MN 568 Final Review Exam Questions and
Correct Answers
Question 1
The clinician suspects that a client has patellar instability. In order to test for this, the
client is seated with the quadriceps relaxed, and the knee is placed in extension. Next
the patella is displaced laterally, and the knee flexed to 30°. If instability is present,
this maneuver displaces the patella to an abnormal position on the lateral femoral
condyle, and the client will perceive pain. Testing for patellar instability in this way is
known as:
Question options:
a) Apprehension sign
b) Bulge sign
c) Thumb sign
d) None of the above
Correct Answer
a) Apprehension sign
Question 2
Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left
great toe. The clinician suspects acute gout. Which of the following should the
clinician expect in the initial test results for this patient?
Question options:
a) Elevated uric acid level
b) Elevated blood urea nitrogen
c) Decreased urine pH
d) Decreased C-reactive protein
Correct Answer
a) Elevated uric acid level
Page 1 of 85
,Question 3
Which of the following medications for type 2 diabetes mellitus should not be
prescribed during pregnancy?
Question options:
a) Insulin
b) Metformin
c) Glucotrol
d) Precose
Correct Answer
c) Glucotrol
Question 4
The clinician is caring for Diane, a 22-year-old woman who presents with an injured
ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane
that an x-ray is not always necessary for an injured ankle and that the decision to
obtain radiographs is dependent on the examination and Diane's description of her
injury. Which of the following clues in Diane's examination or history would alert the
clinician to the need for obtaining radiographs?
Question options:
a) Inability to bear weight immediately after the injury
b) Development of marked ankle swelling and discoloration after the injury
c) Crepitation with palpation or movement of the ankle
d) All of the above
Correct Answer
d) All of the above
Page 2 of 85
,Question 5
Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals
crepitus due to gas production by which anaerobicbacteria?
a. Staphylococcalaureus
b. Clostridium perfringens
c. S. pyrogenes
d. Streptococcus
Correct Answer
b. Clostridium perfringens
Question 6
Which of the following statements concerning the musculoskeletal examination is
true?
Question options:
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.
Correct Answer
a) The uninvolved side should be examined initially and then compared to the
involved side.
Question 7
Lifestyle modification is the treatment of choice for metabolic syndrome.
Question options:
a) True
b) False
Correct Answer
a) True
Page 3 of 85
, Question 8
Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
Question options:
a) The goal of treatment is to prevent flexion and extension movements of the wrist.
b) Splints are used in carpal tunnel syndrome, because they allow for free movement
of the fingers and thumb while maintaining the wrist in a neutral position.
c) Corticosteroid injections are discouraged in the treatment of carpal tunnel
syndrome because of the risks for median nerve damage, scarring, and infection.
d) All of the above
Correct Answer
d) All of the above
Question 9
Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the
level of L5-S1. She is currently in the emergency room with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina
compression?
Question options:
a) Gastrocnemius weakness
b) A reduced or absent ankle reflex
c) Numbness in the lateral foot
d) Paresthesia of the perineum and buttocks
Correct Answer
d) Paresthesia of the perineum and buttocks
Page 4 of 85
Correct Answers
Question 1
The clinician suspects that a client has patellar instability. In order to test for this, the
client is seated with the quadriceps relaxed, and the knee is placed in extension. Next
the patella is displaced laterally, and the knee flexed to 30°. If instability is present,
this maneuver displaces the patella to an abnormal position on the lateral femoral
condyle, and the client will perceive pain. Testing for patellar instability in this way is
known as:
Question options:
a) Apprehension sign
b) Bulge sign
c) Thumb sign
d) None of the above
Correct Answer
a) Apprehension sign
Question 2
Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left
great toe. The clinician suspects acute gout. Which of the following should the
clinician expect in the initial test results for this patient?
Question options:
a) Elevated uric acid level
b) Elevated blood urea nitrogen
c) Decreased urine pH
d) Decreased C-reactive protein
Correct Answer
a) Elevated uric acid level
Page 1 of 85
,Question 3
Which of the following medications for type 2 diabetes mellitus should not be
prescribed during pregnancy?
Question options:
a) Insulin
b) Metformin
c) Glucotrol
d) Precose
Correct Answer
c) Glucotrol
Question 4
The clinician is caring for Diane, a 22-year-old woman who presents with an injured
ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane
that an x-ray is not always necessary for an injured ankle and that the decision to
obtain radiographs is dependent on the examination and Diane's description of her
injury. Which of the following clues in Diane's examination or history would alert the
clinician to the need for obtaining radiographs?
Question options:
a) Inability to bear weight immediately after the injury
b) Development of marked ankle swelling and discoloration after the injury
c) Crepitation with palpation or movement of the ankle
d) All of the above
Correct Answer
d) All of the above
Page 2 of 85
,Question 5
Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals
crepitus due to gas production by which anaerobicbacteria?
a. Staphylococcalaureus
b. Clostridium perfringens
c. S. pyrogenes
d. Streptococcus
Correct Answer
b. Clostridium perfringens
Question 6
Which of the following statements concerning the musculoskeletal examination is
true?
Question options:
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.
Correct Answer
a) The uninvolved side should be examined initially and then compared to the
involved side.
Question 7
Lifestyle modification is the treatment of choice for metabolic syndrome.
Question options:
a) True
b) False
Correct Answer
a) True
Page 3 of 85
, Question 8
Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
Question options:
a) The goal of treatment is to prevent flexion and extension movements of the wrist.
b) Splints are used in carpal tunnel syndrome, because they allow for free movement
of the fingers and thumb while maintaining the wrist in a neutral position.
c) Corticosteroid injections are discouraged in the treatment of carpal tunnel
syndrome because of the risks for median nerve damage, scarring, and infection.
d) All of the above
Correct Answer
d) All of the above
Question 9
Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the
level of L5-S1. She is currently in the emergency room with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina
compression?
Question options:
a) Gastrocnemius weakness
b) A reduced or absent ankle reflex
c) Numbness in the lateral foot
d) Paresthesia of the perineum and buttocks
Correct Answer
d) Paresthesia of the perineum and buttocks
Page 4 of 85
