Musculoskeletal - FNP Certification Exam 4th ed. Winland-
Brown and Dunphy || A+ Verified Solutions.
d. a goniometer correct answers if any limitation or any increase in range of motion occurs when
assessing the musculoskeletal system, the angles of the bones should be measured by using:
a. Phalen's test
b. skeletometry
c. the Thomas test
d. a goniometer
a. de-bride and irrigate the wound thoroughly correct answers J., age 16, comes into the office
with a human bit on his fist. what is the first course of action?
a. de-bride and irrigate the wound thoroughly
b. initiate broad-spectrum antibiotics
c. leave the wound open for drainage
d. administer a tetanus injection
d. refer to a neurosurgeon correct answers S. age 49 presents with loss of anal spincter tone,
impaired micturition, incontinence, and progressive loss of strength in the legs. you suspect
cauda equina syndrome. what is your next action?
a. order physical therapy
b. order a lumbar/sacral x-ray
c. order extensive lab work
d. refer to a neurosurgeon
a. supination correct answers in assessing the skeletal muscles, you turn the forearm so that the
palm is up. this is called:
a. supination
b. pronation
c. abduction
d. eversion
b. Salter-Harris III correct answers E. a 10 y/o boy, jumps off a 2 foot wall, twisting his foot and
ankle upon landing. his ankle xpray demonstrates a fx of the distal tibia over the articular surface
into the epiphysis and physis. based on the Salter-Harris classification for growth plate injuries
you know this is a:
a. Salter-Harris II
b. Salter-Harris III
c. Salter-Harris IV
d. Salter-Harris V
c. vitamin D increases intestinal absorption of the dietary calcium and mobilizes calcium from
the bone correct answers K. who is postmenopausal, is taking 1,500mg of calcium but does not
understand why she also needs to take vitamin D. you tell her that:
a. a deficiency of vitamin D results in an inadequate mineralization of bone matrix
,b. all vitamins need to be supplemented
c. vitamin D increases intestinal absorption of the dietary calcium and mobilizes calcium from
the bone
d. vitamin D binds with calcium to allow active transport into the cells
a. women should try to exercise moderately for at least 30 min on most, if not all, days of the
week correct answers the American College of Obstetricians and Gynecologists guidelines for
exercise during pregnancy and after delivery include which of the following?
a. women should try to exercise moderately for at least 30 min on most, if not all, days of the
week
b. exercise in the supine position is the position of choice
c. anaerobic exercise during pregnancy is preferred over aerobic exercise
d. exercise should be discontinued upon discovery of pregnancy and be resumed after delivery
a. interrupt the cycle of urate crystal deposition and inflammatory response correct answers
colchicine may be used to terminate an acute attack of gouty arthritis, as well as to prevent
recurrent episodes. the mechanism of action is to:
a. interrupt the cycle of urate crystal deposition and inflammatory response
b. increase serum uric acid levels
c. potentiate the excretion of uric acid
d. inhibit the tubular reabsorption of urate, promoting the excretion of uric acid
begin a course of glucocorticoids correct answers L., age 52, who has just been given a dx of
sarcoidoxis, has joint sxs including arthralgias and arthritis. your next plan of action would be to:
a. order a bone scan
b. obtain a tissue biopsy
c. begin a course of glucocorticoids
d. obtain an electrocardiogram
b. hyponatremia correct answers G., age 26, runs marathons and frequently c/o painful
contractions of his calf muscles after running. you attribute this to:
a. hypercalcemia
b. hyponatremia
c. heat exhaustion
d. dehydration
c. as long as you can protect the remaining testicle, go for it correct answers S., age 15, has only
one testicle. when he asks you if he can play on the soccer team at school, how do you respond?
a. no, you'd be taking too much of a chance of injuring your remaining testicle
b. you can play any noncontact sport; however, soccer is too strenuous
c. as long as you can protect the remaining testicle, go for it
d. it should have no bearing on any activity
a. high estrogen states, such as with oral contraceptive correct answers there are many precursors
of deep venous thrombosis (DVT), such as decreased blood flow, injury to the blood vessel wall,
, and altered blood coagulation. which clinical risk factor for DVT is the result of
hypercoagulability?
a. high estrogen states, such as with oral contraceptive
b. trauma that results in orthopedic surgery
c. an indwelling intravenous catheter of a lower extremity
d. prolonged sedentary position related to immobility
c. let pain be your guide and continue activities correct answers H., age 29 is a nurse who has an
acute episode of back pain. you have determined that it is a simple "mechanical" backache and
order:
a. bedrest for 2 days
b. muscle relaxants
c. let pain be your guide and continue activities
d. back-strengthening exercises
c. Dupuytren's contracture correct answers D. who is 45 and of norther european ancestry, has a
dysfunctional disfiguring condition affecting the palmar tissue between the skin and the distal
palm and fourth and fifth fingers. what do you suspect?
a. Hallux valgus
b. DeQuervain's tenosynovitis
c. Dupuytren's contracture
d. Hallux rigidus
d. if you have additional pain, an occasional acetaminophen is permitted in between the usual
doses of the NSAID correct answers for your clt with a knee injury, you order an NSAID to be
taken on a routine basis for the next 2 wks. your teaching should include which of the following?
a. you may take this medication on an empty stomach as long as you eat within 2-3 hrs of taking
it
b. if one pill does not seem to help, you can double the dose for subsequent doses
c. if you notice nausea/vomiting or black or bloody stools, take the next dose with a glass of milk
or a full meal
d. if you have additional pain, an occasional acetaminophen is permitted in between the usual
doses of the NSAID
b. change the position of J.'s arm every hr correct answers J., age 87, broke her wrist after falling
ff a curb.she just had a plaster cast applied to her wrist. in instructing her family on allowing the
cast to dry properly, tell them to:
a. continuously elevate J.'s arm on a pillow
b. change the position of J.'s arm every hr
c. position a fan near J.'s during the night to ensure even drying of the cast
d. put a blanket over the cast to absorb the dampness
a. relative rest; he could benefit from hamstring stretching, heel cord stretching, and quadriceps
stretching exercises correct answers J., age 17 has been c/o a painful knob below his rt knee that
has prevented him from actively participating in sports. he has recently been given a dx of
Osgood-Schlatter disease and asks you about his tx options. you tell him that the initial tx is:
