NR 601 MIDTERM EXAM | PRIMARY CARE OF THE MATURING AND AGED FAMILY EXAM | CORRECTLY ANSWERED AND GRADED A+ | CHAMBERLAIN
NR 601 MIDTERM EXAM | PRIMARY CARE OF THE MATURING AND AGED FAMILY EXAM | CORRECTLY ANSWERED AND GRADED A+ | CHAMBERLAIN
NR 601 MIDTERM EXAM | PRIMARY CARE
OF THE MATURING AND AGED FAMILY
EXAM | CORRECTLY ANSWERED AND
GRADED A+ | CHAMBERLAIN
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 - Correct Answer - B PTS: 1
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. Noninflammatory - Correct Answer - A PTS: 1
,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 - Correct Answer - C PTS: 1
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
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.
- Correct Answer - A PTS: 1
5. You are performing muscle strength testing on a patient presenting
with musculoskeletal pain and find that the patient has complete ROM
but cannot move it above gravity. Which numeric grade of muscle
strength would you give this patient?
,A. 1
B. 2
C. 3
D. 4 - Correct Answer - B PTS: 1
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 type 1 diabetes
D. Her work as a secretary predisposes her to repetitive motions.
- Correct Answer - C PTS: 1
7. Jennifer is an 18-year-old woman 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 ROM in her left shoulder. The
, clinician has diagnosed Jennifer with a dislocated shoulder. Which of the
following statements are true concerning shoulder dislocation?
A. Anterior dislocations are not painful, and ROM is normal.
B. There is a risk of neurovascular and neurosensory trauma, so the
clinician should check for distal pulses.
C. X-rays are the only diagnostic testing appropriate to assess a
dislocation.
D. Most traumatic dislocations are posterior. - Correct Answer - B PTS:
1
8. Fred has been diagnosed with a trigger finger of the ring finger. Which
of the following management strategies is appropriate?
A. Surgical removal of the tendon sheath
B. NSAIDs
C. Local anesthetic injection into the tendon sheath
D. Splinting - Correct Answer - C PTS: 1
9. 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?
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