FNP Final Exam III Test Exam
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The following statements about the pathophysiology of OA are all true
except: - ANSWER-OA affects only bone and cartilage
Which statement or statements about OA is (are) not true? - ANSWER-
A) Although excessive weight may contribute to the development of
OA, weight loss has NOT been shown to lead to improvement in
symptoms or functionality.
C) Strength training has not been shown to be helpful for patients
with OA and is likely to exacerbate symptoms.
Which statement about OA is not true? - ANSWER-Patients with OA of
the lower extremities should avoid tai chi as it has been shown to
exacerbate lower extremity OA.
,New International Recommendations for diagnosis of myofascial pain
syndrome from include: - ANSWER-All of the above
Which of the following statements are true regarding needle based
interventions for myofascial pain syndrome? - ANSWER-B & C
B) Dry and wet needling appear to have similar benefits in the short
term.
C) Wet needling appears to have improved benefit in the medium-
term vs dry needling, although the long-term significance of this is
unknown.
Which of the following statements are true regarding physical therapy
interventions for myofascial pain syndrome? - ANSWER-There is good
evidence that the best outcomes are derived from the combination of
individualized clinic therapies supported by active self-management
techniques (exercise, stretching, relaxation).
A 44-year-old male patient presents to your clinic for evaluation of
persistent low back pain symptoms. He would like to discuss getting a
magnetic resonance imaging scan and explore his treatment options.
He has a prior history of intermittent low back pain with flares
approximately twice per year for 10 years, but has had persistent daily
symptoms for the past 6 months. He reports bilateral paraspinal pain
that does not radiate past the buttocks. He has tried nonsteroidal anti-
inflammatory drugs, which provided some relief, but caused stomach
discomfort, and he has completed a course of physical therapy
without significant improvement. In your discussion of treatment
options, all are reasonable approaches to include, except: - ANSWER-
Epidural steroid injection
,Your patient asks your opinion on mind-body techniques to help with
pain management. Which of the following statements is consistent
with current evidence? - ANSWER-Behavioral therapies as a whole
have shown improvements in functional status in patients with low
back pain.
Which of the follow statements about acupuncture are incorrect? -
ANSWER-The American College of Physicians (ACP) low back pain
guidelines list acupuncture as a primary treatment option for acute
low back pain.
Out of the following listed choices, which one has the strongest
association with chronic pain? - ANSWER-Physiological factors
Which of the following statements is correct regarding acupuncture
treatments for neck pain? - ANSWER-Overall, there is moderate
evidence in favor of acupuncture for treatment of chronic neck pain
when compared to sham acupuncture
Which of the following is true regarding the evidence base for hands-
on approach to the treatment of chronic neck pain? - ANSWER-A
multimodal, team-based approach that utilizes several modalities,
including hands-on body work, often results in the most effective
long-term pain relief.
When managing chronic gouty arthritis, titrate urate-lowering
therapies to achieve serum uric acid levels less than: - ANSWER-6
Lifestyle recommendations for gout should include all of the following
except: - ANSWER-Avoidance of all purine-rich foods
, Appropriate pharmacological treatments of acute gouty flairs include
(choose all correct): - ANSWER-a. Indomethacin
b. Naproxen
d. Prednisone
f. Colchicine (low dose)
A 43-year-old female working in janitorial services presents with pain
and weakness in her right hand. She admits that symptoms have
worsened over the past couple of years and now remain almost
constant and have affected her ability to grip a mop and squeeze a
spray bottle. She frequently awakens at night and has to "shake out"
the pain and numbness she is experiencing. On physical exam there is
decreased sensation to pinprick over the first through third phalanges
and you note the right thenar eminence is much less robust than the
left. Based of the condition in this patient? - ANSWER-Refer patient for
electrodiagnostic studies and to visit a hand surgeon.
A 29-year-old female at the end of her second trimester is
experiencing increasing discomfort of both hands. She states that pain
and numbness are most noticeable while performing daily
tasks around the house and washing dishes. After a thorough history
and physical the most likely etiology is determined to be carpal tunnel
syndrome (CTS). Which of the following management
options would not be recommended for this patient - ANSWER-
Obtaining electrodiagnostic studies to evaluate the need for surgery.
After determining a management plan, the patient wonders if there is
anything aside from medications that she could take to help with her
Merged With Correct Complete
Solutions || Already Graded A+ ||
2026-2027 Latest Update!!!
The following statements about the pathophysiology of OA are all true
except: - ANSWER-OA affects only bone and cartilage
Which statement or statements about OA is (are) not true? - ANSWER-
A) Although excessive weight may contribute to the development of
OA, weight loss has NOT been shown to lead to improvement in
symptoms or functionality.
C) Strength training has not been shown to be helpful for patients
with OA and is likely to exacerbate symptoms.
Which statement about OA is not true? - ANSWER-Patients with OA of
the lower extremities should avoid tai chi as it has been shown to
exacerbate lower extremity OA.
,New International Recommendations for diagnosis of myofascial pain
syndrome from include: - ANSWER-All of the above
Which of the following statements are true regarding needle based
interventions for myofascial pain syndrome? - ANSWER-B & C
B) Dry and wet needling appear to have similar benefits in the short
term.
C) Wet needling appears to have improved benefit in the medium-
term vs dry needling, although the long-term significance of this is
unknown.
Which of the following statements are true regarding physical therapy
interventions for myofascial pain syndrome? - ANSWER-There is good
evidence that the best outcomes are derived from the combination of
individualized clinic therapies supported by active self-management
techniques (exercise, stretching, relaxation).
A 44-year-old male patient presents to your clinic for evaluation of
persistent low back pain symptoms. He would like to discuss getting a
magnetic resonance imaging scan and explore his treatment options.
He has a prior history of intermittent low back pain with flares
approximately twice per year for 10 years, but has had persistent daily
symptoms for the past 6 months. He reports bilateral paraspinal pain
that does not radiate past the buttocks. He has tried nonsteroidal anti-
inflammatory drugs, which provided some relief, but caused stomach
discomfort, and he has completed a course of physical therapy
without significant improvement. In your discussion of treatment
options, all are reasonable approaches to include, except: - ANSWER-
Epidural steroid injection
,Your patient asks your opinion on mind-body techniques to help with
pain management. Which of the following statements is consistent
with current evidence? - ANSWER-Behavioral therapies as a whole
have shown improvements in functional status in patients with low
back pain.
Which of the follow statements about acupuncture are incorrect? -
ANSWER-The American College of Physicians (ACP) low back pain
guidelines list acupuncture as a primary treatment option for acute
low back pain.
Out of the following listed choices, which one has the strongest
association with chronic pain? - ANSWER-Physiological factors
Which of the following statements is correct regarding acupuncture
treatments for neck pain? - ANSWER-Overall, there is moderate
evidence in favor of acupuncture for treatment of chronic neck pain
when compared to sham acupuncture
Which of the following is true regarding the evidence base for hands-
on approach to the treatment of chronic neck pain? - ANSWER-A
multimodal, team-based approach that utilizes several modalities,
including hands-on body work, often results in the most effective
long-term pain relief.
When managing chronic gouty arthritis, titrate urate-lowering
therapies to achieve serum uric acid levels less than: - ANSWER-6
Lifestyle recommendations for gout should include all of the following
except: - ANSWER-Avoidance of all purine-rich foods
, Appropriate pharmacological treatments of acute gouty flairs include
(choose all correct): - ANSWER-a. Indomethacin
b. Naproxen
d. Prednisone
f. Colchicine (low dose)
A 43-year-old female working in janitorial services presents with pain
and weakness in her right hand. She admits that symptoms have
worsened over the past couple of years and now remain almost
constant and have affected her ability to grip a mop and squeeze a
spray bottle. She frequently awakens at night and has to "shake out"
the pain and numbness she is experiencing. On physical exam there is
decreased sensation to pinprick over the first through third phalanges
and you note the right thenar eminence is much less robust than the
left. Based of the condition in this patient? - ANSWER-Refer patient for
electrodiagnostic studies and to visit a hand surgeon.
A 29-year-old female at the end of her second trimester is
experiencing increasing discomfort of both hands. She states that pain
and numbness are most noticeable while performing daily
tasks around the house and washing dishes. After a thorough history
and physical the most likely etiology is determined to be carpal tunnel
syndrome (CTS). Which of the following management
options would not be recommended for this patient - ANSWER-
Obtaining electrodiagnostic studies to evaluate the need for surgery.
After determining a management plan, the patient wonders if there is
anything aside from medications that she could take to help with her
