GRADED A+ 100% PASS
You are assessing a patient with joint pain and are trying to decide whether it is
inflammatory or noninflammatory in nature. Which one of the following
symptoms is consistent with an inflammatory process?
A) Tenderness
B) Cool temperature
C) Ecchymosis
D) Nodules
tenderness
You are assessing a patient with diffuse joint pains and want to make sure that
only the joints are the problem, and that the pain is not related to other diseases.
Which of the following is a systemic cause of joint pain?
A) Gout
B) Osteoarthritis
C) Lupus
D) Spondylosis
lupus
,A 19-year-old college sophomore comes to the clinic for evaluation of joint pains.
The student has been back from spring break for 2 weeks; during her holiday, she
went camping. She notes that she had a red spot, shaped like a target, but then it
started spreading, and then the joint pains started. She used insect repellant but
was in an area known to have ticks. She has never been sick and takes no
medications routinely; she has never been sexually active. What is the most likely
cause of her joint pain?
lyme disease
An 85-year-old retired housewife comes with her daughter to establish care. Her
daughter is concerned because her mother has started to fall more. As part of her
physical examination, you ask her to walk across the examination room. Which of
the following is not part of the stance phase of gait?
A) Foot arched
B) Heel strike
C) Mid-stance
D) Push-off
foot arched
A 32-year-old warehouse worker presents for evaluation of low back pain. He
notes a sudden onset of pain after lifting a set of boxes that were heavier than
usual. He also states that he has numbness and tingling in the left leg. He wants to
know if he needs to be off of work. What test should you perform to assess for a
herniated disc?
,straight leg-raise
A 33-year-old construction worker comes for evaluation and treatment of acute
onset of low back pain. He notes that the pain is an aching located in the
lumbosacral area. It has been present intermittently for several years; there is no
known trauma or injury. He points to the left lower back. The pain does not
radiate and there is no numbness or tingling in the legs or incontinence. He was
moving furniture for a friend over the weekend. On physical examination, you
note muscle spasm, with normal deep tendon reflexes and muscle strength. What
is the most likely cause of this patient's low back pain?
mechanical low back pain
A 50-year-old realtor comes to your office for evaluation of neck pain. She was in
a motor vehicle collision 2 days ago and was assessed by the emergency medical
technicians on site, but she didn't think that she needed to go to the emergency
room at that time. Now, she has severe pain and stiffness in her neck. On physical
examination, you note pain and spasm over the paraspinous muscles on the left
side of the neck, and pain when you make the patient do active range of motion
of the cervical spine. What is the most likely cause of this neck pain?
Cervical sprain
A 28-year-old graduate student comes to your clinic for evaluation of pain "all
over." With further questioning, she is able to relate that the pain is worse in the
neck, shoulders, hands, low back, and knees. She denies swelling in her joints; she
, states that the pain is worse in the morning; there is no limitation in her range of
motion. On physical examination, she has several points on the muscles of the
neck, shoulders, and back that are tender to palpation; muscle strength and range
of motion are normal. Which of the following is likely the cause of her pain?
Fibromyalgia
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 physical examination, you note tenderness just below
the tip 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 shoulder pain?
Rotator cuff tendinitis
A high school soccer player "blew out his knee" when the opposing goalie's head
and shoulder struck his flexed knee while the goalie was diving for the ball. All of
the following structures were involved in some way in his injury, but which of the
following is actually an extra-articular structure?
A) Synovium
B) Joint capsule
C) Juxta-articular bone