NSG 464 FINAL EXAMS QUESTIONS
AND ANSWERS
Osteoarthritis (OA) - CORRECT ANSWER-Heberden Nodes (DIP joints) and Bouchard
Nodes (PIP joints)
- hard and painless
- flexion and deviation deformities
- MCP rarely involved
- Radial deviation
Rheumatoid Arthritis (RA) - CORRECT ANSWER-Symmetric deformity in PIP, MCP,
wrist joints
- Tender, painful, stiff
- DIP, MCP, wrist
- Fusiform or spindle-shaped swelling of PIP joints
- Ulnar deviation
Pain Provocation Test - CORRECT ANSWER-Positive: shoulder pain from 60-120
degrees
Nerve Impingement Sign - CORRECT ANSWER-Press on scapula, raise patient's arm
Hawkins Impingement Sign - CORRECT ANSWER-flex arm and shoulder 90• w/ palm
down and rotate arm internally
-will compress greater tuberosity against coracoacromial ligament
External Rotation Lag Test - CORRECT ANSWER-Flex arm 90 degrees with palm up,
rotate into full external rotation
- Positive: unable to maintain external rotation; supraspinatus and infraspinatus disorder
Internal Rotation Lag Test - CORRECT ANSWER-Ask pt to place dorsum of hand on
low back, elbow flexed 90 degrees
- Lift hand off back, further internally rotating shoulder
- Positive: unable to hold this position; subscapularis disorder
, Drop Arm Test - CORRECT ANSWER-Fully abduct arm to shoulder level and lower
slowly
- Positive: weakness, supraspinatus rotator cuff tear or bicipital tendinitis
External Rotation Resistance Test - CORRECT ANSWER-Adduct and flex arm 90
degrees with thumb turned up
- apply pressure to wrist
positive: infraspinatus disorder
Empty Can Test - CORRECT ANSWER-Elevate arms to 90° in front of pt and internally
rotate arms with thumbs pointing down; ask pt to resist as you place downward
pressure on arms
Positive for Rotator cuff tear if weakness present
Lateral Epicondylitis - CORRECT ANSWER-tennis elbow, characterized by pain on the
outer side of the forearm
Medial Epicondylitis - CORRECT ANSWER-golfer's elbow, characterized by pain on the
palm-side of the forearm
Colles fracture - CORRECT ANSWER-fracture of the distal radius at the wrist
Scaphoid fracture - CORRECT ANSWER-Anatomical Snuffbox > Radial artery here
Avascular necrosis, most commonly injured wrist bone
Thumb Abduction Test - CORRECT ANSWER-Ask patient to raise the thumb straight
up as you apply downward resistance
Positive test - weakness on thumb abduction
- Most sensitive carpal tunnel test
Tinel Test - CORRECT ANSWER-Percussion on medial nerve
- Positive: aching and numbing, tingling
Phalen's Sign - CORRECT ANSWER-Hold backs of hands together with wrists in
flexion for 60 seconds
- Positive: numbness/tingling
Sensation Test: median nerve - CORRECT ANSWER-pulp of index finger
Sensation Test: ulnar nerve - CORRECT ANSWER-pulp of 5th finger
Sensation Test: radial nerve - CORRECT ANSWER-dorsal web space of thumb and
index finger
AND ANSWERS
Osteoarthritis (OA) - CORRECT ANSWER-Heberden Nodes (DIP joints) and Bouchard
Nodes (PIP joints)
- hard and painless
- flexion and deviation deformities
- MCP rarely involved
- Radial deviation
Rheumatoid Arthritis (RA) - CORRECT ANSWER-Symmetric deformity in PIP, MCP,
wrist joints
- Tender, painful, stiff
- DIP, MCP, wrist
- Fusiform or spindle-shaped swelling of PIP joints
- Ulnar deviation
Pain Provocation Test - CORRECT ANSWER-Positive: shoulder pain from 60-120
degrees
Nerve Impingement Sign - CORRECT ANSWER-Press on scapula, raise patient's arm
Hawkins Impingement Sign - CORRECT ANSWER-flex arm and shoulder 90• w/ palm
down and rotate arm internally
-will compress greater tuberosity against coracoacromial ligament
External Rotation Lag Test - CORRECT ANSWER-Flex arm 90 degrees with palm up,
rotate into full external rotation
- Positive: unable to maintain external rotation; supraspinatus and infraspinatus disorder
Internal Rotation Lag Test - CORRECT ANSWER-Ask pt to place dorsum of hand on
low back, elbow flexed 90 degrees
- Lift hand off back, further internally rotating shoulder
- Positive: unable to hold this position; subscapularis disorder
, Drop Arm Test - CORRECT ANSWER-Fully abduct arm to shoulder level and lower
slowly
- Positive: weakness, supraspinatus rotator cuff tear or bicipital tendinitis
External Rotation Resistance Test - CORRECT ANSWER-Adduct and flex arm 90
degrees with thumb turned up
- apply pressure to wrist
positive: infraspinatus disorder
Empty Can Test - CORRECT ANSWER-Elevate arms to 90° in front of pt and internally
rotate arms with thumbs pointing down; ask pt to resist as you place downward
pressure on arms
Positive for Rotator cuff tear if weakness present
Lateral Epicondylitis - CORRECT ANSWER-tennis elbow, characterized by pain on the
outer side of the forearm
Medial Epicondylitis - CORRECT ANSWER-golfer's elbow, characterized by pain on the
palm-side of the forearm
Colles fracture - CORRECT ANSWER-fracture of the distal radius at the wrist
Scaphoid fracture - CORRECT ANSWER-Anatomical Snuffbox > Radial artery here
Avascular necrosis, most commonly injured wrist bone
Thumb Abduction Test - CORRECT ANSWER-Ask patient to raise the thumb straight
up as you apply downward resistance
Positive test - weakness on thumb abduction
- Most sensitive carpal tunnel test
Tinel Test - CORRECT ANSWER-Percussion on medial nerve
- Positive: aching and numbing, tingling
Phalen's Sign - CORRECT ANSWER-Hold backs of hands together with wrists in
flexion for 60 seconds
- Positive: numbness/tingling
Sensation Test: median nerve - CORRECT ANSWER-pulp of index finger
Sensation Test: ulnar nerve - CORRECT ANSWER-pulp of 5th finger
Sensation Test: radial nerve - CORRECT ANSWER-dorsal web space of thumb and
index finger
