SOLUTIONS RATED A+
✔✔What are some other symptoms of fibromyalgia? - ✔✔Swelling, stiffness, H/A,
paresthesias, sensitivity to temperature, dyspnea, chest pain, night sweats, visual
problems, dizziness, painful menses, GI complaints, memory impairment, anxiety, and
depression
✔✔Can fibromyalgia cause functional disability? - ✔✔Yes
✔✔What are some treatments for fibromyalgia? - ✔✔Exercise, pharmacological
treatment (Amitriptyline, Ambien, Prozac, Flexeril, Zanaflex, Tramadol, and
Gabapentin), massage therapy, and acupuncture. Narcotics only for severe pain;
NSAIDs not effective.
✔✔What recommendations would you give for musculoskeletal back pain that interferes
with sleep? - ✔✔N/A
✔✔What is the treatment for a grade III sprain? - ✔✔Refer to orthopedist
✔✔What is the initial treatment for a sprain? - ✔✔PRICE therapy (protection, rest, ice,
compression, elevation) and NSAIDs for pain (Motrin 400 mg q 4-6 hours)
✔✔What is the functional rehabilitation for a sprain? - ✔✔N/A
✔✔How can you protect an ankle from further injuries after a sprain? - ✔✔N/A
✔✔When should you follow up after a sprain? - ✔✔7-10 days or sooner if swelling does
not improve
✔✔When should you refer to an orthopedist after a sprain? - ✔✔If no improvement in 2-
3 weeks (Grade I-II)
✔✔What is the workup for new-onset acute lower back pain? - ✔✔Physical examination
including gait observation, range of motion, vital signs, traction maneuvers, spine
observation, and neurological examination
✔✔What is the purpose of palpating spine and associated structures? - ✔✔Assessment
of lower extremities
✔✔When should rectal examination be performed? - ✔✔If tailbone injury is suspected
✔✔What diagnostic tests are recommended if cancer is suspected? - ✔✔CBC, ESR,
UA
, ✔✔What diagnostic tests are recommended if there is no improvement after 4 weeks? -
✔✔MRI or CT
✔✔What are the signs and symptoms of nerve root irritation? - ✔✔Burning or sharp
pain, tingling and numbness, muscle weakness, increased sensitivity
✔✔What diagnostic test confirms the diagnosis of sciatica? - ✔✔MRI
✔✔What diagnostic test examines how well electrical impulses travel through the sciatic
nerve? - ✔✔Nerve conduction velocity studies/ electromyography
✔✔What diagnostic test is used to determine if a vertebrae or disk is causing the pain? -
✔✔Myelogram
✔✔How would you describe Phalen's maneuver? - ✔✔Pressing the back of hands and
fingers together with wrists flexed and fingers pointed down
✔✔What diagnostic tests are recommended for lupus? - ✔✔Observe urine for
proteinuria, antibody to double-stranded DNA, antinuclear antibody
✔✔What is sciatica? - ✔✔Pain in lateral leg due to nerve root dysfunction
✔✔What are the signs and symptoms of sciatica? - ✔✔Pain, numbness, paresthesia,
difficulty walking, positive straight leg raise, decreased sensation
✔✔What are the objective findings of systemic lupus? - ✔✔Elevated temp, butterfly
rash, joint swelling, ulcers, alopecia
✔✔What are the physical findings of lupus? - ✔✔Malar or discoid rash, oral ulcers, joint
pain, fever, malaise, pleurisy, nephropathy, proteinuria, GI complaints
✔✔How can a herniated disk be diagnosed on a physical exam? - ✔✔Traction
tests/maneuvers: straight leg raising, crossed leg raises, Yeoman Guying, Patrick's test,
range of motion
✔✔What is the pneumonic for assessing malignant melanoma? - ✔✔ABCDE:
asymmetrical shape, irregular border, color variation, diameter greater than 6mm,
evolving shape or size
✔✔What does C stand for in mole examination? - ✔✔Changes in color
✔✔What does D stand for in mole examination? - ✔✔Diameter larger than 1/4 inch