Nr 667/Nr 667 Chamberlain CEA Final Exam Version 2
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A high school football player presents Monday morning
after sustaining an injury Friday night. The injuring play
involved a tackle to the lateral right leg. The player walked
off the field but was unable to play the rest of the game
and has been in pain and limping since. In assessing for a
medical meniscus and lateral meniscus injury, the nurse
practitioner should perform the:
A. Thomas test
B. Lachman test
C. McMurray test
D. PSOAS test - ANSWER-C
An adolescent athlete presents with shoulder pain and
inability to raise the arm above the shoulder. The most
likely diagnosis is:
A. Rotator cuff tear
B. Polymyositis
C. Cervical nerve root compression
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D. Adhesive capsulitis - ANSWER-A
An adolescent football player presents to the urgent care
with an acute knee injury. He heard a pop when his knee
buckled. The nurse practitioner notes a positive anterior
drawer test. The most likely diagnosis is injury to the:
A. medial collateral ligament.
B. anterior cruciate ligament.
C. posterior cruciate ligament.
D. lateral collateral ligament - ANSWER-B
A 60-year-old woman with osteoporosis presents for a
follow-up visit. What is the most appropriate
pharmacological treatment to prevent further bone loss?
A. Hormone replacement therapy
B. Bisphosphonates
C. Vitamin D supplements only
D. Calcium supplements only - ANSWER-B
An adult male presents complaining of a left ankle injury
that occurred 2 days ago while he was playing basketball.
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The patient cannot bear weight and ROM is limited by
pain. What acute injuries would be included in the
differential diagnosis for this patient?
A. Ankle sprain, ankle fracture
B. Achilles tendonitis, ankle fracture
C. Ankle sprain, inflammatory bursitis
D. Stress fracture, Morton's neuroma - ANSWER-A
Which of the following are not items assessed for
compartment syndrome?
A. Sensation
B. Skin color
C. Guarding
D. Pain - ANSWER-C
A 25-year-old athlete presents with shoulder pain and
difficulty with overhead activities. Physical examination
suggests impingement syndrome. What is the most
appropriate initial treatment?
A. Physical therapy focusing on rotator cuff strengthening
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B. Nonsteroidal anti-inflammatory drugs (NSAIDs) and
physical activity modification
C. Surgical intervention
D. Corticosteroid injection - ANSWER-A
Your patient has presented with an acute GI bleed. In
working up potential causes, which of the following
scenarios is most probable as a reason for the bleed?
A. Chronic low-dose acetaminophen for rheumatoid
arthritis pain
B. Four days of high dose of naproxen sodium for joint
pain after a long hike
C. Tapered dose of prednisone for a contact dermatitis
D. Chronic topical use of diclofenac gel over a knee with
arthritic pain - ANSWER-B
An adult female with a BMI of 31 has pain and weakness
in her legs, buttocks, and upper thighs after prolonged
walking or standing. She has osteoporosis of the hips. The
patient obtains short term relief by leaning forward
(stooping) when grocery shopping or sitting. The
suspected diagnosis is: