MALE RIGHT HAND PAIN SOAP NOTE &
ASSESSMENT LATEST EDITION 2026-2027
WITH ALL ANSWERS AND CORRECT
QUESTIONS QUALIFIED A+
,A 40-year-old man has come into the clinic with complaints of extreme
pain in his toes. The nurse notices
that his toes are slightly swollen, reddened, and warm to the touch.
His complaints would suggest:
a. Osteoporosis.
b. Acute gout.
c. Ankylosing spondylitis.
d. Degenerative joint disease. ANS: B
Clinical findings for acute gout consist of redness, swelling, heat, and
extreme pain like a continuous
throbbing. Gout is a metabolic disorder of disturbed purine
metabolism, associated with elevated serum uric
acid.
,A young swimmer comes to the sports clinic complaining of a very
sore shoulder. He was running at the
pool, slipped on some wet concrete, and tried to catch himself with his
outstretched hand. He landed on his
outstretched hand and has not been able to move his shoulder since.
The nurse suspects:
a. Joint effusion.
b. Tear of rotator cuff.
c. Adhesive capsulitis.
d. Dislocated shoulder. ANS: D
A dislocated shoulder occurs with trauma involving abduction,
extension, and external rotation (e.g., falling on
an outstretched arm or diving into a pool).
A 68-year-old woman has come in for an assessment of her rheumatoid
arthritis, and the nurse notices
raised, firm, nontender nodules at the olecranon bursa and along the
ulna. These nodules are most commonly
, diagnosed as:
a. Epicondylitis.
b. Gouty arthritis.
c. Olecranon bursitis.
d. Subcutaneous nodules. ANS: D
Subcutaneous nodules are raised, firm, and nontender and occur with
rheumatoid arthritis in the olecranon
bursa and along the extensor surface of the ulna.
A woman who has had rheumatoid arthritis for years is starting to
notice that her fingers are drifting to the
side. The nurse knows that this condition is commonly referred to as:
a. Radial drift.
b. Ulnar deviation.
c. Swan-neck deformity.
d. Dupuytren contracture. ANS: B