Ortho NCLEX - yr yr
practice questions and answers correct a
yr yr yr yr yr yr
nd verified A+
yr yr
2.yrAyr33-year-oldyrmanyrcomplainsyrofyrleftyranterioryrshoulderyrpainyrforyr4yrweeks.yrTheyrpainyrisyrmadeyrworse
withyroverheadyractivities.yrOnyrexamination,yryouyrnoteyrmaximalyrpainyrinyrtheyrshoulderyrwithyrpalpation
betweenyrtheyrgreateryrandyrlesseryrtubercle.yrPainyrinyrtheyrshoulderyrisyrexacerbatedyrwhenyrtheyrarmyrisyrheld
atyrtheyrside,yrelbowyrflexedyrtoyr90°yrandyrtheyrpatientyrisyraskedyrtoyrsupinateyrandyrflexyrtheyrforearmyragainst
youryrresistance.yrOnyrtheyrbasisyrofyrthisyrpresentation,yrwhatyrisyrtheyrmostyrlikelyyrdiagnosis?
(A)yrrotatoryrcuffyrtendonitis
(B)yrmyocardialyrinfarction
(C)yranterioryrshoulderyrdislocation
(D)yrrotatoryrcuffyrtear
(E)yrbicipitalyrtendonitisyr-yrcorrectyranswers-(E)yrbicipitalyrtendonitis
4.yrAyr73-year-oldyrwomanyrpresentsyrtoyrtheyremergencyyrdepartmentyrfollowingyrayrfallyrinyrheryrhome.yrShe
trippedyroveryrayrthrowyrrug,yrfellyrforward,yrandyrlandedyrwithyrheryrarmsyrextendedyrandyrhands
outstretched.yrSheyrpresentsyrcomplainingyrofyrleftyrwristyrpain.yrRadiographsyrrevealyrayrdorsally
angulatedyrandyrdisplacedyrdistalyrradiusyrmetaphysealyrfracture.yrWhatyrisyrtheyrmostyrlikelyyrdiagnosis?
(A)yrBartonyrfracture
(B)yrCollesyrfracture
(C)yrSmithyrfracture
(D)yrboxeryrfractureyr-yrcorrectyranswers-(B)yrCollesyrfracture
5.yrIdiopathicyrosteonecrosisyrofyrtheyrfemoralyrheadyrisyrtheyrmostyrlikelyyrdiagnosisyrinyrwhichyrofyrthe
followingyrpatients?
(A)yrFive-year-oldyrboyyrwhoyrcomplainsyrofyrsignificantyrhipyrandyrkneeyrpain
(B)yrSix-year-oldyrboyyrwhoyrreportsyrayrlimpyrandyrachingyrinyrtheyrgroinyrandyrproximalyrthigh
(C)yrSeven-year-oldyrobeseyrgirlyrwhoyrmanifestsyrayrpainlessyrlimp
(D)yrTwelve-year-oldyrgirlyrwhoyrcomplainsyrofyrprogressivelyyrworseningyrhipyrpain,yrfever,yrandyrchills
(E)yrEighteen-year-oldyrboyyrwhoyrcomplainsyrofyrbilateralyrhipyrpainyrthatyrisyrworseyrinyrtheyrmorningyrand
isyrrelievedyrwithyractivityyr-yrcorrectyranswers-(B)yrSix-year-
oldyrboyyrwhoyrreportsyrayrlimpyrandyrachingyrinyrtheyrgroinyrandyrproximalyrthigh
6.yrAyr22-year-oldyrfemaleyrpersonyrwasyrplayingyrbasketballyrwhenyrsheyrtrippedyrandyrlandedyronyrthe
pavementyrwithyrheryrhandsyroutstretched.yrSheyrpresentsyrcomplainingyrofyrabrasionsyronyrtheyrrightyrthenar
eminenceyrandyr"wristyrpain."yrPhysicalyrexaminationyrrevealsyrtendernessyrtoyrpalpationyrbetweenyrthe
extensoryrpollicisyrlongusyrandyrtheyrextensoryrpollicisyrbrevis.yrAssessmentyrofyrtheyrmedian,yrulnar,yrand
radialyrnervesyrrevealsyrnoyrsensoryroryrmotoryrchangesyrwhenyrcomparedyrwithyrtheyrleftyrhand.yrRadialyrand
ulnaryrpulsesyrareyr2+yrbilaterallyyrwithyrcapillaryyrrefillyrlessyrthanyr2yrsecondsyronyrallyrfiveyrfingersyrofyrthe
rightyrhand.yrPosterior-anterioryrviewyrradiographsyrofyrtheyrwristyrandyrposterior-anterioryrwrist
radiographsyrwithyrtheyrwristyrinyrulnaryrdeviationyrrevealyrnoyrfracturesyroryrdislocations.yrWhatyrisyrthe
appropriateyrmanagementyrforyrthisyrpatientyratyrthisyrtime?
(A)yrimmediateyrorthopedicyrreferral
(B)yrcock-upyrsplintyruntilyrsymptomsyrresolve
(C)yrphysicalyrtherapyyrreferralyrforyrassessmentyranyr-yrcorrectyranswers-
(D)yrthumbyrspicayrsplintyrandyrrepeatyrradiographsyrinyr3yrweeks
,7.yrAyr53-year-oldyrpatientyrofyrScandinavianyrdescentyrpresentsyrwithyrpainyrinyrtheyrringyrfingeryrofyrtheyrright
hand.yrTheyrpatientyrstatesyrthatyrhe/sheyrhasyrpainyrwhenyrhe/sheyrextendsyrhis/heryrfingeryrafteryrmakingyra
fist.yrTheyrfingeryrwillyrnotyrextendyronyritsyrown,yrrequiringyrtheyrpatientyrtoyrmanuallyyrextendyrtheyrfinger,yra
maneuveryrthatyrproducesyrbothyranyraudibleyrsnapyrandyrconsiderableyrpain.yrWhatyrisyrtheyrmostyrlikely
diagnosis?
(A)yrjerseyyrfinger
(B)yrtriggeryrfinger
(C)yrDupuytrenyrcontracture
(D)yrgamekeeperyrfinger
(E)yrganglionyrcystyr-yrcorrectyranswers-(B)yrtriggeryrfinger
9.yrAyr27-year-oldyrwomanyrwithyrnoyrsignificantyrmedicalyrhistoryyrpresentsyrcomplainingyrofyrleftyrelbow
painyrforyr3yrdays.yrTheyrpatientyrstatesyrthatyroveryrtheyrlastyr3yrdays,yrheryrleftyrelbowyrhasyrbecome
increasinglyyrred,yrswollen,yrandyrpainful.yrTheyrpatientyrisyrleft-hand-dominant.yrTheyrpatientyris
employedyrasyrayrchiropractor,yrsheyrisyrsexuallyyractiveyrbutyrdeniesyrayrhistoryyrofyrsexuallyyrtransmitted
infections.yrTheyrpatientyrisyrcurrentlyyrhavingyrheryrmenses,yrdeniesyranyyrrecentyrforeignyrtravel,yrand
acknowledgesyrthatyrwhileyrsheyrregularlyyrplaysyrtennis,yrsheyrdoesyrnotyrrecallyranyyrhistoryyrofyrelbow
trauma.yrOnyrphysicalyrexamination,yryouyrdiscoveryranyrelbowyrjointyrthatyrisyrmarkedlyyrerythematous,
warmyrtoyrtouch,yrandyrtenderyrtoyrpalpation.yrRangeyrofyrmotionyrisyrdecreasedyrsecondaryyrtoyredemayrand
pain.yrRadiographyrofyrtheyrelbowyrrevealsyronlyyrsoftyrtissueyrswellingyrbutyrnoyrfractureyroryrdislocation.
Jointyraspirationyrisyrperformedyrandyrayrgram-negativeyrdiplococcusyrisyridentifiedyronyrcytological
exayr-yrcorrectyranswers-(C)yrNeisseriayrgonorrhoeae
10.yrAyr53-year-oldyrwomanyrpresentsyrwithyrpainyrinyrheryrrightyrwrist.yrTheyrpainyrisyraggravatedyrbyyrmovement
ofyrtheyrthumbyrandyrwhenyrsheyrmakesyrayrfist.yrSheyralsoyrnotesyrthatyrwhenyrsheyrmovesyrheryrthumb,yrthereyris
anyroccasionalyrlockingyrsensationyrinyrtheyrradialyraspectyrofyrheryrwrist.yrPhysicalyrexaminationyrofyrthe
wristyrrevealsyrswellingyrandyrtendernessyroveryrtheyrdistalyrradius,yrandyrfullyrflexionyrofyrtheyrthumbyrintoyrthe
palm,yrwithyrulnaryrdeviationyrofyrtheyrwrist,yrproducesyrpain.yrRadiographicyrevaluationyrofyrtheyrwrist
showsyrnoyrboneyrabnormalities.yrWhichyrofyrtheyrfollowingyrwouldyrbeyrtheyrtreatmentyrofyrchoiceyrinyrthis
patientyrpresentation?
(A)yrimmobilizationyrofyrtheyrwristyrwithyrayrthumbyrspicayrsplint
(B)yrtendonyrsheathyrcorticosteroidyrinjection
(C)yroperativeyrtreatmentyrtoyrrestoreyrfunctionality
(D)yrpromptyrneurologicalyrevaluation
(E)yrproceedyrtoyrboneyrscanyrtoyrevaluateyrtheyrareayrofyrpainyr-yrcorrectyranswers-
(A)yrimmobilizationyrofyrtheyrwristyrwithyrayrthumbyrspicayrsplint
11.yrWhichyrofyrtheyrfollowingyrmostyraccuratelyyrdescribesyrtheyrphysicalyrexaminationyrfindingsyrsuggestiveyrof
ayrboutonniereyrdeformity?
(A)yrhyperextensionyrofyrtheyrproximalyrinterphalangealyrjointyrwithyrfixedyrflexionyrofyrtheyrdistalyrinterphalang
ealyrjoint
(B)yrpersistentyrextensionyrofyrtheyrproximalyrinterphalangealyrjointyrwithyrhyperflexionyrofyrtheyrdistalyrinterpha
langealyrjoint
(C)yrhyperextensionyrofyrtheyrdistalyrinterphalangealyrjointyrwithyrflexionyrofyrtheyrproximalyrinterphalangealyrjoi
nt
(D)yrpersistentyrflexionyrofyrtheyrproximalyrinterphalangealyrjointyrwithyrhyperextensionyrofyrtheyrdistalyrinterpha
langealyrjoint
(E)yrhyperextensionyrofyrtheyrdistalyrinterphalangealyrjointyrwithyrextensionyrofyrtheyrproximalyrinterphalangealyr
jointyr-yrcorrectyranswers-
(D)yrpersistentyrflexionyrofyrtheyrproximalyrinterphalangealyrjointyrwithyrhyperextensionyrofyrtheyrdistalyrinterpha
langealyrjoint
, 13.yrYouyrhaveyrbeenyrfollowingyrayr52-year-
oldyrmanyrwithyrayrcomplaintyrofyrbackyrpainyroveryrtheyrpastyr7yrweeks.yrDuringyrtheyrfirstyr5yrweeksyrofyrhisyrcondi
tion,yrAbraham'syrbackyrpainyrwasyrsteadilyyrdecliningyrandyrhisyrneurologicalyrfindingsyronyrphysicalyrexaminatio
nyrwereyrdecreasing.yrOveryrtheyrpastyr2yrweeks,yrAbrahamyrhasyrcomplainedyrofyrworseningyrpainyrthatyrisyrcurre
ntlyyrunrelenting,yrespeciallyyratyrnight.yrOnyrphysicalyrexamination,yrAbrahamyrdemonstratesyrfindingsyronyrbo
thyrtheyrstraightyrlegyrraiseyrandyrcrossedyrstraightyrlegyrraiseyrtests.yrHisyrmuscleyrweaknessyrhasyrlikewiseyraccele
ratedyroveryrtheyrpastyr2yrweeks,yrandyrheyrisyrnoyrlongeryrableyrtoyrheelyrwalkyrusingyrhisyrleftyrankle.yrWhatyrisyrthey
rmostyrappropriateyrmanagementyrstrategyyratyrthisyrtime?
(A)yrconservativeyrtherapyyrincludingyrapplicationyrofyriceyrandyrphysicalyrtherapyyrreferralyrforyrmuscle
stretchingyrandyrstrengthening
(B)yrplainyrradiographsyrofyrtheyrspine
(C)yrcomputedyrtomographyyr(CT)yrofyrtheyrspine
(D)yrMRIyrofyrtheyrspineyr-yrcorrectyranswers-(D)yrMRIyrofyrtheyrspine
16.yrAyr10-year-oldyrboyyrisyrbroughtyrtoyrtheyremergencyyrdepartmentyrafteryrfallingyrduringyrtheyrrecessyrat
school.yrTheyrpatientyrstatesyrthatyrheyrwasyrrunningyrwithyrayrfootballyrwhenyrtwoyrofyrhisyrclassmatesyrtackled
him.yrHeyrcomplainsyrofyrpainyrinyrhisyrrightyrwrist.yrRadiographsyrrevealyrayrfractureyrtoyrtheyrrightyrradius.yrTheyrfr
actureyrlineyrrunsyrdiagonallyyrfromyrtheyrepiphysisyrthroughyrtheyrmetaphysealyrbone.yrByyrdefinition,yrhowyrwo
uldyryouyrclassifyyrthisyrpatient'syrfracture?
(A)yrSalter-HarrisyrtypeyrI
(B)yrSalter-HarrisyrtypeyrII
(C)yrSalter-HarrisyrtypeyrIII
(D)yrSalter-HarrisyrtypeyrIV
(E)yrSalter-HarrisyrtypeyrVyr-yrcorrectyranswers-(B)yrSalter-HarrisyrtypeyrII
17.yrAyr25-year-
oldyrmanyrwasyrinvolvedyrinyrayrmotoryrvehicleyraccidentyr(MVA)yrandyrcomplainsyrofyrrightyrlegyrpain.yrTheyrcaryrw
asyrtravelingyrapproximatelyyr50yrmilesyrperyrhouryrwhenyrtheyrdriveryrlostyrcontrolyrofyrtheyrvehicle,yrcausingyrityrt
oyrleaveyrtheyrroadyrandyrrunyrhead-
onyrintoyrayrtree.yrAtyrtheyrtimeyrofyrtheyraccident,yrheyrwasyrsittingyrinyrtheyrpassengeryrsideyrofyrtheyrfrontyrseat.yrT
heyrforceyrofyrtheyrcollisionyrcausedyrtheyrdashboardyrtoyrbeyrdrivenyrviolentlyyrbackyragainstyrtheyrpatient'syrknee
s.yrOnyrtheyrbasisyrofyrthisyrmechanismyrofyrinjury,yrwhatyrwouldyryouyrexpectyrtoyrfindyrwhenyryouyrinspectyrtheyrri
ghtyrleg?
(A)yrflexed,yrabducted,yrandyrexternallyyrrotated
(B)yrshortened,yrabducted,yrandyrexternallyyrrotated
(C)yrshortened,yrabducted,yrandyrinternallyyrrotated
(D)yrshortenedyrandyrexternallyyrrotated
(E)yrshortened,yradducted,yrandyrinternallyyrrotatedyr-yrcorrectyranswers-
(E)yrshortened,yradducted,yrandyrinternallyyrrotated
18.yrAyr42-year-oldyrautomobileyrmechanicyrpresentsyrcomplainingyrofyrneckyrpainyrthatyrradiatesyrdownyrthe
lateralyraspectyrofyrhisyrarmyrandyrintoyrhisyrleftyrhand.yrTheyrpatientyrstatesyrthatyrtheyrpainyrhasyrbecome
progressivelyyrmoreyrconstantyroveryrtheyrpastyr3yrweeks.yrHeyrfeelsyrthatyrheyrisyr"loosingyrstrength"yrinyrhis
leftyrhandyrandyrthatyrpartsyrofyrhisyrleftyrhandyrareyrfeelingyrnumb.yrHeyrstatesyrthatyrhisyrsymptomsyrseemyrto
lessenyrwhenyrheyrplacesyrhisyrhandyronyrtopyrofyrhisyrhead.yrPhysicalyrexaminationyrrevealsyrvitalyrsignsyrthat
areyrwithinyrnormalyrlimits;yrnoyrmuscleyratrophyyroryrspasmyrareyrnotedyrinyrtheyrneckyroryrupperyrextremities
bilaterally.yrSensoryyrabilityyrisyrdiminishedyrinyrtheyrlongyrfingeryronyrtheyrleftyrhand.yrTricepsyrmuscle
strengthyrisyr5/5yronyrtheyrrightyrandyr4/5yronyrtheyrleft.yrBicepyrstrengthyrisyr5/5yrbilaterally.yrBicepsyrand
brachioradialisyrreflexesyrareyr+2yrbilaterally,yrright-sidedyrtricepsyrreflexyrisyr2+,yrandyrleft-sidedyrtriceps
reflexyrisyr1+.yrOnyrtheyrbasisyrofyrthisyrpresentation,yrwhatyrspinalyrryr-yrcorrectyranswers-(C)yrC7
20.yrAyr7-year-oldyrboyyrisyrbroughtyrtoyrtheyremergencyyrdepartmentyrafteryrsustainingyrayrfallyrontoyrhis
