FNP 2 5335 final Exam Questions with
Complete Solutions| Verified Answers
when do you refer an OA pt - ANSWER when conservative measures fail, or BONE
TO BONE
CHARAC. OF RA - ANSWER symmetrical joint pain > 1hr., fatigue, wt. loss, low grade
temp, malaise, waxes and wanes, l
S/S of a torn ACL - ANSWER POP inside knee, gives away, swelling, severe pain.
A COMPLETE TEAR WON'T HURT, SWELL, PAINLESS WITH MOVEMENT.
Low back pain s/s - ANSWER pain in back, butt, thighs, muscle spasms r/t a muscle
or ligament problem, radiates down to knee,
New onset of RADICULAR low back pain in older patient is - ANSWER spinal stenosis
CAUDA EQUINA back pain SURG. EMERGENCY - ANSWER s/s major motor weakness
with knee extensions or foot drop, loss of sensory tone to anus, bladder, legs
back pain red flags REFERR! - ANSWER Hx: IV drug use, TB, chronic steroid use, CA,
immune suppresion, trauma, age <20, fever >100.4, chills, nausea, wt. loss, saddle
anesthesia, bowel/bladder incontinence/retention, RECENT BACTERIAL INFECTION,
>50yrs, pain at night or supine. CONSIDER IMAGING FOR RED FLAGS OR LITIGATION. OR
AFTER ONE MONTH OF CONSERV. TX.
What tests are used for back pain assessment? - ANSWER cross leg raise, straight leg
test, gait, ausc. abd. bruits AAA, rectal tone, DTR's, bulk measurements, tone, rapid
alt. movements, point to point, discrim. motor strength.
, 90% OF BACK PAIN RESOLVE IN - ANSWER 4-6 WEEKS
TO CHECK the (KNEE) meniscus for TEAR do : - ANSWER ant. post. drawer tests, McMurry
test, Thessaly's test (parado and hold their hands to stabilize and turn knees), 3 Apley's
test (prone) or even better MRI: IF COMPLETELY TORN WILL NEED SURGERY!!!
ss OF MENISCAL TEAR - ANSWER pain, joint locking, limited movement of knee, swelling,
can't stand, popping or clicking in the knee
Tx for meniscal tear - ANSWER conservative RICE
Dx: Scoliosis - ANSWER > 10 degree lateral spine curvature on xray.
What are the types of scoliosis - ANSWER idopathic, neuromuscular, and congenital.
CAN be related to Down's/Marfan and other syndromes.
when should you screen for SCOLIOSIS? - ANSWER Females TWICE @ 10 & 12, Boys
ONCE @ 13-14yrs. BACK PAIN IS UNCOMMON
legg Calve perthes disease - ANSWER JUVENILE vasc. necrosis of femoral head, more boys
4-8 yrs, limp, Galeazzi/klisic sign, loss of internal rotation is earliest sign. XRAY ONLY. referr
within 2-3 weeks, decrease or no wt bearing, pain may present in the knee.
Slipped Capital femoral epiphysis (adolescents) neck and shaft displaced ant. and
rotate externally - ANSWER Stable vs unstable (unable to bear wt.), fx like symptoms,
more boys 13-15, OBESE, INTERMITTENT PAIN, referred pain to thigh/knee may be the
only symptom, out toeing, restricted internal rotation, FROG LATERAL XRAY IS BEST. tx
IN SITU PIN FIXATION
Complete Solutions| Verified Answers
when do you refer an OA pt - ANSWER when conservative measures fail, or BONE
TO BONE
CHARAC. OF RA - ANSWER symmetrical joint pain > 1hr., fatigue, wt. loss, low grade
temp, malaise, waxes and wanes, l
S/S of a torn ACL - ANSWER POP inside knee, gives away, swelling, severe pain.
A COMPLETE TEAR WON'T HURT, SWELL, PAINLESS WITH MOVEMENT.
Low back pain s/s - ANSWER pain in back, butt, thighs, muscle spasms r/t a muscle
or ligament problem, radiates down to knee,
New onset of RADICULAR low back pain in older patient is - ANSWER spinal stenosis
CAUDA EQUINA back pain SURG. EMERGENCY - ANSWER s/s major motor weakness
with knee extensions or foot drop, loss of sensory tone to anus, bladder, legs
back pain red flags REFERR! - ANSWER Hx: IV drug use, TB, chronic steroid use, CA,
immune suppresion, trauma, age <20, fever >100.4, chills, nausea, wt. loss, saddle
anesthesia, bowel/bladder incontinence/retention, RECENT BACTERIAL INFECTION,
>50yrs, pain at night or supine. CONSIDER IMAGING FOR RED FLAGS OR LITIGATION. OR
AFTER ONE MONTH OF CONSERV. TX.
What tests are used for back pain assessment? - ANSWER cross leg raise, straight leg
test, gait, ausc. abd. bruits AAA, rectal tone, DTR's, bulk measurements, tone, rapid
alt. movements, point to point, discrim. motor strength.
, 90% OF BACK PAIN RESOLVE IN - ANSWER 4-6 WEEKS
TO CHECK the (KNEE) meniscus for TEAR do : - ANSWER ant. post. drawer tests, McMurry
test, Thessaly's test (parado and hold their hands to stabilize and turn knees), 3 Apley's
test (prone) or even better MRI: IF COMPLETELY TORN WILL NEED SURGERY!!!
ss OF MENISCAL TEAR - ANSWER pain, joint locking, limited movement of knee, swelling,
can't stand, popping or clicking in the knee
Tx for meniscal tear - ANSWER conservative RICE
Dx: Scoliosis - ANSWER > 10 degree lateral spine curvature on xray.
What are the types of scoliosis - ANSWER idopathic, neuromuscular, and congenital.
CAN be related to Down's/Marfan and other syndromes.
when should you screen for SCOLIOSIS? - ANSWER Females TWICE @ 10 & 12, Boys
ONCE @ 13-14yrs. BACK PAIN IS UNCOMMON
legg Calve perthes disease - ANSWER JUVENILE vasc. necrosis of femoral head, more boys
4-8 yrs, limp, Galeazzi/klisic sign, loss of internal rotation is earliest sign. XRAY ONLY. referr
within 2-3 weeks, decrease or no wt bearing, pain may present in the knee.
Slipped Capital femoral epiphysis (adolescents) neck and shaft displaced ant. and
rotate externally - ANSWER Stable vs unstable (unable to bear wt.), fx like symptoms,
more boys 13-15, OBESE, INTERMITTENT PAIN, referred pain to thigh/knee may be the
only symptom, out toeing, restricted internal rotation, FROG LATERAL XRAY IS BEST. tx
IN SITU PIN FIXATION
