Question: Matthew, age 52, is a chef who just severed 2 of his fingers with a meat cutter. You
would recommend that he:
2. Question: The valgus stress
... [Show More] test, varus stress test, Lachman test, and thumb sign are all
considered standard tests to check the integrity of the ligaments of the knee. Which test would
the nurse practitioner choose to assess the anterior cruciate ligament (ACL), which is the most
commonly involved structure in severe knee injury?
3. Question: Lillian, age 70, was told that she has osteoporosis. When she asks you what this is, you
respond that osteoporosis:
4. Question: Mike, age 42, a golf pro, has had chronic back pain for many years. His workup reveals
that it is not the result of a degenerative disk problem. His back “goes out” about twice per year,
and he is out of work for about a week each time. Which of the following should the nurse
practitioner advise him to do?
5. Question: Janine, age 69, has class III rheumatoid arthritis. According to the American
Rheumatism Association, which of the following describes her ability to function?
6. Question: For an adult patient with a knee injury, the nurse practitioner orders a nonsteroidal
anti-inflammatory drug (NSAID) to be taken on a routine basis for the next 2 weeks. Patient
teaching should include which of the following?
7. Question: Sean, a factory line worker, has osteoarthritis (OA) of the right hand. According to the
American College of Rheumatology (ACR), the guidelines for pharmacologic treatment include:
8. Question: Margaret, age 55, presents to you for evaluation of left hand and wrist pain and
swelling after a slip and fall on the ice yesterday. On examination, you note tenderness at her
“anatomical snuffbox.” You know this probably indicates a(n):
9. Question: Jim, age 22, a stock boy, has an acute episode of low back pain. The nurse practitioner
orders a nonsteroidal anti-inflammatory drug (NSAID) and should educate him in which of the
following?
10. Question: Jessie, age 49, states she thinks she has rheumatoid arthritis. Before any … tests are
ordered, the nurse practitioner completes a physical examination and makes a diagnosis of
osteoarthritis rather than rheumatoid arthritis. Which clinical manifestation ruled out
rheumatoid arthritis?
11. Question: Greg, age 26, runs marathons and frequently complains of painful contractions of his
calf muscles after running. You attribute this to:
12. Question: The nurse practitioner is considering a diagnosis of calcium pyrophosphate deposition
disease (CPPD), or pseudogout, in a 72-year-old man who presents with complaints of pain and
stiffness in his wrists and knees. The most useful diagnostic tests to assist in confirming this
diagnosis would be:
13. Question: Ethan, age 10, jumped off a 2-foot wall, twisting his foot and ankle upon landing. His
ankle x-ray demonstrates a fracture of the distal tibia, over the articular surface, through the
epiphysis and physis (growth plate). Based on the Salter-Harris classification of growth plate
injuries, you know this is a:
14. Question: In assessing a patient, you place the tips of your first 2 fingers in front of each ear and
ask the patient to open and close his mouth. Then you drop your fingers into the depressed area
over the joint and assess for smooth motion of the mandible. With this action, you are checking
for:
15. Question: Sandra, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. The nurse practitioner’s next step is to:
16. Question: Alexander, age 12, sprained his ankle playing ice hockey. He is confused as to whether
he should apply heat or cold. What should the nurse practitioner tell him?
17. Question: Daniel, age 45, is of Northern European ancestry and has a dysfunctional and
disfiguring condition affecting the palmar tissue under the skin of the distal palm and fourth and
fifth fingers. What do you suspect?
18. Question: Paul has a malignant fibrosarcoma of the femur. He recently had surgery and is now
on radiation therapy. You want to order a test to determine the extent of the tumor invasion of
the surrounding tissues and the response of the bone tumor to the radiation. Which of the
following tests should you order?
19. Question: Lois, age 52, who has just been given a diagnosis of sarcoidosis, has joint symptoms,
including arthralgias and arthritis. Your next plan of action would be to:
20. Question: The nurse practitioner (NP) is … Maya, a 69-year-old Asian woman, for the first time.
When trying to differentiate between scoliosis and kyphosis, the NP recalls that kyphosis
involves: [Show Less]