NR509 APEA Test Ortho
NR 509 Advanced physical assessment
,NR509 APEA Test Ortho
Question:
A tool for assessing risk factors for osteoporotic fractures is the:
DEXA.
FRAX:Correct
BRCA1.
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:
excessiverunning:Correct
,excessivekneeling:Incorrect
arthritis.
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: Correct
Pain in the medial joint line:Incorrect
Pain in the anterior joint line
A 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:Correct
internal 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:
NR 509 Advanced physical assessment
,NR509 APEA Test Ortho
Question:
A tool for assessing risk factors for osteoporotic fractures is the:
DEXA.
FRAX:Correct
BRCA1.
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:
excessiverunning:Correct
,excessivekneeling:Incorrect
arthritis.
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: Correct
Pain in the medial joint line:Incorrect
Pain in the anterior joint line
A 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:Correct
internal 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:
