Ortho certification Exam with Complete
Solutions
What is a major difference between osteo and rheumatoid arthritis - ANS-Osteoarthritis
is local versus systemic
Which test is used for diagnosing osteoarthritis - ANS-X-rays
Which describes joint crepitation - ANS-Grating sound
What is a presenting symptom of hip osteoarthritis - ANS-Groin pain
What is a Herberdens node - ANS-Osteophyte formation
Which of the following is often found in degenerative disc disease - ANS-A normal
physical exam
Mrs. Rockwood is having more and more problems with her osteoarthritis her right
shoulder and back have been really bothering her she enjoys housekeeping and takes
pride in her clean house and is having difficulty getting it accomplished what would you
suggest - ANS-Space the cleaning out throughout the week cleaning one room Per day
Mrs. Rockford is prescribed physical and occupational therapy is to help with her pain.
What information should the nurse include in teaching? - ANS-Take oral pain
medication 45 minutes before your therapy session
What is a management goal of osteoarthritis - ANS-Maintain joint function and mobility
What is an advantage of NSAIDS WITH COX2 selectivity - ANS-Les G.I. toxicity
Mrs. Myers a 57-year-old factory worker comes to the clinic complaining of right
shoulder pain for two days. Denies trauma. Start of the day after she cleaned the
kitchen cabinets. I sees her left hand to come her hair because of her pain. More
bothersome at night and has had to sleep in a recliner for comfort. She's on Synthroid
and has been on estrogen replacement for five years. She is prescribed NSAIDS what
shows understanding - ANS-I should take it with food
An MRI is ordered what should be included in pretest teaching - ANS-Remove all
jewelry
, An MRI shows osteoarthritis and right shoulder what might be expected method of
treatment - ANS-Heat or ice
If surgery becomes an indication for a shoulder what would be a treatment goal - ANS-
Improvement of function
What is a surgical procedure for shoulder arthritis - ANS-Hemi arthroplasty
What is a consideration of a complication of Osteoarthritis - ANS-Loss of joint function
Mr. Baldwin has severe left shoulder arthritis related to repetitive heavy lifting at work.
He wants conservative treatment not surgery. What is a likely treatment option for Mr.
Baldwin - ANS-Corticosteroid injections
Which of the following will Mr. Baldwin likely need since is left is his dominant arm -
ANS-Therapy
Mrs. Ray is a 62-year-old female admitted post shoulder arthroplasty the nurse is
assisting her and placement of the sling how should the abduction sling be applied -
ANS-Across the hips and slightly forward
How long should someone wear a sling after post shoulder arthroplasty - ANS-4 to 6
weeks
What is a safety issue for those with upper extremity surgery - ANS-Ambulation.
Because of balance
Following a shoulder arthroplasty what can one accomplish with occupational therapy -
ANS-ADLs
After shoulder arthroplasty what indicates a need for further teaching regarding signs
and symptoms of shoulder dislocation - ANS-I should not worry about decreased ability
to move
A patient is scheduled to have a cemented total shoulder arthroplasty. History includes
sleep apnea obesity hypertension. Patient arrives with PCA patient states that she is in
severe pain and doesn't want to push some buttons and the nurses instructed the
patient on PCA use what is the next step - ANS-Call the doctor and make the
suggestion for an NSAID an oral opioid
What non-pharmacological modalities can a nurse use to help relieve pain from a total
shoulder arthroplasty - ANS-Supports affected arm on with pillows
How would you describe what a trapeze bar on the bed is. For a total shoulder patient -
ANS-Using the trapeze bar allows you to move yourself around in bed by using only the
unaffected arm
Solutions
What is a major difference between osteo and rheumatoid arthritis - ANS-Osteoarthritis
is local versus systemic
Which test is used for diagnosing osteoarthritis - ANS-X-rays
Which describes joint crepitation - ANS-Grating sound
What is a presenting symptom of hip osteoarthritis - ANS-Groin pain
What is a Herberdens node - ANS-Osteophyte formation
Which of the following is often found in degenerative disc disease - ANS-A normal
physical exam
Mrs. Rockwood is having more and more problems with her osteoarthritis her right
shoulder and back have been really bothering her she enjoys housekeeping and takes
pride in her clean house and is having difficulty getting it accomplished what would you
suggest - ANS-Space the cleaning out throughout the week cleaning one room Per day
Mrs. Rockford is prescribed physical and occupational therapy is to help with her pain.
What information should the nurse include in teaching? - ANS-Take oral pain
medication 45 minutes before your therapy session
What is a management goal of osteoarthritis - ANS-Maintain joint function and mobility
What is an advantage of NSAIDS WITH COX2 selectivity - ANS-Les G.I. toxicity
Mrs. Myers a 57-year-old factory worker comes to the clinic complaining of right
shoulder pain for two days. Denies trauma. Start of the day after she cleaned the
kitchen cabinets. I sees her left hand to come her hair because of her pain. More
bothersome at night and has had to sleep in a recliner for comfort. She's on Synthroid
and has been on estrogen replacement for five years. She is prescribed NSAIDS what
shows understanding - ANS-I should take it with food
An MRI is ordered what should be included in pretest teaching - ANS-Remove all
jewelry
, An MRI shows osteoarthritis and right shoulder what might be expected method of
treatment - ANS-Heat or ice
If surgery becomes an indication for a shoulder what would be a treatment goal - ANS-
Improvement of function
What is a surgical procedure for shoulder arthritis - ANS-Hemi arthroplasty
What is a consideration of a complication of Osteoarthritis - ANS-Loss of joint function
Mr. Baldwin has severe left shoulder arthritis related to repetitive heavy lifting at work.
He wants conservative treatment not surgery. What is a likely treatment option for Mr.
Baldwin - ANS-Corticosteroid injections
Which of the following will Mr. Baldwin likely need since is left is his dominant arm -
ANS-Therapy
Mrs. Ray is a 62-year-old female admitted post shoulder arthroplasty the nurse is
assisting her and placement of the sling how should the abduction sling be applied -
ANS-Across the hips and slightly forward
How long should someone wear a sling after post shoulder arthroplasty - ANS-4 to 6
weeks
What is a safety issue for those with upper extremity surgery - ANS-Ambulation.
Because of balance
Following a shoulder arthroplasty what can one accomplish with occupational therapy -
ANS-ADLs
After shoulder arthroplasty what indicates a need for further teaching regarding signs
and symptoms of shoulder dislocation - ANS-I should not worry about decreased ability
to move
A patient is scheduled to have a cemented total shoulder arthroplasty. History includes
sleep apnea obesity hypertension. Patient arrives with PCA patient states that she is in
severe pain and doesn't want to push some buttons and the nurses instructed the
patient on PCA use what is the next step - ANS-Call the doctor and make the
suggestion for an NSAID an oral opioid
What non-pharmacological modalities can a nurse use to help relieve pain from a total
shoulder arthroplasty - ANS-Supports affected arm on with pillows
How would you describe what a trapeze bar on the bed is. For a total shoulder patient -
ANS-Using the trapeze bar allows you to move yourself around in bed by using only the
unaffected arm
