NR 511 Final Study Guide Questions with Verified Answers
(Correct Update)
Question 1: Question 86. Morris, age 52, is in a new relationship and is not sure whether his
erectile dysfunction is organic or is caused by stress about his performance. What simple test
could you suggest to determine if he has the ability to have an erection? 1. Nocturnal penile
tumescence and rigidity (NPTR) test. 2. Penile duplex ultrasonography. 3. Intracavernous
injection. 4. Serum prostate-specific antigen (PSA).
Answer: 1. Nocturnal penile tumescence and rigidity (NPTR) test.
Question 2: One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complaint is articular or nonarticular in origin. Which of the following is
an example of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
Answer: B. Synovium
Question 3: You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both
active and passive movement. These findings suggest that the origin of the musculoskeletal
complaint is:
A. Articular
B. Inflammatory
C. Nonarticular
D. Noninflammatory
Answer: A. Articular
Question 4: 3. Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
A. Decreased C-reactive protein
B. Hyperalbuminemia
C. Morning stiffness
D. Weight gain
Answer: C. Morning stiffness
Page 1
,Question 5: 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 not to cause further injury
to the patient.
Answer: A. The uninvolved side should be examined initially and then compared to the involved side.
Question 6: 5. You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM but cannot move it above
gravity. Which numeric grade of muscle strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
Answer: B. 2
Question 7: Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited
movement in her right shoulder. She denies any history of trauma. Her examination reveals a
75% reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is
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 righthanded. Based on her examination and medical history, you
suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports
this diagnosis?
A. History of hypertension
B. Her affected shoulder is also her dominant arm.
C. Her history of type 1 diabetes
D. Her work as a secretary predisposes her to repetitive motions.
Answer: C. Her history of type 1 diabetes
Page 2
, Question 8: Jennifer is an 18-year-old woman who comes to the emergency room after a fall
during a soccer game. Jennifer explains 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 ROM in her left
shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation?
A. Anterior dislocations are not painful, and ROM is normal.
B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
C. X-rays are the only diagnostic testing appropriate to assess a dislocation.
D. Most traumatic dislocations are posterior.
Answer: B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
Question 9: 8. 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
Answer: C. Local anesthetic injection into the tendon sheath
Question 10: 9. Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with
carpal tunnel syndrome. She has two 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. People with 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.
Answer: B. People with 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.
Page 3
(Correct Update)
Question 1: Question 86. Morris, age 52, is in a new relationship and is not sure whether his
erectile dysfunction is organic or is caused by stress about his performance. What simple test
could you suggest to determine if he has the ability to have an erection? 1. Nocturnal penile
tumescence and rigidity (NPTR) test. 2. Penile duplex ultrasonography. 3. Intracavernous
injection. 4. Serum prostate-specific antigen (PSA).
Answer: 1. Nocturnal penile tumescence and rigidity (NPTR) test.
Question 2: One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complaint is articular or nonarticular in origin. Which of the following is
an example of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
Answer: B. Synovium
Question 3: You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both
active and passive movement. These findings suggest that the origin of the musculoskeletal
complaint is:
A. Articular
B. Inflammatory
C. Nonarticular
D. Noninflammatory
Answer: A. Articular
Question 4: 3. Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
A. Decreased C-reactive protein
B. Hyperalbuminemia
C. Morning stiffness
D. Weight gain
Answer: C. Morning stiffness
Page 1
,Question 5: 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 not to cause further injury
to the patient.
Answer: A. The uninvolved side should be examined initially and then compared to the involved side.
Question 6: 5. You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM but cannot move it above
gravity. Which numeric grade of muscle strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
Answer: B. 2
Question 7: Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited
movement in her right shoulder. She denies any history of trauma. Her examination reveals a
75% reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is
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 righthanded. Based on her examination and medical history, you
suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports
this diagnosis?
A. History of hypertension
B. Her affected shoulder is also her dominant arm.
C. Her history of type 1 diabetes
D. Her work as a secretary predisposes her to repetitive motions.
Answer: C. Her history of type 1 diabetes
Page 2
, Question 8: Jennifer is an 18-year-old woman who comes to the emergency room after a fall
during a soccer game. Jennifer explains 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 ROM in her left
shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation?
A. Anterior dislocations are not painful, and ROM is normal.
B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
C. X-rays are the only diagnostic testing appropriate to assess a dislocation.
D. Most traumatic dislocations are posterior.
Answer: B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
Question 9: 8. 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
Answer: C. Local anesthetic injection into the tendon sheath
Question 10: 9. Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with
carpal tunnel syndrome. She has two 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. People with 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.
Answer: B. People with 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.
Page 3
