NUR 226 EXAM 4 QUESTIONS & ANSWERS
What test will the nurse perform by firmly stroking the medial aspect of the knee 3 times
and tapping the lateral aspect of the knee? - Answer -Bulge sign
-- To assess swelling in the suprapatellar pouch, the nurse will check for the bulge sign,
which confirms the presence of small amounts of fluid as the nurse tries to move the
fluid from one side of the joint to the other.
To detect large amounts of fluid in the patellar region, ___________ of the patella is
used. - Answer -ballottement
-- left-hand helps compress the suprapatellar pouch to move any fluid into the knee joint
& right-hand helps push the patella sharply against the femur
The _________ test reproduces numbness and burning in a person with carpal tunnel
syndrome and is a disorder of the wrist. - Answer -Phalen
-- patient holds both hands back to back while flexing the wrists 90 degrees. Acute
flexion of a normal wrist for 60 secs produces no symptoms in a normal hand.
In carpal tunnel syndrome, percussion of the median nerve produces burning and
tingling along its distribution, which is a positive ______ sign. - Answer -Tinel
________ are collections of sodium urate crystals that appear in and around the joint &
may appear in the joints of the patient with chronic gout. - Answer -Tophi
_____________ ________________ refers to inflammation of the tendon sheath near
the ankle. - Answer -Achilles tenosynovitis
______________ _________________ refers to congenital and fixed malposition of the
foot. - Answer -Talipes equinovarus
__________________ syndrome manifests as widespread pain in the muscles. -
Answer -Fibromyalgia
rheumatoid arthritis (RA) - Answer -- Inflammation of the synovial tissues and
hyperplasia
- Increased cytokine production in the patient with RA may lead to an increase in the
basal metabolic rate. This increases caloric needs in the patient --> patient may have
fatigue and weight loss.
- patient may have increased production of prostaglandins. Prostaglandins reset the
thermostat of the brain to a higher level, resulting in low-grade fever.
,Tingling and numbness are symptoms of a ___________ _________. - Answer -
ganglion cyst
_________________ may lead to swan-neck deformity and ulnar deviation of the
fingers. - Answer -Chronic RA
-- Swan-neck deformity refers to the flexion contracture of the metacarpophalangeal
joint.
-- Stretching of the articular capsule and muscle imbalance in the patient with RA may
result in ulnar deviation of the fingers.
Freely movable and lined with synovial membranes are __________ joints - Answer -
synovial
Foods to increase Calcium levels: - Answer -Milk
Yogurt
Cheese
Which structure connects the knee joint at both sides and prevents its dislocation? -
Answer -Collateral ligaments
The __________ ___________- is a wedge-shaped cartilage that cushions the tibia and
femur and protects them from external pressures. - Answer -lateral meniscus
The ____________ ____________ lies between the patella and the skin, prevents
friction, and thus helps the muscles and tendons glide smoothly over the bone. -
Answer -prepatellar bursa
____________ ______________ provide anterior and posterior stability and help
control rotation of the knee. - Answer -Cruciate ligaments
Extension - Answer -STRAIGHTENING a joint/limb
"pigeon toes" tends to walk on the... - Answer -lateral side of the foot, and the
longitudinal arch appears higher than normal
genu varum tends to walk with a... - Answer -waddling gait.
"flat feet"... - Answer -takes a broad-based stance
genu valgum... - Answer -tends to stand with ankles apart and the knees touching
Which test helps in assessing a flexion deformity of the patient's hip?
Incorrect1
Allis
2
,Phalen
Correct3
Thomas
4
McMurray
The Thomas test is a leg-raising test that involves flexion of the hip joint; therefore it
helps determine hip flexion deformity in the patient. The nurse compares leg lengths of
the patient while performing the Allis test to assess for hip dislocation. The patient holds
the hands back to back while flexing the wrists during the Phalen test; this test helps
determine carpal tunnel syndrome. The nurse instructs the patient to flex the knee joint
while performing the McMurray test to determine the presence of a torn meniscus. -
Answer -
Which test helps in assessing a flexion deformity of the patient's hip? - Answer -
Thomas
-- leg-raising test that involves flexion of the hip joint; to help determine hip flexion
deformity
______________ is swelling of the elbow, which is associated with the presence of a
large, soft knob and redness resulting from inflammation of the olecranon bursa. -
Answer -Olecranon bursitis
______________ is a bone disorder characterized by a decrease in bone mass and
density, which increases the risk of fractures. - Answer -Osteoporosis
Cartilage serves which functions in the body? - Answer -Cushioning the bones
Providing stability
Covering the surface of the bone
Smoothing the surface of the bone
RECEIVES nourishment from the synovial fluid during joint mvmt
________________ is characterized by hard, nontender Heberden and Bouchard
nodules. - Answer -Osteoarthritis
-- The bony outgrowths of distal interphalangeal joints = Heberden nodes
-- bony outgrowths of proximal interphalangeal joints = Bouchard nodes
________ _________ syndrome results in pain, burning, and numbness. It occurs bc of
atrophy of the median nerve of the wrist and hand. - Answer -Carpal tunnel
In ___________ __________ syndrome, percussion of the median nerve produces
burning and tingling along its distribution, which is a positive Tinel sign. - Answer -
carpal tunnel
, nurse compares leg lengths of the patient while performing the ______ test to assess
for hip dislocation. - Answer -Allis
patient holds the hands back to back while flexing the wrists during the ________ test;
this test helps determine carpal tunnel syndrome. - Answer -Phalen
Which change in the spine is frequently observed in obese patients? - Answer -
Lordosis
- pronounced lumbar curve due to extra body weight
___________ commonly affects adolescents because of chronic poor posture. -
Answer -kyphosis
-- enhanced thoracic curve
Which joint facilitates pronation and supination movements of the hand and the
forearm? - Answer -Radioulnar
The _________ joint is present in the ankle and the feet; it permits extension and flexion
of the foot in one plane. - Answer -tibiotalar
The ___________ joint is present in the wrist; it permits flexion and extension of the
wrist. - Answer -radiocarpal
The ______________ joint is present in the shoulder; it permits movement of the arm
on many axes. - Answer -glenohumeral
Which conditions result in the decrease in height experienced by aging individuals? -
Answer -Loss of bone matrix
Thinning of intervertebral discs (occurs because of the loss of mineral content)
Decrease in the height of individual vertebrae
Epiphysis refers to the end of a long bone and allows longitudinal growth of the long
bones. However, closure of the epiphysis occurs by the age of ____ - Answer -20
Which finding is consistent with Down syndrome? - Answer -Simian crease
-- The simian crease is a palmar crease that extends across the palm
- Syndactyly (webbed fingers) may also occur
_____________ refers to the presence of extra fingers or toes. - Answer -Polydactyly
___________ ____________ is a neural tube defect, indicated by the presence of a
dimple in the midline of the spine - Answer -Dermoid sinus
What test will the nurse perform by firmly stroking the medial aspect of the knee 3 times
and tapping the lateral aspect of the knee? - Answer -Bulge sign
-- To assess swelling in the suprapatellar pouch, the nurse will check for the bulge sign,
which confirms the presence of small amounts of fluid as the nurse tries to move the
fluid from one side of the joint to the other.
To detect large amounts of fluid in the patellar region, ___________ of the patella is
used. - Answer -ballottement
-- left-hand helps compress the suprapatellar pouch to move any fluid into the knee joint
& right-hand helps push the patella sharply against the femur
The _________ test reproduces numbness and burning in a person with carpal tunnel
syndrome and is a disorder of the wrist. - Answer -Phalen
-- patient holds both hands back to back while flexing the wrists 90 degrees. Acute
flexion of a normal wrist for 60 secs produces no symptoms in a normal hand.
In carpal tunnel syndrome, percussion of the median nerve produces burning and
tingling along its distribution, which is a positive ______ sign. - Answer -Tinel
________ are collections of sodium urate crystals that appear in and around the joint &
may appear in the joints of the patient with chronic gout. - Answer -Tophi
_____________ ________________ refers to inflammation of the tendon sheath near
the ankle. - Answer -Achilles tenosynovitis
______________ _________________ refers to congenital and fixed malposition of the
foot. - Answer -Talipes equinovarus
__________________ syndrome manifests as widespread pain in the muscles. -
Answer -Fibromyalgia
rheumatoid arthritis (RA) - Answer -- Inflammation of the synovial tissues and
hyperplasia
- Increased cytokine production in the patient with RA may lead to an increase in the
basal metabolic rate. This increases caloric needs in the patient --> patient may have
fatigue and weight loss.
- patient may have increased production of prostaglandins. Prostaglandins reset the
thermostat of the brain to a higher level, resulting in low-grade fever.
,Tingling and numbness are symptoms of a ___________ _________. - Answer -
ganglion cyst
_________________ may lead to swan-neck deformity and ulnar deviation of the
fingers. - Answer -Chronic RA
-- Swan-neck deformity refers to the flexion contracture of the metacarpophalangeal
joint.
-- Stretching of the articular capsule and muscle imbalance in the patient with RA may
result in ulnar deviation of the fingers.
Freely movable and lined with synovial membranes are __________ joints - Answer -
synovial
Foods to increase Calcium levels: - Answer -Milk
Yogurt
Cheese
Which structure connects the knee joint at both sides and prevents its dislocation? -
Answer -Collateral ligaments
The __________ ___________- is a wedge-shaped cartilage that cushions the tibia and
femur and protects them from external pressures. - Answer -lateral meniscus
The ____________ ____________ lies between the patella and the skin, prevents
friction, and thus helps the muscles and tendons glide smoothly over the bone. -
Answer -prepatellar bursa
____________ ______________ provide anterior and posterior stability and help
control rotation of the knee. - Answer -Cruciate ligaments
Extension - Answer -STRAIGHTENING a joint/limb
"pigeon toes" tends to walk on the... - Answer -lateral side of the foot, and the
longitudinal arch appears higher than normal
genu varum tends to walk with a... - Answer -waddling gait.
"flat feet"... - Answer -takes a broad-based stance
genu valgum... - Answer -tends to stand with ankles apart and the knees touching
Which test helps in assessing a flexion deformity of the patient's hip?
Incorrect1
Allis
2
,Phalen
Correct3
Thomas
4
McMurray
The Thomas test is a leg-raising test that involves flexion of the hip joint; therefore it
helps determine hip flexion deformity in the patient. The nurse compares leg lengths of
the patient while performing the Allis test to assess for hip dislocation. The patient holds
the hands back to back while flexing the wrists during the Phalen test; this test helps
determine carpal tunnel syndrome. The nurse instructs the patient to flex the knee joint
while performing the McMurray test to determine the presence of a torn meniscus. -
Answer -
Which test helps in assessing a flexion deformity of the patient's hip? - Answer -
Thomas
-- leg-raising test that involves flexion of the hip joint; to help determine hip flexion
deformity
______________ is swelling of the elbow, which is associated with the presence of a
large, soft knob and redness resulting from inflammation of the olecranon bursa. -
Answer -Olecranon bursitis
______________ is a bone disorder characterized by a decrease in bone mass and
density, which increases the risk of fractures. - Answer -Osteoporosis
Cartilage serves which functions in the body? - Answer -Cushioning the bones
Providing stability
Covering the surface of the bone
Smoothing the surface of the bone
RECEIVES nourishment from the synovial fluid during joint mvmt
________________ is characterized by hard, nontender Heberden and Bouchard
nodules. - Answer -Osteoarthritis
-- The bony outgrowths of distal interphalangeal joints = Heberden nodes
-- bony outgrowths of proximal interphalangeal joints = Bouchard nodes
________ _________ syndrome results in pain, burning, and numbness. It occurs bc of
atrophy of the median nerve of the wrist and hand. - Answer -Carpal tunnel
In ___________ __________ syndrome, percussion of the median nerve produces
burning and tingling along its distribution, which is a positive Tinel sign. - Answer -
carpal tunnel
, nurse compares leg lengths of the patient while performing the ______ test to assess
for hip dislocation. - Answer -Allis
patient holds the hands back to back while flexing the wrists during the ________ test;
this test helps determine carpal tunnel syndrome. - Answer -Phalen
Which change in the spine is frequently observed in obese patients? - Answer -
Lordosis
- pronounced lumbar curve due to extra body weight
___________ commonly affects adolescents because of chronic poor posture. -
Answer -kyphosis
-- enhanced thoracic curve
Which joint facilitates pronation and supination movements of the hand and the
forearm? - Answer -Radioulnar
The _________ joint is present in the ankle and the feet; it permits extension and flexion
of the foot in one plane. - Answer -tibiotalar
The ___________ joint is present in the wrist; it permits flexion and extension of the
wrist. - Answer -radiocarpal
The ______________ joint is present in the shoulder; it permits movement of the arm
on many axes. - Answer -glenohumeral
Which conditions result in the decrease in height experienced by aging individuals? -
Answer -Loss of bone matrix
Thinning of intervertebral discs (occurs because of the loss of mineral content)
Decrease in the height of individual vertebrae
Epiphysis refers to the end of a long bone and allows longitudinal growth of the long
bones. However, closure of the epiphysis occurs by the age of ____ - Answer -20
Which finding is consistent with Down syndrome? - Answer -Simian crease
-- The simian crease is a palmar crease that extends across the palm
- Syndactyly (webbed fingers) may also occur
_____________ refers to the presence of extra fingers or toes. - Answer -Polydactyly
___________ ____________ is a neural tube defect, indicated by the presence of a
dimple in the midline of the spine - Answer -Dermoid sinus
