BARKLEY FNP REVIEW FAMILY NURSE
PRACTITIONER BOARD CERTIFICATION
(ORTHOPAEDICS) Q&A 2026/2027 LATEST
WITH RATIONALES
The Lachman maneuver is used to detect which of the following?
A) Instability of the knee
B) Nerve damage of the knee due to past knee injuries
C) Integrity of the patellar tendon
D) Tears on the meniscus of the knee - ✔✔✔ANSWER-A)
Instability of the knee
The Lachman maneuver is a test performed to assess for knee
instability (i.e., damage to the motion of anterior translation [
laxity] of the anterior cruciate ligament [ACL]). The maneuver
should be tested on both knees, comparing the injured and the
1
, opposite knee, the uninjured knee is used as the "control." The
test is positive if the injured knee slips back further (laxity).
Perform the test by bending the knee 30 degrees. Stabilize the
femur with one hand. Place the other hand under the proximal
tibia at the level of the joint line and then pull forward. The
laxity is graded on a 0 (normal)-to-3 scale (1.0-1.5 cm of
translation).
A 65-year-old carpenter complains of morning stiffness and pain
in both his hands and right knee upon awakening. He feels some
relief after warming up. On exam, the nurse practitioner notices
the presence of Heberden's nodes. Which of the following is
most likely?
A) Osteoporosis
B) Rheumatoid arthritis
C) Osteoarthritis
D) Reiter's syndrome - ✔✔✔ANSWER-C) Osteoarthritis
2
PRACTITIONER BOARD CERTIFICATION
(ORTHOPAEDICS) Q&A 2026/2027 LATEST
WITH RATIONALES
The Lachman maneuver is used to detect which of the following?
A) Instability of the knee
B) Nerve damage of the knee due to past knee injuries
C) Integrity of the patellar tendon
D) Tears on the meniscus of the knee - ✔✔✔ANSWER-A)
Instability of the knee
The Lachman maneuver is a test performed to assess for knee
instability (i.e., damage to the motion of anterior translation [
laxity] of the anterior cruciate ligament [ACL]). The maneuver
should be tested on both knees, comparing the injured and the
1
, opposite knee, the uninjured knee is used as the "control." The
test is positive if the injured knee slips back further (laxity).
Perform the test by bending the knee 30 degrees. Stabilize the
femur with one hand. Place the other hand under the proximal
tibia at the level of the joint line and then pull forward. The
laxity is graded on a 0 (normal)-to-3 scale (1.0-1.5 cm of
translation).
A 65-year-old carpenter complains of morning stiffness and pain
in both his hands and right knee upon awakening. He feels some
relief after warming up. On exam, the nurse practitioner notices
the presence of Heberden's nodes. Which of the following is
most likely?
A) Osteoporosis
B) Rheumatoid arthritis
C) Osteoarthritis
D) Reiter's syndrome - ✔✔✔ANSWER-C) Osteoarthritis
2
