NR 511 Final 210Questions and Correct detailed
Answers 2024 |already Graded A+
One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complain is articular or nonarticular in origin. Which of the
following in an example of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia - CORRECT ANSWERS Synovium
You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with
both active and passive movement. These findings suggest that the origin of the
musculoskeletal complaint is:
A. Articular
B. Inflammatory
C. Nonarticular
D. A and B - CORRECT ANSWERS Articular
Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain - CORRECT ANSWERS Morning stiffness
Which of the following statements concerning the musculoskeletal exam is true?
A. The uninvolved side should be examined initially and then compared to the
involved side
B. The part of the body that is causing the patient pain should be examined first
C. When possible, the patient should not be asked to perform active ROM exercises
to avoid causing pain
D. Radiographs should always be obtained prior to examination so as not to cause
further injury to the patient. - CORRECT ANSWERS When possible, the patient
should not be asked to perform active ROM exercises to avoid causing pain
,NR 511 Final 210Questions and Correct detailed
Answers 2024 |already Graded A+
You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
E. 5 - CORRECT ANSWERS B
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited
movement in her right shoulder. She denies any history of trauma. Her exam
reveals a 75% reduction in both active and passive range of motion of the right
shoulder. Mrs. Gray is also experiencing tenderness with motion and pain at the
deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and
hypertension. Her social history reveals that she is a secretary and that she is right-
handed. Based on her exam and medical history, you suspect adhesive capulitis or
"frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive motions - CORRECT
ANSWERS HX of DM
Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a
soccer game. Jennifer explains that she fell on her left side and kept her arm out
straight to break her fall. She has been experiencing severe pain and limited range
of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated
shoulder. Which of the following statements are true concerning shoulder
dislocation?
A. Posterior dislocations are more common than anterior dislocations
B. There is a risk of neurovascular and neurosensory trauma, so the clinician should
check for distal pulses
,NR 511 Final 210Questions and Correct detailed
Answers 2024 |already Graded A+
C. Recurrent dislocations are uncommon and would require great force to result in
injury
D. Surgery is the most common treatment of choice - CORRECT ANSWERS
There is a risk of neurovascular and neurosensory trauma, so the clinician should
check for distal pulses
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal
tunnel syndrome. She has two young children and asks the clinician what the
chances are that they will also develop carpal tunnel syndrome. Which of the
following responses would be correct regarding the risk of developing carpal tunnel
syndrome?
- Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought
to account for about half the risk of developing carpal tunnel.
- Only people with occupations that require repeated flexion extension of the wrist,
use of hand tools that require forceful gripping, or hand tools that vibrate are at risk
for developing carpal tunnel.
- An underlying musculoskeletal disorder must be present for a person to develop
carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. -
CORRECT ANSWERS Carpal tunnel syndrome commonly occurs in families.
Genetic factors are thought to account for about half the risk of developing carpal
tunnel.
Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
A. The goal of TX is to prevent flexion and extension movements of the wrist
B. Splints are used in carpal tunnel syndrome, because they allow for free
movement the fingers and thumb while maintaining the wrist in a neutral position
C Corticosterioid injections are discouraged in the treatment of CTS because of the
risks for median nerve damage, scarring, and infection
D. All of the above - CORRECT ANSWERS All of the above
Sam is a 25-year-old man who has been diagnosed with low back strain based on
his history of localized low back pain and muscle spasm along with a normal
neurological examination. As the clinician, you explain to Sam that low back pain is
, NR 511 Final 210Questions and Correct detailed
Answers 2024 |already Graded A+
a diagnosis of exclusion. Which of the following symptoms would alert the clinician
to the more serious finding of a herniated nucleus pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the L spine
B. Unilateral radicular pain symptoms that extend below the knee and are equal to
or greater than the back pain
C. Fever, chills, and elevated ESR
D. Pathologic fractures, severe night pain, weight loss, and fatigue - CORRECT
ANSWERS Unilateral radicular pain symptoms that extend below the knee and
are equal to or greater than the back pain
The clinician has instructed Sam, a 25 year old patient with low back strain, to use
NSAIDs to manage his symptoms of pain and discomfort. Which of the following
statements would be most appropriate when teaching Sam about NSAIDs?
A. You should start with the lowest dose that is effective in managing your pain,
because long-term use of NSAIDs can result in GI disorders such as ulcers and
hemorrhage.
B You should start with the lowest dose that is effective in managing your pain to
avoid developing tolerance to the medication
C. You should take the max recommended dose of NSAIDs so that you will not need
to take narcotics to control your pain
D. It is important to take NSAIDs on an empty stomach in order to increase
absorption - CORRECT ANSWERS You should start with the lowest dose that is
effective in managing your pain, because long-term use of NSAIDs can result in GI
disorders such as ulcers and hemorrhage.
Janet is 30y/o woman who has been diagnosed with a herniated disc at the L5-S1.
She is currently in the emergency room with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina
compression?
A. Paresthesia of the perineum & buttock
B. A reduced or absent ankle reflex
C. Numbness in the lateral foot
D. Gastrocnemius weakness - CORRECT ANSWERS Paresthesia of the
perineum & buttock
Answers 2024 |already Graded A+
One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complain is articular or nonarticular in origin. Which of the
following in an example of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia - CORRECT ANSWERS Synovium
You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with
both active and passive movement. These findings suggest that the origin of the
musculoskeletal complaint is:
A. Articular
B. Inflammatory
C. Nonarticular
D. A and B - CORRECT ANSWERS Articular
Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain - CORRECT ANSWERS Morning stiffness
Which of the following statements concerning the musculoskeletal exam is true?
A. The uninvolved side should be examined initially and then compared to the
involved side
B. The part of the body that is causing the patient pain should be examined first
C. When possible, the patient should not be asked to perform active ROM exercises
to avoid causing pain
D. Radiographs should always be obtained prior to examination so as not to cause
further injury to the patient. - CORRECT ANSWERS When possible, the patient
should not be asked to perform active ROM exercises to avoid causing pain
,NR 511 Final 210Questions and Correct detailed
Answers 2024 |already Graded A+
You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
E. 5 - CORRECT ANSWERS B
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited
movement in her right shoulder. She denies any history of trauma. Her exam
reveals a 75% reduction in both active and passive range of motion of the right
shoulder. Mrs. Gray is also experiencing tenderness with motion and pain at the
deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and
hypertension. Her social history reveals that she is a secretary and that she is right-
handed. Based on her exam and medical history, you suspect adhesive capulitis or
"frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive motions - CORRECT
ANSWERS HX of DM
Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a
soccer game. Jennifer explains that she fell on her left side and kept her arm out
straight to break her fall. She has been experiencing severe pain and limited range
of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated
shoulder. Which of the following statements are true concerning shoulder
dislocation?
A. Posterior dislocations are more common than anterior dislocations
B. There is a risk of neurovascular and neurosensory trauma, so the clinician should
check for distal pulses
,NR 511 Final 210Questions and Correct detailed
Answers 2024 |already Graded A+
C. Recurrent dislocations are uncommon and would require great force to result in
injury
D. Surgery is the most common treatment of choice - CORRECT ANSWERS
There is a risk of neurovascular and neurosensory trauma, so the clinician should
check for distal pulses
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal
tunnel syndrome. She has two young children and asks the clinician what the
chances are that they will also develop carpal tunnel syndrome. Which of the
following responses would be correct regarding the risk of developing carpal tunnel
syndrome?
- Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought
to account for about half the risk of developing carpal tunnel.
- Only people with occupations that require repeated flexion extension of the wrist,
use of hand tools that require forceful gripping, or hand tools that vibrate are at risk
for developing carpal tunnel.
- An underlying musculoskeletal disorder must be present for a person to develop
carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. -
CORRECT ANSWERS Carpal tunnel syndrome commonly occurs in families.
Genetic factors are thought to account for about half the risk of developing carpal
tunnel.
Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
A. The goal of TX is to prevent flexion and extension movements of the wrist
B. Splints are used in carpal tunnel syndrome, because they allow for free
movement the fingers and thumb while maintaining the wrist in a neutral position
C Corticosterioid injections are discouraged in the treatment of CTS because of the
risks for median nerve damage, scarring, and infection
D. All of the above - CORRECT ANSWERS All of the above
Sam is a 25-year-old man who has been diagnosed with low back strain based on
his history of localized low back pain and muscle spasm along with a normal
neurological examination. As the clinician, you explain to Sam that low back pain is
, NR 511 Final 210Questions and Correct detailed
Answers 2024 |already Graded A+
a diagnosis of exclusion. Which of the following symptoms would alert the clinician
to the more serious finding of a herniated nucleus pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the L spine
B. Unilateral radicular pain symptoms that extend below the knee and are equal to
or greater than the back pain
C. Fever, chills, and elevated ESR
D. Pathologic fractures, severe night pain, weight loss, and fatigue - CORRECT
ANSWERS Unilateral radicular pain symptoms that extend below the knee and
are equal to or greater than the back pain
The clinician has instructed Sam, a 25 year old patient with low back strain, to use
NSAIDs to manage his symptoms of pain and discomfort. Which of the following
statements would be most appropriate when teaching Sam about NSAIDs?
A. You should start with the lowest dose that is effective in managing your pain,
because long-term use of NSAIDs can result in GI disorders such as ulcers and
hemorrhage.
B You should start with the lowest dose that is effective in managing your pain to
avoid developing tolerance to the medication
C. You should take the max recommended dose of NSAIDs so that you will not need
to take narcotics to control your pain
D. It is important to take NSAIDs on an empty stomach in order to increase
absorption - CORRECT ANSWERS You should start with the lowest dose that is
effective in managing your pain, because long-term use of NSAIDs can result in GI
disorders such as ulcers and hemorrhage.
Janet is 30y/o woman who has been diagnosed with a herniated disc at the L5-S1.
She is currently in the emergency room with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina
compression?
A. Paresthesia of the perineum & buttock
B. A reduced or absent ankle reflex
C. Numbness in the lateral foot
D. Gastrocnemius weakness - CORRECT ANSWERS Paresthesia of the
perineum & buttock
