Np Test 5: Musculoskeletal

63 Questions | Total Attempts: 3978

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Musculoskeletal Quizzes & Trivia

Questions and Answers
  • 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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