NGR6202 Final Exam (M9-13) Questions
With 100% Correct Answers 2026-2027
Updated.
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 - Answer B. Osteopenia
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 - Answer A. Carpal tunnel syndrome
The clinician suspects that a client has patellar instability. In order to test for this, the client is
seated with the quadriceps relaxed, and the knee is placed in extension. Next the patella is
displaced laterally, and the knee flexed to 30°. If instability is present, this maneuver displaces
the patella to an abnormal position on the lateral femoral condyle, and the client will perceive
pain. Testing for patellar instability in this way is known as:
A. Apprehension sign
B. Bulge sign
C. Thumb sign
D. Lachman sign - Answer A. Apprehension sign
Felice is a 66-year-old female who complains that walking and prolonged standing causes pain
and weakness in her legs and buttocks. She expresses that she has short-term relief when she
leans on the shopping cart. When she sleeps on her back, she sometimes wakes up in the night
in pain. Which of the following diagnoses is most likely?
A. Multiple sclerosis
,B. Herniated lumbar disc
C. Lumbar spinal stenosis
D. Cervical spondylosis - Answer C. Lumbar spinal stenosis
Sam is a 25-year-old who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the lumbar spine
B. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain
C. Fever, chills, and elevated erythrocyte sedimentation rate
D. Pathologic fractures, severe night pain, weight loss, and fatigue - Answer B. Unilateral
radicular pain symptoms that extend below the knee and are equal to or greater than the back
pain
Which diagnostic test is the diagnostic gold standard for patients that have tendinitis and have
failed conservative treatment?
A. Plain x-ray films
B. MRI
C. CT scan
D. Surgical exploration - Answer B. MRI
Debbie is a 43-year-old female being evaluated for a wrist injury. The clinician is assessing for
median nerve compression by having Debbie maintain forced flexion of her wrist for 1 minute
with the dorsal surface of each hand pressed together. Which of these tests did the clinician just
perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test - Answer B. Phalen's test
You have detected the presence of crepitus on examination of a patient with a musculoskeletal
complaint. Additionally, there is limited range of motion 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
Connie is a 63-year-old seamstress who presents with pain at the base of her right thumb on
abduction and extension of her right thumb. She also complains of pain on the radial side of her
right wrist with lifting. Which of these diagnostic tests will help to determine if she has de
Quervain's tenosynovitis?
A. Allen's test
B. Phalen's maneuver
C. Tinel's sign
D. Finkelstein's test - Answer D. Finkelstein's test
Chris is a 28-year-old male who complains of lower back pain that began 3 days ago. The pain is
worse when he stands or bends, and it is somewhat relieved when he sits. The clinician
performs the straight-leg raise test and it is negative. Plain film x-ray is positive. Which diagnosis
is most likely?
A. Osteoarthritis
B. Spinal stenosis
C. Scoliosis
D. Muscle strain - Answer D. Muscle strain
Which of the following is a risk factor for overuse syndrome with tendinitis?
A. Body mass index <18
B. Hypothyroidism
C. Rheumatoid arthritis
D. Cardiac disease - Answer C. Rheumatoid arthritis
A painful condition affecting the tendons on the thumb side of the wrist.
A. Bursitis
B. De Quervain's tenosynovitis
With 100% Correct Answers 2026-2027
Updated.
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 - Answer B. Osteopenia
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 - Answer A. Carpal tunnel syndrome
The clinician suspects that a client has patellar instability. In order to test for this, the client is
seated with the quadriceps relaxed, and the knee is placed in extension. Next the patella is
displaced laterally, and the knee flexed to 30°. If instability is present, this maneuver displaces
the patella to an abnormal position on the lateral femoral condyle, and the client will perceive
pain. Testing for patellar instability in this way is known as:
A. Apprehension sign
B. Bulge sign
C. Thumb sign
D. Lachman sign - Answer A. Apprehension sign
Felice is a 66-year-old female who complains that walking and prolonged standing causes pain
and weakness in her legs and buttocks. She expresses that she has short-term relief when she
leans on the shopping cart. When she sleeps on her back, she sometimes wakes up in the night
in pain. Which of the following diagnoses is most likely?
A. Multiple sclerosis
,B. Herniated lumbar disc
C. Lumbar spinal stenosis
D. Cervical spondylosis - Answer C. Lumbar spinal stenosis
Sam is a 25-year-old who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the lumbar spine
B. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain
C. Fever, chills, and elevated erythrocyte sedimentation rate
D. Pathologic fractures, severe night pain, weight loss, and fatigue - Answer B. Unilateral
radicular pain symptoms that extend below the knee and are equal to or greater than the back
pain
Which diagnostic test is the diagnostic gold standard for patients that have tendinitis and have
failed conservative treatment?
A. Plain x-ray films
B. MRI
C. CT scan
D. Surgical exploration - Answer B. MRI
Debbie is a 43-year-old female being evaluated for a wrist injury. The clinician is assessing for
median nerve compression by having Debbie maintain forced flexion of her wrist for 1 minute
with the dorsal surface of each hand pressed together. Which of these tests did the clinician just
perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test - Answer B. Phalen's test
You have detected the presence of crepitus on examination of a patient with a musculoskeletal
complaint. Additionally, there is limited range of motion 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
Connie is a 63-year-old seamstress who presents with pain at the base of her right thumb on
abduction and extension of her right thumb. She also complains of pain on the radial side of her
right wrist with lifting. Which of these diagnostic tests will help to determine if she has de
Quervain's tenosynovitis?
A. Allen's test
B. Phalen's maneuver
C. Tinel's sign
D. Finkelstein's test - Answer D. Finkelstein's test
Chris is a 28-year-old male who complains of lower back pain that began 3 days ago. The pain is
worse when he stands or bends, and it is somewhat relieved when he sits. The clinician
performs the straight-leg raise test and it is negative. Plain film x-ray is positive. Which diagnosis
is most likely?
A. Osteoarthritis
B. Spinal stenosis
C. Scoliosis
D. Muscle strain - Answer D. Muscle strain
Which of the following is a risk factor for overuse syndrome with tendinitis?
A. Body mass index <18
B. Hypothyroidism
C. Rheumatoid arthritis
D. Cardiac disease - Answer C. Rheumatoid arthritis
A painful condition affecting the tendons on the thumb side of the wrist.
A. Bursitis
B. De Quervain's tenosynovitis
