NR511 NR 511 Final Exam Study Guide

1 / 77

NR511 / NR 511 Final Exam Study Guide Differential Diagnosis & Primary Care Practicum Questions and Answers (Verified Answers) 1.One of the initial steps in assessing patients with musculoskeletal com- plaints is to determine whether the complain is articular or nonarticular in origin. Which of the following in an example of an articular structure?A.Bone B.Synovium C.Tendons D.Fascia ANS Synovium 2.You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is A.Articular B.Inflammatory 1 / 4

2 / 77

C.Nonarticular D.A and B ANS Articular 3.Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?A.Decreased CRP B.hyperalbuminemia C.Morning stiffness D.Weight gain ANS Morning stiffness 4.Which of the following statements concerning the musculoskeletal exam is true?A.The uninvolved side should be examined initially and then compared to the involved side B.The part of the body that is causing the patient pain should be examined first C.When possible, the patient should not be asked to perform active ROM exercises to avoid causing pain D.Radiographs should always be obtained prior to examination so as not to cause further injury to the patient.ANS When possible, the patient should not be asked to perform active 2 / 4

3 / 77

ROM exercises to avoid causing pain 5.You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete ROM with gravity eliminated. Which numeric grade of muscle strength would you give this patient?A.1 B.2

C.3 3 / 4

4 / 77

D.4 E.5 ANS B 6.Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in her right shoulder. She denies any history of trauma.Her exam reveals a 75% reduction in both active and passive range of motion of the right shoulder. Mrs. Gray is also experiencing tenderness with motion and pain at the deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and hypertension. Her social history reveals that she is a secretary and that she is right-handed. Based on her exam and medical history, you suspect adhesive capulitis or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?

A.HX HTN

B.Her affected shoulder is her dominant arm C.Her HX of DM D.Her work as a secretary predisposes her to repetitive motions ANS HX of DM 7.Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe

• / 4