NGR6202 Final Exam M9-13 Questions with
Verified Correct Answers
The primary exam techniques used for assessing the musculoskeletal system are:
A. Inspection and palpation
B. Inspection and percussion
C. Auscultation and palpation
D. Palpation and percussion
A. Inspection and palpation
Typical joints affected are hands, knees, hips and spine.
A. OA
B. RA
C. General joint disease
D. Osteoporosis
A. OA
The most common symptom of OA is joint pain. OA pain tends to worsen with activity, more
often following a period of rest. OA can also cause morning stiffness and generally lasts less
than 30 minutes, unlike rheumatoid arthritis, which can cause stiffness for 45 minutes or
longer. OA is often asymmetrical, whereas RA is normally symmetrical and bilateral,
especially in the hands. Pain on ROM and limitation of ROM are common to all forms of
OA.
,Fred has been diagnosed with a trigger finger of the ring finger. Which of the following
management strategies is appropriate?
A. Surgical removal of the tendon sheath
B. NSAIDs
C. Local anesthetic injection into the tendon sheath
D. Splinting
C. Local anesthetic injection into the tendon sheath
Which of the following statements concerning the musculoskeletal examination 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 ROM exercises to
avoid causing pain
D. Radiographs should always be obtained prior to examination so as to not cause
further injury to the patient.
A. The uninvolved side should be examined initially and then compared to the involved side.
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal
tunnel syndrome. She has 2 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 w/occupations that require repeated flexion extension of the wrist, use of
hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for
developing carpal tunnel.
C. An underlying musculoskeletal disorder must be present for a person to develop
carpal tunnel.
D. Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance.
B. Only people w/occupations that require repeated flexion extension of the wrist, use of
hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for
developing carpal tunnel.
Willow is a 67-year-old female and her bone mineral density is more than 1 SD below
the young adult reference mean. What is her diagnosis?
A. Normal bone mineral density
B. Osteopenia
C. Osteoporosis
D. Severe osteoporosis
B. Osteopenia
A 70 year-old female fell 2 weeks ago and developed immediate pain in her left elbow on
the lateral epicondyle. She thought she just bruised it, but is now worried because it has
not improved. She has used Tylenol® and ice at home, and that has helped slightly.
During your examination, you find she has moderate swelling and ecchymosis, but no
overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to
the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and
, capillary refill is less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic surgical evaluation without further
assessment.
B. Tell her that it takes time for these bruises to improve, so she should be patient.
C. Prescribe a splint for her left wrist and begin corticosteroid injections.
D. Send her to the emergency room for reduction of this obvious wrist fracture.
C. Prescribe a splint for her left wrist and begin corticosteroid injections.
Tinel's sign and Phalen's maneuver are used in identifying a common workplace
condition that the family nurse practitioner recognizes as:
A. Carpal tunnel syndrome
B. Lateral epicondylitis
C. Dupuytren's disease
D. Thoracic outlet syndrome
A. Carpal tunnel syndrome
Mrs. Thomas was seen in the office complaining of pain and point tenderness in the
area of her elbow. The pain has increased following a day of gardening 1 week ago. A
physical finding that differentiates the diagnosis and is most consistent with lateral
epicondylitis (tennis elbow) is:
A. Ecchymosis, edema, and erythema over the lateral epicondyle
B. Pain at the elbow that radiates into the forearm accompanied by pain and weakness
with gripping objects (resisted movements at the wrist and forearm)
Verified Correct Answers
The primary exam techniques used for assessing the musculoskeletal system are:
A. Inspection and palpation
B. Inspection and percussion
C. Auscultation and palpation
D. Palpation and percussion
A. Inspection and palpation
Typical joints affected are hands, knees, hips and spine.
A. OA
B. RA
C. General joint disease
D. Osteoporosis
A. OA
The most common symptom of OA is joint pain. OA pain tends to worsen with activity, more
often following a period of rest. OA can also cause morning stiffness and generally lasts less
than 30 minutes, unlike rheumatoid arthritis, which can cause stiffness for 45 minutes or
longer. OA is often asymmetrical, whereas RA is normally symmetrical and bilateral,
especially in the hands. Pain on ROM and limitation of ROM are common to all forms of
OA.
,Fred has been diagnosed with a trigger finger of the ring finger. Which of the following
management strategies is appropriate?
A. Surgical removal of the tendon sheath
B. NSAIDs
C. Local anesthetic injection into the tendon sheath
D. Splinting
C. Local anesthetic injection into the tendon sheath
Which of the following statements concerning the musculoskeletal examination 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 ROM exercises to
avoid causing pain
D. Radiographs should always be obtained prior to examination so as to not cause
further injury to the patient.
A. The uninvolved side should be examined initially and then compared to the involved side.
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal
tunnel syndrome. She has 2 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 w/occupations that require repeated flexion extension of the wrist, use of
hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for
developing carpal tunnel.
C. An underlying musculoskeletal disorder must be present for a person to develop
carpal tunnel.
D. Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance.
B. Only people w/occupations that require repeated flexion extension of the wrist, use of
hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for
developing carpal tunnel.
Willow is a 67-year-old female and her bone mineral density is more than 1 SD below
the young adult reference mean. What is her diagnosis?
A. Normal bone mineral density
B. Osteopenia
C. Osteoporosis
D. Severe osteoporosis
B. Osteopenia
A 70 year-old female fell 2 weeks ago and developed immediate pain in her left elbow on
the lateral epicondyle. She thought she just bruised it, but is now worried because it has
not improved. She has used Tylenol® and ice at home, and that has helped slightly.
During your examination, you find she has moderate swelling and ecchymosis, but no
overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to
the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and
, capillary refill is less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic surgical evaluation without further
assessment.
B. Tell her that it takes time for these bruises to improve, so she should be patient.
C. Prescribe a splint for her left wrist and begin corticosteroid injections.
D. Send her to the emergency room for reduction of this obvious wrist fracture.
C. Prescribe a splint for her left wrist and begin corticosteroid injections.
Tinel's sign and Phalen's maneuver are used in identifying a common workplace
condition that the family nurse practitioner recognizes as:
A. Carpal tunnel syndrome
B. Lateral epicondylitis
C. Dupuytren's disease
D. Thoracic outlet syndrome
A. Carpal tunnel syndrome
Mrs. Thomas was seen in the office complaining of pain and point tenderness in the
area of her elbow. The pain has increased following a day of gardening 1 week ago. A
physical finding that differentiates the diagnosis and is most consistent with lateral
epicondylitis (tennis elbow) is:
A. Ecchymosis, edema, and erythema over the lateral epicondyle
B. Pain at the elbow that radiates into the forearm accompanied by pain and weakness
with gripping objects (resisted movements at the wrist and forearm)
