5/26/25, 8:57 PM NURS660 Exam 3
NURS660 Exam 3 (PHYSIOTHERAPY) |ACTUAL EXAM
\2025 COMPLETE VERSION WITH QUESTIONS AND
ACCURATE DETAILED ANSWERS \GRADED A+
When is back pain considered >3 months of pain
chronic?
What are some red flags >50, associated with weight loss/constitutional symptoms,
associated with back pain no improvement after 1 month
that would make you
suspicious of potential
malignancy?
Patient supine, passively raise patient's leg to point of pain or 90
Straight leg test degrees
L5-S1 evaluated by this
Pt lies prone, passively flex knee and passively extend hip.
Femoral stretch test
L2-L4 evaluated by this
Describe what a patient will Unilatearl radicular pain that extends below the knee
feel if they have a and usually hurts worse than their back pain.
herniated disc.
NSAIDs and steroids not indicated
What medications are
Tylenol recommended, Flexeril can be
typically indicated for acute
prescribed PRN Caution w/ opioids
low back pain, and which are
not?
Strains are not usually accompanied by any
Describe what a back strain
neurological deficits! Usually just pain and
would feel like, what
spasms
symptoms the patient
If functional tests are positive, something more.
would have.
Is imaging indicated for a no unless radiculopathy or progressive deficits
suspected back strain?
What joints are most hands, knees, hips, spine, back
commonly affected in
/ 1/35
,5/26/25, 8:57 PM NURS660 Exam 3
osteoarthritis?
Morning stiffness that improves with regular activity (can
Describe the morning stiffness
of OA. be worsened with excessive activity)
Are x-rays useful in OA? Not in early disease, x-ray findings do not correlate with well
clinical symptoms early
OA typically unilateral/asymmetric, RA typically
symmetrical/bilateral.
Briefly differentiate between RA usually has more systemic symptoms and extra-
rheumatoid arthritis and auricular involvement. Morning stiffness lasting >30
osteoarthritis. minutes.
OA is due to cartilage loss while RA is due to inflamed synovium.
Both are common In osteoarthritis.
Differentiate between
Heberden usually occur at the distal interphalangeal
Heberden and Bouchard
joints while Bouchard occur in the proximal IP joints.
nodules.
Will serologic markers be no
elevated in OA?
combination of pharmacotherapy (NSAIDs, tylenol,
What is the treatment of OA? tramadol, etc) and treatment like PT/OT, weight
control, complementary medicine, etc
ultimately surgery ( joint replacements)
peripheral nerve compression of the median nerve in the wrist
What is carpal tunnel and
risk factors: age, female, pregnancy, working in a job
what are the causes?
where you are repeatedly flexing or extending wrist
out of neutral position
Aching, tingling sensation with pain radiating to thumb,
Describe the clinical
index/middle/medial aspect of the ring finger (pinky
presentation of carpal
usually unaffected), can extend to forearm or even
tunnel.
shoulder, paresthesia, numbness, nighttime awakening
with pain and numbness
a diagnostic test for carpal tunnel
Phalen test
Hold dorsal sides of hands together for 1 min, positive if
patient experiences tingling in the thumb, index,
middle, or part of ring finger.
/ 2/35
,5/26/25, 8:57 PM NURS660 Exam 3
carpal tunnel
Tinel's test tap on carpal tunnel at wrist
positive if tingling or paresthesia occurs in thumb,
index, middle, or part of ring finger
Pediatric injuries/fractures epiphyseal plate/growth plate
to the bone at what area can cause permanent injury or deformity
are most concerning?
In children, the ligaments/tendons are stronger than
Which are stronger in
bones, which means they are more likely to break a
children vs adults? bone or
bone by doing the same thing an adult would do that
ligaments/tendons?
wouldn't break an adult bone
Your peds patient has a wrist emergent referral to ED or ortho if you can get them in that
injury, you are unable to tell second
if it's a fracture or a sprain.
While doing your
assessment, you notice
palor and coolness of the
hand. What do you do?
Another name for annual nursemaid's elbow
ligament displacement is
they will typically be "Craddling" the affected arm because this
How do children with
stops the pain
nursemaids elbow usually
appear? immediately after the injury, refusal to bend arm
does not require x-ray if story is convincing (parent
picking child up by arms or pulling on arm, etc)
Management of nursemaid's should not require ED or ortho referral
elbow
should be able to return to place with supination/flexion or
pronation technique
Salter-Harris classification is growth plate fractures and grading their severity/likeliness of
used for complications
Fracture in physis/not surrounding the
Salter-Harris Type 1
bone. Growth plate only. rare to have
growth disturbances
Fracture through physis and
Salter-Harris Type 2
extending into metaphysis rare to
have growth disturbances
/ 3/35
, 5/26/25, 8:57 PM NURS660 Exam 3
Physis separation, requires
Salter-Harris TYpe 3
anatomic reduction. threat to
growth and joint
Fracture that extends through the epiphysis,
Salter-Harris Type 4
physis and metaphysis serious threat to
growth and joint
A compression/crushing fracture
Salter-Harris Type 5
of the growth plate most severe,
arrested growth and limited bone
length
Pediatric spiral abuse
fractures are highly
associated with
Greenstick fracture bending and incomplete break of a bone; most often seen in
children
<1 years
old delay
Name a few red flags that a in care
fracture could be from non- changing
accidental trauma. story
fracture doesn't match story (a significant fracture
should have a significant story!) multiple fractures
with different stages of healing
ribs, clavicle, ulna, vertebral, fingers in nonambulatory child
Typically how long does it infants are quick, only 3 weeks after the callus
take for bone (which takes about 2-6 weeks) older children and
consolidation/full healing adults are 3-6 months after callus formation
to occur in the pediatric
and adult population?
The 5 Ps: pulselessness, paralysis,
Describe what you would paresthesia, pallor, paralysis severe
assess for in compartment worsening pain, almost inconsistent with
syndrome. injury
medical emergency!
Spontaneous loss of vascularization to the femoral head
Describe what is happening
leading to avascular necrosis.
in Legg-Calve- Perthes
Resolves spontaneously as well
/ 4/35
NURS660 Exam 3 (PHYSIOTHERAPY) |ACTUAL EXAM
\2025 COMPLETE VERSION WITH QUESTIONS AND
ACCURATE DETAILED ANSWERS \GRADED A+
When is back pain considered >3 months of pain
chronic?
What are some red flags >50, associated with weight loss/constitutional symptoms,
associated with back pain no improvement after 1 month
that would make you
suspicious of potential
malignancy?
Patient supine, passively raise patient's leg to point of pain or 90
Straight leg test degrees
L5-S1 evaluated by this
Pt lies prone, passively flex knee and passively extend hip.
Femoral stretch test
L2-L4 evaluated by this
Describe what a patient will Unilatearl radicular pain that extends below the knee
feel if they have a and usually hurts worse than their back pain.
herniated disc.
NSAIDs and steroids not indicated
What medications are
Tylenol recommended, Flexeril can be
typically indicated for acute
prescribed PRN Caution w/ opioids
low back pain, and which are
not?
Strains are not usually accompanied by any
Describe what a back strain
neurological deficits! Usually just pain and
would feel like, what
spasms
symptoms the patient
If functional tests are positive, something more.
would have.
Is imaging indicated for a no unless radiculopathy or progressive deficits
suspected back strain?
What joints are most hands, knees, hips, spine, back
commonly affected in
/ 1/35
,5/26/25, 8:57 PM NURS660 Exam 3
osteoarthritis?
Morning stiffness that improves with regular activity (can
Describe the morning stiffness
of OA. be worsened with excessive activity)
Are x-rays useful in OA? Not in early disease, x-ray findings do not correlate with well
clinical symptoms early
OA typically unilateral/asymmetric, RA typically
symmetrical/bilateral.
Briefly differentiate between RA usually has more systemic symptoms and extra-
rheumatoid arthritis and auricular involvement. Morning stiffness lasting >30
osteoarthritis. minutes.
OA is due to cartilage loss while RA is due to inflamed synovium.
Both are common In osteoarthritis.
Differentiate between
Heberden usually occur at the distal interphalangeal
Heberden and Bouchard
joints while Bouchard occur in the proximal IP joints.
nodules.
Will serologic markers be no
elevated in OA?
combination of pharmacotherapy (NSAIDs, tylenol,
What is the treatment of OA? tramadol, etc) and treatment like PT/OT, weight
control, complementary medicine, etc
ultimately surgery ( joint replacements)
peripheral nerve compression of the median nerve in the wrist
What is carpal tunnel and
risk factors: age, female, pregnancy, working in a job
what are the causes?
where you are repeatedly flexing or extending wrist
out of neutral position
Aching, tingling sensation with pain radiating to thumb,
Describe the clinical
index/middle/medial aspect of the ring finger (pinky
presentation of carpal
usually unaffected), can extend to forearm or even
tunnel.
shoulder, paresthesia, numbness, nighttime awakening
with pain and numbness
a diagnostic test for carpal tunnel
Phalen test
Hold dorsal sides of hands together for 1 min, positive if
patient experiences tingling in the thumb, index,
middle, or part of ring finger.
/ 2/35
,5/26/25, 8:57 PM NURS660 Exam 3
carpal tunnel
Tinel's test tap on carpal tunnel at wrist
positive if tingling or paresthesia occurs in thumb,
index, middle, or part of ring finger
Pediatric injuries/fractures epiphyseal plate/growth plate
to the bone at what area can cause permanent injury or deformity
are most concerning?
In children, the ligaments/tendons are stronger than
Which are stronger in
bones, which means they are more likely to break a
children vs adults? bone or
bone by doing the same thing an adult would do that
ligaments/tendons?
wouldn't break an adult bone
Your peds patient has a wrist emergent referral to ED or ortho if you can get them in that
injury, you are unable to tell second
if it's a fracture or a sprain.
While doing your
assessment, you notice
palor and coolness of the
hand. What do you do?
Another name for annual nursemaid's elbow
ligament displacement is
they will typically be "Craddling" the affected arm because this
How do children with
stops the pain
nursemaids elbow usually
appear? immediately after the injury, refusal to bend arm
does not require x-ray if story is convincing (parent
picking child up by arms or pulling on arm, etc)
Management of nursemaid's should not require ED or ortho referral
elbow
should be able to return to place with supination/flexion or
pronation technique
Salter-Harris classification is growth plate fractures and grading their severity/likeliness of
used for complications
Fracture in physis/not surrounding the
Salter-Harris Type 1
bone. Growth plate only. rare to have
growth disturbances
Fracture through physis and
Salter-Harris Type 2
extending into metaphysis rare to
have growth disturbances
/ 3/35
, 5/26/25, 8:57 PM NURS660 Exam 3
Physis separation, requires
Salter-Harris TYpe 3
anatomic reduction. threat to
growth and joint
Fracture that extends through the epiphysis,
Salter-Harris Type 4
physis and metaphysis serious threat to
growth and joint
A compression/crushing fracture
Salter-Harris Type 5
of the growth plate most severe,
arrested growth and limited bone
length
Pediatric spiral abuse
fractures are highly
associated with
Greenstick fracture bending and incomplete break of a bone; most often seen in
children
<1 years
old delay
Name a few red flags that a in care
fracture could be from non- changing
accidental trauma. story
fracture doesn't match story (a significant fracture
should have a significant story!) multiple fractures
with different stages of healing
ribs, clavicle, ulna, vertebral, fingers in nonambulatory child
Typically how long does it infants are quick, only 3 weeks after the callus
take for bone (which takes about 2-6 weeks) older children and
consolidation/full healing adults are 3-6 months after callus formation
to occur in the pediatric
and adult population?
The 5 Ps: pulselessness, paralysis,
Describe what you would paresthesia, pallor, paralysis severe
assess for in compartment worsening pain, almost inconsistent with
syndrome. injury
medical emergency!
Spontaneous loss of vascularization to the femoral head
Describe what is happening
leading to avascular necrosis.
in Legg-Calve- Perthes
Resolves spontaneously as well
/ 4/35
