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NSG 464 Final Exam Questions and
Correct Answers/ Latest Update /
Already Graded
Osteoarthritis (OA)
Ans: Heberden Nodes (DIP joints) and Bouchard Nodes (PIP joints)
- hard and painless
- flexion and deviation deformities
- MCP rarely involved
- Radial deviation
Rheumatoid Arthritis (RA)
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Ans: Symmetric deformity in PIP, MCP, wrist joints
- Tender, painful, stiff
- DIP, MCP, wrist
- Fusiform or spindle-shaped swelling of PIP joints
- Ulnar deviation
Pain Provocation Test
Ans: Positive: shoulder pain from 60-120 degrees
Nerve Impingement Sign
Ans: Press on scapula, raise patient's arm
Hawkins Impingement Sign
Ans: flex arm and shoulder 90• w/ palm down and rotate arm internally
-will compress greater tuberosity against coracoacromial ligament
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External Rotation Lag Test
Ans: Flex arm 90 degrees with palm up, rotate into full external rotation
- Positive: unable to maintain external rotation; supraspinatus and
infraspinatus disorder
Internal Rotation Lag Test
Ans: Ask pt to place dorsum of hand on low back, elbow flexed 90
degrees
- Lift hand off back, further internally rotating shoulder
- Positive: unable to hold this position; subscapularis disorder
Drop Arm Test
Ans: Fully abduct arm to shoulder level and lower slowly
- Positive: weakness, supraspinatus rotator cuff tear or bicipital tendinitis
External Rotation Resistance Test
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Ans: Adduct and flex arm 90 degrees with thumb turned up
- apply pressure to wrist
positive: infraspinatus disorder
Empty Can Test
Ans: Elevate arms to 90° in front of pt and internally rotate arms with
thumbs pointing down; ask pt to resist as you place downward pressure
on arms
Positive for Rotator cuff tear if weakness present
Lateral Epicondylitis
Ans: tennis elbow, characterized by pain on the outer side of the forearm
Medial Epicondylitis
NSG 464 Final Exam Questions and
Correct Answers/ Latest Update /
Already Graded
Osteoarthritis (OA)
Ans: Heberden Nodes (DIP joints) and Bouchard Nodes (PIP joints)
- hard and painless
- flexion and deviation deformities
- MCP rarely involved
- Radial deviation
Rheumatoid Arthritis (RA)
,2 | Page
Ans: Symmetric deformity in PIP, MCP, wrist joints
- Tender, painful, stiff
- DIP, MCP, wrist
- Fusiform or spindle-shaped swelling of PIP joints
- Ulnar deviation
Pain Provocation Test
Ans: Positive: shoulder pain from 60-120 degrees
Nerve Impingement Sign
Ans: Press on scapula, raise patient's arm
Hawkins Impingement Sign
Ans: flex arm and shoulder 90• w/ palm down and rotate arm internally
-will compress greater tuberosity against coracoacromial ligament
,3 | Page
External Rotation Lag Test
Ans: Flex arm 90 degrees with palm up, rotate into full external rotation
- Positive: unable to maintain external rotation; supraspinatus and
infraspinatus disorder
Internal Rotation Lag Test
Ans: Ask pt to place dorsum of hand on low back, elbow flexed 90
degrees
- Lift hand off back, further internally rotating shoulder
- Positive: unable to hold this position; subscapularis disorder
Drop Arm Test
Ans: Fully abduct arm to shoulder level and lower slowly
- Positive: weakness, supraspinatus rotator cuff tear or bicipital tendinitis
External Rotation Resistance Test
, 4 | Page
Ans: Adduct and flex arm 90 degrees with thumb turned up
- apply pressure to wrist
positive: infraspinatus disorder
Empty Can Test
Ans: Elevate arms to 90° in front of pt and internally rotate arms with
thumbs pointing down; ask pt to resist as you place downward pressure
on arms
Positive for Rotator cuff tear if weakness present
Lateral Epicondylitis
Ans: tennis elbow, characterized by pain on the outer side of the forearm
Medial Epicondylitis
