,Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased
following a day of gardening one week ago. A physical finding that
differentiates the diagnosis and is most consistent with lateral
epicondylitis (tennis elbow) is:
Ecchymosis, edema, and erythema over the lateral epicondyle
Pain at the elbow with resisted movements at the wrist and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against resistance Correct Answer-
Pain at the elbow with resisted movements at the wrist and forearm
Which of the following statements concerning the
musculoskeletal examination is true?
The uninvolved side should be examined initially and then compared to
the involved side.
The part of the body that is causing the patient pain should be examined
first.
, When possible, the patient should not be asked to perform active range-
of-motion (ROM) exercises to avoid causing pain.
Radiographs should always be obtained prior to examination so as not
to cause further injury to the patient. Correct Answer-The uninvolved
side should be examined initially and then compared to the involved
side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain Correct Answer-Morning stiffness
Which causes the greatest percentage of mammalian bites?
Dogs
Cats
Humans
Rodents Correct Answer-Dogs
, A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no
longer exercise. Pelvic exam reveals a single, very large mass. Which of
the following diagnostic tests should the clinician order first?
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the
following responses would be most appropriate?
"Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
All of the above Correct Answer-All of the above
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