Chamberlain College of Nursing
NURSING NR 509 APEA Ortho2021
,Question:
A tool for assessing risk factors for osteoporotic fractures is the:
DEXA.FRAX. CorrectBRCA1.HAARM. Incorrect
Explanation:
The FRAX calculator generates fracture risk based on age, body mass index, parental fracture history, use
of glucocorticoids, presence of rheumatoid arthritis or secondary osteoporosis, and tobacco and alcohol
use. It has been validated for black, Hispanic, and Asian women in the USA and has calculators that are
country and continent specific. Duel energy x-ray absorptiometry, DEXA, is the optimal standard for
measuring bone density. BRAC1 is a gene that can mutate and increase the risk of breast cancer. HAARM
is the melanoma risk model.
Question:
Anserine bursitis arises from:
excessive running. Correctexcessive kneeling. Incorrectarthritis.trauma
Explanation:
Anserine bursitis arises from excessive running, valgus knee deformity, fibromyalgias, and osteoarthritis.
Prepatellar bursitis (“housemaid’s knee”) arises from excessive kneeling. A popliteal or “baker’s” cyst
arises from distention of the gastrocnemius semimembranous bursa from underlying arthritis or trauma.
Question:
When examining the knee, which of the following symptoms could be indicative of a positive Adduction
(Varus) Stress Test?
Pain in the lateral joint line CorrectPain in the medial joint line IncorrectPain in the anterior joint lineA
click along the medial joint line.
Explanation:
, The Adduction (or Varus) Stress Test is a maneuver that evaluates the function of the lateral collateral
ligament. To perform this test, the knee is held in 30 degrees of flexion. With one hand on the medial
side of the knee and one hand on the ankle, an adduction force is gently applied. If pain is noted in the
lateral joint line, this could be indicative of a lateral collateral ligament tear. When tenderness extends
more to the proximal or distal joint line, the collateral ligament may be the cause of pain instead of the
meniscus.
Question:
When assessing the knee, the examiner instructs the patient to straighten his knee. This motion would
assess knee:
flexion.extension. Correctinternal rotation.external rotation.
Explanation:
Having the patient straighten his leg assesses extension of the knee. The examiner instructs the patient
to bend his knee. This maneuver assesses knee flexion. Internal rotation of the knee could be elicited by
having the patient swing his lower leg toward the midline while sitting. Instructing the patient to swing
his leg away from his midline while sitting assesses external rotation of the knee.
Question:
When performing an examination of a tender left finger on an adult, the surrounding tissue reveals
warmth, edema, and redness. This finding could be suggestive of:
carcinoma.muscular atrophy. synovitis. Incorrectgouty arthritis. Correct
Explanation:
Redness, warmth, and edema over a tender joint suggest septic or gouty arthritis infection, or possibly
rheumatoid arthritis.
Question:
An example of a fibrous joint would be the:
vertebral bodies of the spine.skull. Correctshoulder. Incorrectpubic symphysis of the pelvis.
NURSING NR 509 APEA Ortho2021
,Question:
A tool for assessing risk factors for osteoporotic fractures is the:
DEXA.FRAX. CorrectBRCA1.HAARM. Incorrect
Explanation:
The FRAX calculator generates fracture risk based on age, body mass index, parental fracture history, use
of glucocorticoids, presence of rheumatoid arthritis or secondary osteoporosis, and tobacco and alcohol
use. It has been validated for black, Hispanic, and Asian women in the USA and has calculators that are
country and continent specific. Duel energy x-ray absorptiometry, DEXA, is the optimal standard for
measuring bone density. BRAC1 is a gene that can mutate and increase the risk of breast cancer. HAARM
is the melanoma risk model.
Question:
Anserine bursitis arises from:
excessive running. Correctexcessive kneeling. Incorrectarthritis.trauma
Explanation:
Anserine bursitis arises from excessive running, valgus knee deformity, fibromyalgias, and osteoarthritis.
Prepatellar bursitis (“housemaid’s knee”) arises from excessive kneeling. A popliteal or “baker’s” cyst
arises from distention of the gastrocnemius semimembranous bursa from underlying arthritis or trauma.
Question:
When examining the knee, which of the following symptoms could be indicative of a positive Adduction
(Varus) Stress Test?
Pain in the lateral joint line CorrectPain in the medial joint line IncorrectPain in the anterior joint lineA
click along the medial joint line.
Explanation:
, The Adduction (or Varus) Stress Test is a maneuver that evaluates the function of the lateral collateral
ligament. To perform this test, the knee is held in 30 degrees of flexion. With one hand on the medial
side of the knee and one hand on the ankle, an adduction force is gently applied. If pain is noted in the
lateral joint line, this could be indicative of a lateral collateral ligament tear. When tenderness extends
more to the proximal or distal joint line, the collateral ligament may be the cause of pain instead of the
meniscus.
Question:
When assessing the knee, the examiner instructs the patient to straighten his knee. This motion would
assess knee:
flexion.extension. Correctinternal rotation.external rotation.
Explanation:
Having the patient straighten his leg assesses extension of the knee. The examiner instructs the patient
to bend his knee. This maneuver assesses knee flexion. Internal rotation of the knee could be elicited by
having the patient swing his lower leg toward the midline while sitting. Instructing the patient to swing
his leg away from his midline while sitting assesses external rotation of the knee.
Question:
When performing an examination of a tender left finger on an adult, the surrounding tissue reveals
warmth, edema, and redness. This finding could be suggestive of:
carcinoma.muscular atrophy. synovitis. Incorrectgouty arthritis. Correct
Explanation:
Redness, warmth, and edema over a tender joint suggest septic or gouty arthritis infection, or possibly
rheumatoid arthritis.
Question:
An example of a fibrous joint would be the:
vertebral bodies of the spine.skull. Correctshoulder. Incorrectpubic symphysis of the pelvis.
