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NURS 607 Advanced Physical Assessment FINAL EXAM
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NURS 607 Advanced Physical Assessment FINAL EXAM
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NURS 607 Advanced Physical Assessment FINAL EXAMeczema - CORRECT ANSWER ; Most common skin disease
Mechanical Neck Pain - CORRECT ANSWER ; Aching pain in the
cervical paraspinal muscles and ligaments with associated muscle
spasm, with associated stiffness and tightness in the upper back and
shoulder, lasting up to 6 weeks. No associated radiation, paresthesias, or
weakness. Headache may be present.
Whiplash Neck Pain - CORRECT ANSWER ; Aching paracervical
pain and stiffness (i.e trapedzeus, sternocliomastoid)
Begins day after
Decreased ROM
Cervical Radiculopathy - CORRECT ANSWER ; Sharp burning or
tingling pain in neck & one arm
Caused by herniated disc (nerve root compression)
Can have tricep and bicep involvement
,Cervical Myelopathy (cord compression) - CORRECT ANSWER ;
Neck pain with bilateral weakness and paresthesia in both upper and
lower extremities, Palmar paresthesia
MEDICAL EMERGENCY, must stabilize neck
PE: Hyperreflexia, + babinski, gait changes
Red flags with Back pain for possible metastases - CORRECT
ANSWER ; Age > 50
History of cancer
Unexplained weight loss
Back pain at night or present at rest - CORRECT ANSWER ; Think
Malignacy
Aching pain in the lumbosacral area. PE: paraspinal muscle tenderness,
pain with movement, loss of lumbar lordosis - CORRECT ANSWER ;
Mechanical Low Back pain
Shooting pain below the knee, commonly into the L5 or S1 typically
accompanies low back pain
PE: positive Straight leg and Cross leg test - CORRECT ANSWER ;
Sciatica (Radicular Low Back Pain)
,Lumbar Spinal Stenosis - CORRECT ANSWER ; Pseudoclaudication
pain in the back or legs with walking that improves with rest or lumbar
flexion
Common age >60
Hypertrophic degenerative disease
Ankylosing spondylitis - CORRECT ANSWER ; Age onset <40
Chronic inflammatory disease that causes chronic back/spine stiffness
Diffuse idiopathic hyperostosis (DISH) - CORRECT ANSWER ; Age
onset > 50
Calcification/ossification of spinal ligaments causing chronic back
stiffness
Non inflam disease
Nocturnal Back Pain, unrelieved by rest - CORRECT ANSWER ;
consider metastatic malignancy to the spine from cancer of the other
parts of body
Cauda Equina Syndrome - CORRECT ANSWER ; Low back pain
associated with bladder symptoms
, Saddle paresthesia
surgical emergency
Sacroilitis - CORRECT ANSWER ; Lumbosacral pain radiates to the
buttocks, groin, or posterior thigh (usually in a runner)
PE: Tenderness at SI joint
Rotator Cuff Tendonitis (Impingement Syndrome) - CORRECT
ANSWER ; From overuse or fall in young adults and athletes
Pain radiating from front of shoulder to side of arm
Tenderness just below the tip of the acromion
Too much inflammation can decrease ROM
positive Drop arm test - CORRECT ANSWER ; Rotator cuff tear
Positive Empty Can/Thumb up Test - CORRECT ANSWER ; Rotator
cuff tear or Supraspinatus injury
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