Which of the following signs or symptoms indicate an Morning stiffness
inflammatory etiology to musculoskeletal pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain
Which of the following statements concerning the When possible, the patient should not be asked to perform active ROM exercises to
musculoskeletal exam is true? avoid causing pain
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 not to cause further injury to the patient.
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You are performing muscle strength testing on a patient B
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
patient?
A. 1
B. 2
C. 3
D. 4
E. 5
Mrs. Gray is a 55-year-old woman who presents with HX of DM
tightness, pain, and limited movement in her right shoulder.
She denies any history of trauma. Her exam reveals a 75%
reduction in both active and passive range of motion of the
right shoulder. Mrs. Gray is also 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 exam
and medical history, you suspect adhesive capulitis or
"frozen shoulder." Which clue in Mrs. Gray's history supports
this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive
motions
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Jennifer is an 18-year-old girl who comes to the emergency There is a risk of neurovascular and neurosensory trauma, so the clinician should
room after a fall during a soccer game. Jennifer explains check for distal pulses
that she fell on her left side and kept her arm out straight to
break her fall. She has been experiencing severe pain and
limited range of motion in her left shoulder. The clinician
has diagnosed Jennifer with a dislocated shoulder. Which of
the following statements are true concerning shoulder
dislocation?
A. Posterior dislocations are more common than anterior
dislocations
B. There is a risk of neurovascular and neurosensory trauma,
so the clinician should check for distal pulses
C. Recurrent dislocations are uncommon and would require
great force to result in injury
D. Surgery is the most common treatment of choice
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Mrs. Anderson is a 35-year-old woman who has been Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to
recently diagnosed with carpal tunnel syndrome. She has account for about half the risk of developing carpal tunnel.
two young children and asks the clinician what the chances
are that they will also develop carpal tunnel syndrome.
Which of the following responses would be correct
regarding the risk of developing carpal tunnel syndrome?
- Carpal tunnel syndrome commonly occurs in families.
Genetic factors are thought to account for about half the
risk of developing carpal tunnel.
- Only people with occupations that require repeated
flexion extension of the wrist, use of hand tools that require
forceful gripping, or hand tools that vibrate are at risk for
developing carpal tunnel.
- An underlying musculoskeletal disorder must be present
for a person to develop carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a
hormonal imbalance.
Which of the following statements is true regarding the All of the above
treatment of carpal tunnel syndrome?
A. The goal of TX is to prevent flexion and extension
movements of the wrist
B. Splints are used in carpal tunnel syndrome, because they
allow for free movement the fingers and thumb while
maintaining the wrist in a neutral position
C Corticosterioid injections are discouraged in the
treatment of CTS because of the risks for median nerve
damage, scarring, and infection
D. All of the above
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