WITH VERIFIED ANSWERS LATEST VERSION
UPDATE 2024-2025 WITH 100+ QUESTIONS
Hilda, age 73, presents with a complaint of low back pain. Red flags in her history of a minor fall,
osteopenia, and prolonged steroid use for systemic lupus erythematosus suggest the possibility
of which of the following serious underlying conditions as the cause of her low back pain?
A. Cancer
B. Cauda equina syndrome
C. spinal fracture
- ANSWER C. spinal fracture
Mrs. Kelly, age 80, has a curvature of the spine. This is likely to indicate which age- related
change?
A. Lordosis
B. Dorsal kyphosis
C. Scoliosis
D. Kyphoscoliosis
- ANSWER B. Dorsal kyphosis
What disorder affects older individuals, particularly women, and is characterized by pain and
stiffness in the cervical spine and shoulder and hip girdles, along with signs of systemic infection
such as malaise, weight loss, sweats, and low- grade fever?
A. Fibromyalgia syndrome
B. Myofascial somatic dysfunction
C. Polymyalgia rheumatica
D. Reiter's syndrome
- ANSWER C. Polymyalgia rheumatica
,Recognition and immediate management of cauda equina syndrome16-11 The most common
cause of cauda equina syndrome is A. fracture.
B. hematoma.
C. lumbar intervertebral disk herniation
D. space- occupying lesion.
- ANSWER C. lumbar intervertebral disk herniation
Sandy, age 49, presents with loss of anal sphincter tone, impaired micturition, incontinence, and
progressive loss of strength in the legs. You suspect cauda equina syndrome. What is your next
action?
A. Order physical therapy
B. Order a lumbar/sacral x- ray
C. Order extensive lab work
D. Refer to a neurosurgeon
- ANSWER D. Refer to a neurosurgeon
To aid in the diagnosis of meniscus damage, which test should a nurse practitioner perform?
A. The bulge test
B. The Lachman test
C. The drawer test
D. Apley's compression test
- ANSWER D. Apley's compression test
You are assessing Jamal, age 16, after a football injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the
A. lateral meniscus.
B. cruciate ligament.
, C. medial meniscus.
D. collateral ligament.
- ANSWER B. cruciate ligament
The straight leg-raising maneuver can be used to diagnose
A. nerve root compression.
B. a fractured hip.
C. an anterior cruciate ligament tear.
D. tendinitis.
- ANSWER A. nerve root compression.
What is the name of the test used to assess for nerve- root compression?
A. The Apley scratch test
B. The drop arm test
C. Finkelstein's test
D. Spurling's maneuver
- ANSWER D. Spurling's maneuver
Margaret, age 55, presents to you for evaluation of left hand and wrist pain and swelling after a
slip and fall on the ice yesterday. On examination, you note tenderness at her "anatomical
snuffbox." You knows this probably indicates a(n)
A. ulnar styloid fracture.
B. scaphoid fracture.
C. hamate fracture.
D. radial head fracture
. - ANSWER B. scaphoid fracture.