FNP Musculoskeletal UPDATED Exam
Questions and CORRECT Answers
curlie toe - CORRECT ANSWER-
Articular - CORRECT ANSWER- joint (synovium, synovial fluid, articular cartilage,
intrarticular ligaments, joint capsule, juxta-articular bone)
deep defuse pain, limited active and passive ROM, swelling, crepitation, instability, locking,
deformity
non-articular - CORRECT ANSWER- painful active but not passive ROM
dorsiflexion - CORRECT ANSWER- bending of the foot or the toes upward
plantarflexion - CORRECT ANSWER- Ankle movement pointing the foot downward
inflammatory conditions - CORRECT ANSWER- swelling, erythema, morning stiffness,
symmetric pain even at rest
increased C-reactive protein and erythromycin sedimentation rate
dx of gout - CORRECT ANSWER- intracellular monosodium urate crystals on polarized
microscopy-obtained by aspiration of joint fluid
osteoarthritis - CORRECT ANSWER- noninflammatory
affects few joints, typically weight bearing joints (spine, knees)
myotome - CORRECT ANSWER- muscle or group of muscles supplied by a specific spinal
nerve
C4: lower neck, trapezius
,C5/C6: deltoid/biceps: shoulder shrug, elbow flexion; test with bicep and brachoradialus
reflex
C6/C7: Triceps: elbow extension; test with tricep reflex
C8/T1: finger flexion/extension, thumb opposition, abduction
T1-T12: intercostal and abdominal muscles
L2/L3: hip flexion
L2-L4: hip adduction/quads
L4/L5: ankle dorsiflexion (heel walking), great toe dorsiflexion; test with patellar reflex
S1/S2: ankle plantar flexion (toe walking); test with achilles reflex
S2-S4: rectal tonee
imaging for MSK issues - CORRECT ANSWER- reserve imaging for symptoms
persistenting > 4-6 weeks or with red flags
red flags: radicular symptoms > 4-6 weeks, increasing symptoms, osteomyelitis, cauda
equina, herniation of disc, epidural abscess, bilateral sacroilitis
indicated after trauma, if you cannot localize anatomical structure causing symptoms, loss of
joint function, pain continues despite conservative management, suspect fracture or bone
infection, hx of malignancy
cauda equina - CORRECT ANSWER- "horse's tail", a fan of nerve fibers below the spinal
cord
s/s: saddle anesthesia (perianal area, loss of bowel and bladder control-retention or
incontinence), flaccidity of lower extremities, loss of rectal tone, loss of LE DTR
dx: MRI, CT myelogram
, corticosteroid injections - CORRECT ANSWER- not long term solution
used in :
adhesive capsulitis
carpal tunnel
de quervain tendosynovitis
greater trochanter bursitis
hip osteoarthritis
knee osteoarthritis
lateral epicondylitis
medial epicondylitis
Morton neuroma
subacromial impingment syndrome
trigger finger
wrist and hand osteoarthritis
indication for ER referral - CORRECT ANSWER- open fracture
compartment syndrome
neurovascular compromise
PT prescription - CORRECT ANSWER- diagnosis to be treated
frequency and duration of therapy
specific protocols or treatment
safety precautions
signature and date
Polymyalgia Rheumatica (PMR) - CORRECT ANSWER- inflammatory disorder of the
muscles and joints characterized by pain and stiffness in the neck, shoulders, upper arms, and
hips and thighs
acute MSK injury - CORRECT ANSWER- < 6 weeks
spasm, strain, sprain
