NURS 623 Exam 4 Verified Questions And Answers With Verified Updates
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Course
NURS 623
Institution
NURS 623
1.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:
a. E...
NURS 623 Exam 4
1.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:
a. Ecchymosis, edema, and erythema over the lateral epicondyle
b. Pain at the elbow with resisted movements at the wrist and forearm
c. Inability to supinate and pronate the arm
d. Inability to flex or extend the elbow against resistance - b. Pain at the elbow with resisted
movements at the wrist and forearm
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. A and B - a. Articular
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 - c. Morning stiffness
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 range-of-motion (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. - a. The uninvolved side should be examined initially and then compared to the involved
side.
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
d. 4
e. 5 - b. 2
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 diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions. - c. Her history of diabetes
mellitus
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome.
She has two young children and asks the clinician what the chances are that they also will develop carpal
tunnel syndrome. Which of the following responses would be correct regarding the risk of developing
carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about
one-half the risk of developing carpal tunnel.
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