Dunphy Musculoskeletal Problems Questions with Correct Answers

Dunphy Musculoskeletal Problems Questions with Correct Answers 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 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. Which of the following statements is true regarding the treatment of carpal tunnel syndrome? A. The goal of treatment is to prevent flexion and extension movements of the wrist. B. Splints are not used in carpal tunnel syndrome, because they restrict complete movement of the fingers and wrist. C. Corticosteroid injections are encouraged in the treatment of carpal tunnel syndrome. D. Treatment that encourages fluid retention, to keep the joints lubricated, is an emphasis of treatment. - Answer-A. The goal of treatment is to prevent flexion and extension movements of the wrist. 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