NUR 612 Assessment II Final Exam Questions and Correct Answers

Which of the following joints is most likely to be affected by OA? A. Wrists B. Elbows C. metacarpophalangeal joint D. DIP Joint D. DIP Joint Clinical finding of the knee in a patient with OA include which of the following (SATA) A. Coarse crepitus B. Joint Effusion C. Warm joint D. Knee often locks or a pop is heard E. redness and heat over the anterior and posterior knee A. Coarse crepitus B. Joint Effusion D. Knee often locks or pop is heard Deformity of the PIP joints found in an elderly patient with OA are knowns as A. Herberdens Nodes B. Bouchards nodes C. Hallus valgus D. Dupuytrens contracture B. Bouchards nodes The McMurray test is performed by A. Compressing the knee while externally or internally rotating the tibia B. Moving the knee from full extension with hip flexed and knee externally rotated C. having the individual attempt to duck walk D. Having the patient stand with knee fully extended and then rotate the trunk B. Moving the knee from full extension with hip flexed and knee externally rotated The most common type of injury causing a sport-related meniscal tear involves A. Twisting of the knee B. Hyperextension of the knee C. Repetadive striking impact on the knee D. Unknown origin A. Twisting of the knee A patient with a complete meniscal tear will present with: A. Joint Effusion B. Heat over the knee C. Inability to kneel D. Loss of smooth joint movement C. Inability to kneel For a patient with a suspected meniscal tear with an xray that does not reveal acute changes, the preferred next step is: A. Order an MRI B. Order an US C. Advise that arthroscopy is next step D. Consider an alternate DX as meniscal tear is unlikely A. MRI The Phalen test is described as: Reproduction of symptoms with forced flexion of the wrists. The tinel test is best described as: abnormal tingling when the median nerve is tapped. With the straight-leg-raising test, the NP is evaluating tension on which of the following nerve roots? A. L1 and L2 B. L3 and L4 C. L5 and S1 D. S2 and S3 C. L5-S1