1|Page
NR 511 Differential Diagnosis and Primary Care Final
Examination||Verified Exam!!||, 2026/2027 –Questions
with Verified Solutions|| Newest Exam!!!
Mrs. Gray is a 55-year-old woman who presents with
tightness, pain, and limited movement in her right
shoulder. She denies any history of trauma. Her exam
reveals a 75% reduction in both active and passive range
of motion of the right shoulder. Mrs. Gray is also
experiencing tenderness with motion and pain at the
deltoid insertion. Her medical history is significant for type
1 diabetes mellitus and hypertension. Her social history
reveals that she is a secretary and that she is right-
handed. Based on her exam and medical history, you
suspect adhesive capulitis or "frozen shoulder." Which
clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive
motions - Answer-HX of DM
,2|Page
Jennifer is an 18-year-old girl who comes to the
emergency room after a fall during a soccer game.
Jennifer explains that she fell on her left side and kept her
arm out straight to break her fall. She has been
experiencing severe pain and limited range of motion in
her left shoulder. The clinician has diagnosed Jennifer with
a dislocated shoulder. Which of the following statements
are true concerning shoulder dislocation?
A. Posterior dislocations are more common than anterior
dislocations
B. There is a risk of neurovascular and neurosensory
trauma, so the clinician should check for distal pulses
C. Recurrent dislocations are uncommon and would
require great force to result in injury
D. Surgery is the most common treatment of choice -
Answer-There is a risk of neurovascular and neurosensory
trauma, so the clinician should check for distal pulses
Mrs. Anderson is a 35-year-old woman who has been
recently diagnosed with carpal tunnel syndrome. She has
two young children and asks the clinician what the
chances are that they will also develop carpal tunnel
syndrome. Which of the following responses would be
correct regarding the risk of developing carpal tunnel
syndrome?
,3|Page
- Carpal tunnel syndrome commonly occurs in families.
Genetic factors are thought to account for about half the
risk of developing carpal tunnel.
- Only people with occupations that require repeated
flexion extension of the wrist, use of hand tools that
require forceful gripping, or hand tools that vibrate are at
risk for developing carpal tunnel.
- An underlying musculoskeletal disorder must be present
for a person to develop carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a
hormonal imbalance. - Answer-Carpal tunnel syndrome
commonly occurs in families. Genetic factors are thought
to account for about half the risk of developing carpal
tunnel.
Which of the following statements is true regarding the
treatment of carpal tunnel syndrome?
A. The goal of TX is to prevent flexion and extension
movements of the wrist
B. Splints are used in carpal tunnel syndrome, because
they allow for free movement the fingers and thumb while
maintaining the wrist in a neutral position
, 4|Page
C Corticosterioid injections are discouraged in the
treatment of CTS because of the risks for median nerve
damage, scarring, and infection
D. All of the above - Answer-All of the above
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 - Answer-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 - Answer-Articular
NR 511 Differential Diagnosis and Primary Care Final
Examination||Verified Exam!!||, 2026/2027 –Questions
with Verified Solutions|| Newest Exam!!!
Mrs. Gray is a 55-year-old woman who presents with
tightness, pain, and limited movement in her right
shoulder. She denies any history of trauma. Her exam
reveals a 75% reduction in both active and passive range
of motion of the right shoulder. Mrs. Gray is also
experiencing tenderness with motion and pain at the
deltoid insertion. Her medical history is significant for type
1 diabetes mellitus and hypertension. Her social history
reveals that she is a secretary and that she is right-
handed. Based on her exam and medical history, you
suspect adhesive capulitis or "frozen shoulder." Which
clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive
motions - Answer-HX of DM
,2|Page
Jennifer is an 18-year-old girl who comes to the
emergency room after a fall during a soccer game.
Jennifer explains that she fell on her left side and kept her
arm out straight to break her fall. She has been
experiencing severe pain and limited range of motion in
her left shoulder. The clinician has diagnosed Jennifer with
a dislocated shoulder. Which of the following statements
are true concerning shoulder dislocation?
A. Posterior dislocations are more common than anterior
dislocations
B. There is a risk of neurovascular and neurosensory
trauma, so the clinician should check for distal pulses
C. Recurrent dislocations are uncommon and would
require great force to result in injury
D. Surgery is the most common treatment of choice -
Answer-There is a risk of neurovascular and neurosensory
trauma, so the clinician should check for distal pulses
Mrs. Anderson is a 35-year-old woman who has been
recently diagnosed with carpal tunnel syndrome. She has
two young children and asks the clinician what the
chances are that they will also develop carpal tunnel
syndrome. Which of the following responses would be
correct regarding the risk of developing carpal tunnel
syndrome?
,3|Page
- Carpal tunnel syndrome commonly occurs in families.
Genetic factors are thought to account for about half the
risk of developing carpal tunnel.
- Only people with occupations that require repeated
flexion extension of the wrist, use of hand tools that
require forceful gripping, or hand tools that vibrate are at
risk for developing carpal tunnel.
- An underlying musculoskeletal disorder must be present
for a person to develop carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a
hormonal imbalance. - Answer-Carpal tunnel syndrome
commonly occurs in families. Genetic factors are thought
to account for about half the risk of developing carpal
tunnel.
Which of the following statements is true regarding the
treatment of carpal tunnel syndrome?
A. The goal of TX is to prevent flexion and extension
movements of the wrist
B. Splints are used in carpal tunnel syndrome, because
they allow for free movement the fingers and thumb while
maintaining the wrist in a neutral position
, 4|Page
C Corticosterioid injections are discouraged in the
treatment of CTS because of the risks for median nerve
damage, scarring, and infection
D. All of the above - Answer-All of the above
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 - Answer-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 - Answer-Articular
