NURSING 220 QUIZ 4 Questions and Answers.

⦁ Question 1 10 out of 10 points A 68-year-old retired banker comes to your clinic for evaluation of left shoulder pain. He swims for 30 minutes daily, early in the morning. He notes a sharp, catching pain and a sensation of something grating when he tries overhead movements of his arm. On physicalexamination, you notetenderness just below thetip of the acromion in the area of the tendon insertions. The drop arm test is negative, and there is no limitation with shoulder shrug. The patient is not holding his arm close to his side, and there is no tenderness to palpation in the bicipital groove when the arm is at the patient's side, flexed to 90 degrees, and then supinated against resistance. Based on this description, what is the most likely cause of his shoulderpain? Selected Answer: C. Rotator cuff tendinitis Answers: A. Calcific tendinitis B. Rotator cuff tear C. Rotator cuff tendinitis D. Bicipital tendinitis Response Feedback: Rotator cuff tendinitis is typically precipitated by repetitive motions, such as occurs with throwing or swimming. Crepitus/grating is noted in the shoulder with range of motion. Chapter: 16 Page and Header: 646, Table 16-4 Question 2 10 out of 10 points A high school footballplayer injured his wrist in a game. He is tender between the two tendons at the baseof the thumb. Which of the following should be considered? Selected Answer: A. Scaphoid fracture Answers: A. Scaphoid fracture B. DeQuervain's tenosynovitis C. Rheumatoid arthritis D. Wrist sprain Response Feedback: The “anatomicsnuffbox” is found between theextensor and abductor tendons at the baseof the thumb. Tenderness should makeonethink of ascaphoid fracture. Not only is this the most common carpalboneinjury, but thepoor blood supply puts the bone at risk for avascular necrosis when injured. This fractureis commonly missed on x-ray,so this is an important physicalfinding to support further orrepeated studies. Chapter: 16 Page and Header: 604, Techniquesof Examination