BATES TEST BANK
Tenderness
You are assessing a patient with joint pain and are trying to determine whether it's far
inflammatory or noninflammatory in nature. Which one of the following signs is steady with
an inflammatory method?
A) Tenderness
B) Cool temperature
C) Ecchymosis
D) Nodules
lupus
You are assessing a affected person with diffuse joint pains and want to ensure that simplest
the joints are the hassle, and that the ache isn't always related to different sicknesses. Which
of the subsequent is a systemic motive of joint pain?
A) Gout
B) Osteoarthritis
C) Lupus
D) Spondylosis
lyme disease
A 19-yr-old university sophomore comes to the medical institution for assessment of joint
pains. The scholar has been back from spring spoil for 2 weeks; throughout her vacation,
she went tenting. She notes that she had a crimson spot, fashioned like a target, however
then it began spreading, and then the joint pains started out. She used insect repellant
however was in a place regarded to have ticks. She has never been sick and takes no
medications routinely; she has by no means been sexually energetic. What is the most likely
cause of her joint pain?
Foot arched
An 85-year-vintage retired housewife comes with her daughter to set up care. Her daughter
is involved because her mother has commenced to fall extra. As part of her bodily
examination, you ask her to walk throughout the examination room. Which of the following is
not a part of the stance phase of gait?
A) Foot arched
B) Heel strike
C) Mid-stance
D) Push-off
straight leg-boost
,A 32-year-antique warehouse worker presents for assessment of low again pain. He notes a
unexpected onset of pain after lifting a set of packing containers that have been heavier than
standard. He additionally states that he has numbness and tingling in the left leg. He wants
to understand if he wishes to be off of labor. What check ought to you perform to evaluate for
a herniated disc?
Mechanical low returned pain
A 33-year-antique creation employee comes for evaluation and remedy of acute onset of low
lower back ache. He notes that the pain is an aching placed inside the lumbosacral vicinity. It
has been present intermittently for several years; there is no recognized trauma or harm. He
points to the left decrease again. The pain does no longer radiate and there's no numbness
or tingling inside the legs or incontinence. He was shifting furniture for a friend over the
weekend. On physical examination, you observe muscle spasm, with regular deep tendon
reflexes and muscle strength. What is the most in all likelihood motive of this affected
person's low again pain?
Cervical sprain
A 50-year-antique realtor comes to your workplace for evaluation of neck pain. She changed
into in a motor automobile collision 2 days in the past and changed into assessed by way of
the emergency clinical technicians on web page, however she did not suppose that she had
to go to the emergency room at that time. Now, she has severe ache and stiffness in her
neck. On bodily exam, you note pain and spasm over the paraspinous muscle groups on the
left aspect of the neck, and pain when you make the affected person do lively range of
motion of the cervical spine. What is the most in all likelihood motive of this neck ache?
Fibromyalgia
A 28-yr-antique graduate pupil comes for your hospital for assessment of pain "throughout."
With similarly questioning, she is ready to narrate that the pain is worse in the neck,
shoulders, hands, low lower back, and knees. She denies swelling in her joints; she states
that the ache is worse within the morning; there is no dilemma in her range of motion. On
physical exam, she has numerous points on the muscle groups of the neck, shoulders, and
back which might be tender to palpation; muscle power and variety of movement are normal.
Which of the subsequent is probably the cause of her ache?
Rotator cuff tendinitis
A sixty eight-year-antique retired banker comes in your health facility for evaluation of left
shoulder pain. He swims for 30 minutes daily, early within the morning. He notes a sharp,
catching pain and a sensation of some thing grating when he tries overhead movements of
his arm. On physical examination, you note tenderness just underneath the top of the
acromion inside the region of the tendon insertions. The drop arm take a look at is poor, and
there may be no dilemma with shoulder shrug. The affected person is not preserving his arm
near his facet, and there may be no tenderness to palpation in the bicipital groove while the
arm is on the patient's aspect, flexed to 90 ranges, and then supinated in opposition to
resistance. Based in this description, what's the most probably reason of his shoulder ache?
,Tendons
A high faculty football participant "blew out his knee" when the opposing goalie's head and
shoulder struck his flexed knee while the goalie became diving for the ball. All of the
subsequent structures had been concerned in some way in his damage, however which of
the subsequent is honestly an additional-articular structure?
A) Synovium
B) Joint tablet
C) Juxta-articular bone
D) Tendons
Extra-articular
Ray works a bodily activity and notes pain whilst he tries to raise his arm over his head.
When you pass the shoulder passively, he has complete range of movement with out pain
and there may be no gross swelling or tenderness. What kind of joint ailment does this most
in all likelihood represent?
Cartilaginous
Mark is a contractor who recently injured his back. He become told he had a "bulging disc" to
account for the burning ache down his proper leg and moderate foot drop. The vertebral our
bodies of the spine contain which type of joint?
Temporomandibular joint
Which of the subsequent synovial joints could be an example of a condylar joint?
A) Hip
B) Interphalangeal joints of the hand
C) Temporomandibular joint
D) Intervertebral joint
Pain this is bilateral
A 58-12 months-old guy comes on your workplace complaining of bilateral again pain that
now awakens him at night. This has been progressively growing for the beyond 2 months.
Which one of the following is the most reassuring on this patient with returned pain?
A) Age over 50
B) Pain at night
C) Pain lasting more than 1 month or no longer responding to therapy
D) Pain that is bilateral
Cauda equina
Marion provides in your office with back ache associated with constipation and urinary
retention. Which of the following is maximum probable?
, Ache
Louise, a 60-year-antique, complains of left knee pain associated with tenderness in the
course of, redness, and warmth over the joint. Which of the subsequent is least helpful in
figuring out if a joint trouble is inflammatory?
A) Tenderness
B) Pain
C) Warmth
D) Redness
Articular joint ache
Pain, swelling, loss of both energetic and passive movement, locking, and deformity could
be consistent with which of the subsequent?
A) Articular joint ache
B) Bursitis
C) Muscular injury
D) Nerve damage
Gonococcal arthritis
You are running in a university health clinic and seeing a young woman with a red, painful,
swollen DIP joint on the left index finger. There are also some papules, pustules, and
vesicles on reddened bases, positioned at the distal extremities. This might be regular with
with what?
Delayed menarche
An overweight 55-12 months-vintage girl went thru menarche at age 16 and menopause 2
years ago. She is concerned because an aunt had severe osteoporosis. Which of the
subsequent is a threat thing for osteoporosis?
A) Obesity
B) Late menopause
C) Having an aunt with osteoporosis
D) Delayed menarche
Rheumatoid arthritis
A 38-yr-vintage lady involves you and has multiple small joints involved with ache, swelling,
and stiffness. Which of the subsequent is the maximum in all likelihood clarification?
A) Rheumatoid arthritis
B) Septic arthritis
C) Gout
D) Trauma
Temporomandibular joint syndrome
Tenderness
You are assessing a patient with joint pain and are trying to determine whether it's far
inflammatory or noninflammatory in nature. Which one of the following signs is steady with
an inflammatory method?
A) Tenderness
B) Cool temperature
C) Ecchymosis
D) Nodules
lupus
You are assessing a affected person with diffuse joint pains and want to ensure that simplest
the joints are the hassle, and that the ache isn't always related to different sicknesses. Which
of the subsequent is a systemic motive of joint pain?
A) Gout
B) Osteoarthritis
C) Lupus
D) Spondylosis
lyme disease
A 19-yr-old university sophomore comes to the medical institution for assessment of joint
pains. The scholar has been back from spring spoil for 2 weeks; throughout her vacation,
she went tenting. She notes that she had a crimson spot, fashioned like a target, however
then it began spreading, and then the joint pains started out. She used insect repellant
however was in a place regarded to have ticks. She has never been sick and takes no
medications routinely; she has by no means been sexually energetic. What is the most likely
cause of her joint pain?
Foot arched
An 85-year-vintage retired housewife comes with her daughter to set up care. Her daughter
is involved because her mother has commenced to fall extra. As part of her bodily
examination, you ask her to walk throughout the examination room. Which of the following is
not a part of the stance phase of gait?
A) Foot arched
B) Heel strike
C) Mid-stance
D) Push-off
straight leg-boost
,A 32-year-antique warehouse worker presents for assessment of low again pain. He notes a
unexpected onset of pain after lifting a set of packing containers that have been heavier than
standard. He additionally states that he has numbness and tingling in the left leg. He wants
to understand if he wishes to be off of labor. What check ought to you perform to evaluate for
a herniated disc?
Mechanical low returned pain
A 33-year-antique creation employee comes for evaluation and remedy of acute onset of low
lower back ache. He notes that the pain is an aching placed inside the lumbosacral vicinity. It
has been present intermittently for several years; there is no recognized trauma or harm. He
points to the left decrease again. The pain does no longer radiate and there's no numbness
or tingling inside the legs or incontinence. He was shifting furniture for a friend over the
weekend. On physical examination, you observe muscle spasm, with regular deep tendon
reflexes and muscle strength. What is the most in all likelihood motive of this affected
person's low again pain?
Cervical sprain
A 50-year-antique realtor comes to your workplace for evaluation of neck pain. She changed
into in a motor automobile collision 2 days in the past and changed into assessed by way of
the emergency clinical technicians on web page, however she did not suppose that she had
to go to the emergency room at that time. Now, she has severe ache and stiffness in her
neck. On bodily exam, you note pain and spasm over the paraspinous muscle groups on the
left aspect of the neck, and pain when you make the affected person do lively range of
motion of the cervical spine. What is the most in all likelihood motive of this neck ache?
Fibromyalgia
A 28-yr-antique graduate pupil comes for your hospital for assessment of pain "throughout."
With similarly questioning, she is ready to narrate that the pain is worse in the neck,
shoulders, hands, low lower back, and knees. She denies swelling in her joints; she states
that the ache is worse within the morning; there is no dilemma in her range of motion. On
physical exam, she has numerous points on the muscle groups of the neck, shoulders, and
back which might be tender to palpation; muscle power and variety of movement are normal.
Which of the subsequent is probably the cause of her ache?
Rotator cuff tendinitis
A sixty eight-year-antique retired banker comes in your health facility for evaluation of left
shoulder pain. He swims for 30 minutes daily, early within the morning. He notes a sharp,
catching pain and a sensation of some thing grating when he tries overhead movements of
his arm. On physical examination, you note tenderness just underneath the top of the
acromion inside the region of the tendon insertions. The drop arm take a look at is poor, and
there may be no dilemma with shoulder shrug. The affected person is not preserving his arm
near his facet, and there may be no tenderness to palpation in the bicipital groove while the
arm is on the patient's aspect, flexed to 90 ranges, and then supinated in opposition to
resistance. Based in this description, what's the most probably reason of his shoulder ache?
,Tendons
A high faculty football participant "blew out his knee" when the opposing goalie's head and
shoulder struck his flexed knee while the goalie became diving for the ball. All of the
subsequent structures had been concerned in some way in his damage, however which of
the subsequent is honestly an additional-articular structure?
A) Synovium
B) Joint tablet
C) Juxta-articular bone
D) Tendons
Extra-articular
Ray works a bodily activity and notes pain whilst he tries to raise his arm over his head.
When you pass the shoulder passively, he has complete range of movement with out pain
and there may be no gross swelling or tenderness. What kind of joint ailment does this most
in all likelihood represent?
Cartilaginous
Mark is a contractor who recently injured his back. He become told he had a "bulging disc" to
account for the burning ache down his proper leg and moderate foot drop. The vertebral our
bodies of the spine contain which type of joint?
Temporomandibular joint
Which of the subsequent synovial joints could be an example of a condylar joint?
A) Hip
B) Interphalangeal joints of the hand
C) Temporomandibular joint
D) Intervertebral joint
Pain this is bilateral
A 58-12 months-old guy comes on your workplace complaining of bilateral again pain that
now awakens him at night. This has been progressively growing for the beyond 2 months.
Which one of the following is the most reassuring on this patient with returned pain?
A) Age over 50
B) Pain at night
C) Pain lasting more than 1 month or no longer responding to therapy
D) Pain that is bilateral
Cauda equina
Marion provides in your office with back ache associated with constipation and urinary
retention. Which of the following is maximum probable?
, Ache
Louise, a 60-year-antique, complains of left knee pain associated with tenderness in the
course of, redness, and warmth over the joint. Which of the subsequent is least helpful in
figuring out if a joint trouble is inflammatory?
A) Tenderness
B) Pain
C) Warmth
D) Redness
Articular joint ache
Pain, swelling, loss of both energetic and passive movement, locking, and deformity could
be consistent with which of the subsequent?
A) Articular joint ache
B) Bursitis
C) Muscular injury
D) Nerve damage
Gonococcal arthritis
You are running in a university health clinic and seeing a young woman with a red, painful,
swollen DIP joint on the left index finger. There are also some papules, pustules, and
vesicles on reddened bases, positioned at the distal extremities. This might be regular with
with what?
Delayed menarche
An overweight 55-12 months-vintage girl went thru menarche at age 16 and menopause 2
years ago. She is concerned because an aunt had severe osteoporosis. Which of the
subsequent is a threat thing for osteoporosis?
A) Obesity
B) Late menopause
C) Having an aunt with osteoporosis
D) Delayed menarche
Rheumatoid arthritis
A 38-yr-vintage lady involves you and has multiple small joints involved with ache, swelling,
and stiffness. Which of the subsequent is the maximum in all likelihood clarification?
A) Rheumatoid arthritis
B) Septic arthritis
C) Gout
D) Trauma
Temporomandibular joint syndrome
