NR 509 TEST BANK {COMPLETE GUIDE} BOTH MID-TERM AND
END TERM
MID-TERM
Rheumatology / Musculoskeletal
1. A 38-year-old woman comes to you and has multiple small joints
involved with pain, swelling, and stiffness. Which of the following is
the most likely explanation?
• A) Rheumatoid arthritis
• B) Septic arthritis
• C) Gout
• D) Trauma
ANSWER: A) Rheumatoid arthritis
2. Mrs. Fletcher comes to your office with unilateral pain during
chewing, which is chronic. She does not have facial tenderness or
tenderness of the scalp. Which of the following is the most likely
cause of her pain?
• A) Trigeminal neuralgia
• B) Temporomandibular joint syndrome
• C) Temporal arteritis
• D) Tumor of the mandible
ANSWER: B) Temporomandibular joint syndrome
3. A man's wife is upset because when she hugs him with her hands on
his left shoulder blade, "It feels creepy." This came on gradually
after a recent severe left-sided rotator cuff tear. How long does it
usually take to develop muscular atrophy with increased prominence
of the scapular spine following a rotator cuff tear?
• A) 1 week
• B) 2-3 weeks
• C) 1 month
, • D) 2-3 months
ANSWER: B) 2-3 weeks
4. Phil comes to your office with left "shoulder pain." You find that the
pain is markedly worse when his left arm is drawn across his chest
(adduction). Which of the following would you suspect?
• A) Rotator cuff tear
• B) Subacromial bursitis
• C) Acromioclavicular joint involvement
• D) Adhesive capsulitis
ANSWER: C) Acromioclavicular joint involvement
5. Two weeks ago, Mary started a job which requires carrying 40-
pound buckets. She presents with elbow pain worse on the right. On
examination, it hurts her elbows to dorsiflex her hands against
resistance when her palms face the floor. What condition does she
have?
• A) Medial epicondylitis (golfer's elbow)
• B) Olecranon bursitis
• C) Lateral epicondylitis (tennis elbow)
• D) Supracondylar fracture
ANSWER: C) Lateral epicondylitis (tennis elbow)
6. A high school football player injured his wrist in a game. He is tender
between the two tendons at the base of the thumb. Which of the
following should be considered?
• A) DeQuervain's tenosynovitis
• B) Scaphoid fracture
• C) Wrist sprain
• D) Rheumatoid arthritis
ANSWER: B) Scaphoid fracture
7. Mrs. Fletcher complains of numbness of her right hand. On
examination, sensation of the volar aspect of the web of the thumb
and index finger and the pulp of the middle finger are normal. The
END TERM
MID-TERM
Rheumatology / Musculoskeletal
1. A 38-year-old woman comes to you and has multiple small joints
involved with pain, swelling, and stiffness. Which of the following is
the most likely explanation?
• A) Rheumatoid arthritis
• B) Septic arthritis
• C) Gout
• D) Trauma
ANSWER: A) Rheumatoid arthritis
2. Mrs. Fletcher comes to your office with unilateral pain during
chewing, which is chronic. She does not have facial tenderness or
tenderness of the scalp. Which of the following is the most likely
cause of her pain?
• A) Trigeminal neuralgia
• B) Temporomandibular joint syndrome
• C) Temporal arteritis
• D) Tumor of the mandible
ANSWER: B) Temporomandibular joint syndrome
3. A man's wife is upset because when she hugs him with her hands on
his left shoulder blade, "It feels creepy." This came on gradually
after a recent severe left-sided rotator cuff tear. How long does it
usually take to develop muscular atrophy with increased prominence
of the scapular spine following a rotator cuff tear?
• A) 1 week
• B) 2-3 weeks
• C) 1 month
, • D) 2-3 months
ANSWER: B) 2-3 weeks
4. Phil comes to your office with left "shoulder pain." You find that the
pain is markedly worse when his left arm is drawn across his chest
(adduction). Which of the following would you suspect?
• A) Rotator cuff tear
• B) Subacromial bursitis
• C) Acromioclavicular joint involvement
• D) Adhesive capsulitis
ANSWER: C) Acromioclavicular joint involvement
5. Two weeks ago, Mary started a job which requires carrying 40-
pound buckets. She presents with elbow pain worse on the right. On
examination, it hurts her elbows to dorsiflex her hands against
resistance when her palms face the floor. What condition does she
have?
• A) Medial epicondylitis (golfer's elbow)
• B) Olecranon bursitis
• C) Lateral epicondylitis (tennis elbow)
• D) Supracondylar fracture
ANSWER: C) Lateral epicondylitis (tennis elbow)
6. A high school football player injured his wrist in a game. He is tender
between the two tendons at the base of the thumb. Which of the
following should be considered?
• A) DeQuervain's tenosynovitis
• B) Scaphoid fracture
• C) Wrist sprain
• D) Rheumatoid arthritis
ANSWER: B) Scaphoid fracture
7. Mrs. Fletcher complains of numbness of her right hand. On
examination, sensation of the volar aspect of the web of the thumb
and index finger and the pulp of the middle finger are normal. The
