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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 thhdiagnosed thhwith thhan thhAchilles thhtendon thhtear, thha thhpatient thhhas
thhbeen thhlimping thhon thhthe thhleg. thhThe thhmost thhimportant thhconsideration thhfor thhthe
thhNP thhin thhdetermining thhthe thhneed thhfor thhsurgical thhrepair thhshould thhbe thhthe
thhpatient's
a. thhage thhless thhthan thh65.
b. thhinjury thhoccurrence thh10 thhdays thhago.
c. thhrecent thhcontralateral thhDVT.
d. thhlack thhof thhactive thhexercise. thh- thhAnswerb. thhinjury thhoccurrence thh10 thhdays
thhago.
Rationale: thhRICE thhis thhgenerally thhindicated thhfor thhthe thhfirst thh5-6 thhdays thhafter
thhinjury, thhwith thhhome thhexercise thhoften thhstarted thhon thhday thh7 thhand thhstretching
thhon thhday thh14. thhSurgery thhwould thhnot thhbe thhindicated thhonly thh10 thhdays thhafter
thhinjury thhas thhconservative thhtreatment thhstill thhwould thhbe thhcontinued.
When thhevaluating thha thhradiograph thhof thha thhpatient's thhknee, thhthe thhNP thhshould
thhbe thhsuspicious thhof thhan thhanterior thhcruciate thhligament thhinjury thhif thha thhfracture
thhis thhnoted thhin thhwhich thhof thhthe thhfollowing?
a. thhTibial thhplateau
b. thhTilleaux
c. thhSegond
d. thhTibial thhplafond thh- thhAnswerc. thhSegond
Rationale: thhAvulsion thhfracture thhof thhthe thhlateral thhcapsular thhmargin thhof thhthe thhtibia
thh(lateral thhcapsular thhsign thhor thhSegond thhfracture) thhis thhpossible thhwith thhanterior
thhcruciate thhligament thhinjury.
,A thhpatient thhpresents thhto thhthe thhclinic thhwith thha thhhistory thhof thhnon-traumatic thhright
thhelbow thhswelling thhand thhjoint thhpain. thhWhich thhof thhthe thhfollowing thhfindings
thhshould thhthe thhNP thhconsider thhmost thhimportant thhin thhthe thhdifferential thhdiagnosis
thhof thhrheumatoid thharthritis?
a. thhConcurrent thhurethritis thhand thhabnormal thhliver thhfunction thhtests
b. thhLoss thhof thhfull thhextension thhalong thhwith thha thhlocking thhsensation
c. thhPeriarticular thhosteopenia thhand thherosion thhat thhjoint thhmargin thhon thhx-ray
d. thhSerology thhtesting thhincluding thhHLA-B27 thhand thhanti-CCP thhantibodies thh-
thhAnswerc. thhPeriarticular thhosteopenia thhand thherosion thhat thhjoint thhmargin thhon thhx-
ray
Rationale: thhRadiographic thhchanges thhof thhrheumatoid thharthritis thhcommonly thhinclude
thhperiarticular thhosteopenia thhand thhbony thherosion thhat thhthe thhjoint thhmargin.
thhUrethritis thhand thhpositive thhhuman thhleukocyte thhantigen thhare thhassociated thhwith
thhseronegative thharthropathies. thhLigamentous thhlaxity thhis thhexpected.
The thhNP thhis thhworking thhwith thha thhtrainer thhat thha thhlocal thhcollege. thhA thhmember thhof
thhthe thhtennis thhteam thhpresents thhwith thhonset thhof thhleft thhshoulder thhpain thhlocalized
thhto thhthe thhdeltoid thharea thhafter thhplaying thhin thha thhpractice thhmatch thh24 thhhours
thhago. thhAfter thhclinical thhevaluation, thhthe thhNP thhshould thhsuspect thhtendinitis thhbased
thhon thhthe
a. thhhistory thhof thhcompetitive thhtraining.
b. thhX-ray thhrevealing thhacromion thhspurs.
c. thhanterior thhshoulder thhinstability.
d. thhparesthesia thhto thhthe thhdorsum thhof thhthe thhhand. thh- thhAnswera. thhhistory thhof
thhcompetitive thhtraining.
Rationale: thhRotator thhcuff thhtendinitis thhis thhan thhoveruse thhsyndrome thhrelated thhto
thhrepetitive thhmotions, thhas thhoccur thhwith thhan thhoverhead thhsport thhsuch thhas thhtennis.
After thhevaluating thha thhpatient's thhcomplaint thhof thhshoulder thhpain, thhthe thhNP thhshould
thhsuspect thhtendinitis thhwith thha thhpositive
a. thhcross-body thhtest.
b. thhsulcus thhsign.
c. thhapprehension thhtest.
, d. thhNeer thhsign. thh- thhAnswerd. thhNeer thhsign.
Rationale: thhThe thhNeer thhsign thhelicits thhdiscomfort thhin thhpatients thhwho thhhave thha
thhrotator thhcuff thhtear thhor thhrotator thhcuff thhtendinitis. thhThe thhcross-body thhsign thhis
thhused thhto thhsuggest thhacromioclavicular thharthritis thhor thhother thhjoint thhpathology.
thhThe thhsulcus thhsign thhis thhused thhto thhdemonstrate thhinferior thhshoulder thhlaxity. thhThe
thhapprehension thhtest thhis thhused thhto thhassess thhanterior thhshoulder thhinstability.
A thh30-year-old thhmale thhpresents thhto thhthe thhUrgent thhCare thhCenter thhwith thhpain
thhand thhswelling thhof thhhis thhright thhelbow thhsustained thhduring thhwhat thhthe thhpatient
thhdescribed thhas thh"a thhfriendly thharm thhwrestling thhmatch." thhX-rays thhreveal thha
thhspiral thhfracture thhof thhthe thhdistal thhhumerus. thhThe thhNP thhshould thhexpect thhto
thhfind thhwhich thhof thhthe thhfollowing?
a. thhHill-Sachs thhlesion
b. thhInjury thhof thhthe thhaxillary thhnerve
c. thhDeltoid thhdysfunction
d. thhHemarthrosis thhof thhthe thhelbow thh- thhAnswerd. thhHemarthrosis thhof thhthe thhelbow
Rationale: thhBleeding thhinto thhthe thhjoint thh(hemarthrosis) thhis thhlikely thhwith thha thhdistal
thhhumeral thhfracture, thhoften thhfrom thhan thhoccult thhfracture.
A thh30-year-old thhmale thhpresents thhto thhthe thhUrgent thhCare thhCenter thhwith thhpain
thhand thhswelling thhof thhhis thhright thhelbow thhsustained thhduring thhwhat thhthe thhpatient
thhdescribed thhas thh"a thhfriendly thharm thhwrestling thhmatch." thhX-rays thhreveal thha
thhspiral thhfracture thhof thhthe thhdistal thhhumerus.
In thhaddition thhto thhthe thhhumeral thhfracture, thhthe thhNP thhshould thhexpect thhwhat
thhadditional thhfinding thhon thhthe thhx-rays?
a. thhOsteochondral thhloose thhbodies
b. thhPosterior thhfat thhpad thhsign
c. thhRadiocapitellar thhdegeneration
d. thhMedial thhnerve thhentrapment thh- thhAnswerb. thhPosterior thhfat thhpad thhsign
Rationale: thhIn thhaddition thhto thhthe thhhumeral thhfracture, thhthe thhlateral thhradiograph
thhof thhthe thhelbow thhmay thhshow thhanterior thhand thhposterior thhfat thhpad thhsigns
thhindicative thhof thhbleeding thhinto thhthe thhjoint.
A thhpatient thhis thhseen thhin thhthe thhclinic thhfor thhpain thhand thhweakness thhin thhthe thhleft
thhthigh thhafter thhsliding thhinto thhhome thhbase thhwhile thhplaying thhsoftball thhthree
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