NSGl 554/l NSG554l Examl 3l –l Nursel
Practitionersl inl Primaryl Carel Il Review|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Systemicl Lupusl Erythematosus:l Systemicl S&S
Answer:
-fever,l malaise,l anorexia,l weightl loss,l "butterfly"l rash,l panniculitisl (lupusl profundus),l
alopecia,l Raynaudl phenomenon
Q:l Systemicl Lupusl Erythematosus:l Jointl S&S
Answer:
withl orl withoutl activel synovitisl asl anl earlyl manifestation
Q:l Systemicl Lupusl Erythematosus:l Ocularl S&S
Answer:
conjunctivitis,l photophobia,l transientl orl permanentl monocularl blindness,l blurringl visionl
cotton-wooll spotsl onl thel retina
Q:l Systemicl Lupusl Erythematous:l Other
Answer:
pleurisy,l pleurall effusion,l cardiacl arrhythmias,l hematologic,l neurologicl complications
Q:l Osteoarthritisl (DJD)
,Answer:
-mostl commonl jointl dx
-increasesl withl age
-characterizedl byl degenerationl ofl cartilagel andl byl hypertrophyl ofl thel bonel atl thel
articularl marginsl
-inflammationl isl minimal
-heredityl andl mechanicall factorsl involvedl inl pathogenesisl
-Riskl factors:l obesity,l recreationall running,l competitivel contactl sports,l bending/carryingl
objectsl frequently
Q:l Osteoarthritisl medication:l NSAIDs
Answer:
-NSAIDs;l celecoxibl onlyl selectivel cox-2l inhibitorl
-SE:l GIl toxicity,l renal,l increasedl bleedingl time
Q:l Osteoarthritisl medication:l Topicall therapies
Answer:
-topicall NSAIDsl
-kneel andl hand
-lowerl ratesl ofl systemicl SEl thanl orall
-earlyl treatmentl withl mildl OAl especiallyl hand/knee
Q:l Osteoarthritisl medication:l Acetaminophen
Answer:
-mildl OAl
-notl 1stl linel forl hip/knee
Q:l Osteoarthritisl medication:l Intrarticularl injections
Answer:
-moderate/severel kneel whol dol notl respondl tol NSAIDs
, -corticosteroid,l hyaluratel orl plateletl richl plasmal
-notl forl LTl painl orl increasingl functionl
-notl forl OAl ofl hand
Q:l Diagnosticl testsl forl carpall tunnel:l Tinell sign
Answer:
tinglingl orl shockl likel painl onl solarl wristl percussion
Q:l Diagnosticl testsl forl carpall tunnel:l Phalenl sign
Answer:
painl orl paresthesial inl distributionl ofl medianl nervel whenl patientl flexesl bothl wristsl tol
90l degreesl forl 60l seconds
Q:l Diagnosticl testsl forl carpall tunnel:l Carpall compressionl test
Answer:
-numbness/tinglingl inducedl byl directl applicationl ofl pressurel overl thel carpall tunnel
-mayl bel morel sensitivel andl specificl
-musclel weaknessl orl atrophyl especiallyl ofl thel thenarl eminencel canl appearl laterl thanl
sensoryl disturbances
Q:l Olecranonl bursitis
Answer:
-bursitisl presentsl withl focall tendernessl andl swellingl andl isl lessl likelyl tol affectl rangel
ofl motionl ofl thel adjacentl jointl
-olecranonl causesl anl ovall swellingl atl thel tipl ofl thel elbowl andl doesl notl affect.l jointl
motionl
-tenderness,l erythemal andl warmth,l cellulitis,l reportl ofl trauma,l andl evidencel ofl al skinl
lesionl arel morel commonl inl septicl bursitisl butl canl bel presentl withl asepticl
-1/3l withl septicl olecranonl bursitisl arel afebrile
Practitionersl inl Primaryl Carel Il Review|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Systemicl Lupusl Erythematosus:l Systemicl S&S
Answer:
-fever,l malaise,l anorexia,l weightl loss,l "butterfly"l rash,l panniculitisl (lupusl profundus),l
alopecia,l Raynaudl phenomenon
Q:l Systemicl Lupusl Erythematosus:l Jointl S&S
Answer:
withl orl withoutl activel synovitisl asl anl earlyl manifestation
Q:l Systemicl Lupusl Erythematosus:l Ocularl S&S
Answer:
conjunctivitis,l photophobia,l transientl orl permanentl monocularl blindness,l blurringl visionl
cotton-wooll spotsl onl thel retina
Q:l Systemicl Lupusl Erythematous:l Other
Answer:
pleurisy,l pleurall effusion,l cardiacl arrhythmias,l hematologic,l neurologicl complications
Q:l Osteoarthritisl (DJD)
,Answer:
-mostl commonl jointl dx
-increasesl withl age
-characterizedl byl degenerationl ofl cartilagel andl byl hypertrophyl ofl thel bonel atl thel
articularl marginsl
-inflammationl isl minimal
-heredityl andl mechanicall factorsl involvedl inl pathogenesisl
-Riskl factors:l obesity,l recreationall running,l competitivel contactl sports,l bending/carryingl
objectsl frequently
Q:l Osteoarthritisl medication:l NSAIDs
Answer:
-NSAIDs;l celecoxibl onlyl selectivel cox-2l inhibitorl
-SE:l GIl toxicity,l renal,l increasedl bleedingl time
Q:l Osteoarthritisl medication:l Topicall therapies
Answer:
-topicall NSAIDsl
-kneel andl hand
-lowerl ratesl ofl systemicl SEl thanl orall
-earlyl treatmentl withl mildl OAl especiallyl hand/knee
Q:l Osteoarthritisl medication:l Acetaminophen
Answer:
-mildl OAl
-notl 1stl linel forl hip/knee
Q:l Osteoarthritisl medication:l Intrarticularl injections
Answer:
-moderate/severel kneel whol dol notl respondl tol NSAIDs
, -corticosteroid,l hyaluratel orl plateletl richl plasmal
-notl forl LTl painl orl increasingl functionl
-notl forl OAl ofl hand
Q:l Diagnosticl testsl forl carpall tunnel:l Tinell sign
Answer:
tinglingl orl shockl likel painl onl solarl wristl percussion
Q:l Diagnosticl testsl forl carpall tunnel:l Phalenl sign
Answer:
painl orl paresthesial inl distributionl ofl medianl nervel whenl patientl flexesl bothl wristsl tol
90l degreesl forl 60l seconds
Q:l Diagnosticl testsl forl carpall tunnel:l Carpall compressionl test
Answer:
-numbness/tinglingl inducedl byl directl applicationl ofl pressurel overl thel carpall tunnel
-mayl bel morel sensitivel andl specificl
-musclel weaknessl orl atrophyl especiallyl ofl thel thenarl eminencel canl appearl laterl thanl
sensoryl disturbances
Q:l Olecranonl bursitis
Answer:
-bursitisl presentsl withl focall tendernessl andl swellingl andl isl lessl likelyl tol affectl rangel
ofl motionl ofl thel adjacentl jointl
-olecranonl causesl anl ovall swellingl atl thel tipl ofl thel elbowl andl doesl notl affect.l jointl
motionl
-tenderness,l erythemal andl warmth,l cellulitis,l reportl ofl trauma,l andl evidencel ofl al skinl
lesionl arel morel commonl inl septicl bursitisl butl canl bel presentl withl asepticl
-1/3l withl septicl olecranonl bursitisl arel afebrile
