NURS660 Exam 3 COMPLETE EXAM SET 2025
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Terms in this set (277)
Differentiate between an Acute: days to weeks
acute and a chronic Chronic: months to years
musculoskeletal
complaint.
Articular: joint capsule, articular cartilage, synovium,
synovial fluid, intraarticular ligament. Anything having
Differentiate between an
to do with the joint itself
articular or non-articular
MSK complaint.
Non-articular: ligaments, tendons, bursa, muscles,
fascia, non-articular bone, nerves, skin
A ligament connects _______ bone to bone
to _______.
A tendon connects ______ to muscle to bone
___________
Name the four cardinal Warmth, swelling, redness, pain
signs of inflammation.
If your musculoskeletal septic arthritis
complaint is accompanied
by systemic signs, what
should be on your
differential list?
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Back pain can indicate malignancy
what concerning should always consider, r/o
condition in older adults?
Have patient abduct both their arms and extend their
Describe a painful arc test
arms above their head. If painful in the 'middle' of the
for the shoulder and what
arc (60-120 degrees), positive for rotator cuff
you suspect.
issue/subacromial impingement.
Tests for external and internal rotation of the shoulder
by having the patient try and place the back of their
What is Apley's test? hand in the middle of the scalpulae of their back
(internal), then reach over their heads and try and
place their palm in that same spot (external)
In general, when should >4-6 weeks of symptoms
imaging be ordered for or
musculoskeletal red flag symptoms
problems?
Radicular s/s >4-6 weeks
Increasing symptoms
Describe some general
Osteomyelitis s/s (fever, warmth, redness, pain)
red flag symptoms for
cauda equina syndrome
MSK problems.
herniation of disc
epidural abscess
Describe s/s of cauda Saddle anesthesia, bowel/bladder dysfunction, loss
equina syndrome. of reflexes, sexual dysfunction
Weakness, tingling, paresthesias, numbness of the
Describe radicular s/s.
extremities
Sprain is due to a ligaments
stretching or tearing of...
Strain is due from tendons
stretching or tearing of...
What patients with compound or crush fractures
fractures required an fracture w/ neurovascular compromise (pulses, cap
immediate ED referral? refill, temperature, sensation)
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,09/06/2025, 11:33 NURS660 Exam 3 COMPLETE EXAM SET 2025 |QUESTIONS AND ANSWERS | 100% ACCURATE Flashcards | Quizlet
Ankle imagery if:
-Bone tenderness at lateral malleolus
-Bone tenderness at medial malleolus
Ottawa Ankle Rules
-Bone tenderness at the base of the fifth metatarsal
-Bone tenderness at the navicular (top middle of foot)
-Inability to to walk 4 steps after injury or during exam
Grade 1: minimal, stretched ligament with mild pain,
swelling
Grades of sprains (1-3) Grade 2: incomplete ligament tear, moderate
impairment
Grade 3: full, complete tear, loss of integrity
What is typically dislocation
presenting with more pain,
a dislocation or a fracture?
Name some scenarios in Preferred for soft tissue issues, cartilage issues,
which an MRI would be chronic complaints, ligament laxity, compound
preferred over an x-ray for fractures, back pain
musculoskeletal issues.
typically grade 1-2 sprains
POLICE is an acronym for encourages optimally loading/movement vs resting
treatment of what? would not want to recommend this for a more severe
injury though
Pharmacotherapy for typically just NSAIDs and tylenol
sprain, strains, and A good combo is tylenol + topical NSAIDs if unable to
fractures includes what? take NSAIDs due to contraindications
Patient supine. Grab around their shin, stabilize femur
with other hand. Slightly rotate tibia, perform passive
abduction of knee joint. Repeat w/ knee 20-30
Valgus stress test
degrees flexed
Testing for MCL issues
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, 09/06/2025, 11:33 NURS660 Exam 3 COMPLETE EXAM SET 2025 |QUESTIONS AND ANSWERS | 100% ACCURATE Flashcards | Quizlet
Grab leg above ankle joint, stabilize femur on the
medial side. Apply lateral rotation, perform passive
Varus stress test adduction.
Testing for lateral ligament issues.
Testing for meniscus damage.
Patient fully flexes knee. Rotate tibia medially and
McMurray test
bring the knee into full extension. Repeat with
different angles of knee flexions to test the whole
lateral meniscus.
ACL tears
Sit on foot of patient. Thumbs on knee joint, hands
behind the knee, jerk forward. Assess for joint
Anterior drawer test
laxity/tibial movement.
perform posterior drawer test first to eliminate false
positives.
PCL tears
Posterior drawer test. Sit on foot of patient. Thumbs on knee joint, hands
behind the knee, push backwards. Assess for joint
laxity/tibial movement.
PCL tears
should also be performed before ACL tear
assessment (false positive)
Lachman test
Supine, test leg 30 degree flexion. Stabilize femur
with other hand, bring tibia into slight external
rotation. Try to translate the tibia anteriorly.
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