NR511 / NR 511 Final Exam Study Guide
Differential Diagnosis & Primary Care Practicum
Questions and Answers (Verified Answers)
1.One of the initial steps in assessing patients with musculoskeletal
com- plaints is to determine whether the complain is articular or
nonarticular in origin. Which of the following in an example of an articular
structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
ANS Synovium
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. A and B
ANS Articular
3.Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain
ANS Morning stiffness
4.Which of the following statements concerning the musculoskeletal exam
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.
ANS When possible, the patient should not be asked to perform active
,ROM exercises to avoid causing pain
5.You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with
gravity eliminated. Which numeric grade of muscle strength would you give
this patient?
A. 1
B. 2
C. 3
, D. 4
E. 5
ANS B
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 exam reveals a 75% reduction in both active and passive range of
motion
of the right shoulder. Mrs. Gray is also 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 exam and
medical history, you suspect adhesive capulitis or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
D. Her work as a secretary predisposes her to repetitive motions
ANS HX of DM
7.Jennifer is an 18-year-old girl 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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LectJoshua. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
