NURS 623 Exam 4 Questions and Answers
1. 1. One of the initial steps in assessing patients with musculoskeletal com-
plaints is to determine whether the complaint is articular or nonarticular in
origin. Which of the following is an example of an articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia: b. Synovium
2. 2. 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: a. Articular
3. 3. Which of the following signs or symptoms indicate an inflammatory etiol-
ogy to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain: c. Morning stittness
4. 4. Which of the following statements concerning the musculoskeletal exami-
nation 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
range-of-motion (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.: a. The uninvolved side should be examined initially and then
compared to the involved side.
, NURS 623 Exam 4 Questions and Answers
5. 5. You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this pa-
tient?
a. 1
b. 2
c. 3
d. 4
e. 5: b. 2
6. 6. 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
examination reveals a 75% reduction in both active and passive ROM of the
right shoulder. Mrs. Gray also is 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 examination and medical history,
you suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's
history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions.: c. Her history of
diabetes mellitus
7. 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 also will develop carpal tunnel syndrome. Which
of the following responses would be correct regarding the risk of developing
carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are
thought to account for about one-half the risk of developing carpal tunnel.
b. Only people with occupations that require repeated flexion extension of the
wrist, use of hand tools that require forceful gripping, or use of hand tools that
1. 1. One of the initial steps in assessing patients with musculoskeletal com-
plaints is to determine whether the complaint is articular or nonarticular in
origin. Which of the following is an example of an articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia: b. Synovium
2. 2. 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: a. Articular
3. 3. Which of the following signs or symptoms indicate an inflammatory etiol-
ogy to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain: c. Morning stittness
4. 4. Which of the following statements concerning the musculoskeletal exami-
nation 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
range-of-motion (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.: a. The uninvolved side should be examined initially and then
compared to the involved side.
, NURS 623 Exam 4 Questions and Answers
5. 5. You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this pa-
tient?
a. 1
b. 2
c. 3
d. 4
e. 5: b. 2
6. 6. 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
examination reveals a 75% reduction in both active and passive ROM of the
right shoulder. Mrs. Gray also is 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 examination and medical history,
you suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's
history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions.: c. Her history of
diabetes mellitus
7. 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 also will develop carpal tunnel syndrome. Which
of the following responses would be correct regarding the risk of developing
carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are
thought to account for about one-half the risk of developing carpal tunnel.
b. Only people with occupations that require repeated flexion extension of the
wrist, use of hand tools that require forceful gripping, or use of hand tools that
