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Ch. 23: Musculoskeletal System (Discussion Board Questions and answers correctly solved

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Ch. 23: Musculoskeletal System (Discussion Board Questions and answers correctly solved A patient present to the clinic with complaints of joint pain. Upon examination, the nurse practitioner notes a "butterfly" rash on the patients face. The patient states she "feels tired and achy all over". What...

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  • August 18, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • ch 23 musculoskeletal system discussion board q
  • ch 23 musculoskeletal system discussion board

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  • Musculoskeletal
  • Musculoskeletal

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Ch. 23: Musculoskeletal System
(Discussion Board Questions)
A patient present to the clinic with complaints of joint pain. Upon examination,
the nurse practitioner notes a "butterfly" rash on the patients face. The patient
states she "feels tired and achy all over". What may this indicate as the
underlying cause of joint pain?
A. Serum sickness
B. Lyme Disease
C. Systemic Lupus Erythematous
D. Dermatomyositis - correct answer ✔ANS: C


-SLE patients will present with a hallmark signs of a "butterfly" (Malar) rash
over the bridge of the nose that diffuses along the cheeks. Symptoms such as
fatigue, joint pain, rash, and fever typically present as flare-ups that get better
over a period of time.


Jane is 75-year-old female presenting with a new onset of bladder
incontinence and states that she "can't feel the inside of my thighs". She
reports that she had a very hard fall recently and noticed these changes
afterwards. What do these findings suggest?
A. Sciatica
B. Bursitis
C. Spinal nerve compression
Cauda equina - correct answer ✔ANS: D


-Cauda Equina should be considered when patients present with bowel or
bladder incontinence and saddle paresthesia, which may radiate to other parts
of the leg. Immediate imaging should be done to evaluate surgical needs
ASAP.

, A patient is complaining of shoulder pain, and the nurse is examining the
shoulder joint to assess the cause. The patient is asked to "cross your arm
over your chest", and there is pain with the movement. Which joint is involved
in this maneuver?
A. Glenohumeral joint
B. Sternoclavicular joint
C. Acromioclavicular joint
D. Subscapularis - correct answer ✔A: C


-the Acromioclavicular joint is involved, and pain may present with this
maneuver, making this a positive test


The nurse practitioner is performing the Cozen test for "tennis elbow". Where
can the pain be expected to be reproduced?
A. Lateral epicondylitis
B. Medical epicondylitis
C. Olecranon process
D. The wrist of the affected arm - correct answer ✔ANS: A


-to perform the Cozen test, hold the patient's hand and elbow (with resistance)
while the patient pronates and extends their wrist. The test is positive when
the pain in felt along the lateral epicondylitis. Medical condylitis pain indicates
"pitcher" or "golfers" elbow.


Osteoarthritis progression leads to deformities of the hands, including
Herberden nodes. Where can these bony overgrowths be found on the hand?
A. Proximal interphalangeal joints (PIP)
B. Metacarpophalangeal joints (MCP)

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