MVU NURS 623 Exam 4 100% With Complete Solutions Expert Verified Latest 2024 Version
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MVU NURS 623 Exam 4 | 100% Correct
Answers | Verified | Latest 2024 Version
1. One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether
the complaint is articular or nonarticular in origin. Which of the following is an example of an articular
struct...
MVU NURS 623 Exam 4 | 100% Correct
Answers | Verified | Latest 2024 Version
1. One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether
the complaint is articular or nonarticular in origin. Which of the following is an example of an articular
structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - ✔✔b. Synovium
2. 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 - ✔✔a. Articular
3. Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - ✔✔c. Morning stiffness
4. Which of the following statements concerning the musculoskeletal examination 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 range-of-motion (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. - ✔✔a. The uninvolved side should be examined initially and then compared to the involved
side.
5. 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. 2
6. 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 examination reveals a 75% reduction in both active
and passive ROM of the right shoulder. Mrs. Gray also is 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 examination
and medical history, you suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's
history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions. - ✔✔c. Her history of diabetes mellitus
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 also will develop carpal
tunnel syndrome. Which of the following responses would be correct regarding the risk of developing
carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about
one-half the risk of developing carpal tunnel.
b. Only people with occupations that require repeated flexion extension of the wrist, use of hand tools
that require forceful gripping, or use of hand tools that vibrate are at risk for developing carpal tunnel.
c. An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel.
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