MUSCULOSKELETAL FNP REVIEW
FITZGERALD INFO QUESTIONS &
ANSWERS RATED 100% COMPLETE
The most common cause of acute bursitis is:
A. inactivity.
B. joint overuse.
C. fibromyalgia.
D. bacterial infection. - Correct Answer ✔✔ B
First-line treatment options for bursitis usually include:
A. corticosteroid bursal injection.
B. heat to area.
C. weight-bearing exercises.
D. non-steroidal anti-inflammatory drugs (NSAIDs) - Correct Answer ✔✔ D
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. - Correct Answer ✔✔ A
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. - Correct Answer ✔✔ C
Patients with gluteus medius or deep trochanteric 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. - Correct Answer ✔✔ A
First-line therapy for prepatellar bursitis should include:
A. bursal aspiration.
B. intrabursal corticosteroid injection.
C. acetaminophen.
D. knee splinting. - Correct Answer ✔✔ A
Clinical conditions with a presentation similar to acute bursitis include: (More than one
option can apply.)
,A. rheumatoid arthritis.
B. septic arthritis.
C. joint trauma.
D. pseudogout. - Correct Answer ✔✔ ABCD
What develops when the synovial tissue that lines the sac becomes thickened and
produces excessive fluid, leading to swelling and resulting pain. - Correct Answer ✔✔
Bursitis
The most commonly affected bursa are in bursitis are: - Correct Answer ✔✔ the
subdeltoid, olecranon, ischial, trochanter, and prepatellar.
In contrast to most forms of arthritis, bursitis typically presents with an ______ (slow or
abrupt) onset with focal tenderness and swelling. - Correct Answer ✔✔ abrupt
In acute bursitis, the joint range of motion (ROM) is usually _______ (full or decreased).
- Correct Answer ✔✔ Full
T/F: Risk factors for acute bursitis include joint overuse, trauma, infection, or arthritis
conditions such as rheumatoid arthritis or osteoarthritis. - Correct Answer ✔✔ True
T/F: After corticosteroid injection, infection, tissue atrophy, and inflammatory reaction
are possible, but rarely encountered, complications. - Correct Answer ✔✔ True
Patients with lateral epicondylitis typically present with: - Correct Answer ✔✔
Decreased hand grip strength
Patients with medial epicondylitis typically present with: A. forearm numbness. B.
reduction in ROM. C. pain on elbow flexion. D. decreased grip strength. - Correct
Answer ✔✔ D
Risk factors for medial epicondylitis include playing: A. tennis. B. golf. C. baseball. D.
volleyball. - Correct Answer ✔✔ B
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 usually is normal. - Correct Answer ✔✔ Lateral
epicondylitis
T/F : Medial epicondylitis, often called golfer's elbow, lateral is called tennis elbow -
Correct Answer ✔✔ True
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. - Correct Answer ✔✔ Medial
epicondylitis
Treatment of epicondylitis - Correct Answer ✔✔ Rest
NSAIDs
T/F in epicondylitis Local corticosteroid injection can be helpful if symptoms persist
beyond 6 to 8 weeks or are particularly severe. - Correct Answer ✔✔ True
The use of all of the following medications can trigger gout except:
A. aspirin.
B. statins.
C. diuretics.
D. niacin. - Correct Answer ✔✔ B
Secondary gout can be caused by all of the following conditions except:
A. psoriasis.
B. hemolytic anemia.
C. bacterial cellulitis.
D. renal failure. - Correct Answer ✔✔ C
The clinical presentation of acute gouty arthritis affecting the base of the great toe
includes:
A. slow onset of discomfort over many days.
B. greatest swelling and pain along the median aspect of the joint.
C. improvement of symptoms with joint rest.
D. fever. - Correct Answer ✔✔ B
The most helpful diagnostic test to perform during acute gouty arthritis is:
A. measurement of erythrocyte sedimentation rate (ESR).
B. measurement of serum uric acid.
C. analysis of aspirate from the affected joint. D. joint radiography. - Correct Answer ✔✔
C
First-line therapy for treating patients with acute gouty arthritis usually includes: -
Correct Answer ✔✔ Naproxen sodium
Non-tender, firm nodules located in soft tissue. - Correct Answer ✔✔ Tophi
The most common locations for tophi include all of the following except:
A. the auricles.
FITZGERALD INFO QUESTIONS &
ANSWERS RATED 100% COMPLETE
The most common cause of acute bursitis is:
A. inactivity.
B. joint overuse.
C. fibromyalgia.
D. bacterial infection. - Correct Answer ✔✔ B
First-line treatment options for bursitis usually include:
A. corticosteroid bursal injection.
B. heat to area.
C. weight-bearing exercises.
D. non-steroidal anti-inflammatory drugs (NSAIDs) - Correct Answer ✔✔ D
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. - Correct Answer ✔✔ A
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. - Correct Answer ✔✔ C
Patients with gluteus medius or deep trochanteric 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. - Correct Answer ✔✔ A
First-line therapy for prepatellar bursitis should include:
A. bursal aspiration.
B. intrabursal corticosteroid injection.
C. acetaminophen.
D. knee splinting. - Correct Answer ✔✔ A
Clinical conditions with a presentation similar to acute bursitis include: (More than one
option can apply.)
,A. rheumatoid arthritis.
B. septic arthritis.
C. joint trauma.
D. pseudogout. - Correct Answer ✔✔ ABCD
What develops when the synovial tissue that lines the sac becomes thickened and
produces excessive fluid, leading to swelling and resulting pain. - Correct Answer ✔✔
Bursitis
The most commonly affected bursa are in bursitis are: - Correct Answer ✔✔ the
subdeltoid, olecranon, ischial, trochanter, and prepatellar.
In contrast to most forms of arthritis, bursitis typically presents with an ______ (slow or
abrupt) onset with focal tenderness and swelling. - Correct Answer ✔✔ abrupt
In acute bursitis, the joint range of motion (ROM) is usually _______ (full or decreased).
- Correct Answer ✔✔ Full
T/F: Risk factors for acute bursitis include joint overuse, trauma, infection, or arthritis
conditions such as rheumatoid arthritis or osteoarthritis. - Correct Answer ✔✔ True
T/F: After corticosteroid injection, infection, tissue atrophy, and inflammatory reaction
are possible, but rarely encountered, complications. - Correct Answer ✔✔ True
Patients with lateral epicondylitis typically present with: - Correct Answer ✔✔
Decreased hand grip strength
Patients with medial epicondylitis typically present with: A. forearm numbness. B.
reduction in ROM. C. pain on elbow flexion. D. decreased grip strength. - Correct
Answer ✔✔ D
Risk factors for medial epicondylitis include playing: A. tennis. B. golf. C. baseball. D.
volleyball. - Correct Answer ✔✔ B
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 usually is normal. - Correct Answer ✔✔ Lateral
epicondylitis
T/F : Medial epicondylitis, often called golfer's elbow, lateral is called tennis elbow -
Correct Answer ✔✔ True
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. - Correct Answer ✔✔ Medial
epicondylitis
Treatment of epicondylitis - Correct Answer ✔✔ Rest
NSAIDs
T/F in epicondylitis Local corticosteroid injection can be helpful if symptoms persist
beyond 6 to 8 weeks or are particularly severe. - Correct Answer ✔✔ True
The use of all of the following medications can trigger gout except:
A. aspirin.
B. statins.
C. diuretics.
D. niacin. - Correct Answer ✔✔ B
Secondary gout can be caused by all of the following conditions except:
A. psoriasis.
B. hemolytic anemia.
C. bacterial cellulitis.
D. renal failure. - Correct Answer ✔✔ C
The clinical presentation of acute gouty arthritis affecting the base of the great toe
includes:
A. slow onset of discomfort over many days.
B. greatest swelling and pain along the median aspect of the joint.
C. improvement of symptoms with joint rest.
D. fever. - Correct Answer ✔✔ B
The most helpful diagnostic test to perform during acute gouty arthritis is:
A. measurement of erythrocyte sedimentation rate (ESR).
B. measurement of serum uric acid.
C. analysis of aspirate from the affected joint. D. joint radiography. - Correct Answer ✔✔
C
First-line therapy for treating patients with acute gouty arthritis usually includes: -
Correct Answer ✔✔ Naproxen sodium
Non-tender, firm nodules located in soft tissue. - Correct Answer ✔✔ Tophi
The most common locations for tophi include all of the following except:
A. the auricles.
