NURS 3020 Ch14
NURS 3020 Ch14
Chapter 14. Musculoskeletal System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. To assess muscle tone, the clinician should:
A. Palpate the patient’s muscle as the muscle is passively stretched
B. Examine how the patient performs active range of motion
C. Palpate the muscles comparing side to side
D. A and C
2. Muscle strength is assessed by:
A. Having the patient move their muscle against the clinician’s resistance
B. Examining how the patient performs active range of motion
C. Passively stretching the patient’s muscle
D. Performing passive range of motion on the patient’s muscle
3. Which of the following serological diagnostic tests is most specific for rheumatoid arthritis?
A. C-reactive protein (CRP)
B. Rheumatoid factor (RF)
C. Anti-nuclear antibodies (ANA)
D. Anti-citrullinated protein autoantibodies (ACPA)
4. A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple joints of the
body. There is no history of systemic disease and no history of trauma. On physical examination,
the patient has no swelling or decreased range of motion in any of the joints. She indicates specific
points on the neck and shoulders that are particularly affected. She complains of tenderness upon
palpation of the neck, both shoulders, hips, and medial regions of the knees. The clinician should
include the following disorder in the list of potential diagnoses:
A. Osteoarthritis
B. Rheumatoid arthritis
C. Fibromyalgia
D. Polymyalgia rheumatica
5. A 46-year-old female complains of fatigue, general malaise, and pain and swelling in her hands
that has gradually worsened over the last few weeks. She reports that pain, stiffness, and swelling
of her hands are most severe in the morning. On physical examination, you note swelling of the
metacarpophalangeal joints bilaterally. These are common signs of:
A. Osteoarthritis
B. Rheumatoid arthritis
C. Scleroderma
D. Sarcoidosis
6. Your patient is a 55-year-old male who presents with sudden, severely tender, swollen,
, NURS 3020 Ch14
erythema
tous
elbow.
The
patient
reports
that he
experienc
ed
similar
symptom
s in the
past. You
note the
right
elbow
has a
swollen,
tender,
soft 3 cm
round
nodule.
The
clinician
should
recognize
these are
signs and
symptom
s of:
A. Gouty
arthriti
s
NURS 3020 Ch14
Chapter 14. Musculoskeletal System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. To assess muscle tone, the clinician should:
A. Palpate the patient’s muscle as the muscle is passively stretched
B. Examine how the patient performs active range of motion
C. Palpate the muscles comparing side to side
D. A and C
2. Muscle strength is assessed by:
A. Having the patient move their muscle against the clinician’s resistance
B. Examining how the patient performs active range of motion
C. Passively stretching the patient’s muscle
D. Performing passive range of motion on the patient’s muscle
3. Which of the following serological diagnostic tests is most specific for rheumatoid arthritis?
A. C-reactive protein (CRP)
B. Rheumatoid factor (RF)
C. Anti-nuclear antibodies (ANA)
D. Anti-citrullinated protein autoantibodies (ACPA)
4. A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple joints of the
body. There is no history of systemic disease and no history of trauma. On physical examination,
the patient has no swelling or decreased range of motion in any of the joints. She indicates specific
points on the neck and shoulders that are particularly affected. She complains of tenderness upon
palpation of the neck, both shoulders, hips, and medial regions of the knees. The clinician should
include the following disorder in the list of potential diagnoses:
A. Osteoarthritis
B. Rheumatoid arthritis
C. Fibromyalgia
D. Polymyalgia rheumatica
5. A 46-year-old female complains of fatigue, general malaise, and pain and swelling in her hands
that has gradually worsened over the last few weeks. She reports that pain, stiffness, and swelling
of her hands are most severe in the morning. On physical examination, you note swelling of the
metacarpophalangeal joints bilaterally. These are common signs of:
A. Osteoarthritis
B. Rheumatoid arthritis
C. Scleroderma
D. Sarcoidosis
6. Your patient is a 55-year-old male who presents with sudden, severely tender, swollen,
, NURS 3020 Ch14
erythema
tous
elbow.
The
patient
reports
that he
experienc
ed
similar
symptom
s in the
past. You
note the
right
elbow
has a
swollen,
tender,
soft 3 cm
round
nodule.
The
clinician
should
recognize
these are
signs and
symptom
s of:
A. Gouty
arthriti
s
