Np Test 5: Musculoskeletal
- 1.The most common cause of acute bursitis is:
- A.
Inactivity
- B.
Joint overuse
- C.
Fibromyalgia
- D.
Bacterial infection
- 2.First-line treatment options for bursitis usually include:
- A.
Corticosteroid bursal injection
- B.
Heat to area
- C.
Weight-bearing exercises
- D.
NSAIDS
- 3.Patients with olecranon bursitis typically present with:
- A.
Swelling and redness over the affected area
- B.
Limited elbow ROM
- C.
Nerve impingement
- D.
Destruction of the joint space
- 4.Patients with subscapular bursitis typically present with:
- A.
Limited shoulder ROM
- B.
Heat over affected area
- C.
Localized tenderness under the superomedial angle of the scapula
- D.
Cervical nerve root involvement
- 5.Patients with gluteus medius or deep trochanteric bursitis typically present with:
- A.
Increased pain from resisted hip abduction
- B.
Limited hip ROM
- C.
Sciatic nerve pain
- D.
Heat over the affected area
- 6.Likely sequelae of intrabursal corticosteroid injection include:
- A.
Irreversible skin atrophy
- B.
Infection
- C.
Inflammatory reaction
- D.
Soreness at the site of injection
- 7.First-line therapy for prepatellar bursitis should include:
- A.
Bursal aspiration
- B.
Intrabursal corticosteroid injection
- C.
Acetaminophen
- D.
Knee splinting
- 8.Patients with lateral epicondylitis typically present with:
- A.
Electric-like pain elicited by tapping over the median nerve
- B.
Reduced joint ROM
- C.
Pain that is worst with elbow flexion
- D.
Decreased hand grip strength
- 9.Risk factors for lateral epicondylitis include all of the following except:
- A.
Repetitive lifting
- B.
Playing tennis
- C.
Hammering
- D.
Gout
- 10.Initial therapy for treatment of lateral epicondylitis includes:
- A.
A long arm cast
- B.
A short arm cast with thumb spica
- C.
A wrist splint with metal stays
- D.
A shoulder sling
- 11.Patients with medial epicondylitis typically present with:
- A.
Forearm numbness
- B.
Reduction in ROM
- C.
Pain on elbow flexion
- D.
Decreased grip strength
- 12.Risk factors for medial epicondylitis include playing:
- A.
Tennis
- B.
Golf
- C.
Baseball
- D.
Volleyball
- 13.Risk factors for acute gouty arthritis include:
- A.
Thiazide diuretic use
- B.
Female gender
- C.
Rheumatoid arthritis
- D.
Joint trauma
- 14.The clinical presentation of acute gouty arthritis affecting the base of the great toe includes:
- A.
Slow onset of discomfort over many days
- B.
Greatest swelling and pain along the median border of the joint.
- C.
Improvement of symptoms with joint rest
- D.
Fever
- 15.The most helpful diagnostic test to perform during acute gouty arthritis is:
- A.
Measurement of erythrocyte sedimentation rate (ESR)
- B.
Measurement of serum uric acid
- C.
Analysis of aspirate from affected joint
- D.
Joint radiography
- 16.First-line therapy for treating patients with acute gouty arthritis includes:
- A.
Aspirin
- B.
Naproxen sodium
- C.
Allopurinol
- D.
Probenecid
- 17.Which of the following patients with acute gouty arthritis is the best candidate for local corticosteroid injection?
- A.
A 66-year-old patient with a gastric ulcer
- B.
A 44-year-old patient taking a thiazide diuretic
- C.
A 68-year-old patient with type 2 diabetes
- D.
A 32-year-old patient who is a binge drinker
- 18.The most common locations for tophi include all of the following except:
- A.
The auricles
- B.
The elbows
- C.
The extensor surface of the hands
- D.
The shoulders
- 19.Dietary recommendations for a person with gouty arthritis include avoiding foods high in:
- A.
Artificial flavors and colors
- B.
Purine
- C.
Vitamin C
- D.
Protein
- 20.Which of the following joints is most likely to be affected by osteoarthritis?
- A.
Wrists
- B.
Elbows
- C.
Metacarpophalangeal joint
- D.
Distal interphalangeal joint
- 21.Deformity of the proximal interphalangeal joints found in an elderly patient with OA is known as:
- A.
Heberden nodes
- B.
Bouchard nodes
- C.
Hallus valgus
- D.
Dupuytren contracture
- 22.Which of the following best describes the presentation of a patient with OA?
- A.
Worst symptoms in weight-bearing joints later in the day
- B.
Symmetrical early morning stiffness
- C.
Sausage-shaped digits with associated skin lesions
- D.
Back pain with rest and anterior uveitis
- 23.As part of the evaluation of patients with OA, the NP anticipates finding:
- A.
Anemia of chronic disease
- B.
Elevated CRP level
- C.
Narrowing of the joint space on radiograph
- D.
Elevated antinuclear antibody (ANA) test
- 24.FIrst-line pharmacological intervention for milder OA should be a trial of:
- A.
Acetaminophen
- B.
Naproxen
- C.
Celecoxib
- D.
Intra-articular corticosteroid injection
- 25.In caring for a patient with OA of the knee, you advise that:
- A.
Straight-leg raising should be avoided
- B.
Heat should be applied to painful joints after exercise
- C.
Quadriceps-strengthening exercises should be performed
- D.
Physical activity should be avoided
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