NUR631 EXAM 3 - LATEST
NEURO,MUSCULOSKELE
TAL,MENTAL HEALTH
A man's wife is upset because when she hugs him with her hands on his
left shoulder blade, "it feels creepy." This came on gradually after a
recent severe left-sided rotator cuff tear. How long does it usually take to
develop muscular atrophy with increased prominence of the scapular
spine following a rotator cuff tear?
A) 1 week
B) 2-3 weeks
C) 1 month
D) 2-3 months - ANSWERS-B) 2-3 weeks
Phil comes to your office with left "shoulder pain." You find that the
pain is markedly worse when his left arm is drawn across his chest
(adduction). Which of the following would you suspect?
A) Rotator cuff tear
B) Subacromial bursitis
C) Acromioclavicular joint involvement
D) Adhesive capsulitis - ANSWERS-C) Acromioclavicular joint
involvement
END OF
PAGE
1
, NUR631 EXAM 3 - LATEST
NEURO,MUSCULOSKELE
TAL,MENTAL HEALTH
Two weeks ago, Mary started a job which requires carrying 40-pound
buckets. She presents with elbow pain worse on the right. On
examination, it hurts her elbows to dorsiflex her hands against resistance
when her palms face the floor. What condition does she have?
A) Medial epicondylitis (golfer's elbow)
B) Olecranon bursitis
C) Lateral epicondylitis (tennis elbow)
D) Supracondylar fracture - ANSWERS-C) Lateral epicondylitis (tennis
elbow)
A high school football player injured his wrist in a game. He is tender
between the two tendons at the base of the thumb. Which of the
following should be considered?
A) DeQuervain's tenosynovitis
B) Scaphoid fracture
C) Wrist sprain
D) Rheumatoid arthritis - ANSWERS-B) Scaphoid fracture
END OF
PAGE
2
, NUR631 EXAM 3 - LATEST
NEURO,MUSCULOSKELE
TAL,MENTAL HEALTH
Mrs. Fletcher complains of numbness of her right hand. On examination,
sensation of the volar aspect of the web of the thumb and index finger
and the pulp of the middle finger are normal. The pulp of the index
finger has decreased sensation. Which of the following is affected?
A) Median nerve
B) Ulnar nerve
C) Radial nerve - ANSWERS-A) Median nerve
A 50-year-old woman presents with "left hip pain" of several weeks
duration. There is marked tenderness when you press over her proximal
lateral thigh. What do you think she has?
A) Osteoarthritis
B) Rheumatoid arthritis
C) Sciatica
D) Trochanteric bursitis - ANSWERS-D) Trochanteric bursitis
Sarah presents with left lateral knee pain and has some locking in full
extension. There is tenderness over the medial joint line. When the knee
is extended with the foot externally rotated and some valgus stress is
applied, a click is noted. What is the most likely diagnosis?
END OF
PAGE
3
, NUR631 EXAM 3 - LATEST
NEURO,MUSCULOSKELE
TAL,MENTAL HEALTH
A) Torn anterior cruciate ligament
B) Torn posterior cruciate ligament
C) Torn medial meniscus
D) Torn lateral meniscus - ANSWERS-C) Torn medial meniscus
A 19-year-old college student, Todd, is brought to your clinic by his
mother. She is concerned that there is something seriously wrong with
him. She states for the past 6 months his behavior has become peculiar
and he has flunked out of college. Todd denies any recent illness or
injuries. His past medical history is remarkable only for a broken foot.
His parents are both healthy. He has a paternal uncle who had similar
symptoms in college. The patient admits to smoking cigarettes and
drinking alcohol. He also admits to marijuana use but none in the last
week. He denies using any other substances. He denies any feelings of
depression or anxiety. While speaking with Todd and his mother you do
a complete physical examination, which is essentially normal. When you
question him on how he is feeling, he says that he is very worried that
Microsoft has stolen his software for creating a better browser. He tells
you he has se - ANSWERS-D) Schizophrenia
END OF
PAGE
4
NEURO,MUSCULOSKELE
TAL,MENTAL HEALTH
A man's wife is upset because when she hugs him with her hands on his
left shoulder blade, "it feels creepy." This came on gradually after a
recent severe left-sided rotator cuff tear. How long does it usually take to
develop muscular atrophy with increased prominence of the scapular
spine following a rotator cuff tear?
A) 1 week
B) 2-3 weeks
C) 1 month
D) 2-3 months - ANSWERS-B) 2-3 weeks
Phil comes to your office with left "shoulder pain." You find that the
pain is markedly worse when his left arm is drawn across his chest
(adduction). Which of the following would you suspect?
A) Rotator cuff tear
B) Subacromial bursitis
C) Acromioclavicular joint involvement
D) Adhesive capsulitis - ANSWERS-C) Acromioclavicular joint
involvement
END OF
PAGE
1
, NUR631 EXAM 3 - LATEST
NEURO,MUSCULOSKELE
TAL,MENTAL HEALTH
Two weeks ago, Mary started a job which requires carrying 40-pound
buckets. She presents with elbow pain worse on the right. On
examination, it hurts her elbows to dorsiflex her hands against resistance
when her palms face the floor. What condition does she have?
A) Medial epicondylitis (golfer's elbow)
B) Olecranon bursitis
C) Lateral epicondylitis (tennis elbow)
D) Supracondylar fracture - ANSWERS-C) Lateral epicondylitis (tennis
elbow)
A high school football player injured his wrist in a game. He is tender
between the two tendons at the base of the thumb. Which of the
following should be considered?
A) DeQuervain's tenosynovitis
B) Scaphoid fracture
C) Wrist sprain
D) Rheumatoid arthritis - ANSWERS-B) Scaphoid fracture
END OF
PAGE
2
, NUR631 EXAM 3 - LATEST
NEURO,MUSCULOSKELE
TAL,MENTAL HEALTH
Mrs. Fletcher complains of numbness of her right hand. On examination,
sensation of the volar aspect of the web of the thumb and index finger
and the pulp of the middle finger are normal. The pulp of the index
finger has decreased sensation. Which of the following is affected?
A) Median nerve
B) Ulnar nerve
C) Radial nerve - ANSWERS-A) Median nerve
A 50-year-old woman presents with "left hip pain" of several weeks
duration. There is marked tenderness when you press over her proximal
lateral thigh. What do you think she has?
A) Osteoarthritis
B) Rheumatoid arthritis
C) Sciatica
D) Trochanteric bursitis - ANSWERS-D) Trochanteric bursitis
Sarah presents with left lateral knee pain and has some locking in full
extension. There is tenderness over the medial joint line. When the knee
is extended with the foot externally rotated and some valgus stress is
applied, a click is noted. What is the most likely diagnosis?
END OF
PAGE
3
, NUR631 EXAM 3 - LATEST
NEURO,MUSCULOSKELE
TAL,MENTAL HEALTH
A) Torn anterior cruciate ligament
B) Torn posterior cruciate ligament
C) Torn medial meniscus
D) Torn lateral meniscus - ANSWERS-C) Torn medial meniscus
A 19-year-old college student, Todd, is brought to your clinic by his
mother. She is concerned that there is something seriously wrong with
him. She states for the past 6 months his behavior has become peculiar
and he has flunked out of college. Todd denies any recent illness or
injuries. His past medical history is remarkable only for a broken foot.
His parents are both healthy. He has a paternal uncle who had similar
symptoms in college. The patient admits to smoking cigarettes and
drinking alcohol. He also admits to marijuana use but none in the last
week. He denies using any other substances. He denies any feelings of
depression or anxiety. While speaking with Todd and his mother you do
a complete physical examination, which is essentially normal. When you
question him on how he is feeling, he says that he is very worried that
Microsoft has stolen his software for creating a better browser. He tells
you he has se - ANSWERS-D) Schizophrenia
END OF
PAGE
4
