South University, Savannah ADVANCED NURSING PRACTICE Section 10. Musculoskeletal Problems

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Section 10. Musculoskeletal Problems MULTIPLE CHOICE 1. One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the complaint is articular or nonartic... ular in origin. Which of the following is an example of an articular structure? A. Bone B. Synovium C. Tendons D. Fascia ANS: B PTS: 1 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 C. Nonarticular D. Noninflammatory ANS: A PTS: 1 3. Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? A. Decreased C-reactive protein B. Hyperalbuminemia C. Morning stiffness D. Weight gain ANS: C PTS: 1 4. Which of the following statements concerning the musculoskeletal examination 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: A PTS: 1 5. You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete ROM but cannot move it above gravity. Which numeric grade of muscle strength would you give this patient? A. 1 B. 2 C. 3 D. 4 This study source was downloaded by 100000831988016 from CourseHero.com on 03-17-2022 02:04:36 GMT -05:00 https://www.coursehero.com/file/54044220/Unit02-Section10rtf/ ANS: B PTS: 1 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 examination reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is 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 examination and medical history, you suspect adhesive capsulitis, or “frozen shoulder.” Which clue in Mrs. Gray’s history supports this diagnosis? A. History of hypertension B. Her affected shoulder is also her dominant arm. C. Her history of type 1 diabetes D. Her work as a secretary predisposes her to repetitive motions. ANS: C PTS: 1 7. Jennifer is an 18-year-old woman 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 pain and limited ROM in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? A. Anterior dislocations are not painful, and ROM is normal. B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses. C. X-rays are the only diagnostic testing appropriate to assess a dislocation. D. Most traumatic dislocations are posterior. ANS: B PTS: 1 8. Fred has been diagnosed with a trigger finger of the ring finger. Which of the following management strategies is appropriate? A. Surgical removal of the tendon sheath [Show More]

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