NR511/ NR 511 Final Exam: Differential Diagnosis & Primary Care Review | Questions and Verified Answers| 100% Correct | A Grade (New 2024/ 2025 Update)
... [Show More] – Chamberlain
QUESTION
carpal tunnel syndrome
Answer:
*inflammation of median nerve*
-characterized by: wrist achiness that radiates to the base of the hand, may be awakened at night with pain and numbness
-initial tx: wrist splints and NSAIDs
QUESTION
shoulder pain
Answer:
-older patients (>55) more likely to have rotator cuff tears or degenerative arthritis
-fractures and dislocations related to falls
-<30 years typically dislocation injury
-impingement syndrome in middle age
QUESTION
shoulder dislocation
Answer:
assessment: pain with shrugging shoulders
-due to excessive pressure on shoulders
QUESTION
herniated discs
Answer:
*L4-L5 most common area (weakness in great toe)*
straight leg test: pt in supine, elevate affected leg, if elicits pain in back and sciatic pain (positive test for herniated disc)
-pt is unable t walk on toes or heels without pain
-cessation of smoking, weight reduction, good posture, adherence to exercise regimen
QUESTION
knee pain
Answer:
patellofemoral dysfunction: encompasses a continuum of disorder due to overuse
-management is conservative with NSAIDs and quad-strengthening exercises
-McMurray test is used to evaluate individuals for tears in the meniscus
QUESTION
phalen's test
Answer:
involves flexing the wrist for 60 seconds, leads to pain or pares- thesia in the median nerve (carpal tunnel), tingling, numbness, burning, or pain over first three digits
QUESTION
anterior drawer test
Answer:
used in initial clinical assessment of suspected rupture of crucial ligaments of knee
QUESTION
low back pain
Answer:
assess the cause, trauma?
-patient history important, example: presents with back pain following a MVA would be a red flag that warrants extensive investigation
-diff dx: ovarian cyst, ankylosing spondylitis and infection
QUESTION
lumbar spinal stenosis
Answer:
often radicular complaints in the legs
-progressing from proximal to distal direction and walking or prolonged standing causes pain and weakness in legs and butt
-short term relief often reported w/ leaning forward (counters, grocery cart, etc)
QUESTION
spinal fracture
Answer:
can present as low back pain
-consider red flags from patient history that alerts you, which may include a fall history, prolonged steroid use, osteopenia, osteoporosis
QUESTION
vertebral fractures
Answer:
osteoporosis is most commonly the cause
QUESTION
Nerve Root Involvement
Answer:
*paresthesia over anterior thigh just above the knee indicates L4 involvement* [Show Less]