NFDN 2003 final || QUESTIONS WITH A+ GRADED
SOLUTIONS!!
3 classifications of hormones correct answers Steroid, peptide, protein
What is assessed during a physical examination to assess general mobility correct answers
Body alignment (posture), gait, joints, skeletal muscles, neurovascular function
Tibial nerve: assess sensation and movement correct answers Sensation: prick the medial and
lateral surface of sole
Movement: planarflex toes and ankle
Peroneal nerve: assess sensation and movement correct answers Sensation: prick of skin
between great and 2nd toe
Movement: dorsiflex ankle and extend toes
Radial nerve: assess sensation and movement correct answers Sensation: prick between the
thumb and 2nd finger
Movement: stretch out thumb, then wrist, then fingers
Ulnar nerve: assess sensation and movement correct answers Sensation: prick the fat pad at
the top of the small finger
Movement: spread all fingers
Median nerve: assess sensation and movement correct answers Sensation: prick the top or
distal surface of index finger
Movement: touch thumb to
CTEMPS correct answers Cap refill/color
Temperature
Mobility
Pulse/pain
Sensation
PQRSTU correct answers Provoking
Quality
Region and radiates
severity pain scale 1-10
Time
Arthrocentesis correct answers Sample of synovial fluid taken from joint and sent to lab
Rheumatoid arthritis - antibodies in fluid
, Myelogram correct answers x-ray of vertebral spine using contrast medium into spinal fluid
at the lumbar vertebrae
Need to observe for leaking spinal fluid afterwards, lay flat for 4-8 hours
Electromyography (EMG) correct answers Muscles and nerve assessment using needle
electrodes and stimulation
Use warm compresses afterwards
What increases in the blood when there is bone or liver disease correct answers Alkaline
phosphatase
What increases in the blood after an injury correct answers Muscle enzymes, CK, and lactate
increase after injury
What levels can change in the blood with bone disease and parathyriod disease correct
answers Calcium and phosphorus
Compartment syndrome correct answers Excessive tissue fluids from burns, bites, infiltration
with IV fluids, bulky dressings, casts can increase pressure
If no intervention ischemia can cause necrosis and lead to amputation
Compartment syndrome 6 Ps correct answers 1. Pain not relieved by medication/interventions
2. Paresthesia (tingling )
3. Pallow (white, blue colored skin)
4. Pulselessness (no blood flow)
5. Paralysis
6. Palpated tense tissue
Fasciotomy correct answers Surgical procedure to release constricting muscle fascia so as to
relieve muscle tissue pressure
Treatment of compartment syndrome
Bivalving a cast correct answers Cutting cast in half or splitting each side to relieve pressure
(along lateral and medial sides and avoiding bony prominences)
Treatment of compartment syndrome
What surgeries require a neurovascular assessment correct answers Spinal or extremity
surgery
What type of surgery requires spinal signs assessment correct answers Back surgeries
Common pressure areas in arm and lower leg casts correct answers Arms: elbow and wrist
Legs: ankle and lateral side of leg just below knee (tibial tuberosity)
SOLUTIONS!!
3 classifications of hormones correct answers Steroid, peptide, protein
What is assessed during a physical examination to assess general mobility correct answers
Body alignment (posture), gait, joints, skeletal muscles, neurovascular function
Tibial nerve: assess sensation and movement correct answers Sensation: prick the medial and
lateral surface of sole
Movement: planarflex toes and ankle
Peroneal nerve: assess sensation and movement correct answers Sensation: prick of skin
between great and 2nd toe
Movement: dorsiflex ankle and extend toes
Radial nerve: assess sensation and movement correct answers Sensation: prick between the
thumb and 2nd finger
Movement: stretch out thumb, then wrist, then fingers
Ulnar nerve: assess sensation and movement correct answers Sensation: prick the fat pad at
the top of the small finger
Movement: spread all fingers
Median nerve: assess sensation and movement correct answers Sensation: prick the top or
distal surface of index finger
Movement: touch thumb to
CTEMPS correct answers Cap refill/color
Temperature
Mobility
Pulse/pain
Sensation
PQRSTU correct answers Provoking
Quality
Region and radiates
severity pain scale 1-10
Time
Arthrocentesis correct answers Sample of synovial fluid taken from joint and sent to lab
Rheumatoid arthritis - antibodies in fluid
, Myelogram correct answers x-ray of vertebral spine using contrast medium into spinal fluid
at the lumbar vertebrae
Need to observe for leaking spinal fluid afterwards, lay flat for 4-8 hours
Electromyography (EMG) correct answers Muscles and nerve assessment using needle
electrodes and stimulation
Use warm compresses afterwards
What increases in the blood when there is bone or liver disease correct answers Alkaline
phosphatase
What increases in the blood after an injury correct answers Muscle enzymes, CK, and lactate
increase after injury
What levels can change in the blood with bone disease and parathyriod disease correct
answers Calcium and phosphorus
Compartment syndrome correct answers Excessive tissue fluids from burns, bites, infiltration
with IV fluids, bulky dressings, casts can increase pressure
If no intervention ischemia can cause necrosis and lead to amputation
Compartment syndrome 6 Ps correct answers 1. Pain not relieved by medication/interventions
2. Paresthesia (tingling )
3. Pallow (white, blue colored skin)
4. Pulselessness (no blood flow)
5. Paralysis
6. Palpated tense tissue
Fasciotomy correct answers Surgical procedure to release constricting muscle fascia so as to
relieve muscle tissue pressure
Treatment of compartment syndrome
Bivalving a cast correct answers Cutting cast in half or splitting each side to relieve pressure
(along lateral and medial sides and avoiding bony prominences)
Treatment of compartment syndrome
What surgeries require a neurovascular assessment correct answers Spinal or extremity
surgery
What type of surgery requires spinal signs assessment correct answers Back surgeries
Common pressure areas in arm and lower leg casts correct answers Arms: elbow and wrist
Legs: ankle and lateral side of leg just below knee (tibial tuberosity)
