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Unit 6,7 & 8: MN 566/ MN566 (Latest 2024/ 2025 Update) Questions and Verified Answers| 100% Correct| Grade A

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Unit 6,7 & 8: MN 566/ MN566 (Latest 2024/ 2025 Update) Questions and Verified Answers| 100% Correct| Grade A Unit 6 Q: You are performing muscle strength testing on a pt presenting w/musculoskeletal pain and find that the pt has complete ROM w/gravity eliminated. Which numeric grade of muscle strength would you give this pt, 1 -5? Answer: 2 Q: Mrs. Gray is a 55yo woman who presents with tightness, pain, and limited movement in her right shoulder. She denies any h/o trauma. Her exam reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is experiencing tender ness with motion and pain at the deltoid insertion. Her medical hx is significant for type 1 diabetes mellitus and HTN. Her social hx reveals that she is a secretary and that she is right -handed. Based on her examination and medical hx, you suspect adhe sive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's hx supports this dx? Answer: Her h/o diabetes Q: Jennifer is an 18yo who comes to the ER 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 cli nician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? a. Posterior dislocations are more common than anterior dislocations b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses c. Recurrent dislocations are uncommon and would require great force to result in injury. d. Surgery is most commonly the treatment of choice Answer: b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses Q: Mrs. Anderson is a 35yo woman who has been recently diagnosed with carpal tunnel syndrome. She has 2 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 co rrect regarding the risk of developing carpal tunnel syndrome? a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one -half the risk of developing carpal tunnel. b. Only people w/occupations that require repeated flexion extension of the wrist, use of hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for developing carpal tunnel. c. An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel. d. Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. Answer: a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one -half the risk of developing carpal tunnel. Q: Which of the following statements is true regarding the treatment of carpal tunnel syndrome? a. The goal of treatment is to prevent flexion and extension movements of the wrist. b. Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position. c. Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection. d. All of the above Answer: d. All of the above Q: Sam is a 25yo who has been diagnosed with low back strain based on his h/o localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? a. Morning stiffness and limited mobility of the lumbar spine b. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain. c. Fever, chills, and elevated erythrocyte sedimentation rate d. Pathologic fractures, severe night pain, weight loss, and fatigue Answer: b. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain Q: The clinician has instructed Sam, a 25yo pt with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs? a. "You should start with the lowest dose that is effective in managing your pain, because long -
term use of NSAIDs can result in GI disorders such as ulcers and hemorrhage." b. "You should start with the lowest dose that is effective in managing your pain to avoid developing tolerance to the medication." c. "You should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain." d. "It is important to take NSAIDs on an empty stomach in order to increase absorption." Answer: a. "You should start with the lowest dose that is effective in managing your pain, because long-
term use of NSAIDs can result in GI disorders such as ulcers and hemorrhage." Q: Janet is a 30yo who has recently been diagnosed with a herniated disc at the level of L5 -S1. She is currently in the ER with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression? a. Gastrocnemius weakness b. A reduced or absent ankle reflex c. Numbness in the lateral foot d. Paresthesia of the perineum and buttocks Answer: d. Paresthesia of the perineum and buttocks Q: Which of the following statements is true concerning the management of the client with a herniated disc? a. Muscle relaxants and narcotics can be used to control moderate pain but should be discontinued after 3 weeks of use. b. An epidural injection is helpful in reducing leg pain that has persisted for at least 3 weeks after the herniation occurred. c. Intolerable pain for more than a 3mo period is an indication for surgical intervention. d. All of the above. Answer: c. Intolerable pain for more than a 3mo period is an indication for surgical intervention. Q: John is a 16yo boy who presents to the ER after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear? Answer: McMurray circumduction test Q: The clinician suspects that a client has a patellar instability. In order to test for this, the client is seated with the quadriceps relaxed, and the knee is placed in extension. Next the patella is displaced laterally, and the knee flexed to 30 degrees. I f instability is present, this maneuver displaces the patella to an abnormal position on the lateral femoral condyle, and the client will perceive pain. Testing for patellar instability in this way is known as: Answer: Apprehension sign

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Exam (elaborations)

Unit 6,7 & 8: MN 566/ MN566 (Latest 2024/ 2025 Update) Questions and Verified Answers| 100% Correct| Grade A

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