Musculoskeletal - FNP Certification Exam 4th ed. Winland-Brown and Dunphy with complete solution
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Musculoskeletal - FNP
Musculoskeletal - FNP Certification Exam 4th ed. Winland-Brown and Dunphy with complete solution
d. a goniometer
if any limitation or any increase in range of motion occurs when assessing the musculoskeletal system, the angles of the bones should be measured by using:
a. Phalen's test
b. skel...
Musculoskeletal - FNP Certification Exam 4th ed.
Winland-Brown and Dunphy with complete solution
d. a goniometer
if any limitation or any increase in range of motion occurs when assessing the
musculoskeletal system, the angles of the bones should be measured by using:
a. Phalen's test
b. skeletometry
c. the Thomas test
d. a goniometer
a. de-bride and irrigate the wound thoroughly
J., age 16, comes into the office with a human bit on his fist. what is the first course of
action?
a. de-bride and irrigate the wound thoroughly
b. initiate broad-spectrum antibiotics
c. leave the wound open for drainage
d. administer a tetanus injection
d. refer to a neurosurgeon
S. age 49 presents with loss of anal spincter tone, impaired micturition, incontinence,
and progressive loss of strength in the legs. you suspect cauda equina syndrome. what
is your next action?
a. order physical therapy
b. order a lumbar/sacral x-ray
c. order extensive lab work
d. refer to a neurosurgeon
a. supination
in assessing the skeletal muscles, you turn the forearm so that the palm is up. this is
called:
a. supination
b. pronation
c. abduction
d. eversion
b. Salter-Harris III
E. a 10 y/o boy, jumps off a 2 foot wall, twisting his foot and ankle upon landing. his
ankle xpray demonstrates a fx of the distal tibia over the articular surface into the
epiphysis and physis. based on the Salter-Harris classification for growth plate injuries
you know this is a:
a. Salter-Harris II
b. Salter-Harris III
c. Salter-Harris IV
d. Salter-Harris V
c. vitamin D increases intestinal absorption of the dietary calcium and mobilizes
calcium from the bone
K. who is postmenopausal, is taking 1,500mg of calcium but does not understand why
she also needs to take vitamin D. you tell her that:
,a. a deficiency of vitamin D results in an inadequate mineralization of bone matrix
b. all vitamins need to be supplemented
c. vitamin D increases intestinal absorption of the dietary calcium and mobilizes calcium
from the bone
d. vitamin D binds with calcium to allow active transport into the cells
a. women should try to exercise moderately for at least 30 min on most, if not all,
days of the week
the American College of Obstetricians and Gynecologists guidelines for exercise during
pregnancy and after delivery include which of the following?
a. women should try to exercise moderately for at least 30 min on most, if not all, days
of the week
b. exercise in the supine position is the position of choice
c. anaerobic exercise during pregnancy is preferred over aerobic exercise
d. exercise should be discontinued upon discovery of pregnancy and be resumed after
delivery
a. interrupt the cycle of urate crystal deposition and inflammatory response
colchicine may be used to terminate an acute attack of gouty arthritis, as well as to
prevent recurrent episodes. the mechanism of action is to:
a. interrupt the cycle of urate crystal deposition and inflammatory response
b. increase serum uric acid levels
c. potentiate the excretion of uric acid
d. inhibit the tubular reabsorption of urate, promoting the excretion of uric acid
begin a course of glucocorticoids
L., age 52, who has just been given a dx of sarcoidoxis, has joint sxs including
arthralgias and arthritis. your next plan of action would be to:
a. order a bone scan
b. obtain a tissue biopsy
c. begin a course of glucocorticoids
d. obtain an electrocardiogram
b. hyponatremia
G., age 26, runs marathons and frequently c/o painful contractions of his calf muscles
after running. you attribute this to:
a. hypercalcemia
b. hyponatremia
c. heat exhaustion
d. dehydration
c. as long as you can protect the remaining testicle, go for it
S., age 15, has only one testicle. when he asks you if he can play on the soccer team at
school, how do you respond?
a. no, you'd be taking too much of a chance of injuring your remaining testicle
b. you can play any noncontact sport; however, soccer is too strenuous
c. as long as you can protect the remaining testicle, go for it
d. it should have no bearing on any activity
a. high estrogen states, such as with oral contraceptive
there are many precursors of deep venous thrombosis (DVT), such as decreased blood
flow, injury to the blood vessel wall, and altered blood coagulation. which clinical risk
, factor for DVT is the result of hypercoagulability?
a. high estrogen states, such as with oral contraceptive
b. trauma that results in orthopedic surgery
c. an indwelling intravenous catheter of a lower extremity
d. prolonged sedentary position related to immobility
c. let pain be your guide and continue activities
H., age 29 is a nurse who has an acute episode of back pain. you have determined that
it is a simple "mechanical" backache and order:
a. bedrest for 2 days
b. muscle relaxants
c. let pain be your guide and continue activities
d. back-strengthening exercises
c. Dupuytren's contracture
D. who is 45 and of norther european ancestry, has a dysfunctional disfiguring condition
affecting the palmar tissue between the skin and the distal palm and fourth and fifth
fingers. what do you suspect?
a. Hallux valgus
b. DeQuervain's tenosynovitis
c. Dupuytren's contracture
d. Hallux rigidus
d. if you have additional pain, an occasional acetaminophen is permitted in
between the usual doses of the NSAID
for your clt with a knee injury, you order an NSAID to be taken on a routine basis for the
next 2 wks. your teaching should include which of the following?
a. you may take this medication on an empty stomach as long as you eat within 2-3 hrs
of taking it
b. if one pill does not seem to help, you can double the dose for subsequent doses
c. if you notice nausea/vomiting or black or bloody stools, take the next dose with a
glass of milk or a full meal
d. if you have additional pain, an occasional acetaminophen is permitted in between the
usual doses of the NSAID
b. change the position of J.'s arm every hr
J., age 87, broke her wrist after falling ff a curb.she just had a plaster cast applied to her
wrist. in instructing her family on allowing the cast to dry properly, tell them to:
a. continuously elevate J.'s arm on a pillow
b. change the position of J.'s arm every hr
c. position a fan near J.'s during the night to ensure even drying of the cast
d. put a blanket over the cast to absorb the dampness
a. relative rest; he could benefit from hamstring stretching, heel cord stretching,
and quadriceps stretching exercises
J., age 17 has been c/o a painful knob below his rt knee that has prevented him from
actively participating in sports. he has recently been given a dx of Osgood-Schlatter
disease and asks you about his tx options. you tell him that the initial tx is:
a. relative rest; he could benefit from hamstring stretching, heel cord stretching, and
quadriceps stretching exercises
b. immobilization; a long-leg knee immobilizer is recommended
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