CAMILLA FRANKLIN FATIGUE
IRRITABILITY STUDY GUIDE 2026
SOLUTIONS GRADED A+
⩥ A 72 yom (year old male) presents to your clinic with a CC of low
back pain. Which of the following is considered a "red flag" for an
underlying serious health concern?
a) pain worsens with bending over
b) pain is described as dull aching on right side of low back
c) worsening numbness and tingling down the left lower extremity
d) pain is not relieved with Tylenol or ibuprofen. Answer: answer:
worsening numbness and tingling down the left lower extremity
see: Red flags of back pain in the Bickley textbook. Dains also provides
details of "red flags"
⩥ Which of the following patients is MOST at risk for osteoporosis?
,a) 50 yof (year old female) with a longstanding history of DM type 2,
obesity and daily use of ibuprofen
b) 62 yo postmenopausal female, BMI 24, quit smoking 10 years ago.
c) 72 yof (year old female), BMI 21, history of stage 2 right breast
cancer, has been on aromatase inhibitor for 6 years.
d) 42 yof (year old female), BMI 26, personal history of thyroid disease
and family history of osteoporosis. Answer: answer: 72 yof (year old
female), BMI 21, history of stage 2 right breast cancer, has been on
aromatase inhibitor for 6 years.
All patients are at risk for osteoporosis- the patient at MOST risk is the
underweight postmenopausal female who has been on an aromatase
inhibitor for 6 years.
⩥ Bill Brown presents to your clinic after a traumatic fall. His CC is
severe left lower leg pain. Which of the following is the MOST
appropriate PE to complete FIRST?
a) Palpate the point of maximal pain.
b) Assess pulses and cap refill in the left foot.
,c) Have patient bear weight on left leg.
d) Assess right leg for symmetry.. Answer: answer: Assess pulses and
cap refill in the left foot.
with any injury you must establish have intact "CSMs"- circulation,
sensation and movement. Out of the options given, checking for
circulation is the most appropriate -- you need to establish good blood
flow.
⩥ Which of the following is a positive Finkelstein test?
a) Hips and iliac crests are unequal indicating scoliosis
b) Patient is unable to maintain arm resistance in the abducted position
indicating a torn rotator cuff
c) Pain while grasping thumb to palm and moving wrist toward midline
indicating de Quervain tenosynovitis
d) Numbness and tingling of the left wrist medial nerve distribution
indicating carpal tunnel syndrome. Answer: answer: Pain while grasping
, thumb to palm and moving wrist toward midline indicating de Quervain
tenosynovitis
option A- scoliosis test
option B- empty can test for rotator cuff
option C- correct answer
option D- Tinel's test.
⩥ The CC is elbow pain for 2 days following a fall. As the APRN you
are performing an examination of the affected joint. Which of the
following statements is most accurate?
a) It is important to assess the proximal and distal joint of the affected
site.
b) Normal range of motion of the elbow includes supination, pronation,
rotation and extension.
c) Pain and swelling are the best prognostic indicators for fracture.
d) X-ray of the joint prior to history and PE is indicated to avoid
secondary injury.. Answer: answer: It is important to assess the proximal
and distal joint of the affected site.
IRRITABILITY STUDY GUIDE 2026
SOLUTIONS GRADED A+
⩥ A 72 yom (year old male) presents to your clinic with a CC of low
back pain. Which of the following is considered a "red flag" for an
underlying serious health concern?
a) pain worsens with bending over
b) pain is described as dull aching on right side of low back
c) worsening numbness and tingling down the left lower extremity
d) pain is not relieved with Tylenol or ibuprofen. Answer: answer:
worsening numbness and tingling down the left lower extremity
see: Red flags of back pain in the Bickley textbook. Dains also provides
details of "red flags"
⩥ Which of the following patients is MOST at risk for osteoporosis?
,a) 50 yof (year old female) with a longstanding history of DM type 2,
obesity and daily use of ibuprofen
b) 62 yo postmenopausal female, BMI 24, quit smoking 10 years ago.
c) 72 yof (year old female), BMI 21, history of stage 2 right breast
cancer, has been on aromatase inhibitor for 6 years.
d) 42 yof (year old female), BMI 26, personal history of thyroid disease
and family history of osteoporosis. Answer: answer: 72 yof (year old
female), BMI 21, history of stage 2 right breast cancer, has been on
aromatase inhibitor for 6 years.
All patients are at risk for osteoporosis- the patient at MOST risk is the
underweight postmenopausal female who has been on an aromatase
inhibitor for 6 years.
⩥ Bill Brown presents to your clinic after a traumatic fall. His CC is
severe left lower leg pain. Which of the following is the MOST
appropriate PE to complete FIRST?
a) Palpate the point of maximal pain.
b) Assess pulses and cap refill in the left foot.
,c) Have patient bear weight on left leg.
d) Assess right leg for symmetry.. Answer: answer: Assess pulses and
cap refill in the left foot.
with any injury you must establish have intact "CSMs"- circulation,
sensation and movement. Out of the options given, checking for
circulation is the most appropriate -- you need to establish good blood
flow.
⩥ Which of the following is a positive Finkelstein test?
a) Hips and iliac crests are unequal indicating scoliosis
b) Patient is unable to maintain arm resistance in the abducted position
indicating a torn rotator cuff
c) Pain while grasping thumb to palm and moving wrist toward midline
indicating de Quervain tenosynovitis
d) Numbness and tingling of the left wrist medial nerve distribution
indicating carpal tunnel syndrome. Answer: answer: Pain while grasping
, thumb to palm and moving wrist toward midline indicating de Quervain
tenosynovitis
option A- scoliosis test
option B- empty can test for rotator cuff
option C- correct answer
option D- Tinel's test.
⩥ The CC is elbow pain for 2 days following a fall. As the APRN you
are performing an examination of the affected joint. Which of the
following statements is most accurate?
a) It is important to assess the proximal and distal joint of the affected
site.
b) Normal range of motion of the elbow includes supination, pronation,
rotation and extension.
c) Pain and swelling are the best prognostic indicators for fracture.
d) X-ray of the joint prior to history and PE is indicated to avoid
secondary injury.. Answer: answer: It is important to assess the proximal
and distal joint of the affected site.
