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NURS 623 Exam 4 – 90 Questions with Answers & Illustrations | Maryville University | Neurology, Geriatrics, Ortho, Vertigo, Headache

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This enriched exam preparation guide includes 90 fully answered questions with detailed explanations and visual aids from NURS 623: Advanced Pathophysiology – Exam 4 (2026) at Maryville University. It covers a wide range of neurological, musculoskeletal, and geriatric topics, integrating textbook-level detail with clinical application. Diagrams and illustrations are included to enhance understanding of pathophysiological concepts and physical assessment findings. Core content areas include: Neurological disorders: Alzheimer’s disease, Parkinson’s, Bell’s Palsy, trigeminal neuralgia, seizure types, migraines, cluster and tension headaches Geriatric care: Fall risk, osteoporosis, dementia vs. delirium, appetite loss, syncope, polypharmacy, elder abuse Musculoskeletal assessment and pathology: Osteoarthritis, fractures (hip, pathologic, stress), joint inflammation, Heberden’s and Bouchard’s nodes Ortho exams and special tests: McMurray's, Lachman, Spurling, Finkelstein, Straight Leg Raise Vertigo and vestibular disorders: Peripheral vs. central vertigo, Meniere's disease, BPPV, diagnostic distinctions Legal and ethical considerations: Informed consent, patient autonomy, alternative pain therapies Clinical pharmacology highlights: Steroid side effects, medications impacting bone density, vestibular treatment (Diamox) The diagrams and annotated visuals help reinforce physical signs, disease features, and exam maneuvers, offering a richer study experience. Perfect for: NP and graduate nursing students studying for neuro-geriatric and musculoskeletal systems Advanced practice nurses preparing for board exams or clinical rotations Instructors and clinical educators incorporating visuals into test prep Healthcare professionals needing a refresher on age-related neurological and orthopedic care Keywords: NURS 623, Maryville, advanced pathophysiology, neuro assessment, geriatric nursing, osteoporosis, Parkinson’s, Alzheimer’s, Bell’s palsy, trigeminal neuralgia, vertigo, Meniere’s disease, migraines, special ortho tests, Heberden’s nodes, McMurray test, syncope, elder care, NP board prep

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Maryville University NURS 623 Exam 4
2026 Exam All Answers and Illustrations
Given



What to evaluate for on physical exam of musculoskeletal problems? - 🧠

ANSWER ✔✔-Visual


-Palpation

-ROM

-Strength

-Joint stability

-Neurovascular exam (sensation, motor function, reflex testing)

,What to determine when assessing musculoskeletal pain? - 🧠 ANSWER

✔✔-Acute (< 6 weeks) or Chronic (> 6 weeks)


-Articular vs. nonarticular

-Inflammatory vs. noninflammatory

-Localized vs systemic


Common spine disorders - 🧠 ANSWER ✔✔-Cervical strain


-Cervical spondylosis (bone spur)

-Cervical stenosis (narrowing)

-Low back pain

-Vertebral fracture

-Herniated lumbar disc

-Lumbar spinal stenosis

-Cauda equina syndrome


Musculoskeletal Red Flags - 🧠 ANSWER ✔✔-History of trauma


-Fever (recent infection)

-Unexplained weight loss

,-History of cancer

-Incontinence

-Long term steroid use

-Parental drug abuse

-Intense localized pain

-Inability to find comfortable position


How to evaluate musculoskeletal disorders - 🧠 ANSWER ✔✔-

Neuromuscular exam: special test for cervical and lumbar, review classic

findings for disc herniation

-Consider differential diagnoses

-Management: NSAIDs, muscle relaxers, physical therapy

When should you consider a CT or MRI for musculoskeletal problems? - 🧠

ANSWER ✔✔-If no improvement in pain with management after 4 weeks


Common soft tissue disorders - 🧠 ANSWER ✔✔-Bursitis


-Tendonitis/tenosynovitis

-Carpal tunnel syndrome



COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, -DeQuervain's tendonitis

-Ganglion cyst

-Trigger finger

-Dupuytren's Contracture


Shoulder musculoskeletal disorders - 🧠 ANSWER ✔✔-Rotator cuff

syndrome


Hip musculoskeletal disorders - 🧠 ANSWER ✔✔-Greater trochanteric pain


-Meralgia paresthetica

-Hip fractures

-Avascular necrosis


Ankle musculoskeletal disorders - 🧠 ANSWER ✔✔-Sprains


How to differentiate Rheumatoid arthritis from Osteoarthritis - 🧠 ANSWER

✔✔-Rheumatoid arthritis is bilateral and symmetrical


-Osteoarthritis is usually not symmetrical

What to consider when ordering diagnostic exam for musculoskeletal

problems - 🧠 ANSWER ✔✔-Dependent on exam

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