APEA Q Bank Ortho Qs 317 total

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Question: When assessing a patient with complaints consistent with carpal tunnel syndrome, which one of the following symptoms is unlikely? Dropping objects Inability to twist lids off jars Tingl... ing of the first three digits of the hand Numbness of the last two digits of the hand (Correct) Explanation: For complaints of dropping objects, inability to twist lids off jars, aching at the wrist or even the forearm, and numbness of the first three digits, consider carpal tunnel syndrome. Question: When evaluating a patient who complains of thumb pain, the nurse practitioner would test thumb movement by instructing the patient to place his thumb in the palm and then move the wrist toward the midline in ulnar deviation. This maneuver is commonly known as: Finkelstein's test Explanation: When evaluating a patient who complains of thumb pain, the nurse practitioner would test thumb movement by instructing the patient to place his thumb in his palm and then move the wrist toward the midline in ulnar deviation. This maneuver is commonly known as Finkelstein's test. Tinel's test assesses for median nerve compression. The examiner would tap lightly over the median nerve of the carpal tunnel. To test Phalen's sign, the patient would hold his wrists in flexion for 60 seconds while pressing the backs of his hands together to form right angles. Question: Olecranon bursitis may be caused by all of the following except: Frozen shoulder Explanation: Olecranon bursitis refers to swelling and inflammation of the olecranon bursa and may result from trauma, gout, or arthritis. Question:Women who wear high-heeled shoes with narrow toe boxes are at risk of developing all of the following forefoot abnormalities except: Achilles tendinitis Explanation: Women who wear high-heeled shoes with narrow toe boxes are at risk of developing hallux valgus, metatarsalgia, and Morton's neuroma. Achilles tendinitis more commonly occurs in runners and affects the posterior foot as opposed to the forefoot. Question: Upon examination of the foot and ankle, the nurse practitioner notes point tenderness over the posterior aspects of the right malleolus. Additionally, the patient is unable to bear weight after 4 steps. This finding is most consistent with: an ankle fracture Explanation: Point tenderness over the posterior aspects of the right malleolus with an inability to bear weight after 4 steps could be consistent with an ankle fracture. Rheumatoid nodules and tenderness may be associated with Achilles tendinitis. Localized tenderness on examination of the ankle joint could be suggestive of arthritis, infection of the ankle, or ligamentous injury. Tenderness on compression of the foot is an early sign of rheumatoid arthritis. Question: The small intrinsic muscles are located: between the vertebrae Explanation: The small intrinsic muscles are located between the vertebrae. Prevertebral muscles run in front of the cervical vertebrae, and they contract generally to flex the neck and bow the head. The paravertebral muscles are located on both sides of the vertebrae and extend downward to the entire spine. Muscles that attach to the anterior surface of the vertebrae include the psoas muscles and the muscles of the abdominal wall. [Show More]

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