Exam (elaborations)
NSG 6020 Orthopedics – Questions & Solutions
NSG 6020 Orthopedics – Questions & Solutions
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NSG 6020 Orthopedics – Questions & SolutionsWhen examining the foot of a patient, the nurse practitioner notes
tenderness of the posterior medial malleolus. This could be suggestive of:
Correct Ans - Tibial tendinitis
When testing hand grip strength on a patient, the nurse practitioner asks
the patient to squeeze which finger(s)?: Correct Ans - 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:
Correct Ans - Dupuytren's contracture
The forward slippage of one vertebrae resulting in spinal cord compression
is referred to as: Correct Ans - 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: Correct
Ans - radicular low back pain
Thenar atrophy suggests: Correct Ans - 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: Correct Ans - 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:
Correct Ans - Anterior should dislocation
When inspecting the shoulder and shoulder girdle, an elevation of the right
should was noted this finding could be associated with: Correct Ans -
Scoliosis
On examination of the foot, the nurse practitioner notes acute
inflammation of the first metatarsophalangeal joint. This finding could be
consistent wit h Correct Ans - Gout
, Decreased spinal mobility in the lumbar region could be suggestive of:
Correct Ans - 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: Correct Ans - Extension
Passive flexion, valgus stress, and internal rotation of the lower leg evaluate
the: Correct Ans - 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: Correct Ans -
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 :
Correct Ans - 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: Correct Ans - 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: Correct Ans - a
bone spur
When performing a spinal exam, the nurse practitioner notices unequal
heights of the iliac crest. This finding could be suggestive of: Correct
Ans - unequal leg length
To palpate the medial meniscus, slightly internally rotate the tibia and
palpate the medial soft tissue along the: Correct Ans - upper edge
of the tibial plateau
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