Disorders Final Exam Fully Solved
2026.
The most common cause of acute bursitis is:
A. inactivity
B. joint overuse
C. fibromyalgia
D. bacterial infection - Answer B. joint overuse
First-line treatment options for bursitis usually include:
A. corticosteroid bursal injection
B. heat to area.
C. weight-bearing exercises.
D. nonsteroidal anti-inflammatory drugs (NSAIDs) - Answer D. nonsteroidal anti-
inflammatory drugs (NSAIDs)
First-line therapy includes minimizing or eliminating the offending activity, applying ice to
affected area for 15 min at least 4x/day, and taking NSAIDs. If these measures don't work in 4 to
8 weeks, intrabursal corticosteroid injection should be performed. Most common risk for
injections is soreness at the injection site. Other risks include infection, tissue atrophy, and
inflammatory reactions.
First-line therapy for prepatellar bursitis is bursla aspiration because this procedure affords
significant pain relief and allows bursa to reapproximate.
Patients with olecranon bursitis typically present with:
A. swelling and redness over the affected area
B. limited elbow range of motion (ROM)
C. nerve impingement
D. destruction of the joint space - Answer A. swelling and redness over the affected area
Pain, swelling behind the elbow, swelling in same area, often described as ball or sac hanging
from elbow. Risk factors include prolonged pressure or trauma to elbow (aka draftsman's elbow)
,Patients with subscapular bursitis typically present with:
A. limited shoulder ROM
B. heat over affected area.
C. localized tenderness under the superomedial angle of the scapula
D. cervical nerve root irritation. - Answer C. localized tenderness under the superomedial
angle of the scapula
Local tenderness under superomedial angle of the scapula over the adjacent rib, normal
shoulder ROM, no nerve root impingement. Risk factors include repeated back-and forth
motion.
Patient with guluteus medius or deep trocharteric bursitis typically present with:
A. increased pain from resisted hip abduction.
B. limited hip ROM
C. sciatic nerve pain
D. heat over the affected area. - Answer A. increased pain from resisted hip abduction.
Gait disturbance, local trochanter tenderness, pain on hip rotation, and resisted hip abduction
with normal hip ROM. Risk factors include back disease, leg-length discrepancy, and leg
problems that lead to altered gait.
Likely sequelae of intrabursal corticosteroid injection include:
A. irreversible skin atrophy
B. infection
C. inflammatory reaction
D. soreness at the site of injection - Answer D. soreness at the site of injection
First-line therapy for prepatellar bursitis should include:
A. bursal aspiration
B. intrabursal corticosteroid injection
C. acetaminophen
D. knee splinting - Answer A. bursal aspiration
,Knee swelling and pain int he front of the knee, normal ROM. Risk factors include frequent
kneeling (aka housemaid's knee)
Clinical conditions with presentation similar to acute bursitis include: (More than one option can
apply.)
A. rheumatoid arthritis
B. septic arthritis
C. joint trauma
D. pseudogout - Answer A. rheumatoid arthritis
B. septic arthritis
C. joint trauma
D. pseudogout
Patients with lateral epicondylitis typically present with :
A. electric-like pain elicited by tapping over the median nerve
B. reduced joint ROM
C. pain that is worst with elbow flexion
D. decreased hand grip strength. - Answer D. decreased hand grip strength.
Patient complains of pain over lateral epicondyle or outer aspect of lower humerus, which
increases with resisted wrist extension, especially with elbow. Hand grip is often weak on
affected side. Elbow ROM is usually normal.
Often called tennis elbow. Results from repetitive activity such as lifting, use of certain tools,
playing sports involving a tight grip.
Prevent recurrence by avoiding precipitating causes, ensuring proper use of tools, using proper
body mechanics, and developing of flexibility and strength of the involved musculature.
Risk factors for lateral epicondylitis include all of the following except:
A. repetitive lifting.
B. playing tennis
C. hammering
, D. gout - Answer D. gout
Up to what percent of patients with medial epicondylitis recover without surgery?
A. 35%
B. 50%
C. 70%
D. 95% - Answer D. 95%
Initial treatment of lateral epicondylitis includes all of the following except:
A. rest and activity modifications
B. corticosteroid injections
C. topical or oral NSAIDs
D. counterforce bracing. - Answer B. corticosteroid injections
Extracorporeal shock-wave therapy can be used in the treatment of epicondylitis as a means to:
A. improve ROM
B. build forearm strength.
C. promote the natural healing process
D. stretch the extensor tendon - Answer C. promote the natural healing process
Patients with medial epicondylitis typically present with:
A. forearm numbness
B. reduction in ROM
C. pain on elbow flexion.
D. decreased grip strength. - Answer D. decreased grip strength.
Patient complains of pain over medial epicondyle or inner aspect of lower humerus. Pain
worsens with wrist flexion and pronation activities. Local epicondylar tenderness, elbow pain,
forearm weakness, pain aggravated by wrist flexion, and pronation activities with decreased
grip strength and full ROM occur.