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Nurs 611 Final Exam: Questions And Answers (100%)
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Nurs 611 Final Exam: Questions And Answers (100%)
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Nurs 611 Final Exam: Questions And Answers (100%)3 types of joints Right Ans - 1. Synovial (freely movable, knee and
shoulder)
2. Cartilaginous (slightly movable, vertebral bodies, symphysis pubis,
sternomanubrial joint)
3. Fibrous (immovable, skull sutures)
Types of synovial joints Right Ans - 1. Ball and socket (shoulder/hip)
2. Hinge (wrist, interphalangeal joints of hands/foot)
3. Condylar (knee, temporomandibular joint)
Tips for assessing joint pain Right Ans - 1. Point to the pain
2. Clarify onset, mechanism of injury, activity
3. Articular or extraarticular, acute or chronic, inflammatory or
noninflammatory, localized (monoarticular) or diffuse (polyarticular)
4. Clarify the attributes of each symptom including context, associations, etc.
5. Symptom analysis
Describe the following types of pain
Muscle
Nerve root
Nerve
Sympathetic nerve
Bone
Fracture
Vascular Right Ans - Muscle: dull, cramping, aching
Nerve root: sharp shooting
nerve: sharp, lightening like
Sympathetic: burning, pressure like, stinging
Bone: deep, nagging, dull
Fracture: sharp, severe, intolerable
Vascular: throbbing, diffuse
Red flags for lower back pain Right Ans - Age <20 or >50
History of cancer
Unexplained weight loss, fever, or general decline in health
Pain lasting >1mo, unresponsive to treatment
Pain worse at night or present at rest
, history of IVDA, addiction, immunosuppression
Presence of active infection or HIV
Long term steroid therapy
Saddle anesthesia
Bladder or bowel incontinence
Neurological deficits
Lower extremity weakness
Shoulder pain can be two nonmusculoskeletal reasons Right Ans - Referred
abdominal pain
Cardiac pain
Hawkins test
Indication
Movement
Positive Right Ans - Subacromial impingement
90 degree arm, 90 degree elbow flexed
Forcibly internally rotate
Positive if pain, nerve burning
Empty can test
Indication
Movement
Positive Right Ans - Impingement, rotater cuff tear
ARms elevated 90 degrees, then internally rotate 30 degrees (dumping out
cans)
Resist abduction
Unable, positive
Apley's test
Indication
Movement
Positive Right Ans - Rotator cuff tendonitis
REach overhead, reach behind as far as possible
Apprehension test
Indication
Movement
Positive Right Ans - Arm at 90 degrees, shoulder at 90 degrees, abducted.
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