Maryville University NURS 623 exam 4 study guide..(2025)
1. 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 - (answers)b. Synovium
2. 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. A and B - (answers)a. Articular
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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 - (answers)c. Morning stiffness
4. 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 range-of-motion (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. - (answers)a. The uninvolved side should be examined initially and then compared
to the involved side.
5. You are performing muscle strength testing on a patient 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 - (answers)b. 2
6. 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 right-handed. Based on her examination and medical history, you suspect adhesive capsulitis,
眼睛”主题的中文文章？
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 diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions. - (answers)c. Her history of
diabetes mellitus
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. Only 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. - (answers)a.
Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for
about one-half the risk of 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 used in carpal tunnel syndrome, because they allow for free movement of the
fingers and thumb while maintaining the wrist in a neutral position.
c. Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because
of the risks for median nerve damage, scarring, and infection.
d. All of the above - (answers)d. All of the above
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眼睛”主题的中文文章？
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 - (answers)b. Unilateral
radicular pain symptoms that extend below the knee and are equal to or greater than the back
pain
11. The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs
to manage his symptoms of pain and discomfort. Which of the following statements would be
most appropriate when teaching Sam about the use of NSAIDs?
1. 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 - (answers)b. Synovium
2. 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. A and B - (answers)a. Articular
眼睛”主题的中文文章？
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 - (answers)c. Morning stiffness
4. 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 range-of-motion (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. - (answers)a. The uninvolved side should be examined initially and then compared
to the involved side.
5. You are performing muscle strength testing on a patient 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 - (answers)b. 2
6. 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 right-handed. Based on her examination and medical history, you suspect adhesive capsulitis,
眼睛”主题的中文文章？
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 diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions. - (answers)c. Her history of
diabetes mellitus
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. Only 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. - (answers)a.
Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for
about one-half the risk of 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 used in carpal tunnel syndrome, because they allow for free movement of the
fingers and thumb while maintaining the wrist in a neutral position.
c. Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because
of the risks for median nerve damage, scarring, and infection.
d. All of the above - (answers)d. All of the above
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眼睛”主题的中文文章？
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 - (answers)b. Unilateral
radicular pain symptoms that extend below the knee and are equal to or greater than the back
pain
11. The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs
to manage his symptoms of pain and discomfort. Which of the following statements would be
most appropriate when teaching Sam about the use of NSAIDs?
