NURS 535 Practice -Musculoskeletal-
Exam with Verified Answers
Which of the following disorders is usually associated with adduction of the forefoot?
a. internal femoral torsion
b. idiopathic congenital talipes equinovarus
c. genu Valgum
d. internal tibial torsion - ✔✔b. idiopathic congenital talipes equinovarus
Idiopathic congenital talipes equinovarus AKA clubfoot is a congenital birth disorder in which
the forefoot is in an adducted supination, the hind foot is inverted, & the foot remains in
plantar flexion.
The most common rheumatoid disease of childhood is:
a. SLE
b. Kawasaki disease
c. JIA (juvenile idiopathic arthritis)
d. LCPD (Legg-Calvé-Perthes disease) - ✔✔c. JIA (juvenile idiopathic arthritis)
JIA is the most common rheumatologic disease with an autoimmune basis and represents a
group of conditions with onset of Sxs in children at or younger than 16 years that causes
chronic inflammation of at least one synovial joint for 6 wks or more.
Radiographic findings of disease progression and sphericity of the femoral head are helpful in
the diagnosis and follow up of:
a. Transient synovitis of the hip
b. Osgood Schlatter disease
c. LCPD
d. SCFE (Slipped Capital Femoral Epiphysis) - ✔✔c. LCPD
, LCPD from an infarction of the bony epiphysis of the femoral head & often presents as
avascular necrosis of the femoral head.
Radiographs depict stages of progression & remodeling & are important in Dx and
management.
A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a
painful limp in his right leg 2 days ago. Today he has a low-grade fever. Which of the following is
most likely?
a. Osgood-Schlatter
b. JIA
c. Osteomyelitis
d. Transient synovitis of the hip - ✔✔d. Transient synovitis of the hip
Transient synovitis, also referred to as toxic synovitis, is an inflammatory process that often
affects large joint spaces-primarily, the hip.
Children ages 3-8 are often affected.
The typical presentation consists of pain in the affected joint, antalgic gait, refusal to bear
weight, & low-grade fever.
Which of the following would be the most appropriate initial management of a newborn
diagnosed with DDH?
a. observation and reexamination at 2-week well-child visit
b. triple diapering in nursery
c. Pavlik harness
d. surgical reduction - ✔✔c. Pavlik harness
The Tx of choice for subluxation & reducible dislocations identified in the early phase is a Pavlik
harness.
The harness is applied with hips having greater than 90 degrees of flexion & with adduction of
the hip limited to a neutral position.
A physical finding not usually associated with idiopathic congenital talipes equinovarus is:
Exam with Verified Answers
Which of the following disorders is usually associated with adduction of the forefoot?
a. internal femoral torsion
b. idiopathic congenital talipes equinovarus
c. genu Valgum
d. internal tibial torsion - ✔✔b. idiopathic congenital talipes equinovarus
Idiopathic congenital talipes equinovarus AKA clubfoot is a congenital birth disorder in which
the forefoot is in an adducted supination, the hind foot is inverted, & the foot remains in
plantar flexion.
The most common rheumatoid disease of childhood is:
a. SLE
b. Kawasaki disease
c. JIA (juvenile idiopathic arthritis)
d. LCPD (Legg-Calvé-Perthes disease) - ✔✔c. JIA (juvenile idiopathic arthritis)
JIA is the most common rheumatologic disease with an autoimmune basis and represents a
group of conditions with onset of Sxs in children at or younger than 16 years that causes
chronic inflammation of at least one synovial joint for 6 wks or more.
Radiographic findings of disease progression and sphericity of the femoral head are helpful in
the diagnosis and follow up of:
a. Transient synovitis of the hip
b. Osgood Schlatter disease
c. LCPD
d. SCFE (Slipped Capital Femoral Epiphysis) - ✔✔c. LCPD
, LCPD from an infarction of the bony epiphysis of the femoral head & often presents as
avascular necrosis of the femoral head.
Radiographs depict stages of progression & remodeling & are important in Dx and
management.
A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a
painful limp in his right leg 2 days ago. Today he has a low-grade fever. Which of the following is
most likely?
a. Osgood-Schlatter
b. JIA
c. Osteomyelitis
d. Transient synovitis of the hip - ✔✔d. Transient synovitis of the hip
Transient synovitis, also referred to as toxic synovitis, is an inflammatory process that often
affects large joint spaces-primarily, the hip.
Children ages 3-8 are often affected.
The typical presentation consists of pain in the affected joint, antalgic gait, refusal to bear
weight, & low-grade fever.
Which of the following would be the most appropriate initial management of a newborn
diagnosed with DDH?
a. observation and reexamination at 2-week well-child visit
b. triple diapering in nursery
c. Pavlik harness
d. surgical reduction - ✔✔c. Pavlik harness
The Tx of choice for subluxation & reducible dislocations identified in the early phase is a Pavlik
harness.
The harness is applied with hips having greater than 90 degrees of flexion & with adduction of
the hip limited to a neutral position.
A physical finding not usually associated with idiopathic congenital talipes equinovarus is:
