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Nurs 623-624 Exam 4 Question & Answers ( 2024 Edition )
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Nurs 623-624 Exam 4 Question & Answers( 2024 Edition )
•Anterior drawer test has a low sensitivity and high specificity for
confirming ACL pathology, so a positive test strongly suggests a
problem but a negative test does not rule out an ACL tear. - Correct
Answers ✅A positive test strongly suggests a problem but a negative
test does not rule out an ACL tear.
When assessing the patient with musculoskeletal problems, it is
important to determine if the problem is: - Correct Answers ✅acute
or chronic, articular or nonarticular, inflammatory or noninflammatory,
and localized or systemic in distribution. Acute (less than 6 weeks
duration) or chronic (more than 6 weeks duration), Flammatory or
inflammatory
Articular structures - Correct Answers ✅• synovium, • synovial fluid,
• articular cartilage, • intra-articular ligaments, • joint capsule, • juxta-
articular bone
Articular problems are characterized by - Correct Answers ✅deep or
diffuse pain, • deep or diffuse pain, • limited ROM (passive & active), •
swelling, • crepitation,
• instability, • 'locking', • Deformity
Nonarticular (or periarticular) structures - Correct Answers ✅•
identified as supportive extra-articular ligaments,
• tendons, • bursae, • muscle, • fascia, • bone, • nerve,
,Nurs 623-624 Exam 4 Question & Answers
( 2024 Edition )
• overlying skin •
Nonarticular disorders are characterized by - Correct Answers
✅painful active, but not passive ROM,
• demonstrated point or focal ternderness in regions distinct from
articular structures,
• physical findings far from the joint capsule.
• Usually do not find crepitus, instability or deformity
History - Correct Answers ✅· Chronology of complaint gives
important diagnostic clues
· onset, or did it develop over some time
· evolution of the problem, such as chronic, intermittent,
· migratory and duration of the problem.
Physical Examination - Correct Answers ✅· Distinguish between
mechanical problems, soft tissue disease, and noninflammatory and
inflammatory joint disease.
· Inspecting the involved site and observe for side to side symmetry
· The uninvolved side should be examined first and compared with the
involved side (this will mean the painful portion of the exam will be
last)
,Nurs 623-624 Exam 4 Question & Answers
( 2024 Edition )
· evaluate for warmth over the joint, joint effusion, and pain on joint
motion.
You should have the patient perform as much active ROM as possible
during the exam,
Low Back Pain - Correct Answers ✅· Also called low back strain or
lumbar strain
· Injury to paravertebral spinal muscles, ligamentous injuries, disc
herniation or leaking of substances from nucleus pulposus
· Back pain associated with neurological deficit, decreased or absent
pulses, or bowel or bladder dysfunction is potentially life threatening &
warrants immediate referral.
· Low back pain is a common complaint seen in primary care.
· Pain may be caused by a herniated disc or from leaking of substances
from the nucleus pulposus that can induce inflammation and cause
irritation.
· often difficult to localize an injury to a specific structure.
Chronic low back pain is - Correct Answers ✅pain that lasts longer
than 3 months.
Symptoms associated with chronic low back pain are - Correct Answers
✅typically recurrent and episodic, but may be unremitting.
, Nurs 623-624 Exam 4 Question & Answers
( 2024 Edition )
Treatment for injury to muscle and ligamentous structures is similar. -
Correct Answers ✅Acute vs. chronic
Acute LBP will often spontaneously resolve and the patient may be
back to functioning normally within a month
Factors to consider in diagnosing cause of pain: - Correct Answers
✅• Age, pain onset (acute or insidious),
• Pain location as unilateral or bilateral can help differentiate among
these differentials.
• Pain increases. Pain decreases, Straight-leg raising
Younger patients, under 50 years of age, are more likely to have -
Correct Answers ✅spondylolisthesis, • muscle strain, • scoliosis, •
herniated disc.
Older than 50 are more likely to have pain - Correct Answers
✅related to arthritis, • spinal stenosis, Pain onset, insidious
• acute
a herniated disk or leaking substances from the nucleus pulposus can
induce - Correct Answers ✅·inflammation and cause irritation.
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