
Study online at https://quizlet.com/_9xkzvn
5. straight leg-raise A 32-year-old warehouse worker presents for evaluation of low back pain. He
notes a sudden onset of pain after lifting a set of boxes that were heavier than
usual. He also states that he has numbness and tingling in the left leg. He wants
to know if he needs to be off of work. What test should you perform to assess for
a herniated disc?
6. mechanical low A 33-year-old construction worker comes for evaluation and treatment of acute
back pain onset of low back pain. He notes that the pain is an aching located in the
lumbosacral area. It has been present intermittently for several years; there is no
known trauma or injury. He points to the left lower back. The pain does not radiate
and there is no numbness or tingling in the legs or incontinence. He was moving
furniture for a friend over the weekend. On physical examination, you note muscle
spasm, with normal deep tendon reflexes and muscle strength. What is the most
likely cause of this patient's low back pain?
7. Cervical sprain A 50-year-old realtor comes to your office for evaluation of neck pain. She was in
a motor vehicle collision 2 days ago and was assessed by the emergency medical
technicians on site, but she didn't think that she needed to go to the emergency
room at that time. Now, she has severe pain and stiffness in her neck. On physical
examination, you note pain and spasm over the paraspinous muscles on the left
side of the neck, and pain when you make the patient do active range of motion
of the cervical spine. What is the most likely cause of this neck pain?
8. Fibromyalgia A 28-year-old graduate student comes to your clinic for evaluation of pain "all
over." With further questioning, she is able to relate that the pain is worse in the
neck, shoulders, hands, low back, and knees. She denies swelling in her joints;
she states that the pain is worse in the morning; there is no limitation in her range
of motion. On physical examination, she has several points on the muscles of the
neck, shoulders, and back that are tender to palpation; muscle strength and range
of motion are normal. Which of the following is likely the cause of her pain?
9.
, BATES TEST BANK
Study online at https://quizlet.com/_9xkzvn
Rotator cuff ten- A 68-year-old retired banker comes to your clinic for evaluation of left shoulder
dinitis pain. He swims for 30 minutes daily, early in the morning. He notes a sharp,
catching pain and a sensation of something grating when he tries overhead
movements of his arm. On physical examination, you note tenderness just below
the tip of the acromion in the area of the tendon insertions. The drop arm test
is negative, and there is no limitation with shoulder shrug. The patient is not
holding his arm close to his side, and there is no tenderness to palpation in the
bicipital groove when the arm is at the patient's side, flexed to 90 degrees, and
then supinated against resistance. Based on this description, what is the most
likely cause of his shoulder pain?
10. tendons A high school soccer player "blew out his knee" when the opposing goalie's head
and shoulder struck his flexed knee while the goalie was diving for the ball. All of
the following structures were involved in some way in his injury, but which of the
following is actually an extra-articular structure?
A) Synovium
B) Joint capsule
C) Juxta-articular bone
D) Tendons
11. Extra-articular Ray works a physical job and notes pain when he attempts to lift his arm over his
head. When you move the shoulder passively, he has full range of motion without
pain and there is no gross swelling or tenderness. What type of joint disease does
this most likely represent?
12. Cartilaginous Mark is a contractor who recently injured his back. He was told he had a "bulging
disc" to account for the burning pain down his right leg and slight foot drop. The
vertebral bodies of the spine involve which type of joint?
13. Temporo- Which of the following synovial joints would be an example of a condylar joint?
mandibular joint A) Hip
B) Interphalangeal joints of the hand
, BATES TEST BANK
Study online at https://quizlet.com/_9xkzvn
C) Temporomandibular joint
D) Intervertebral joint
14. Pain that is bilat- A 58-year-old man comes to your office complaining of bilateral back pain that
eral now awakens him at night. This has been steadily increasing for the past 2 months.
Which one of the following is the most reassuring in this patient with back pain?
A) Age over 50
B) Pain at night
C) Pain lasting more than 1 month or not responding to therapy
D) Pain that is bilateral
15. Cauda equina Marion presents to your office with back pain associated with constipation and
urinary retention. Which of the following is most likely?
16. pain Louise, a 60-year-old, complains of left knee pain associated with tenderness
throughout, redness, and warmth over the joint. Which of the following is least
helpful in determining if a joint problem is inflammatory?
A) Tenderness
B) Pain
C) Warmth
D) Redness
17. Articular joint Pain, swelling, loss of both active and passive motion, locking, and deformity
pain would be consistent with which of the following?
A) Articular joint pain
B) Bursitis
C) Muscular injury
D) Nerve damage
18. Gonococcal You are working in a college health clinic and seeing a young woman with a red,
arthritis painful, swollen DIP joint on the left index finger. There are also a few papules,
pustules, and vesicles on reddened bases, located on the distal extremities. This
would be consistent with with what?
Study online at https://quizlet.com/_9xkzvn
1. tenderness You are assessing a patient with joint pain and are trying to decide whether it is
inflammatory or noninflammatory in nature. Which one of the following symptoms
is consistent with an inflammatory process?
A) Tenderness
B) Cool temperature
C) Ecchymosis
D) Nodules
2. lupus You are assessing a patient with diffuse joint pains and want to make sure that
only the joints are the problem, and that the pain is not related to other diseases.
Which of the following is a systemic cause of joint pain?
A) Gout
B) Osteoarthritis
C) Lupus
D) Spondylosis
3. lyme disease A 19-year-old college sophomore comes to the clinic for evaluation of joint pains.
The student has been back from spring break for 2 weeks; during her holiday, she
went camping. She notes that she had a red spot, shaped like a target, but then
it started spreading, and then the joint pains started. She used insect repellant
but was in an area known to have ticks. She has never been sick and takes no
medications routinely; she has never been sexually active. What is the most likely
cause of her joint pain?
4. foot arched An 85-year-old retired housewife comes with her daughter to establish care. Her
daughter is concerned because her mother has started to fall more. As part of her
physical examination, you ask her to walk across the examination room. Which of
the following is not part of the stance phase of gait?
A) Foot arched
B) Heel strike
C) Mid-stance
D) Push-off
, BATES TEST BANK
Study online at https://quizlet.com/_9xkzvn
5. straight leg-raise A 32-year-old warehouse worker presents for evaluation of low back pain. He
notes a sudden onset of pain after lifting a set of boxes that were heavier than
usual. He also states that he has numbness and tingling in the left leg. He wants
to know if he needs to be off of work. What test should you perform to assess for
a herniated disc?
6. mechanical low A 33-year-old construction worker comes for evaluation and treatment of acute
back pain onset of low back pain. He notes that the pain is an aching located in the
lumbosacral area. It has been present intermittently for several years; there is no
known trauma or injury. He points to the left lower back. The pain does not radiate
and there is no numbness or tingling in the legs or incontinence. He was moving
furniture for a friend over the weekend. On physical examination, you note muscle
spasm, with normal deep tendon reflexes and muscle strength. What is the most
likely cause of this patient's low back pain?
7. Cervical sprain A 50-year-old realtor comes to your office for evaluation of neck pain. She was in
a motor vehicle collision 2 days ago and was assessed by the emergency medical
technicians on site, but she didn't think that she needed to go to the emergency
room at that time. Now, she has severe pain and stiffness in her neck. On physical
examination, you note pain and spasm over the paraspinous muscles on the left
side of the neck, and pain when you make the patient do active range of motion
of the cervical spine. What is the most likely cause of this neck pain?
8. Fibromyalgia A 28-year-old graduate student comes to your clinic for evaluation of pain "all
over." With further questioning, she is able to relate that the pain is worse in the
neck, shoulders, hands, low back, and knees. She denies swelling in her joints;
she states that the pain is worse in the morning; there is no limitation in her range
of motion. On physical examination, she has several points on the muscles of the
neck, shoulders, and back that are tender to palpation; muscle strength and range
of motion are normal. Which of the following is likely the cause of her pain?
9.
, BATES TEST BANK
Study online at https://quizlet.com/_9xkzvn
Rotator cuff ten- A 68-year-old retired banker comes to your clinic for evaluation of left shoulder
dinitis pain. He swims for 30 minutes daily, early in the morning. He notes a sharp,
catching pain and a sensation of something grating when he tries overhead
movements of his arm. On physical examination, you note tenderness just below
the tip of the acromion in the area of the tendon insertions. The drop arm test
is negative, and there is no limitation with shoulder shrug. The patient is not
holding his arm close to his side, and there is no tenderness to palpation in the
bicipital groove when the arm is at the patient's side, flexed to 90 degrees, and
then supinated against resistance. Based on this description, what is the most
likely cause of his shoulder pain?
10. tendons A high school soccer player "blew out his knee" when the opposing goalie's head
and shoulder struck his flexed knee while the goalie was diving for the ball. All of
the following structures were involved in some way in his injury, but which of the
following is actually an extra-articular structure?
A) Synovium
B) Joint capsule
C) Juxta-articular bone
D) Tendons
11. Extra-articular Ray works a physical job and notes pain when he attempts to lift his arm over his
head. When you move the shoulder passively, he has full range of motion without
pain and there is no gross swelling or tenderness. What type of joint disease does
this most likely represent?
12. Cartilaginous Mark is a contractor who recently injured his back. He was told he had a "bulging
disc" to account for the burning pain down his right leg and slight foot drop. The
vertebral bodies of the spine involve which type of joint?
13. Temporo- Which of the following synovial joints would be an example of a condylar joint?
mandibular joint A) Hip
B) Interphalangeal joints of the hand
, BATES TEST BANK
Study online at https://quizlet.com/_9xkzvn
C) Temporomandibular joint
D) Intervertebral joint
14. Pain that is bilat- A 58-year-old man comes to your office complaining of bilateral back pain that
eral now awakens him at night. This has been steadily increasing for the past 2 months.
Which one of the following is the most reassuring in this patient with back pain?
A) Age over 50
B) Pain at night
C) Pain lasting more than 1 month or not responding to therapy
D) Pain that is bilateral
15. Cauda equina Marion presents to your office with back pain associated with constipation and
urinary retention. Which of the following is most likely?
16. pain Louise, a 60-year-old, complains of left knee pain associated with tenderness
throughout, redness, and warmth over the joint. Which of the following is least
helpful in determining if a joint problem is inflammatory?
A) Tenderness
B) Pain
C) Warmth
D) Redness
17. Articular joint Pain, swelling, loss of both active and passive motion, locking, and deformity
pain would be consistent with which of the following?
A) Articular joint pain
B) Bursitis
C) Muscular injury
D) Nerve damage
18. Gonococcal You are working in a college health clinic and seeing a young woman with a red,
arthritis painful, swollen DIP joint on the left index finger. There are also a few papules,
pustules, and vesicles on reddened bases, located on the distal extremities. This
would be consistent with with what?
