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NR 511 Final Exam|| QUESTIONS AND CORRECT
DETAILED ANSWERS||VERIFIED EXAM!!! (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST EXAM!!!
Which of the following information is essential before
prescribing Bactrim DS to a 24-year-old woman with a
UTI?
A. Last menstrual period
B. Method of birth control
C. Last unprotected sexual contact
D. All of the above - ANSWER-All of the above
Certain patterns of pain, numbness, and tingling are
associated with carpal tunnel syndrome. - ANSWER-Katz
hand diagram
Tinel sign - ANSWER-Median nerve integrity
Tinel sign is tested by striking the patient's wrist with your
index or middle finger where the median nerve passes
under the flexor retinaculum and volar carpal ligament.
A tingling sensation radiating from the wrist to the hand in
the distribution of the median nerve is a positive Tinel sign
and is suggestive of carpal tunnel syndrome.
,2|Page
Median Nerve Integrity/ Carpal Tunnel testing - ANSWER-
Tinel sign, Phalen, Thumb abduction
Thumb abduction - ANSWER-Have the patient place the
hand palm up and raise the thumb perpendicular to it.
Apply downward pressure on the thumb to test muscle
strength.
Full resistance to pressure is expected. Weakness is
associated with carpal tunnel syndrome.
Phalen test - ANSWER-To perform the Phalen test, ask
the patient to hold both wrists in a fully palmar-flexed
position with the dorsal surfaces pressed together for 1
minute
Numbness and paresthesia in the distribution of the
median nerve are suggestive of carpal tunnel syndrome.
Hawkins test - ANSWER-Shoulder rotator cuff
impingement of tear
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The Hawkins test is performed by abducting the shoulder
to 90 degrees, flexing the elbow to 90 degrees, and then
internally rotating the arm to its limit. Increased shoulder
pain is associated with rotator cuff inflammation or a tear
Mcmurray test - ANSWER-Torn meniscus in the knee
The mcmurray test is used to detect a torn medial or
lateral meniscus.
Mcmurray test - ANSWER-Have the patient lie supine and
flex one knee. Position your thumb and fingers on either
side of the joint space. Hold the heel with your other hand,
fully flexing the knee, and rotate the foot and knee outward
(VALGUS stress) to a lateral position. Extend and then flex
the patient's knee.
Any palpable or audible click, grinding, pain, or limited
extension of the knee is a positive sign of a torn medial
meniscus.
Valgus-varus stress test - ANSWER-Medial or lateral
collateral ligament instability in knee
The varus (abduction) and valgus (adduction)
, 4|Page
Have the patient lie supine and extend the knee. Stabilize
the femur with one hand and hold the ankle with your
other hand.
Apply varus force against the ankle (toward the midline)
and internal rotation.
Excessive laxity is felt as joint opening. Laxity in this
position indicates injury to the lateral collateral ligament.
Then apply valgus force against the ankle (away from the
midline) and external rotation.
Laxity in this position indicates injury to the medial
collateral ligament.
Repeat the movements with the patient's knee flexed to 30
degrees. No excessive medial or lateral movement of the
knee is expected.
Acute knee injury diagnostic - ANSWER-Acute Knee Injury
In cases of acute knee injury, the Ottawa Knee Rules
NR 511 Final Exam|| QUESTIONS AND CORRECT
DETAILED ANSWERS||VERIFIED EXAM!!! (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST EXAM!!!
Which of the following information is essential before
prescribing Bactrim DS to a 24-year-old woman with a
UTI?
A. Last menstrual period
B. Method of birth control
C. Last unprotected sexual contact
D. All of the above - ANSWER-All of the above
Certain patterns of pain, numbness, and tingling are
associated with carpal tunnel syndrome. - ANSWER-Katz
hand diagram
Tinel sign - ANSWER-Median nerve integrity
Tinel sign is tested by striking the patient's wrist with your
index or middle finger where the median nerve passes
under the flexor retinaculum and volar carpal ligament.
A tingling sensation radiating from the wrist to the hand in
the distribution of the median nerve is a positive Tinel sign
and is suggestive of carpal tunnel syndrome.
,2|Page
Median Nerve Integrity/ Carpal Tunnel testing - ANSWER-
Tinel sign, Phalen, Thumb abduction
Thumb abduction - ANSWER-Have the patient place the
hand palm up and raise the thumb perpendicular to it.
Apply downward pressure on the thumb to test muscle
strength.
Full resistance to pressure is expected. Weakness is
associated with carpal tunnel syndrome.
Phalen test - ANSWER-To perform the Phalen test, ask
the patient to hold both wrists in a fully palmar-flexed
position with the dorsal surfaces pressed together for 1
minute
Numbness and paresthesia in the distribution of the
median nerve are suggestive of carpal tunnel syndrome.
Hawkins test - ANSWER-Shoulder rotator cuff
impingement of tear
,3|Page
The Hawkins test is performed by abducting the shoulder
to 90 degrees, flexing the elbow to 90 degrees, and then
internally rotating the arm to its limit. Increased shoulder
pain is associated with rotator cuff inflammation or a tear
Mcmurray test - ANSWER-Torn meniscus in the knee
The mcmurray test is used to detect a torn medial or
lateral meniscus.
Mcmurray test - ANSWER-Have the patient lie supine and
flex one knee. Position your thumb and fingers on either
side of the joint space. Hold the heel with your other hand,
fully flexing the knee, and rotate the foot and knee outward
(VALGUS stress) to a lateral position. Extend and then flex
the patient's knee.
Any palpable or audible click, grinding, pain, or limited
extension of the knee is a positive sign of a torn medial
meniscus.
Valgus-varus stress test - ANSWER-Medial or lateral
collateral ligament instability in knee
The varus (abduction) and valgus (adduction)
, 4|Page
Have the patient lie supine and extend the knee. Stabilize
the femur with one hand and hold the ankle with your
other hand.
Apply varus force against the ankle (toward the midline)
and internal rotation.
Excessive laxity is felt as joint opening. Laxity in this
position indicates injury to the lateral collateral ligament.
Then apply valgus force against the ankle (away from the
midline) and external rotation.
Laxity in this position indicates injury to the medial
collateral ligament.
Repeat the movements with the patient's knee flexed to 30
degrees. No excessive medial or lateral movement of the
knee is expected.
Acute knee injury diagnostic - ANSWER-Acute Knee Injury
In cases of acute knee injury, the Ottawa Knee Rules
