Nurs 611 Final Exam with correct
answers
3 types of joints - CORRECT ANSWERS ✔✔1. Synovial (freely movable, knee
and shoulder)
2. Cartilaginous (slightly movable, vertebral bodies, symphysis pubis,
sternomanubrial joint)
3. Fibrous (immovable, skull sutures)
Types of synovial joints - CORRECT ANSWERS ✔✔1. Ball and socket
(shoulder/hip)
2. Hinge (wrist, interphalangeal joints of hands/foot)
3. Condylar (knee, temporomandibular joint)
Tips for assessing joint pain - CORRECT ANSWERS ✔✔1. Point to the pain
2. Clarify onset, mechanism of injury, activity
3. Articular or extraarticular, acute or chronic, inflammatory or
noninflammatory, localized (monoarticular) or diffuse (polyarticular)
4. Clarify the attributes of each symptom including context, associations, etc.
5. Symptom analysis
Describe the following types of pain
Muscle
,Nerve root
Nerve
Sympathetic nerve
Bone
Fracture
Vascular - CORRECT ANSWERS ✔✔Muscle: dull, cramping, aching
Nerve root: sharp shooting
nerve: sharp, lightening like
Sympathetic: burning, pressure like, stinging
Bone: deep, nagging, dull
Fracture: sharp, severe, intolerable
Vascular: throbbing, diffuse
Red flags for lower back pain - CORRECT ANSWERS ✔✔Age <20 or >50
History of cancer
Unexplained weight loss, fever, or general decline in health
Pain lasting >1mo, unresponsive to treatment
Pain worse at night or present at rest
history of IVDA, addiction, immunosuppression
Presence of active infection or HIV
Long term steroid therapy
Saddle anesthesia
Bladder or bowel incontinence
, Neurological deficits
Lower extremity weakness
Shoulder pain can be two nonmusculoskeletal reasons - CORRECT ANSWERS
✔✔Referred abdominal pain
Cardiac pain
Hawkins test
Indication
Movement
Positive - CORRECT ANSWERS ✔✔Subacromial impingement
90 degree arm, 90 degree elbow flexed
Forcibly internally rotate
Positive if pain, nerve burning
Empty can test
Indication
Movement
Positive - CORRECT ANSWERS ✔✔Impingement, rotater cuff tear
ARms elevated 90 degrees, then internally rotate 30 degrees (dumping out
cans)
Resist abduction
Unable, positive
answers
3 types of joints - CORRECT ANSWERS ✔✔1. Synovial (freely movable, knee
and shoulder)
2. Cartilaginous (slightly movable, vertebral bodies, symphysis pubis,
sternomanubrial joint)
3. Fibrous (immovable, skull sutures)
Types of synovial joints - CORRECT ANSWERS ✔✔1. Ball and socket
(shoulder/hip)
2. Hinge (wrist, interphalangeal joints of hands/foot)
3. Condylar (knee, temporomandibular joint)
Tips for assessing joint pain - CORRECT ANSWERS ✔✔1. Point to the pain
2. Clarify onset, mechanism of injury, activity
3. Articular or extraarticular, acute or chronic, inflammatory or
noninflammatory, localized (monoarticular) or diffuse (polyarticular)
4. Clarify the attributes of each symptom including context, associations, etc.
5. Symptom analysis
Describe the following types of pain
Muscle
,Nerve root
Nerve
Sympathetic nerve
Bone
Fracture
Vascular - CORRECT ANSWERS ✔✔Muscle: dull, cramping, aching
Nerve root: sharp shooting
nerve: sharp, lightening like
Sympathetic: burning, pressure like, stinging
Bone: deep, nagging, dull
Fracture: sharp, severe, intolerable
Vascular: throbbing, diffuse
Red flags for lower back pain - CORRECT ANSWERS ✔✔Age <20 or >50
History of cancer
Unexplained weight loss, fever, or general decline in health
Pain lasting >1mo, unresponsive to treatment
Pain worse at night or present at rest
history of IVDA, addiction, immunosuppression
Presence of active infection or HIV
Long term steroid therapy
Saddle anesthesia
Bladder or bowel incontinence
, Neurological deficits
Lower extremity weakness
Shoulder pain can be two nonmusculoskeletal reasons - CORRECT ANSWERS
✔✔Referred abdominal pain
Cardiac pain
Hawkins test
Indication
Movement
Positive - CORRECT ANSWERS ✔✔Subacromial impingement
90 degree arm, 90 degree elbow flexed
Forcibly internally rotate
Positive if pain, nerve burning
Empty can test
Indication
Movement
Positive - CORRECT ANSWERS ✔✔Impingement, rotater cuff tear
ARms elevated 90 degrees, then internally rotate 30 degrees (dumping out
cans)
Resist abduction
Unable, positive
