{Diagnosis & Management of Adult Health Problems}
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Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
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1. Which of the following signs or symptoms indicate an inflammatory etiology
to musculoskeletal pain?
A. Decreased C-reactive protein
B. Hyperalbuminemia
C. Morning stiffness
D. Weight gain
ANSWER C
2. Willow is a 67-year-old female and her bone mineral density is more than 1
SD below the young adult reference mean. What is her diagnosis?
A. Normal bone mineral density
B. Osteopenia
C. Osteoporosis
D. Severe osteoporosis
ANSWER B
3. One of the most frequent presenting signs/symptoms of osteoporosis is:
a. Goiter
b. Abnormal serum calcium
, c. Elevated urine biochemical markers
d. Bony fracture
ANSWER D
4. Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any history of trauma.
Her examination reveals a 75% reduction in both active and passive ROM of
the right shoulder. Mrs. Gray also is experiencing tenderness with motion
and pain at the deltoid insertion. Her medical history is significant for type 1
diabetes mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination and
medical history, you suspect adhesive capsulitis, or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?
A. History of hypertension
B. Her affected shoulder is also her dominant arm.
C. Her history of type 1 diabetes
D. Her work as a secretary predisposes her to repetitive motions
- NSWER C
5. Which of the following statements is true regarding the treatment of carpal
tunnel syndrome?
A. The goal of treatment is to prevent flexion and extension movements of
the wrist.
B. Splints are not used in carpal tunnel syndrome, because they restrict
complete movement of the fingers and wrist.
C. Corticosteroid injections are encouraged in the treatment of carpal
tunnel syndrome.
D. Treatment that encourages fluid retention, to keep the joints lubricated,
is an emphasis of treatment
- ANSWER A
,6. Which of the following statements concerning the musculoskeletal
examination is true?
A. The uninvolved side should be examined initially and then compared to
the involved side.
B. The part of the body that is causing the patient pain should be examined
first.
C. When possible, the patient should not be asked to perform active ROM
exercises to avoid causing pain.
D. Radiographs should always be obtained prior to examination so as not to
cause further injury to the patient
- ANSWER A
7. You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM but
cannot move it above gravity. Which numeric grade of muscle strength
would you give this patient?
A. 1
B. 2
C. 3
D. 4
- ANSWER B
8. Debbie is a 43-year-old female being evaluated for a wrist injury. The
clinician is assessing for median nerve compression by having Debbie
maintain forced flexion of her wrist for 1 minute with the dorsal surface of
each hand pressed together. Which of these tests did the clinician just
perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test
- ANSWER B
, 9. Connie is a 63-year-old seamstress who presents with pain at the base of
her right thumb on abduction and extension of her right thumb. She also
complains of pain on the radial side of her right wrist with lifting. Which of
these diagnostic tests will help to determine if she has de Quervain's
tenosynovitis?
A. Allen's test
B. Phalen's maneuver
C. Tinel's sign
D. Finkelstein's test
- ANSWER D
10.Mrs. Allen is a 60-year-old woman who has been diagnosed with
osteoporosis. She is very concerned about the risk of breast cancer
associated with hormone replacement therapy and is wondering what
other treatments are available to her. The clinician explains that
bisphosphonates are another class of drugs used in the prevention and
treatment of osteoporosis. What teaching should the clinician give Mrs.
Allen in regard to taking bisphosphonates?
A. Taking bisphosphonates can result in hypercalcemia, so calcium intake
should be decreased while taking this class of drugs.
B. There is potential for upper GI irritation, so these medications are
contraindicated in people with abnormalities of the esophagus or delayed
esophageal emptying.
C. This class of drugs can be taken at any time of the day without regard to
meals.
D. This class of drugs should be taken with orange juice to increase
absorption.
- ANSWER B
11.One of the initial steps in assessing patients with musculoskeletal
complaints is to determine whether the complaint is articular or