Dunphy Musculoskeletal Problems with Complete
Solutions Rated A
One of the initial steps in assessing patients with to examination so as not to cause further injury to
musculoskeletal complaints is to determine the patient. - ANSWER -A. The uninvolved
whether the complaint is articular or nonarticular side should be examined initially and then
in origin. Which of the following is an example of compared to the involved side.
an articular structure?
A. Bone
B. Synovium You are performing muscle strength testing on a
C. Tendons patient presenting with musculoskeletal pain and
D. Fascia - ANSWER -B. Synovium find that the patient has complete ROM but
cannot move it above gravity. Which numeric
grade of muscle strength would you give this
You have detected the presence of crepitus on patient?
examination of a patient with a musculoskeletal A. 1
complaint. Additionally, there is limited range of B. 2
motion (ROM) with both active and passive C. 3
movement. These findings suggest that the origin D. 4 - ANSWER -B. 2
of the musculoskeletal complaint is:
A. Articular
B. Inflammatory Mrs. Gray is a 55-year-old woman who presents
C. Nonarticular with tightness, pain, and limited movement in her
D. Noninflammatory - ANSWER -A. right shoulder. She denies any history of trauma.
Articular Her examination reveals a 75% reduction in both
active and passive ROM of the right shoulder.
Mrs. Gray also is experiencing tenderness with
Which of the following signs or symptoms motion and pain at the deltoid insertion. Her
indicate an inflammatory etiology to medical history is significant for type 1 diabetes
musculoskeletal pain? mellitus and hypertension. Her social history
A. Decreased C-reactive protein reveals that she is a secretary and that she is
B. Hyperalbuminemia right-handed. Based on her examination and
C. Morning stiffness medical history, you suspect adhesive capsulitis,
D. Weight gain - ANSWER -C. Morning or "frozen shoulder." Which clue in Mrs. Gray's
stiffness history supports this diagnosis?
A. History of hypertension
B. Her affected shoulder is also her dominant
Which of the following statements concerning the arm.
musculoskeletal examination is true? C. Her history of type 1 diabetes
A. The uninvolved side should be examined D. Her work as a secretary predisposes her to
initially and then compared to the involved side. repetitive motions. - ANSWER -C. Her
B. The part of the body that is causing the patient history of type 1 diabetes
pain should be examined first.
C. When possible, the patient should not be
asked to perform active ROM exercises to avoid Jennifer is an 18-year-old woman who comes to
causing pain. the emergency room after a fall during a soccer
D. Radiographs should always be obtained prior game. Jennifer explains that she fell on her left
1/8
, Dunphy Musculoskeletal Problems with Complete
Solutions Rated A
side and kept her arm out straight to break her that require forceful gripping, or use of hand tools
fall. She has been experiencing severe pain and that vibrate are at risk for developing carpal
limited ROM in her left shoulder. The clinician tunnel.
has diagnosed Jennifer with a dislocated C. An underlying musculoskeletal disorder must
shoulder. Which of the following statements are be present for a person to develop carpal tunnel.
true concerning shoulder dislocation? D. Carpal tunnel syndrome only occurs in the
A. Anterior dislocations are not painful, and ROM presence of a hormonal imbalance. -
is normal. ANSWER -B. People with occupations that
B. There is a risk of neurovascular and require repeated flexion extension of the wrist,
neurosensory trauma, so the clinician should use of hand tools that require forceful gripping, or
check for distal pulses. use of hand tools that vibrate are at risk for
C. X-rays are the only diagnostic testing developing carpal tunnel.
appropriate to assess a dislocation.
D. Most traumatic dislocations are posterior. -
ANSWER -B. There is a risk of Which of the following statements is true
neurovascular and neurosensory trauma, so the regarding the treatment of carpal tunnel
clinician should check for distal pulses. syndrome?
A. The goal of treatment is to prevent flexion and
extension movements of the wrist.
Fred has been diagnosed with a trigger finger of B. Splints are not used in carpal tunnel
the ring finger. Which of the following syndrome, because they restrict complete
management strategies is appropriate? movement of the fingers and wrist.
A. Surgical removal of the tendon sheath C. Corticosteroid injections are encouraged in the
B. NSAIDs treatment of carpal tunnel syndrome.
C. Local anesthetic injection into the tendon D. Treatment that encourages fluid retention, to
sheath keep the joints lubricated, is an emphasis of
D. Splinting - ANSWER -C. Local treatment. - ANSWER -A. The goal of
anesthetic injection into the tendon sheath treatment is to prevent flexion and extension
movements of the wrist.
Mrs. Anderson is a 35-year-old woman who has
been recently diagnosed with carpal tunnel Sam is a 25-year-old who has been diagnosed
syndrome. She has two young children and asks with low back strain based on his history of
the clinician what the chances are that they also localized low back pain and muscle spasm along
will develop carpal tunnel syndrome. Which of with a normal neurological examination. As the
the following responses would be correct clinician, you explain to Sam that low back pain is
regarding the risk of developing carpal tunnel a diagnosis of exclusion. Which of the following
syndrome? symptoms would alert the clinician to the more
A. Carpal tunnel syndrome commonly occurs in serious finding of a herniated nucleus pulposus
families. Genetic factors are thought to account or ruptured disc?
for about one-half the risk of developing carpal A. Morning stiffness and limited mobility of the
tunnel. lumbar spine
B. People with occupations that require repeated B. Unilateral radicular pain symptoms that extend
flexion extension of the wrist, use of hand tools below the knee and are equal to or greater than
2/8
Solutions Rated A
One of the initial steps in assessing patients with to examination so as not to cause further injury to
musculoskeletal complaints is to determine the patient. - ANSWER -A. The uninvolved
whether the complaint is articular or nonarticular side should be examined initially and then
in origin. Which of the following is an example of compared to the involved side.
an articular structure?
A. Bone
B. Synovium You are performing muscle strength testing on a
C. Tendons patient presenting with musculoskeletal pain and
D. Fascia - ANSWER -B. Synovium find that the patient has complete ROM but
cannot move it above gravity. Which numeric
grade of muscle strength would you give this
You have detected the presence of crepitus on patient?
examination of a patient with a musculoskeletal A. 1
complaint. Additionally, there is limited range of B. 2
motion (ROM) with both active and passive C. 3
movement. These findings suggest that the origin D. 4 - ANSWER -B. 2
of the musculoskeletal complaint is:
A. Articular
B. Inflammatory Mrs. Gray is a 55-year-old woman who presents
C. Nonarticular with tightness, pain, and limited movement in her
D. Noninflammatory - ANSWER -A. right shoulder. She denies any history of trauma.
Articular Her examination reveals a 75% reduction in both
active and passive ROM of the right shoulder.
Mrs. Gray also is experiencing tenderness with
Which of the following signs or symptoms motion and pain at the deltoid insertion. Her
indicate an inflammatory etiology to medical history is significant for type 1 diabetes
musculoskeletal pain? mellitus and hypertension. Her social history
A. Decreased C-reactive protein reveals that she is a secretary and that she is
B. Hyperalbuminemia right-handed. Based on her examination and
C. Morning stiffness medical history, you suspect adhesive capsulitis,
D. Weight gain - ANSWER -C. Morning or "frozen shoulder." Which clue in Mrs. Gray's
stiffness history supports this diagnosis?
A. History of hypertension
B. Her affected shoulder is also her dominant
Which of the following statements concerning the arm.
musculoskeletal examination is true? C. Her history of type 1 diabetes
A. The uninvolved side should be examined D. Her work as a secretary predisposes her to
initially and then compared to the involved side. repetitive motions. - ANSWER -C. Her
B. The part of the body that is causing the patient history of type 1 diabetes
pain should be examined first.
C. When possible, the patient should not be
asked to perform active ROM exercises to avoid Jennifer is an 18-year-old woman who comes to
causing pain. the emergency room after a fall during a soccer
D. Radiographs should always be obtained prior game. Jennifer explains that she fell on her left
1/8
, Dunphy Musculoskeletal Problems with Complete
Solutions Rated A
side and kept her arm out straight to break her that require forceful gripping, or use of hand tools
fall. She has been experiencing severe pain and that vibrate are at risk for developing carpal
limited ROM in her left shoulder. The clinician tunnel.
has diagnosed Jennifer with a dislocated C. An underlying musculoskeletal disorder must
shoulder. Which of the following statements are be present for a person to develop carpal tunnel.
true concerning shoulder dislocation? D. Carpal tunnel syndrome only occurs in the
A. Anterior dislocations are not painful, and ROM presence of a hormonal imbalance. -
is normal. ANSWER -B. People with occupations that
B. There is a risk of neurovascular and require repeated flexion extension of the wrist,
neurosensory trauma, so the clinician should use of hand tools that require forceful gripping, or
check for distal pulses. use of hand tools that vibrate are at risk for
C. X-rays are the only diagnostic testing developing carpal tunnel.
appropriate to assess a dislocation.
D. Most traumatic dislocations are posterior. -
ANSWER -B. There is a risk of Which of the following statements is true
neurovascular and neurosensory trauma, so the regarding the treatment of carpal tunnel
clinician should check for distal pulses. syndrome?
A. The goal of treatment is to prevent flexion and
extension movements of the wrist.
Fred has been diagnosed with a trigger finger of B. Splints are not used in carpal tunnel
the ring finger. Which of the following syndrome, because they restrict complete
management strategies is appropriate? movement of the fingers and wrist.
A. Surgical removal of the tendon sheath C. Corticosteroid injections are encouraged in the
B. NSAIDs treatment of carpal tunnel syndrome.
C. Local anesthetic injection into the tendon D. Treatment that encourages fluid retention, to
sheath keep the joints lubricated, is an emphasis of
D. Splinting - ANSWER -C. Local treatment. - ANSWER -A. The goal of
anesthetic injection into the tendon sheath treatment is to prevent flexion and extension
movements of the wrist.
Mrs. Anderson is a 35-year-old woman who has
been recently diagnosed with carpal tunnel Sam is a 25-year-old who has been diagnosed
syndrome. She has two young children and asks with low back strain based on his history of
the clinician what the chances are that they also localized low back pain and muscle spasm along
will develop carpal tunnel syndrome. Which of with a normal neurological examination. As the
the following responses would be correct clinician, you explain to Sam that low back pain is
regarding the risk of developing carpal tunnel a diagnosis of exclusion. Which of the following
syndrome? symptoms would alert the clinician to the more
A. Carpal tunnel syndrome commonly occurs in serious finding of a herniated nucleus pulposus
families. Genetic factors are thought to account or ruptured disc?
for about one-half the risk of developing carpal A. Morning stiffness and limited mobility of the
tunnel. lumbar spine
B. People with occupations that require repeated B. Unilateral radicular pain symptoms that extend
flexion extension of the wrist, use of hand tools below the knee and are equal to or greater than
2/8
