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NURP 532 Exam Practice Questions and Answers |100% Pass What is the SMART approach for musculoskeletal conditions? - Answer-S- visual scan or survey of region- red, inflammation, swelling M- motion completed by patient- abduction, adduction, flexion, extension A- assisted motion completed by c...

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




NURP 532 Exam Practice Questions and
Answers |100% Pass

What is the SMART approach for musculoskeletal conditions? - Answer✔✔-S- visual scan or survey of

region- red, inflammation, swelling


M- motion completed by patient- abduction, adduction, flexion, extension


A- assisted motion completed by clinician- passive ROM, frozen shoulder


R- resisted testing of muscles and tendons


T- tests that are special- assess joints, tendons, and muscles


What are indications for early imaging for MSK conditions? - Answer✔✔-- suspicion of non-MSK etiology


- trauma plus functional loss


- failed conservative measures- failed RICE or tx


- patient insistence


- fevers, night sweats- indicate infection or malignancy


- unintentional weight loss


- night pain


- personal hx of cancer


- age over 50


Page 1/60

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


- current or recent use of steroids


- any neoplasm or infectious cause of back pain


- pain over 6 weeks


- nonresponsive to conservative tx for more than 6 weeks


What are indications for PT? - Answer✔✔-- traumatic disorders with mild or moderate functional loss


- chronic postural pain disorders


- recurrent pain disorders


- mechanical musculoskeletal disorders


- early nerve entrapment


- symptomatic joint degeneration


- acute unresolved pain


What are indications for orthopedic referral? - Answer✔✔-- obvious tissue disruption


- trauma with significant loss of function


- continued functional deficit or pain after six weeks


- recurrent dislocation or subluxation


- need for joint injection


- failure of conservative measures


- patient insistence


Page 2/60

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


What can plain X-ray imaging reveal? MRI and CT? - Answer✔✔-- plain X-ray- fracture, osteomyelitis,

arthritis, infection


- MRI and CT- radiculopathy/pinched nerve, occult fracture, ligament injuries, meniscus injuries


- CT done usually when MRI are contraindicated since CT has lots of radiation and is usually not preferred


What does the Ottawa ankle rule do? - Answer✔✔-- determines fracture risk and if X-ray images is

needed in ankle


- any malleolus tenderness, either the lateral or medical malleolus then get X-ray


- pain over the 5th metatarsal or if you have pain in the midfoot and pt is only able to take 4 steps, then

you definitely need imaging of the foot


What does Ottawa knee rule do? - Answer✔✔-- determines fracture risk and if X-ray images is needed in

knee


- if older than 55


- isolated tenderness of patella


- tenderness of fibular head


- unable to flex more than 90 degrees


- unable to walk 4 steps


- unable to bear weight; limping counts as bearing weight


T/F: limping counts as bearing weight - Answer✔✔-true




Page 3/60

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


What are risk factors of plantar fasciitis? s/sx? dx? tx? - Answer✔✔-- risk factors- lots of running and

walking, high BMI in non-athletic pts, men ages 40-60


- s/sx- plantar fascia has proximal insertion point at heel that elicits pain; classic sign is pain worse first

thing in the morning when taking first steps


- dx- Windlass test- dorsiflexion of big toe via provider manipulation will cause pain before reaching

maximum dorsiflexion


- tx- 1st line tx- NSAIDs


- subsequent tx- SPRICE


What is the most common tendon related ankle pain? - Answer✔✔-- strains- tear to tendon- muscle to

bone


- Achilles tendonitis- tear to largest tendon of calf/Achilles tendon that connects knee to ankle


What is the most common ligament related ankle pain? s/sx? dx? tx? - Answer✔✔-- sprains- tear to

ligament- most common ankle injury


- lateral ankle ligament inversion (soles of foot faces inward)- rolling of ankle


- s/sx- tenderness, swelling, bruising, and ligament laxity; popping and immediate swelling/bruising at

time of injury


- dx- clinical presentation/clinical presentation


- fx dx if concerned- Ottawa Ankle Rules




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