Nurs 5433 Module 6 MSK Exam
Questions With Complete Solutions
What ligaments are involved in an inversion ankle sprain? - CORRECT ANSWERS anterior
talofibular or calcaneofibular ligaments
What ligaments are involved in an eversion ankle sprain? - CORRECT ANSWERS deltoid
ligament
What is a grade 1 ankle sprain? - CORRECT ANSWERS stretching of a ligament with small
tears. No joint instability, mild swelling, patient is able to walk
What is a grade 2 ankle sprain? - CORRECT ANSWERS larger tears but not a complete tear.
Moderate instability. Bruising, painful ambulation, swelling
What is a grade 3 ankle sprain? - CORRECT ANSWERS complete tear of ligament, severe
pain, lots of swelling and tenderness. Mechanical instability and decreased ROM. unable to ambulate.
Snap is heard at time of injury
When do you refer out an ankle sprain? - CORRECT ANSWERS Grade 3
What is the initial management of an ankle sprain? - CORRECT ANSWERS PRICER
Protection (crutches, splint, brace)
Rest
Ice
Compression
,Elevation
Rehabilitation
also analgesics such as NSAIDs
What is carpal tunnel syndrome? - CORRECT ANSWERS compressive neuropathy in the
median nerve
What are s/s of carpal tunnel syndrome? - CORRECT ANSWERS paresthesia, weakness of the
hands, aggravated by flexing and extending the wrist. Dull and achy pain
What is the phalen test? - CORRECT ANSWERS Used to test for Carpel Tunnel Syndrome. Ask
the patient to hold both wrists in a fully palmer flexed position with the dorsal surfaces pressed together
for one minute. Numbness and paresthesia in the distribution of the median nerve are suggestive of
CTS.
What is Tinel's sign? - CORRECT ANSWERS Tapping on the carpal tunnel causes parathesias
(tingling) in the median nerve distribution
What is the treatment for carpal tunnel syndrome? - CORRECT ANSWERS NSAIDs, wrist
splint, yoga, steroid injections, surgery
What is DeQuervain's tenosynovitis? - CORRECT ANSWERS progressive stenosing
tenosynovitis that affects the 1st dorsal compartment of the wrist. Degeneration and thickening of the
tendon sheath
What causes DeQuervain's tenosynovitis? - CORRECT ANSWERS Overuse of thumb
extension/abduction.
, How can you test for dequervains tenosynovitis? - CORRECT ANSWERS Finkelstein test: pain
increases on active contraction against resistance on thumb extension
How do you manage dequervains tenosynovitis? - CORRECT ANSWERS thumb spica splint for
3-4 weeks
modify activity
NSAIDs
steroid injection
if conservative treatment fails after 3 months=surgery
Does tennis elbow affect medial or lateral epicondyle? - CORRECT ANSWERS lateral.
another name for tennis elbow is lateral epidocondylitis
What are the s/s of lateral epicondylitis - CORRECT ANSWERS gradual onset of pain/burning
on the outer part of the elbow. They have a WEAK GRIP.
What is the treatment for lateral epicondylitis? - CORRECT ANSWERS rest, NSAIDs, PT,
steroid injections, counterforce brace, stretching the wrist up and down.
if conservative treatment fails, either open or arthroscopic surgery
What part of the epicondyle is affected in golfer's elbow? - CORRECT ANSWERS Medial
epicondyle
Where is the pain located in goler's elbow? - CORRECT ANSWERS boney bump on inside of
elbow and radiates to forearm.
Questions With Complete Solutions
What ligaments are involved in an inversion ankle sprain? - CORRECT ANSWERS anterior
talofibular or calcaneofibular ligaments
What ligaments are involved in an eversion ankle sprain? - CORRECT ANSWERS deltoid
ligament
What is a grade 1 ankle sprain? - CORRECT ANSWERS stretching of a ligament with small
tears. No joint instability, mild swelling, patient is able to walk
What is a grade 2 ankle sprain? - CORRECT ANSWERS larger tears but not a complete tear.
Moderate instability. Bruising, painful ambulation, swelling
What is a grade 3 ankle sprain? - CORRECT ANSWERS complete tear of ligament, severe
pain, lots of swelling and tenderness. Mechanical instability and decreased ROM. unable to ambulate.
Snap is heard at time of injury
When do you refer out an ankle sprain? - CORRECT ANSWERS Grade 3
What is the initial management of an ankle sprain? - CORRECT ANSWERS PRICER
Protection (crutches, splint, brace)
Rest
Ice
Compression
,Elevation
Rehabilitation
also analgesics such as NSAIDs
What is carpal tunnel syndrome? - CORRECT ANSWERS compressive neuropathy in the
median nerve
What are s/s of carpal tunnel syndrome? - CORRECT ANSWERS paresthesia, weakness of the
hands, aggravated by flexing and extending the wrist. Dull and achy pain
What is the phalen test? - CORRECT ANSWERS Used to test for Carpel Tunnel Syndrome. Ask
the patient to hold both wrists in a fully palmer flexed position with the dorsal surfaces pressed together
for one minute. Numbness and paresthesia in the distribution of the median nerve are suggestive of
CTS.
What is Tinel's sign? - CORRECT ANSWERS Tapping on the carpal tunnel causes parathesias
(tingling) in the median nerve distribution
What is the treatment for carpal tunnel syndrome? - CORRECT ANSWERS NSAIDs, wrist
splint, yoga, steroid injections, surgery
What is DeQuervain's tenosynovitis? - CORRECT ANSWERS progressive stenosing
tenosynovitis that affects the 1st dorsal compartment of the wrist. Degeneration and thickening of the
tendon sheath
What causes DeQuervain's tenosynovitis? - CORRECT ANSWERS Overuse of thumb
extension/abduction.
, How can you test for dequervains tenosynovitis? - CORRECT ANSWERS Finkelstein test: pain
increases on active contraction against resistance on thumb extension
How do you manage dequervains tenosynovitis? - CORRECT ANSWERS thumb spica splint for
3-4 weeks
modify activity
NSAIDs
steroid injection
if conservative treatment fails after 3 months=surgery
Does tennis elbow affect medial or lateral epicondyle? - CORRECT ANSWERS lateral.
another name for tennis elbow is lateral epidocondylitis
What are the s/s of lateral epicondylitis - CORRECT ANSWERS gradual onset of pain/burning
on the outer part of the elbow. They have a WEAK GRIP.
What is the treatment for lateral epicondylitis? - CORRECT ANSWERS rest, NSAIDs, PT,
steroid injections, counterforce brace, stretching the wrist up and down.
if conservative treatment fails, either open or arthroscopic surgery
What part of the epicondyle is affected in golfer's elbow? - CORRECT ANSWERS Medial
epicondyle
Where is the pain located in goler's elbow? - CORRECT ANSWERS boney bump on inside of
elbow and radiates to forearm.
