1
MARYVILLE UNIVERSITY NURS 623 EXAM 4 STUDY
GUIDE 2025 BRAND NEW ACTUAL EXAM WITH
ANSWERS.
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
3. Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
, 2
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
, 3
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, 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.
MARYVILLE UNIVERSITY NURS 623 EXAM 4 STUDY
GUIDE 2025 BRAND NEW ACTUAL EXAM WITH
ANSWERS.
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
3. Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
, 2
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
, 3
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, 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.
