NR 511 EXIT FINAL EXAM ACCURATE AND VERIFIED FOR GUARANTEED PASS | GUARANTEED PASS| LATEST UPDATE|

With the patient’s knee extended, you milk the medial aspect of the knee upward two or three times, then milk the lateral side of the patella. What are you observing for? A. Pain in the quadriceps B. Crepitus in the patella C. Bulge of fluid medial to the patella D. Clicking sound in the knee Correct Answer: C. Bulge of fluid medial to the patella Rationale: This is the bulge test, used to detect small effusions in the knee by observing for returning fluid on the medial side of the patella after displacing it laterally. Which of the following represents the correct elbow range of motion (ROM) in degrees? A. Extension 160, Flexion 180, Supination/Pronation 90 B. Flexion 160, Extension 180, Supination/Pronation 90 C. Flexion 180, Extension 160, Supination/Pronation 45 D. Flexion 90, Extension 90, Supination/Pronation 180 Correct Answer: B. Flexion 160, Extension 180, Supination/Pronation 90 Rationale: Normal elbow ROM includes 160° of flexion, 180° of extension, and 90° of supination and pronation. Which of the following is true regarding normal shoulder range of motion (ROM)? A. Abduction 90°, Adduction 180°, Hyperextension 90° B. Flexion 180°, Adduction 50°, External rotation 90° C. Flexion 90°, Abduction 180°, Adduction 90° D. Extension 180°, Abduction 50°, Internal rotation 180° Correct Answer: B. Flexion 180°, Adduction 50°, External rotation 90° Rationale: The normal shoulder ROM includes flexion 180°, hyperextension up to 50°, abduction 180°, adduction 50°, and internal/external rotation 90°. What is Ankylosing Spondylitis? A. A nerve compression disorder in the cervical spine B. A non-inflammatory muscle disorder C. A hereditary inflammatory condition affecting the spine and sacroiliac joints D. A localized degenerative condition of lumbar vertebrae Correct Answer: C. A hereditary inflammatory condition affecting the spine and sacroiliac joints Rationale: Ankylosing spondylitis is a chronic inflammatory disease affecting the axial skeleton, leading to spinal fusion and deformity. Which condition involves inflammation of a bursa from repetitive pressure? A. Tendonitis B. Osteoarthritis C. Bursitis D. Myositis Correct Answer: C. Bursitis Rationale: Bursitis is the inflammation of a bursa due to repetitive movements or pressure. Which condition results from compression of the median nerve at the wrist? A. Ulnar nerve entrapment B. Carpal tunnel syndrome C. Trigger finger D. De Quervain's tenosynovitis Correct Answer: B. Carpal tunnel syndrome Rationale: Carpal tunnel syndrome is caused by compression of the median nerve within the carpal tunnel, often due to repetitive motion or edema. What typically causes a rotator cuff tear? A. Acute shoulder dislocation B. Overhead lifting and degeneration of the supraspinatus muscle C. Blunt trauma to the scapula D. Prolonged immobilization Correct Answer: B. Overhead lifting and degeneration of the supraspinatus muscle Rationale: Most rotator cuff tears are degenerative, especially in the supraspinatus, due to repetitive overhead use. Which symptom best describes lumbar disk herniation? A. Lateral hip pain and stiffness B. Sharp pain radiating to the anterior thigh C. Low back pain radiating to buttocks and posterior thigh D. Upper back muscle spasm Correct Answer: C. Low back pain radiating to buttocks and posterior thigh Rationale: Herniated lumbar discs commonly cause sciatic-type pain radiating along the posterior leg. When assessing the medial meniscus or medial collateral ligament, what is the appropriate test? A. Anterior drawer test B. Lachman test C. Valgus stress test D. Pivot shift test Correct Answer: C. Valgus stress test Rationale: The valgus stress test evaluates the integrity of the medial collateral ligament, often injured with a lateral blow to the knee. What test elicits a tingling sensation when the median nerve is tapped at the wrist? A. Neer test B. Homan sign C. Phalen maneuver D. Tinel sign Correct Answer: D. Tinel sign Rationale: Tinel sign is positive when tapping the median nerve produces tingling in carpal tunnel syndrome. Which test is used to assess the integrity of the anterior cruciate ligament (ACL)? A. McMurray test B. Lachman test C. Valgus stress test D. Apley compression test Correct Answer: B. Lachman test Rationale: The Lachman test is a sensitive test for detecting ACL injuries by checking anterior tibial movement. Which tests assess instability in the medial and lateral collateral ligaments? A. Drawer and McMurray tests B. Varus and valgus stress tests C. Apley and Neer tests D. Phalen and Tinel tests Correct Answer: B. Varus and valgus stress tests Rationale: These stress tests are used to assess the stability of the lateral (varus) and medial (valgus) collateral ligaments. Which test is used to assess shoulder rotator cuff impingement or tear? A. Homan sign B. Neer test C. Tinel sign D. Bragard test Correct Answer: B. Neer test Rationale: The Neer test evaluates for rotator cuff impingement by forcibly flexing the shoulder, reproducing pain. When examining the knee, what maneuver involves turning the ankle outward while applying a valgus stress and then extending the knee? A. Varus stress test B. McMurray test C. Lachman test D. Drawer test Correct Answer: B. McMurray test Rationale: The McMurray test evaluates meniscal integrity by rotating the tibia on the femur while applying valgus/varus stress. Turning the ankle outward with valgus stress and extending the knee tests for a medial meniscus tear. During a football game, a player is struck on the lateral side of the leg while the foot is planted. He complains of knee pain. What is the most appropriate initial test? A. Anterior drawer test B. Varus stress test C. Valgus stress test D. Pivot shift test Correct Answer: C. Valgus stress test Rationale: A lateral blow stresses the medial structures of the knee. The valgus stress test evaluates medial collateral ligament (MCL) and medial meniscus damage.