Patient Assessment Exam
Swelling noted 1-2 inches below the knee joint and on the medial surface of the knee would be
suggestive of:
anserine bursitis
A 65 year old female patient presents to the nurse practitioner with complaints of pain in the right
knee, occasional stiffness (especially in the morning) with minimal tenderness to touch. Examination
reveals moderate swelling in the knee with a tender bony ridge along the joint margin. These findings
are consistent with:
osteoarthritis
Dynamic stabilizers of the shoulder are referred to as those structures that are:
capable of movement
The structure that encloses the spinal cord is known as the:
vertebral foramen
Rotation of the neck occurs primarily between the skull and:
cervical vertebrae 1 and 2 (C1 and C2)
Which of the following symptoms would be suggestive of lumbar spinal stenosis?
Thigh pain after 30 seconds of lumbar extension
When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move
his arm in front of himself and overhead. This motion of the shoulder girdle would be an example of:
flexion
When a patient complains of joint pain as progressing from one joint to another, the examiner should
consider this pattern of involvement as migratory. This type of involvement would most likely be
observed in a patient who has:
rheumatic fever
When examining the ankle and foot, the nurse practitioner instructs the patient to dorsiflex and
plantar flex the foot at the ankle. This maneuver assesses the:
tibiotalar joint
Swelling on the posterior and medial surface of the knee would be suggestive of:
semimembranosus bursitis
The metatarsophalangeal joints are located:
proximal to the web of the toes
The hamstring muscles flex the knee and are located on the:
posterior aspect of the thigh
, When performing a spinal exam, the nurse practitioner noted the appearance of poor posture and a
"hump" appearance of the upper back. This finding could be suggestive of:
thoracic kyphosis
Which nerve in the arm is located in the ventral forearm and is just medial to the brachial artery in the
antecubital fossa?
Median nerve
The joint that provides most of the flexion and extension of the wrist is the:
radiocarpal joint
Which nerve in the arm runs posteriorly in the ulnar groove between the medial epicondyle and the
olecranon process?
Ulnar nerve
Tenderness in the costovertebral angles may signify:
pyelonephritis
The structure that projects from the spinal column posteriorly in the midline is referred to as the:
spinous process
When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move
his arm behind himself. This motion of the shoulder girdle would be an example of:
extension
The nurse practitioner instructs the patient to move his extended fingers so that each touches its
nearest finger. This motion assesses the fingers and thumbs for:
adduction
The lesser tubercle of the humerus is located:
in front of the head of the humerus, and is directed medially and anteriorly
The nurse practitioner instructs the patient look upward at the ceiling. This maneuver assesses
cervical:
extension
When inspecting the face, asymmetry is noted. This finding could be suggestive of:
temporomandibular joint dysfunction syndrome
Restrictions of internal and external rotation of the hip are sensitive indicators of:
arthritis
When grading muscle strength, a grade of four would indicate:
active movement against gravity with some resistance
Swelling noted 1-2 inches below the knee joint and on the medial surface of the knee would be
suggestive of:
anserine bursitis
A 65 year old female patient presents to the nurse practitioner with complaints of pain in the right
knee, occasional stiffness (especially in the morning) with minimal tenderness to touch. Examination
reveals moderate swelling in the knee with a tender bony ridge along the joint margin. These findings
are consistent with:
osteoarthritis
Dynamic stabilizers of the shoulder are referred to as those structures that are:
capable of movement
The structure that encloses the spinal cord is known as the:
vertebral foramen
Rotation of the neck occurs primarily between the skull and:
cervical vertebrae 1 and 2 (C1 and C2)
Which of the following symptoms would be suggestive of lumbar spinal stenosis?
Thigh pain after 30 seconds of lumbar extension
When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move
his arm in front of himself and overhead. This motion of the shoulder girdle would be an example of:
flexion
When a patient complains of joint pain as progressing from one joint to another, the examiner should
consider this pattern of involvement as migratory. This type of involvement would most likely be
observed in a patient who has:
rheumatic fever
When examining the ankle and foot, the nurse practitioner instructs the patient to dorsiflex and
plantar flex the foot at the ankle. This maneuver assesses the:
tibiotalar joint
Swelling on the posterior and medial surface of the knee would be suggestive of:
semimembranosus bursitis
The metatarsophalangeal joints are located:
proximal to the web of the toes
The hamstring muscles flex the knee and are located on the:
posterior aspect of the thigh
, When performing a spinal exam, the nurse practitioner noted the appearance of poor posture and a
"hump" appearance of the upper back. This finding could be suggestive of:
thoracic kyphosis
Which nerve in the arm is located in the ventral forearm and is just medial to the brachial artery in the
antecubital fossa?
Median nerve
The joint that provides most of the flexion and extension of the wrist is the:
radiocarpal joint
Which nerve in the arm runs posteriorly in the ulnar groove between the medial epicondyle and the
olecranon process?
Ulnar nerve
Tenderness in the costovertebral angles may signify:
pyelonephritis
The structure that projects from the spinal column posteriorly in the midline is referred to as the:
spinous process
When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move
his arm behind himself. This motion of the shoulder girdle would be an example of:
extension
The nurse practitioner instructs the patient to move his extended fingers so that each touches its
nearest finger. This motion assesses the fingers and thumbs for:
adduction
The lesser tubercle of the humerus is located:
in front of the head of the humerus, and is directed medially and anteriorly
The nurse practitioner instructs the patient look upward at the ceiling. This maneuver assesses
cervical:
extension
When inspecting the face, asymmetry is noted. This finding could be suggestive of:
temporomandibular joint dysfunction syndrome
Restrictions of internal and external rotation of the hip are sensitive indicators of:
arthritis
When grading muscle strength, a grade of four would indicate:
active movement against gravity with some resistance
