PRACTICE NURSING TEST 2024 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (CORRECT VERIFIED
ANSWERS) LATEST UPDATES |ALREADY GRADED A+
A useful approach to initial patient encounter is to determine whether the
musculoskeletal complaint is--- - ANSWER: - Acute or chronic in nature
- Articular or nonarticular in nature
- Inflammatory or noninflammatory in nature
- Localized or systemic in distribution
Musculoskeletal complaints that are classified as acute have been ongoing for? -
ANSWER: Less than 6 weeks
Musculoskeletal complaints that are classified as chronic have been ongoing for? -
ANSWER: Greater than 6 weeks
Musculoskeletal differential diagnoses - ANSWER: Trauma, infection, metabolic or
circulatory disorders, tumors, synovial conditions, congenital or developmental
problems or degenerative disorders.
Articular structures include: - ANSWER: synovium, synovial fluid, articular cartilage,
intra-articular ligaments, joint capsules, juxta-articular bone.
Characteristics of disorders of articular structures: - ANSWER: - Deep or diffuse pain
- Limited ROM w/active AND passive ROM
- Swelling (caused by synovial proliferation, effusion or bony enlargement)
- crepitation
- instability
- "locking"
- deformity
Non-articular structures include: - ANSWER: - supportive extra-articular ligaments
- tendons
- bursa
- muscle
- fascia
- bone
- nerve
- overlying skin
Characteristics of non-articular structures: - ANSWER: - painful active but NOT
passive ROM
- demonstrated point or focal tenderness in regions distinct from articular structures.
- physical findings far from the joint capsule
, - Unlikely to see: crepitus, instability, deformity
Inflammatory disorders are characterized by: - ANSWER: - erythema
- warmth
- pain
- swelling
Systemic symptoms of inflammation: - ANSWER: - fatigue
- weight loss
- morning stiffness
- fever
Laboratory evidence of inflammation: - ANSWER: - elevated sed rate
- elevated CRP
- anemia of chronic disease
- hypoalbuminemia
- thrombocytosis
Noninflammatory disorders tend to be related to: - ANSWER: - trauma (meniscus
tear)
- ineffective repair (OA)
- neoplasm
- pain amplification (fibro)
Characteristics of noninflammatory disorders: - ANSWER: - pain w/o
swelling/warmth
- absence of inflammatory or systemic features
- minimal or absent morning stiffness
- normal lab testing
Monoarticular - ANSWER: One joint involved
Periarticular - ANSWER: two to four joints involved
Polyarticular - ANSWER: More than four joints involved
Nonarticular disorders are classified as either: - ANSWER: focal or widespread
A major goal of PE is to detect: - ANSWER: - warmth over a joint
- joint effusion
- pain on joint motion
- warmth over a joint
- joint effusion
- pain on joint motion
Are all hallmarks of? - ANSWER: Synovitis