Description

APEA Exam ORTHOPEDICS with Answers

1. The area where the iliac crest terminates anteriorly on the ilium is known as the:
2. The muscle of the scapulohumeral group that runs above the glenohumeral joint and inserts on the greater tubercle is known as the:
3. When inspecting the shoulder and shoulder girdle, the rounded later aspect of the shoulder appears flattened. This finding could be associated with:
4. The structure that creates a channel for the vertebral artery is known as the: transverse foramen
5. When assessing the knee, the examiner instructs the patient to sit and swing his lower leg toward midline. This motion assesses knee:
6. The structure that supports weight bearing anteriorly is referred to as the:
7. To test the thumb for extension, ask the patient to:
8. Which of the following substances is essential for bone health and muscle function?
9. The nurse practitioner instructs the patient to bend at the waist moving from side to side from a standing position. This maneuver would elicit:
10. When assessing a patient with complaints consistent with carpal tunnel syndrome, which one of the following symptoms is unlikely?
11. When grading muscle strength, a five would indicate:
12. Which nerve in the arm originates in the axilla and travels down the arm in a shallow depression on the surface of the humerus?
13. The nurse practitioner instructs the patient to extend and move his fingers as far apart from each other as possible. This maneuver assesses the fingers and thumbs for:
14. Which one of the following ligaments of the foot is most at risk for injury from inversion?
15. The nurse practitioner instructs the patient to bend forward and try to touch his toes. This maneuver would elicit:
16. The nurse practitioner instructs the patient to look over one shoulder, then the other. This maneuver would assess cervical:
17. Risk factors related to osteoporosis include all of the following except:
18. A patient presents with midline, lumbar back pain. The nurse practitioner should assess for:
19. Collagen fibers connecting muscle to bone are known as:
20. The subtalar joint is located:
21. The metatarsophalangeal joints are located:
22. The paravertebral muscles are located:
23. The anserine bursa of the knee lies:
24. Pain that radiates along the dermatome of a nerve due to inflammation or irritation of a nerve root is referred to as:
25. Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would be consistent with all of the following conditions except:
26. A tool for assessing risk factors for osteoporotic fractures is the:
27. A patient reports pain of the left shoulder when attempting to lift his arm away from his body or when he tries to flex the arm forward. A characteristic shrug of the left shoulder with a positive arm drop is noted. These symptoms could be suggestive of:
28. A six-year-old male complains of ankle pain and difficulty walking but denies any recent injuries. Findings reveal ankle tenderness, decreased mobility and range of motion. The patient’s temperature of 102 degrees F. These findings are consistent with:
29. Pain and crepitus over the patella suggest:
30. The nurse practitioner instructs the patient to place one hand behind his back and touch his shoulder blade. This shoulder movement elicits:
31. When examining the patient for wrist abduction, the nurse practitioner instructs the patient to position his palms down and:
32. The axiohumeral group of muscles:
33. The area at the posterior aspect of the spine lateral to the sacroiliac joint is known as the:
34. Another term for medial epicondylitis is:
35. Where the head of the humerus articulates with the shallow glenoid fossa of the scapula is known as the:
36. Upon examination of the left shoulder, the nurse practitioner notes an inflamed right subacromial bursa. An x-ray of the left shoulder demonstrates a calcium deposit in the AC joint. The patient holds her arm close to her side and experiences extreme pain when attempting any movement of the arm. These symptoms are most likely indicative of:
37. When grading muscle strength, a grade of three would indicate:
38. When examining the foot of a patient, the nurse practitioner notes localized tenderness over the ankle joint. This could be suggestive of:
39. The groove of the metacarpophalangeal joint can be palpated by having the patient:
40. When examining the knee, which of the following symptoms would be indicative of a positive Abduction (Valgus) Stress Test?
41. The nurse practitioner instructs the patient to lie supine, bend his knee, and turn his lower leg and foot across the midline. This maneuver would assess hip:
42. To test the thumb opposition, ask the patient to: touch the thumb to each of the other fingertips
43. When performing a spinal exam, the patient complains of vertebral tenderness. This finding could be suggestive of:
44. Swelling on the posterior and medial surface of the knee would be suggestive of:
45. The vertebral column angles sharply posteriorly and becomes immovable at the:
46. A cartilage-like articulation between the pubic bones is known as the:
47. Pouches of synovial fluid that cushion the movement of tendons and muscles over bone or other joint structures are referred to as:
48. To test the thumb for adduction, ask the patient to place the fingers and thumbs in the neutral position with the palm up and move the thumb anteriorly away from the palm and then:

back to its neutral position

50. The Abduction (or Valgus) Stress Test is a maneuver used to assess the function of the: medial collateral ligament (MCL)
51. Metatarsalgia is a term used to described: pain and tenderness in the metatarsals
52. The hamstring muscles flex the knee and are located on the: posterior aspect of the thigh
53. The prevertebral muscles are located:
54. To test the supraspinatus, anterior and lateral deltoid, and pectoralis major, the nurse practitioner would have the patient perform which shoulder movement?
55. The structure that encloses the spinal cord is known as the:
56. The thick curved extension of the superior border of the scapula is referred to as the:
57. The nurse practitioner instructs the patient to lie supine, bend his knee, and move his lower leg toward the midline. This maneuver would assess hip:
58. When performing a spinal exam, the nurse practitioner noted the appearance of poor posture and a “hump” appearance of the upper back. This finding could be suggestive of:
59. When examining the ankle and foot, the nurse practitioner stabilizes the ankle with one hand, grasps the heel with the other and inverts and everts the foot by turning the heel inward and outward. This maneuver assesses the:
60. The axioscapular group of muscles:
61. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of himself and overhead. This motion of the shoulder girdle would be an example of:
62. Upon examination of the foot and ankle, the nurse practitioner notes point tenderness over the posterior aspects of the right malleolus. Additionally, the patient is unable to bear weight after 4 steps. This finding is most consistent with:
63. Rotation of the neck occurs primarily between the skull and:
64. Blue sclera, weak muscles, and increased joint flexibility during a newborn assessment may be suggestive of:
65. Passive flexion, valgus stress, and internal rotation of the lower leg, evaluates the:
66. Joints in which bones do not touch each other, and the joint articulations are freely moveable (within the limits surrounding ligaments) are called:
67. Focal tenderness over the trochanter confirms:
68. Tenderness over the patellar tendon or inability to move the knee, suggests: a partial or complete patellar tendon tear
69. When examining the foot of a patient, the nurse practitioner notes tenderness of the posterior medial malleolus. This could be suggestive of: tibial tendinitis
70. When grading muscle strength, a zero would indicate:
71. The psoas muscle group and muscles of the abdominal wall assist with:
72. The principal muscles involved when opening the mouth are the:
73. The joint that articulates with the concave condyles of the tibia is the:
74. Static stabilizers of the shoulder are referred to as those structures that are:
75. The nurse practitioner is examining the elbow of a 16-year-old male athlete. Increased pain is noted when he tries to extend his wrist against resistance. This finding is most consistent with:
76. When examining the ankle and foot, the nurse practitioner stabilizes the heel and inverts and everts the forefoot. This maneuver assesses the:
77. The nurse practitioner instructs the patient bend backward as far as possible. This maneuver would elicit:
78. The shoulder derives its mobility form a complex interconnected structure which includes three large bones, three principal muscle groups, and:
79. The nurse practitioner instructs the patient to look upward at the ceiling. This maneuver assesses cervical:
80. The joints that are distal to the knuckle and best felt on either side of the extensor tendon are the:
81. When examining the elbow for range of motion, the nurse practitioner instructs the patient to straighten his elbow. This motion is an example of:
82. To test the anterior and lateral deltoid, pectoralis major, coracobrachialis and biceps brachii muscles, the nurse practitioner would have the patient perform which shoulder movement?
83. A patient complains of low back pain when he walks, but improvement with rest or lumber flexion. This type of low back pain is referred to as:
84. The gluteus medius and minimus muscles are part of which group of muscles in the thigh?
85. Lateral epicondylitis is also referred to as:
86. A 64-year-old man complains of worsening pain that radiates from the right buttock to the posterior upper thigh. This is a common complaint associated with:
87. The joint that provides most of the flexion and extension of the wrist is the:
88. With the patient in the dorsal decubitus position, have him slowly extend the knee while maintaining the varus stress and external rotation. If a snap on the medial joint line is palpated, this may indicate a positive test for a:
89. The group of muscles that lies medial and swings the thigh toward the body is known as the:
90. When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one?
91. On examination of the feet, the nurse practitioner observes a painless thickening of the skin under the ball of the foot. It is tender to direct pressure. This lesion is most likely a:
92. When examining the elbow, swelling over the olecranon process is noted. This finding could be suggestive of:
93. Tenderness at cervical vertebrae 1 – 2 (C1-2) in a patient with rheumatoid arthritis suggests possible risk for:
94. A dislocation of the elbow joint caused by the sudden pull on the extended pronated forearm is referred to as:
95. When examining the ankle and foot of a patient, the nurse practitioner instructs the patient to move the heel outward. This motion assesses:
96. When examining the patient for wrist flexion, the nurse practitioner instructs the patient with his palms down to:
97. The nurse practitioner instructs the patient to raise his arm to his shoulder, bend his elbow, and rotate his forearm toward the ceiling. This shoulder movement elicits:
98. The anterior drawer sign is used to assess instability of the:
99. Joints in which bones are slightly moveable and fibrocartilaginous discs separate the bony surfaces are referred to as:
100. The tibiotalar joint is located between the:
101. The nurse practitioner instructs the patient to bend his knees to his chest and pull them to his abdomen. This maneuver would assess hip:
102. On examination of the left wrist, the nurse practitioner notes a slightly tender .75 cm swelling along the joint capsule during flexion of the wrist. This finding could be suggestive of:
103. The nurse practitioner would tap lightly over the median nerve in the carpal tunnel to assess:
104. Decreased spinal Mobility in the lumbar region could be suggestive of:
105. The forward slippage of one vertebrae resulting in spinal cord compression is referred to as:
106. To test the thumb for flexion, ask the patient to:
107. Swelling noted over the tibial tubercle suggests:
108. When evaluating a patient who complains of thumb pain, the nurse practitioner would test thumb movement by instructing the patient to place his thumb in his palm and then move the wrist toward the midline and ulnar deviation. This maneuver is commonly known as:
109. An irregular shaped bony feature at the lateral top of the femur is known as the:
110. A decrease in the degree of density in a bone that results in fragile bones is referred to as:
111. When grading muscle strength, a grade of four would indicate:
112. When performing an examination of a tender left finger on an adult, the surrounding tissue reveals warmth, edema, and redness. This finding could be suggestive of:
113. When describing muscle strength, the term hemiplegia means:
114. The lesser tubercle of the humerus is located:
115. When grading muscle strength, a grade of two would indicate:
116. Which of the following symptoms would be suggestive of lumbar spinal stenosis?
117. The anterior cruciate ligament of knee:
118. The patient is asked to lie face up, bend his knees, and place his feet flat on the table. Lifting his buttocks off the table to assess hip:
119. When examining the patient for wrist adduction, the nurse practitioner instructs the patient with his palms down to:
120. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm behind himself. This motion of the shoulder girdle would be an:
121. The area located between the olecranon process and the skin is known as the:
122. Plantar flexion of the foot is powered by the posterior muscle, toe flexors, and the:
123. Crepitus with flexion and extension of the knee suggests:
124. Following injury to the extremities, assessment for neurovascular competency should include the:
125. When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would indicate all of the following except:
126. The nurse practitioner suspects a rotator cuff tear in a patient who is unable to:
127. The greater tubercle of the humerus is located:
128. When examining the ankle and foot of a patient, the nurse practitioner instructs the patient to point the foot toward the floor. This motion assesses:
129. To test the thumb for abduction, ask the patient to:
130. Prepatellar bursitis arises from:
131. Acromioclavicular arthritis usually arises from prior direct injury to the:
132. Vasculitis on the extremities and an erythematous to salmon-colored rash over the trunk are skin lesions that may attributed to:
133. The nurse practitioner instructs the patient to move his extended fingers so that each touches its nearest finger. This motion assesses the fingers and thumbs for:
134. A 35-year-old female patient presents to the nurse practitioner with complaints of pain in the joints of both hands accompanied by stiffness, especially in the morning with tenderness and warmth to touch. Examination reveals swelling of the synovial tissues and limitation of motion. These findings are consistent with:
135. The axioscapular group of muscles include which one of the following?
136. A normal finding in the musculoskeletal assessment of a 3-year old child would be the presence of:
137. The medial malleolus is located as the:
138. When examining the ankle and foot, the nurse practitioner instructs the patient to dorsiflex and plantar flex the foot and the ankle. This maneuver assesses the:
139. The dorsiflexors muscles in the foot include the:
140. A patient complains of aching pain in the lumbosacral area that radiates into the upper leg. This type of low back pain is referred to as:
141. When a patient complains of joint pain as progressing from one joint to another, the examiner should consider this pattern of involvement as migratory. This type of involvement would most likely be observed in a patient who has:
142. When examining the knee, a fluid wave on the medial side between the patella and the femur is noted. This positive sign for effusion of the knee is known as the:
143. When examining the knee, the presence of a palpable fluid wave with the returning fluid wave into the suprapatellar pouch is noted. This positive sign for effusion of the knee is known as the:
144. To palpate the trochanteric bursa, position the patient:
145. The synovial cavity occupies the:
146. A patient reports sharp “catches” of pain, grating, and weakness in the right shoulder when lifting the arm overhead. These symptoms could be suggestive of:
147. The nurse practitioner instructs the patient move his chin to his chest. This maneuver assesses cervical:
148. When describing muscle strength, the term quadriplegia means:
149. The structure that cushions movements between vertebra is referred to as the:
150. The extension of the spine of the scapula located at the highest point of the shoulder is referred to as the:
151. A patient complains of aching pain in the neck and points to the cervical paraspinal muscles and ligaments. He complains of muscle spasms and stiffness in the upper back and shoulder for the past 6 weeks. These findings may be associated with:
152. The group of muscles that lies lateral and moves the thigh away from the body is known as the:
153. The gastrocnemius and soleus muscles are located by palpating the: posterior surface of the leg
154. The prepatellar bursa of the knee lies:
155. The nurse practitioner instructs the patient to lie supine, bend his knee, and turn his lower leg and foot away from the midline. This maneuver would assess hip:
156. The Lachman Test is used to assess instability of the:
157. Which one of the following conditions can plantar fasciitis be associated?
158. Flexion and extension of the neck occurs primarily between the skull and:
159. When testing hand grip strength on a patient, the nurse practitioner asks the patient to squeeze which finger(s)?
160. The small intrinsic muscles are located:
161. A long-curved bone along the uppermost part of the ilium is known as the:
162. An example of a fibrous joint would be the:
163. A decrease in the amount of density in a bone is referred to as:
164. Joints in which bones have intervening layers of fibrous tissue or cartilage holding the bones together are referred to as:
165. The nerve that provides sensation to the palm and palmar surface of most of the thumb, second and third fingers, and half of the fourth digit is the:
166. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of:
167. Passive flexion, varus stress, and external rotation of the lower leg evaluates the:
168. Genu varum refers to:
169. Physical signs associated with cervical radiculopathy from nerve root compression include:
170. Stiffness in a joint and limited motion after inactivity in commonly referred to as:
171. The group of muscles that lies anteriorly and flexes the thigh is known as the:
172. When performing an examination of a painful left hip on an adult, these is a palpable bogginess over the area. This finding is referred to as:
173. A patient complains of lateral hip pain while pointing near the trochanter. This type of pain could be suggestive of:
174. The group of muscles that lies posteriorly and extends the thigh is known as the:
175. A condition resulting from a forceful throwing motion and causing the shoulder to “slip out of the joint” when the arm is abducted and externally rotated is known as:
176. When examining the ankle and foot, the nurse practitioner moves the proximal phalanx of each toe up and down. This maneuver assesses the:
177. Peak bone mass is reached by age:
178. To test the latissimus dorsi, pectoralis major, teres major, and coracobrachialis muscles, the nurse practitioner would have the patient perform which shoulder movement?
179. The ankle is a hinge formed by the tibia, fibula, and the:
180. Joint pain that is localized and involves one joint, would be documented as:
181. The deep intrinsic muscle of the back assist with:
182. A defect in the gastrocnemius and soleus muscle with tenderness and swelling could be suggestive of:
183. On examination of a six-week-old infant, developmental hip dysplasia (DHD) is suspected. If DHD is present, it might be evidenced by:
184. When discussing the musculoskeletal system, which of the following statements is consistent with extra-articular disease?
185. The part of the ulna that forms the outer prominence of the elbow is referred to as the:
186. Children with Legg-Calve Perthes disease should:
187. The medial epicondyle of the femur is located on the:
188. A patient experienced a neck injury yesterday and presents to the nurse practitioner with aching paracervical pain and stiffness. Other complaints include dizziness, malaise, and fatigue. These findings may be associated with:
189. When assessing the knee, the examiner instructs the patient to bend his knee. This motion would assess knee:
190. The reason a 75-year-old female may experience a pathological fracture would be because of:
191. To test the integrity of the Achilles tendon, the examiner would have the patient kneel on a chair. While squeezing the calf, watch for:
192. A thickened nodule overlying the flexor tendon of the 4th finger and possibly the 5th finger near the distal palmar crease is suggestive of:
193. The structure that creates a channel for the spinal nerve roots is known as the:
194. Upon examination of the left elbow, limited motion is noted and the patient reports pain and stiffness with movement. Synovial inflammation is noted in the grooves between the olecranon process and the epicondyles. These findings are most consistent with:
195. The abdominal muscles and intrinsic muscles of the back assist with:
196. The structure that projects from the spinal column posteriorly in the midline is referred to as the:
197. The nurse practitioner instructs the patient to lie supine and move his lower leg away from the midline. This maneuver would assess the hip: abduction
198. Inspection of the hip begins with careful observation of a patient’s gait. A patient’s foot moves forward without bearing weight. This is known as the:
199. When examining the elbow for range of motion, the nurse practitioner instructs the patient to turn his palms downward. This motion is an example of:
200. When assessing the knee, the examiner instruction the patient to straighten his knee. This motion would assess knee:
201. The semimembranosus bursa of the knee lies:
202. Restricted abduction of the hip in an adult is common in hip:
203. Tenderness over the sacroiliac joint is commonly noted in patient with:
204. When examining the patient for wrist extension, the nurse practitioner instructs the patient to place his palms down and to:
205. Anserine bursitis arises from:
206. When assessing the knee, the examiner instructs the patient to sit and swing his lower leg away from midline. This motion would assess knee:
207. If a patient presents with non-midline lumbar back pain, the nurse practitioner should assess for:
208. The lateral bone that serves as a strut between the scapula and the sternum is known as the:
209. A patient who presents with joint pain and an accompanying butterfly rash on the face is suggestive of:
210. When examining the ankle and foot of a patient, the nurse practitioner instructs the patient to point the foot toward the ceiling. This motion assesses:
211. The ligament of the foot that fans out from the inferior surface of the medial malleolus to the talus and proximal tarsal bones is the:
212. The nerve that provides sensation to the dorsal web of the thumb and index finger is the:
213. Which nerve runs from the spine through the neck, the axilla and into the arm?
214. Stumbling or “giving away” of the knee during the heel strike phase of gait suggests:
215. To assess muscle tone in the legs, support the patient’s thigh with one hand, grasp the foot with the other, and:
216. Swelling noted 1 – 2 inches below the knee joint and on the medial surface of the knee would be suggestive of:
217. Inspection of the hip begins with careful observation of a patient’s gait. A patients foot is on the ground bearing weight. This is known as the:
218. The gluteus maximus is known as the primary hip:
219. In the older adult, the test for leg mobility is known as the:
220. The suprapatellar pouch of the knee lies:
221. Immediate treatment for a sprain includes:
222. When performing a spinal exam, the nurse practitioner notices unequal heights of the iliac crests. This finding could be suggestive of:
223. Upon examination of the left shoulder, the patient complains of dull, aching pain when attempting active or passive range of motion and localized tenderness with external rotation. These symptoms could be suggestive of:
224. Physical signs associated with mechanical neck with whiplash include:
225. Located on the anterior aspect of the distal femur, the patella slides on this grove during flexion and extension of the knee. The name of this groove is the:
226. The nurse practitioner instructs the patient to move his ear to his shoulder. This maneuver assesses:
227. A 65-year-old female patient presents to the nurse practitioner with complaints of pain in the right knee, occasional stiffness (especially in the morning) with minimal tenders to touch. Examination reveals moderate swelling in the knee with a tender bony ridge along the joint margin. These findings are consistent with:
228. The medial collateral ligament of the knee:
229. With the patient standing and the examiner sitting in the chair, the examiner should observe:
230. The muscle of the scapulohumeral group that originates on the anterior surface of the scapula and crosses the joint anteriorly and inserts on the lesser tubercle is the:
231. When screening for scoliosis, assessment should include:
232. The patella rests on the:
233. Restrictions of internal and external rotation of the hip are sensitive indicators of:
234. A structural channel beneath the palmar surface of the wrist and proximal hand is known as the:
235. The nerve that provides sensation to half of the fourth digit and fifth digit is the:
236. When describing muscle strength, the term paresis means:
237. When examining the knee, which of the following symptoms could be indicative of a positive Adduction (Varus) Stress Test?
238. Lateral bending of the neck occurs primarily between the skull and:
239. The muscle of the scapulohumeral group that crosses the glenohumeral joint posteriorly and inserts on the greater tubercle is known as the: infraspinatus muscle
240. A patient presents to the nurse practitioner with complaints of sharp pain as the instep of this right foot with appears suddenly and usually occurring at night. The instep and dorsal surface of the foot appear erythematous and are very tender to touch. Motion is limited due to pain. These findings are consistent with:
241. Swelling over the patella suggests:
242. When describing muscle strength, the term paraplegia means:
243. When describing muscle strength, the term paralysis means:
244. The concavities noted on each side and above the patella are known as the:
245. The primary hip flexor is the:
246. After attempting to elicit the Moro reflex in a newborn, the nurse practitioner identifies absence of movement of the left arm. The next assessment would be to:
247. Flexion contraction of the knee suggests hamstring tightness or:
248. Physical signs associated with cervical myelopathy from cervical cord compression include:
249. On examination of the feet, the nurse practitioner notes a dusky red swelling extending beyond the margin of the metatarsophalangeal joint of the right great toe. It is hot on palpation and the patient states it is painful to touch. These findings are suggestive of:
250. When assessing a 3-month-old for development dysplasia of the hips (DDH), which one of the following symptoms would be suspicious of dysplasia?
251. A patient complains of shooting pains below the knee radiating into the lateral leg and calf. This type of low back pain is referred to as:
252. A popliteal or “baker’s” cyst arises from:
253. Which nerve in the arm is located in the ventral forearm and is just medial to the brachial artery in the antecubital fossa?
254. The nurse practitioner instructs the patient to make a fist with his left hand then to place the left thumb on top of the distal fingers. This motion assesses the fingers and thumbs for:
255. Tenderness in the costovertebral angles may signify:
256. When performing an examination on a painful left wrist in an adult, there is a palpable crunching sound during flexion. This finding is referred to as:
257. When performing an examination of a painful left elbow on an adult, inspection of the surrounding tissue reveals warmth. This finding could be suggestive of all of the following conditions except:
258. The scapulohumeral group of muscles include which one of the following?
259. On examination of the feet, the nurse practitioner observes a deep, infected lesion on the plantar surface of the left foot. The patient denies pain to touch. He has a history of diabetes. This lesion is most likely a:
260. When inspecting the face, asymmetry is noted. This finding could be suggestive of:
261. Which nerve in the arm runs posteriorly in the ulnar groove between the medial epicondyle and the olecranon process?
262. A patient complains of a sharp burning pain in the neck and right arm with associated paresthesia and weakness. These symptoms may be associated with:
263. Dynamic stabilizers of the shoulder are referred to as those structures that are:
264. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm out to the side, away from his body, and overhead. This motion of the shoulder girdle would be an example of:
265. The lateral collateral ligament of the knee:
266. The lateral malleolus is located at this:
267. On examination of the shoulder, tenderness is noted just below the tip of the acromion with pain on abduction and rotation and loss of smooth movement. This finding could be suggestive of:
268. The scapulohumeral group of muscles:
269. When examining the ankle and foot of a patient, the nurse practitioner instructs the patient to move the heel inward. This motion assesses:
270. When examining the knee, the patient complains of pain with compression and patellar movement during quadriceps contraction. This finding could be suggestive of:
271. A sixty-five-year old is noted to have a positive drop arm test. This finding is consistent with:
272. Women who wear high-heeled shoes with narrow toe boxes are at risk of developing all of the following forefoot abnormalities except:
273. The lateral end of the clavicle that articulates with the acromion process of the scapula is referred to as the:
274. The pointed part of the sternum located at the inferior end is known as the:
275. The adductor tubercle of the knee is located:
276. When examining the medial and lateral meniscus, a click along the medial joint with valgus stress, external rotation, and leg extension suggests a probable tear of the:
277. Physical signs associated with mechanical neck pain include:
278. Thenar atrophy suggests:
279. When examining the knee, swelling above and adjacent to the patella was noted. This finding could be suggestive of:
280. The posterior drawer sign is used to assess instability of the:
281. What symptoms can be used to rule out a fracture?
282. A positive Trendelenburg’s test could be used to identify a child with:
283. When is Osgood-Schlatter disease most likely to produce symptoms?
284. A patient complains of pain in his right heel. Initially, it began with his first steps out of bed in the morning, but over the past few weeks he has help pain throughout the day. What factor has contributed most to his worsening heel pain?
285. A 55-year-old male patient described severe pain at the base of his left first toe. He is limping and says he can’t remember hurting his toe. Which symptoms below suggests something other than gout?
286. What condition often causes a chief complaint of nocturnal paresthesia?
287. A 75-year-old female who knits daily has a positive Finkelstein test. What is her likely diagnosis?
288. An older adult had a total knee replacement (TKR) 10 months ago. He is doing well. He states that he is having a dental procedure performed in 1 week. What information should he be given regarding the knee replacement?
289. The Ottawa ankle rules help the examiner determine when:
290. A 49-year-old patient has osteoarthritis in the lumbar spine and hip. His hip x-ray demonstrates bone on bone. What can be done to resolve his complaints of pain in his hip?
291. A 65-year-old female complains of left medial knee pain. She has been told that she has arthritis in this knee. Where would the pain be located?
292. Which of the following is NOT true regarding cervical whiplash injury?
293. A characteristic of rheumatoid arthritis not typical in osteoarthritis is:
294. A 75-year-old patient has osteoarthritis and pain. Which of the following medications increases the risk of a GI-related ulceration?