NURP-532-Exam 2 Questions With Complete Solutions
SMART - (ANSWER)Systemic assessment approach for musculoskeletal conditions:
S- visual scan or survey of the region
M- motion completed by the patient
A- assisted motion completed by physician
R- resisted testing of muscles and tendons
T- tests that are special
Initial Imaging Studies - (ANSWER)- Fracture: plain x-ray
- Osteomyelitis: plain x-ray
- Arthritis: plain x-ray
- Monoarticular joint pain: plain x-ray
- Infection of prosthetic joint: plain x-ray
- Low back pain with radiculopathy: non-contrast CT or MRI
- Occult fracture: MRI
- Stress fracture: NM bone scan
- Metastases: NM bone scan
Foot Pain Differentials - (ANSWER)M- malformation
I- inflammation
N- neoplasm
T- trauma
Plantar Fasciitis - (ANSWER)- Inflammation of plantar fascia, connective tissue of the sole of the foot,
due to repetitive injury; common cause of heel pain
- Sx: heel pain first thing in the morning with their first steps, pain with palpation of the proximal
insertion site,
,NURP-532-Exam 2 Questions With Complete Solutions
- Windlass Test: dorsiflex (push back) the patient's big toe and the patient will report pain
- Tx: stretching, rolling the heel on a ball, taping, PT, NSAIDs, night splints, corticosteroid injections
Ankle Strain - (ANSWER)Tear to a muscle or tendon
Ankle Sprain - (ANSWER)- Tear to a ligament (most commonly occurs at the lateral ankle ligament)
- Sx: tenderness, swelling, bruising, ligament laxity
- Tx: RICE
Ottawa Ankle Rules - (ANSWER)Ankle film if:
-Bone tenderness at lateral malleolus
-Bone tenderness at medial malleolus
- Pain over the 5th metatarsal
-Inability to to walk 4 steps after injury and in ER
Anterior Cruciate Ligament Tear - (ANSWER)- A stretch, partial tear, or complete tear of the anterior
cruciate ligament of the knee d/t contact (think soccer players)
- Sx: "pop" heard after injury, pain, swelling, fusion, redness, malalignment, instability
- Dx: MRI
- Tx: refer to ORTHO, PT, surgery
Osteoarthritis - (ANSWER)- Inflammation and degeneration of the bone and joint
, NURP-532-Exam 2 Questions With Complete Solutions
- Risk factors: old age, obesity, sickle cell d/t blood not getting to the joints, developmental dysplasia
- Tx: refer to ORTHO, x-ray
Spinal Stenosis - (ANSWER)- Narrowing of the spinal canal with compression of nerve roots
- Sx: shooting pain down the leg, gluteal symptoms, radicular pain
- Tx: limit activity, PT, steroids, referral to ORTHO
Epicondylitis - (ANSWER)- Inflammation of the tissues around the elbow d/t repetitive use injury (self-
limited)
- General sx: gradual onset of pain with or without radiation
- Lateral; sx: pain over the lateral epicondyle, pain with resistive wrist extension
- Medial; sx: pain reproduced by resistive wrist flexion
- Tx: rest, NSAIDs, splints, exercide, cortisone shots, surgery
Degenerative Disc Disease - (ANSWER)- Bulging/herniated disc
- Sx: radicular pain, back pain, weakness,
Rotator Cuff Tear - (ANSWER)- Muscles surrounding the shoulder joint are involved in rotating the
shoulder with upper arm and hand forward and backward, among other movements. The tendons of
these muscles also contribute to the structural strength of the shoulder joint. Hard, fast movements,
SMART - (ANSWER)Systemic assessment approach for musculoskeletal conditions:
S- visual scan or survey of the region
M- motion completed by the patient
A- assisted motion completed by physician
R- resisted testing of muscles and tendons
T- tests that are special
Initial Imaging Studies - (ANSWER)- Fracture: plain x-ray
- Osteomyelitis: plain x-ray
- Arthritis: plain x-ray
- Monoarticular joint pain: plain x-ray
- Infection of prosthetic joint: plain x-ray
- Low back pain with radiculopathy: non-contrast CT or MRI
- Occult fracture: MRI
- Stress fracture: NM bone scan
- Metastases: NM bone scan
Foot Pain Differentials - (ANSWER)M- malformation
I- inflammation
N- neoplasm
T- trauma
Plantar Fasciitis - (ANSWER)- Inflammation of plantar fascia, connective tissue of the sole of the foot,
due to repetitive injury; common cause of heel pain
- Sx: heel pain first thing in the morning with their first steps, pain with palpation of the proximal
insertion site,
,NURP-532-Exam 2 Questions With Complete Solutions
- Windlass Test: dorsiflex (push back) the patient's big toe and the patient will report pain
- Tx: stretching, rolling the heel on a ball, taping, PT, NSAIDs, night splints, corticosteroid injections
Ankle Strain - (ANSWER)Tear to a muscle or tendon
Ankle Sprain - (ANSWER)- Tear to a ligament (most commonly occurs at the lateral ankle ligament)
- Sx: tenderness, swelling, bruising, ligament laxity
- Tx: RICE
Ottawa Ankle Rules - (ANSWER)Ankle film if:
-Bone tenderness at lateral malleolus
-Bone tenderness at medial malleolus
- Pain over the 5th metatarsal
-Inability to to walk 4 steps after injury and in ER
Anterior Cruciate Ligament Tear - (ANSWER)- A stretch, partial tear, or complete tear of the anterior
cruciate ligament of the knee d/t contact (think soccer players)
- Sx: "pop" heard after injury, pain, swelling, fusion, redness, malalignment, instability
- Dx: MRI
- Tx: refer to ORTHO, PT, surgery
Osteoarthritis - (ANSWER)- Inflammation and degeneration of the bone and joint
, NURP-532-Exam 2 Questions With Complete Solutions
- Risk factors: old age, obesity, sickle cell d/t blood not getting to the joints, developmental dysplasia
- Tx: refer to ORTHO, x-ray
Spinal Stenosis - (ANSWER)- Narrowing of the spinal canal with compression of nerve roots
- Sx: shooting pain down the leg, gluteal symptoms, radicular pain
- Tx: limit activity, PT, steroids, referral to ORTHO
Epicondylitis - (ANSWER)- Inflammation of the tissues around the elbow d/t repetitive use injury (self-
limited)
- General sx: gradual onset of pain with or without radiation
- Lateral; sx: pain over the lateral epicondyle, pain with resistive wrist extension
- Medial; sx: pain reproduced by resistive wrist flexion
- Tx: rest, NSAIDs, splints, exercide, cortisone shots, surgery
Degenerative Disc Disease - (ANSWER)- Bulging/herniated disc
- Sx: radicular pain, back pain, weakness,
Rotator Cuff Tear - (ANSWER)- Muscles surrounding the shoulder joint are involved in rotating the
shoulder with upper arm and hand forward and backward, among other movements. The tendons of
these muscles also contribute to the structural strength of the shoulder joint. Hard, fast movements,
