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NSG 6020- ORTHOPEDICS EXAM QUESTIONS AND ANSWERS
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NSG 6020- ORTHOPEDICS EXAM QUESTIONS AND ANSWERS
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NSG 6020- ORTHOPEDICS EXAMQUESTIONS AND ANSWERS
When examining the foot of a patient, the nurse practitioner notes tenderness of the
posterior medial malleolus. This could be suggestive of: - Answer-Tibial tendinitis
When testing hand grip strength on a patient, the nurse practitioner asks the patient to
squeeze which finger(s)?: - Answer-Second and third fingers
A thickened nodule overlying the flexor tendon of the 4th finger and possibly the 5th
finger near the distal palmar crease is suggestive of: - Answer-Dupuytren's contracture
The forward slippage of one vertebrae resulting in spinal cord compression is referred to
as: - Answer-Spondylolisthesis
Apatient complains of shooting pains below the knee radiating into the lateral leg and
calf. This type of low back pain is referred to as: - Answer-radicular low back pain
Thenar atrophy suggests: - Answer-A median nerve disorder
What test is performed when the nurse practitioner instructs the patient to hold his
wrists in flexion for 60 seconds while pressing back on his hands together to form right
angles: - Answer-phalen's test
When inspecting the should and shoulder girdle, the rounded lateral aspect of the
should appears flattened. This finding could be associated with: - Answer-Anterior
should dislocation
When inspecting the shoulder and shoulder girdle, an elevation of the right should was
noted this finding could be associated with: - Answer-Scoliosis
On examination of the foot, the nurse practitioner notes acute inflammation of the first
metatarsophalangeal joint. This finding could be consistent wit h - Answer-Gout
Decreased spinal mobility in the lumbar region could be suggestive of: - Answer-
osteoarthritis
When performing a musculoskeletal examination, the nurse practitioner instructs the
patient to move his arm behind himself. This motion of the should girdle would be an
example of: - Answer-Extension
Passive flexion, valgus stress, and internal rotation of the lower leg evaluate the: -
Answer-medial meniscus
, A 35 year old female patient presents to the nurse practitioner with complaints of pain in
the joints of both hands accompanied by stiffness, especially in the morning with
tenderness and warmth to touch. Examination reveals swelling of the synovial tissue
and limitation of motion. These findings are consistent with: - Answer-rheumatoid
arthritis
With the patient in the dorsal decubitus position, have him slowly extend the knee while
maintaining the varus stress and external rotation. If a snap on the medial joint line is
palpated, this may indicate a positive test for a : - Answer-medial meniscal tear
After attempting to elicit the Moro reflex in a newborn, the nurse practitioner identifies
absence of movement of the left arm. The next assessment would be to: - Answer-
examine the clavical
When examining the foot of a patient, the nurse practitioner notes a bony projection
along the edge of the right calcaneus with minimal pain and tenderness to touch. This
could be suggestive of: - Answer-a bone spur
When performing a spinal exam, the nurse practitioner notices unequal heights of the
iliac crest. This finding could be suggestive of: - Answer-unequal leg length
To palpate the medial meniscus, slightly internally rotate the tibia and palpate the
medial soft tissue along the: - Answer-upper edge of the tibial plateau
The medial and lateral menisci: - Answer-cushions the action of the femur on the tibia
The nurse practitioner instructs the patient to lie supine, bend his knee, and turn his
lower leg and foot away from the midline. This maneuver would assess hip: - Answer-
internal rotation
The nerve that provides sensation to the palm and palmar surface of most of the thumb,
second and third fingers, and half of the fourth digit is the: - Answer-median nerve.
When performing a spinal exam, the nurse practitioner noted the appearance of poor
posture and a "hump" appearance of the upper back. This finding could be suggestive
of: - Answer-Thoracic kyphosis
When evaluating a patient who complains of thumb pain, the nurse practitioner would
test thumb movement by instructing the patient to place his thumb in the palm and then
move the wrist toward the midline in ulnar deviation. This maneuver is commonly known
as: - Answer-Finkelstein's test
Blue sclera, weak muscles, and increased joint flexibility during a newborn assessment
may be suggestive of: - Answer-osteogenesis imperfecta
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