AG2 EXAM3 MUSCULOSKELETAL
CH15VERIFIED QUESTIONS AND
ANSWERS.
1. One of the initial steps in assessing patients with musculoskeletal
complaints is to determine whether the complaint is articular or
nonarticular in origin. Which of the following is an example of an articular
structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - CORRECT ANSWER -a. Bone
2. 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 the use of 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 gastrointestinal (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 maximum 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 ANSWER -a. "You should start with the lowest
dose that is effective in managing your pain, because long-term use of
NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and
hemorrhage."
, 3. Janet is a 30-year-old who has recently been diagnosed with a herniated
disc at the level of 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. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks - CORRECT ANSWER -d.
Paresthesia of the perineum and buttocks
4. Which of the following statements is true concerning the management of
the client with a herniated disc?
a. Muscle relaxants and narcotics can be used to control moderate pain but
should be discontinued after 3 weeks of use.
b. An epidural injection is helpful in reducing leg pain that has persisted for
at least 3 weeks after the herniation occurred.
c. Intolerable pain for more than a 3-month period is an indication for
surgical intervention.
d. All of the above - CORRECT ANSWER -c. Intolerable pain for more than a 3-
month period is an indication for surgical intervention.
5. John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and
then being unable to extend it completely. John tells the clinician that he
heard a pop when the injury occurred and has been experiencing localized
pain. The clinician suspects a meniscal tear. Which test would be most
appropriate to assess for the presence of a meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
CH15VERIFIED QUESTIONS AND
ANSWERS.
1. One of the initial steps in assessing patients with musculoskeletal
complaints is to determine whether the complaint is articular or
nonarticular in origin. Which of the following is an example of an articular
structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - CORRECT ANSWER -a. Bone
2. 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 the use of 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 gastrointestinal (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 maximum 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 ANSWER -a. "You should start with the lowest
dose that is effective in managing your pain, because long-term use of
NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and
hemorrhage."
, 3. Janet is a 30-year-old who has recently been diagnosed with a herniated
disc at the level of 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. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks - CORRECT ANSWER -d.
Paresthesia of the perineum and buttocks
4. Which of the following statements is true concerning the management of
the client with a herniated disc?
a. Muscle relaxants and narcotics can be used to control moderate pain but
should be discontinued after 3 weeks of use.
b. An epidural injection is helpful in reducing leg pain that has persisted for
at least 3 weeks after the herniation occurred.
c. Intolerable pain for more than a 3-month period is an indication for
surgical intervention.
d. All of the above - CORRECT ANSWER -c. Intolerable pain for more than a 3-
month period is an indication for surgical intervention.
5. John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and
then being unable to extend it completely. John tells the clinician that he
heard a pop when the injury occurred and has been experiencing localized
pain. The clinician suspects a meniscal tear. Which test would be most
appropriate to assess for the presence of a meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
