NR 511 Final Exam Differential Diagnosis
and Primary Care Practicum Questions and
Answers Chamberlain
You are performing muscle strength testing on a patient presenting with musculoskeletal pain
and find that the patient has complete ROM with gravity eliminated. Which numeric grade of
muscle strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
E. 5
B
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain
Morning stiffness
Which of the following statements concerning the musculoskeletal exam is true?
A. The uninvolved side should be examined initially and then compared to the involved side
B. The part of the body that is causing the patient pain should be examined first
C. When possible, the patient should not be asked to perform active ROM exercises to avoid
causing pain
D. Radiographs should always be obtained prior to examination so as not to cause further injury
,to the patient.
When possible, the patient should not be asked to perform active ROM exercises to avoid
causing pain
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
whether the complain is articular or nonarticular in origin. Which of the following in an example
of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
Synovium
You have detected the presence of crepitus on examination of a patient with a musculoskeletal
complaint. Additionally, there is limited range of motion (ROM) with both active and passive
movement. These findings suggest that the origin of the musculoskeletal complaint is:
A. Articular
B. Inflammatory
C. Nonarticular
D. A and B
Articula
,Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in
her right shoulder. She denies any history of trauma. Her exam reveals a 75% reduction in both
active and passive range of motion of the right shoulder. Mrs. Gray is also experiencing
tenderness with motion and pain at the deltoid insertion. Her medical history is significant for
type 1 diabetes mellitus and hypertension. Her social history reveals that she is a secretary and
that she is right-handed. Based on her exam and medical history, you suspect adhesive capulitis
or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive motions
HX of DM
, Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer
game. Jennifer explains that she fell on her left side and kept her arm out straight to break her
fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The
clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements
are true concerning shoulder dislocation?
A. Posterior dislocations are more common than anterior dislocations
B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses
C. Recurrent dislocations are uncommon and would require great force to result in injury
D. Surgery is the most common treatment of choice
There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel
syndrome. She has two young children and asks the clinician what the chances are that they will
also develop carpal tunnel syndrome. Which of the following responses would be correct
regarding the risk of developing carpal tunnel syndrome?
and Primary Care Practicum Questions and
Answers Chamberlain
You are performing muscle strength testing on a patient presenting with musculoskeletal pain
and find that the patient has complete ROM with gravity eliminated. Which numeric grade of
muscle strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
E. 5
B
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain
Morning stiffness
Which of the following statements concerning the musculoskeletal exam is true?
A. The uninvolved side should be examined initially and then compared to the involved side
B. The part of the body that is causing the patient pain should be examined first
C. When possible, the patient should not be asked to perform active ROM exercises to avoid
causing pain
D. Radiographs should always be obtained prior to examination so as not to cause further injury
,to the patient.
When possible, the patient should not be asked to perform active ROM exercises to avoid
causing pain
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
whether the complain is articular or nonarticular in origin. Which of the following in an example
of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
Synovium
You have detected the presence of crepitus on examination of a patient with a musculoskeletal
complaint. Additionally, there is limited range of motion (ROM) with both active and passive
movement. These findings suggest that the origin of the musculoskeletal complaint is:
A. Articular
B. Inflammatory
C. Nonarticular
D. A and B
Articula
,Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in
her right shoulder. She denies any history of trauma. Her exam reveals a 75% reduction in both
active and passive range of motion of the right shoulder. Mrs. Gray is also experiencing
tenderness with motion and pain at the deltoid insertion. Her medical history is significant for
type 1 diabetes mellitus and hypertension. Her social history reveals that she is a secretary and
that she is right-handed. Based on her exam and medical history, you suspect adhesive capulitis
or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive motions
HX of DM
, Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer
game. Jennifer explains that she fell on her left side and kept her arm out straight to break her
fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The
clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements
are true concerning shoulder dislocation?
A. Posterior dislocations are more common than anterior dislocations
B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses
C. Recurrent dislocations are uncommon and would require great force to result in injury
D. Surgery is the most common treatment of choice
There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel
syndrome. She has two young children and asks the clinician what the chances are that they will
also develop carpal tunnel syndrome. Which of the following responses would be correct
regarding the risk of developing carpal tunnel syndrome?
