AGNP BOARD ORTHOPEDICS ASSESSMENT Q & A EXAM
WITH EXPLANATIONS
Question:
The axioscapular group of muscles include which one of the following?
Supraspinatus
Trapezius
Correct
Subscapularis
Pectoralis
major
Explanation:
The axioscapular group attaches the trunk to the scapula and includes the
trapezius, rhomboids, serratus anterior, and levator scapulae. The
scapulohumeral group of muscles extends from the scapula to the humerus
and includes the muscles inserting directly on the humerus. This group
includes the supraspinatus, infraspinatus, teres minor, and subscapularis.
The axiohumeral muscle group attaches the trunk to the humerus and
includes the pectoralis major and minor, and the latissimus dorsi.
Question:
Immediate treatment for a sprain
includes: rest and cold applications.
Correct
rest, elevation and pain medication.
compression of the sprain and application of heat.
continue use of the joint without a topical (hot or cold) modality.
Explanation:
Resting the extremity and applying ice is the most immediate actions to
relieve swelling of the injured joint. Rest and elevation are appropriate, but
giving pain medication immediately may mask more serious problems.
Compression is appropriate for sports injuries, but heat application should
not be an immediate action. While rest is important after a sprain, early
,AGNP BOARD ORTHOPEDICS ASSESSMENT Q & A EXAM
WITH EXPLANATIONS
mobility hastens recovery.
Question:
The nurse practitioner instructs the patient to lie supine, and move his lower
leg away from the midline. This maneuver would assess hip:
abduction
Correct
extension.
external
rotation.
internal
rotation.
Explanation:
To assess hip abduction, the patient would lie supine and move his lower leg
away from the midline. To assess hip extension, the patient would lie face up,
bend his knees, place feet flat on the table, and lift his buttocks off the table.
To assess for external rotation of the hip, the patient would lie supine, bend
his knee, and turn the lower leg and foot toward the midline. To assess for hip
internal rotation, the patient would lie supine, bend his knee, and turn his
lower leg and foot away from the midline.
Question:
Tenderness over the patellar tendon or inability to move the knee,
suggests: crepitus around the tendon.
a degenerative patella.
a partial or complete patellar tendon tear. Correct
synovial thickening over the knee joint.
Explanation:
Tenderness over the patellar tendon or inability to extend the knee suggests a
partial or complete tear of the patellar tendon. Pain and crepitus over the
patella suggest roughening of the patellar undersurface that articulates with
,AGNP BOARD ORTHOPEDICS ASSESSMENT Q & A EXAM
WITH EXPLANATIONS
the femur. A degenerative patella produces pain with compression and
patellar movement during quadriceps contraction. Swelling above and
adjacent to the patella suggest synovial thickening or effusion of the knee
joint.
Question:
An example of a cartilaginous joint would
be the: vertebral bodies of the spine.
Correct
skull.
shoulde
r. knee.
Explanation:
Vertebral bodies of the spine and the pubic symphysis of the pelvis are
examples of cartilaginous joints. Examples of synovial joints include the
shoulder, knee, hip, wrist, distal radioulnar, elbow, and carpals. The skull
is an example of the fibrous joint.
Question:
The part of the ulna that forms the outer prominence of the elbow is
referred to as the: olecranon bursa.
olecranon fossa.
olecranon process.
Correct olecranon.
Explanation:
The part of the ulna that forms the outer prominence of the elbow is
referred to as the olecranon process. This process fits into the fossa of the
humerus when the arm is extended.
Question:
To assess muscle tone in the legs, support the patient's thigh with one hand,
, AGNP BOARD ORTHOPEDICS ASSESSMENT Q & A EXAM
WITH EXPLANATIONS
grasp the foot with the other, and:
extend the patient's feet.
flex and extend the patient's knee and ankle on each side. Correct
have the patient try to lift the foot.
WITH EXPLANATIONS
Question:
The axioscapular group of muscles include which one of the following?
Supraspinatus
Trapezius
Correct
Subscapularis
Pectoralis
major
Explanation:
The axioscapular group attaches the trunk to the scapula and includes the
trapezius, rhomboids, serratus anterior, and levator scapulae. The
scapulohumeral group of muscles extends from the scapula to the humerus
and includes the muscles inserting directly on the humerus. This group
includes the supraspinatus, infraspinatus, teres minor, and subscapularis.
The axiohumeral muscle group attaches the trunk to the humerus and
includes the pectoralis major and minor, and the latissimus dorsi.
Question:
Immediate treatment for a sprain
includes: rest and cold applications.
Correct
rest, elevation and pain medication.
compression of the sprain and application of heat.
continue use of the joint without a topical (hot or cold) modality.
Explanation:
Resting the extremity and applying ice is the most immediate actions to
relieve swelling of the injured joint. Rest and elevation are appropriate, but
giving pain medication immediately may mask more serious problems.
Compression is appropriate for sports injuries, but heat application should
not be an immediate action. While rest is important after a sprain, early
,AGNP BOARD ORTHOPEDICS ASSESSMENT Q & A EXAM
WITH EXPLANATIONS
mobility hastens recovery.
Question:
The nurse practitioner instructs the patient to lie supine, and move his lower
leg away from the midline. This maneuver would assess hip:
abduction
Correct
extension.
external
rotation.
internal
rotation.
Explanation:
To assess hip abduction, the patient would lie supine and move his lower leg
away from the midline. To assess hip extension, the patient would lie face up,
bend his knees, place feet flat on the table, and lift his buttocks off the table.
To assess for external rotation of the hip, the patient would lie supine, bend
his knee, and turn the lower leg and foot toward the midline. To assess for hip
internal rotation, the patient would lie supine, bend his knee, and turn his
lower leg and foot away from the midline.
Question:
Tenderness over the patellar tendon or inability to move the knee,
suggests: crepitus around the tendon.
a degenerative patella.
a partial or complete patellar tendon tear. Correct
synovial thickening over the knee joint.
Explanation:
Tenderness over the patellar tendon or inability to extend the knee suggests a
partial or complete tear of the patellar tendon. Pain and crepitus over the
patella suggest roughening of the patellar undersurface that articulates with
,AGNP BOARD ORTHOPEDICS ASSESSMENT Q & A EXAM
WITH EXPLANATIONS
the femur. A degenerative patella produces pain with compression and
patellar movement during quadriceps contraction. Swelling above and
adjacent to the patella suggest synovial thickening or effusion of the knee
joint.
Question:
An example of a cartilaginous joint would
be the: vertebral bodies of the spine.
Correct
skull.
shoulde
r. knee.
Explanation:
Vertebral bodies of the spine and the pubic symphysis of the pelvis are
examples of cartilaginous joints. Examples of synovial joints include the
shoulder, knee, hip, wrist, distal radioulnar, elbow, and carpals. The skull
is an example of the fibrous joint.
Question:
The part of the ulna that forms the outer prominence of the elbow is
referred to as the: olecranon bursa.
olecranon fossa.
olecranon process.
Correct olecranon.
Explanation:
The part of the ulna that forms the outer prominence of the elbow is
referred to as the olecranon process. This process fits into the fossa of the
humerus when the arm is extended.
Question:
To assess muscle tone in the legs, support the patient's thigh with one hand,
, AGNP BOARD ORTHOPEDICS ASSESSMENT Q & A EXAM
WITH EXPLANATIONS
grasp the foot with the other, and:
extend the patient's feet.
flex and extend the patient's knee and ankle on each side. Correct
have the patient try to lift the foot.
