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ONP-C GENERAL PRACTICE EXAM QUESTIONS WITH COMPLETE ANSWERS.
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ONP-C GENERAL PRACTICE EXAM QUESTIONS WITH COMPLETE ANSWERS.
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ONP-C GENERAL PRACTICE EXAMQUESTIONS WITH COMPLETE
ANSWERS
Previously hhdiagnosed hhwith hhan hhAchilles hhtendon hhtear, hha hhpatient hhhas hhbeen
hhlimping hhon hhthe hhleg. hhThe hhmost hhimportant hhconsideration hhfor hhthe hhNP hhin
hhdetermining hhthe hhneed hhfor hhsurgical hhrepair hhshould hhbe hhthe hhpatient's
a. hhage hhless hhthan hh65.
b. hhinjury hhoccurrence hh10 hhdays hhago.
c. hhrecent hhcontralateral hhDVT.
d. hhlack hhof hhactive hhexercise. hh- hhAnswerb. hhinjury hhoccurrence hh10 hhdays hhago.
Rationale: hhRICE hhis hhgenerally hhindicated hhfor hhthe hhfirst hh5-6 hhdays hhafter hhinjury,
hhwith hhhome hhexercise hhoften hhstarted hhon hhday hh7 hhand hhstretching hhon hhday hh14.
hhSurgery hhwould hhnot hhbe hhindicated hhonly hh10 hhdays hhafter hhinjury hhas
hhconservative hhtreatment hhstill hhwould hhbe hhcontinued.
When hhevaluating hha hhradiograph hhof hha hhpatient's hhknee, hhthe hhNP hhshould hhbe
hhsuspicious hhof hhan hhanterior hhcruciate hhligament hhinjury hhif hha hhfracture hhis hhnoted
hhin hhwhich hhof hhthe hhfollowing?
a. hhTibial hhplateau
b. hhTilleaux
c. hhSegond
d. hhTibial hhplafond hh- hhAnswerc. hhSegond
Rationale: hhAvulsion hhfracture hhof hhthe hhlateral hhcapsular hhmargin hhof hhthe hhtibia
hh(lateral hhcapsular hhsign hhor hhSegond hhfracture) hhis hhpossible hhwith hhanterior
hhcruciate hhligament hhinjury.
A hhpatient hhpresents hhto hhthe hhclinic hhwith hha hhhistory hhof hhnon-traumatic hhright
hhelbow hhswelling hhand hhjoint hhpain. hhWhich hhof hhthe hhfollowing hhfindings hhshould
,hhthe hhNP hhconsider hhmost hhimportant hhin hhthe hhdifferential hhdiagnosis hhof
hhrheumatoid hharthritis?
a. hhConcurrent hhurethritis hhand hhabnormal hhliver hhfunction hhtests
b. hhLoss hhof hhfull hhextension hhalong hhwith hha hhlocking hhsensation
c. hhPeriarticular hhosteopenia hhand hherosion hhat hhjoint hhmargin hhon hhx-ray
d. hhSerology hhtesting hhincluding hhHLA-B27 hhand hhanti-CCP hhantibodies hh- hhAnswerc.
hhPeriarticular hhosteopenia hhand hherosion hhat hhjoint hhmargin hhon hhx-ray
Rationale: hhRadiographic hhchanges hhof hhrheumatoid hharthritis hhcommonly hhinclude
hhperiarticular hhosteopenia hhand hhbony hherosion hhat hhthe hhjoint hhmargin. hhUrethritis
hhand hhpositive hhhuman hhleukocyte hhantigen hhare hhassociated hhwith hhseronegative
hharthropathies. hhLigamentous hhlaxity hhis hhexpected.
The hhNP hhis hhworking hhwith hha hhtrainer hhat hha hhlocal hhcollege. hhA hhmember hhof hhthe
hhtennis hhteam hhpresents hhwith hhonset hhof hhleft hhshoulder hhpain hhlocalized hhto hhthe
hhdeltoid hharea hhafter hhplaying hhin hha hhpractice hhmatch hh24 hhhours hhago. hhAfter
hhclinical hhevaluation, hhthe hhNP hhshould hhsuspect hhtendinitis hhbased hhon hhthe
a. hhhistory hhof hhcompetitive hhtraining.
b. hhX-ray hhrevealing hhacromion hhspurs.
c. hhanterior hhshoulder hhinstability.
d. hhparesthesia hhto hhthe hhdorsum hhof hhthe hhhand. hh- hhAnswera. hhhistory hhof
hhcompetitive hhtraining.
Rationale: hhRotator hhcuff hhtendinitis hhis hhan hhoveruse hhsyndrome hhrelated hhto
hhrepetitive hhmotions, hhas hhoccur hhwith hhan hhoverhead hhsport hhsuch hhas hhtennis.
After hhevaluating hha hhpatient's hhcomplaint hhof hhshoulder hhpain, hhthe hhNP hhshould
hhsuspect hhtendinitis hhwith hha hhpositive
a. hhcross-body hhtest.
b. hhsulcus hhsign.
c. hhapprehension hhtest.
d. hhNeer hhsign. hh- hhAnswerd. hhNeer hhsign.
Rationale: hhThe hhNeer hhsign hhelicits hhdiscomfort hhin hhpatients hhwho hhhave hha
hhrotator hhcuff hhtear hhor hhrotator hhcuff hhtendinitis. hhThe hhcross-body hhsign hhis hhused
, hhto hhsuggest hhacromioclavicular hharthritis hhor hhother hhjoint hhpathology. hhThe hhsulcus
hhsign hhis hhused hhto hhdemonstrate hhinferior hhshoulder hhlaxity. hhThe hhapprehension
hhtest hhis hhused hhto hhassess hhanterior hhshoulder hhinstability.
A hh30-year-old hhmale hhpresents hhto hhthe hhUrgent hhCare hhCenter hhwith hhpain hhand
hhswelling hhof hhhis hhright hhelbow hhsustained hhduring hhwhat hhthe hhpatient hhdescribed
hhas hh"a hhfriendly hharm hhwrestling hhmatch." hhX-rays hhreveal hha hhspiral hhfracture hhof
hhthe hhdistal hhhumerus. hhThe hhNP hhshould hhexpect hhto hhfind hhwhich hhof hhthe
hhfollowing?
a. hhHill-Sachs hhlesion
b. hhInjury hhof hhthe hhaxillary hhnerve
c. hhDeltoid hhdysfunction
d. hhHemarthrosis hhof hhthe hhelbow hh- hhAnswerd. hhHemarthrosis hhof hhthe hhelbow
Rationale: hhBleeding hhinto hhthe hhjoint hh(hemarthrosis) hhis hhlikely hhwith hha hhdistal
hhhumeral hhfracture, hhoften hhfrom hhan hhoccult hhfracture.
A hh30-year-old hhmale hhpresents hhto hhthe hhUrgent hhCare hhCenter hhwith hhpain hhand
hhswelling hhof hhhis hhright hhelbow hhsustained hhduring hhwhat hhthe hhpatient hhdescribed
hhas hh"a hhfriendly hharm hhwrestling hhmatch." hhX-rays hhreveal hha hhspiral hhfracture hhof
hhthe hhdistal hhhumerus.
In hhaddition hhto hhthe hhhumeral hhfracture, hhthe hhNP hhshould hhexpect hhwhat
hhadditional hhfinding hhon hhthe hhx-rays?
a. hhOsteochondral hhloose hhbodies
b. hhPosterior hhfat hhpad hhsign
c. hhRadiocapitellar hhdegeneration
d. hhMedial hhnerve hhentrapment hh- hhAnswerb. hhPosterior hhfat hhpad hhsign
Rationale: hhIn hhaddition hhto hhthe hhhumeral hhfracture, hhthe hhlateral hhradiograph hhof
hhthe hhelbow hhmay hhshow hhanterior hhand hhposterior hhfat hhpad hhsigns hhindicative hhof
hhbleeding hhinto hhthe hhjoint.
A hhpatient hhis hhseen hhin hhthe hhclinic hhfor hhpain hhand hhweakness hhin hhthe hhleft hhthigh
hhafter hhsliding hhinto hhhome hhbase hhwhile hhplaying hhsoftball hhthree hhweeks hhago.
hhThe hhNP, hhwho hhis hhworking hhwith hha hhstudent, hhshould hheducate hhthe hhstudent
hhthat hhhamstring hhweakness hhmay hhindicate
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