NURSING 220 /NURSING 220 QUIZ 4. QUESTIONS AND ANSWERS. LATEST 2020/21.● Question 1
10 out of 10 points
A 68-year-old retired banker comes to you
... [Show More] r clinic for evaluation of left shoulder pain. He swims for 30 minutes daily, early in the morning. He notes a sharp, catching pain and a sensation of
something grating when he tries overhead movements of his arm. On physical examination, you note tenderness just below the tip of the acromion in the area of the tendon insertions. The drop arm test is negative, and there is no limitation with shoulder shrug. The patient is not holding his arm close to his side, and there is no tenderness to palpation in the bicipital groove when the arm is at the patient's side, flexed to 90 degrees, and then supinated against resistance. Based on this description, what is the most likely cause of his shoulder pain?
Selected Answer: C.
Rotator cuff tendinitis
Answers: A.
Calcific tendinitis
B.
Rotator cuff tear
C.
Rotator cuff tendinitis
D.
Bicipital tendinitis
Response Feedback:
Rotator cuff tendinitis is typically precipitated by repetitive motions, such as occurs with throwing or swimming. Crepitus/grating is noted in the shoulder with range of motion.
Chapter: 16
Page and Header: 646, Table 16-4
• Question 2
10 out of 10 points
A high school football player injured his wrist in a game. He is tender between the two tendons at the base of the thumb. Which of the following should be considered?
Selected Answer: A.
Scaphoid fracture
Answers: A.
Scaphoid fracture
B.
DeQuervain's tenosynovitis
C.
Rheumatoid arthritis
D.
Wrist sprain
Response Feedback:
The “anatomic snuffbox” is found between the extensor and abductor tendons at the base of the thumb. Tenderness should make one think of a scaphoid fracture. Not only is this the most common carpal bone injury, but the poor blood supply puts the bone at risk for avascular necrosis when injured. This fracture is commonly missed on x-ray, so this is an important physical finding to support further or repeated studies.
Chapter: 16
Page and Header: 604, Techniques of Examination
• Question 3
10 out of 10 points
Which of the following will help to optimize yield from a pediatric examination?
Selected Answer:
C.
Doing the examination out of order if necessary to take advantage of quiet periods for auscultation, etc. [Show Less]