Health Assessment NP Questions and
Answers
Five criteria for diagnosis of RA - answer1. inflammatory arthritis involving three or more
joints
2. postive rhumatoid factor (RF) and/or anti-CCP testing
3. elevated levels of CRP or ESR
4. diseases with similar features have been excluded
5.duration of symptoms >6 weeks
Name of nodules that can form on DIP - answerHeberden's nodules
name of joints that RA commonly affects first - answerPIP and MCP
name of nodes that can form on PIP - answerBouchard nodes
Grade 1 muscle strength - answertrace movement
grade 2 muscle strength - answerfull passive range of motion
grade 3 muscle strength - answerfull range of motion against gravity, no resistance
grade 4 muscle strength - answerfull ROM w resistance, though weak
grade 5 muscle strength - answerfull ROM full strength
C5 dermatome & reflex - answerlateral upper arm, biceps reflex
C6 dermatome & reflex - answerradial side of forearm to thumb & index finger,
brachioradialis reflex
C7 dermatome & reflex - answermiddle finger, triceps reflex
C8 dermatome - answerulnar forearm to fourth and fifth digits
T1 dermatome - answerulnar side of elbow
cervical spine nerve root compression test - passivel extend and rotate pt's head to
affected side and apply axial pressure - answerSpurling test
cervical spine test - eliminate facet joint etiology, move pt into cervical extension then
laterally flex and rotate to same side - answerExtension-rotation test
, most prominent spinous process - answerC7
lumbar spine test - lumbar radiculopathy, while pt is supine lift one leg at a time to 90
place your other hand on knee to ensure extension. positive if pain between 30 and 70
degrees of hip flexion that radiates below the knee - answerStraight leg raise
lumbar spine test for spinal canal involvement in pain, have pt bear down as if trying to
have BM, localized or radicular pain is + - answerValsalva maneuver
Spine of the scapula lies on the level of __________ and the entire scapula typically
covers ribs _____ through_____. - answerT3, 2 through 7
Which parts of the shoulder should be palpated on exam? - answerscapula - including
the coracoid process, acromion process, spine of scapula, superior and inferior angles
of scapula, medial and lateral borders of the scapula
clavicle - sternal end, acromial end, and entire shaft, and
humerus-deltoid tuberosity, greater tuberosity, bicipital groove, and lesser tuberosity
Shoulder Anatomy - answerclavicle, scapula, humerus
Bone Anatomy - answer4 cell types
osteogenic cells
osteoblasts
osteocytes
osteoclasts
skeletal muscle anatomy - answer
Hip Bone Anatomy - answer
shoulder muscles - answersupraspinatus, infraspinatus, subscapularis, teres minor
joints of ankle - answertibiotalar, subtalar
older adult changes to bones - answerlose bone mass and bone density
long bones and vertebrae become more porous
bones more brittle and thinner
lean body mass decreases
muscle atrophy and shrinkage of muscle fibers
more subcutaneous fat, decreased muscle tone
joints stiffer, less flexible bc of degenerative changes in cartilage and decrease in joint
fluid
name of shoulder ROM test where patient abducts and externally rotates arm to reach
and touch contralateral scapula - answerApley's scratch test
Answers
Five criteria for diagnosis of RA - answer1. inflammatory arthritis involving three or more
joints
2. postive rhumatoid factor (RF) and/or anti-CCP testing
3. elevated levels of CRP or ESR
4. diseases with similar features have been excluded
5.duration of symptoms >6 weeks
Name of nodules that can form on DIP - answerHeberden's nodules
name of joints that RA commonly affects first - answerPIP and MCP
name of nodes that can form on PIP - answerBouchard nodes
Grade 1 muscle strength - answertrace movement
grade 2 muscle strength - answerfull passive range of motion
grade 3 muscle strength - answerfull range of motion against gravity, no resistance
grade 4 muscle strength - answerfull ROM w resistance, though weak
grade 5 muscle strength - answerfull ROM full strength
C5 dermatome & reflex - answerlateral upper arm, biceps reflex
C6 dermatome & reflex - answerradial side of forearm to thumb & index finger,
brachioradialis reflex
C7 dermatome & reflex - answermiddle finger, triceps reflex
C8 dermatome - answerulnar forearm to fourth and fifth digits
T1 dermatome - answerulnar side of elbow
cervical spine nerve root compression test - passivel extend and rotate pt's head to
affected side and apply axial pressure - answerSpurling test
cervical spine test - eliminate facet joint etiology, move pt into cervical extension then
laterally flex and rotate to same side - answerExtension-rotation test
, most prominent spinous process - answerC7
lumbar spine test - lumbar radiculopathy, while pt is supine lift one leg at a time to 90
place your other hand on knee to ensure extension. positive if pain between 30 and 70
degrees of hip flexion that radiates below the knee - answerStraight leg raise
lumbar spine test for spinal canal involvement in pain, have pt bear down as if trying to
have BM, localized or radicular pain is + - answerValsalva maneuver
Spine of the scapula lies on the level of __________ and the entire scapula typically
covers ribs _____ through_____. - answerT3, 2 through 7
Which parts of the shoulder should be palpated on exam? - answerscapula - including
the coracoid process, acromion process, spine of scapula, superior and inferior angles
of scapula, medial and lateral borders of the scapula
clavicle - sternal end, acromial end, and entire shaft, and
humerus-deltoid tuberosity, greater tuberosity, bicipital groove, and lesser tuberosity
Shoulder Anatomy - answerclavicle, scapula, humerus
Bone Anatomy - answer4 cell types
osteogenic cells
osteoblasts
osteocytes
osteoclasts
skeletal muscle anatomy - answer
Hip Bone Anatomy - answer
shoulder muscles - answersupraspinatus, infraspinatus, subscapularis, teres minor
joints of ankle - answertibiotalar, subtalar
older adult changes to bones - answerlose bone mass and bone density
long bones and vertebrae become more porous
bones more brittle and thinner
lean body mass decreases
muscle atrophy and shrinkage of muscle fibers
more subcutaneous fat, decreased muscle tone
joints stiffer, less flexible bc of degenerative changes in cartilage and decrease in joint
fluid
name of shoulder ROM test where patient abducts and externally rotates arm to reach
and touch contralateral scapula - answerApley's scratch test
