NURG 604 Module 12 Practice Exam
Questions 100% Well Answered.
What are the most common signs and symptoms of Juvenile Idiopathic Arthritis (JIA)? - Answer see
Table 33.14; "Juvenile Idiopathic Arthritis Subtypes and Clinical Joint Characteristics")
page 550
What are common musculoskeletal and congenital problems? - Answer athletic injuries, back pain.
Foot injuries, knee disorders, shin splints, stress fx
What shape is the spine by late adolescence? - Answer S shape
What can be used to measure bone age? - Answer radiographs of the left hand and wrist
The growth plate area is weaker than the remaining bone because..... - Answer it is less calcified.
What is Osteogenesis Imperfecta? - Answer Genetic disorder characterized by decreased levels of
collagen, the major protein of the body's connective tissue
What are some intrauterine causes of compression deformations? - Answer Intrinsic causes =
neuromuscular disorders and maternal oligohydramnios
- Extrinsic causes = fetal crowding
A patient presents in your office with a fracture to the leg. There really is not a good explanation as to
why this occurred. What should you be suspicious of - Answer abuse
What is the reason that children's bones heal more quickly than adults? - Answer They have more
periosteum than adults
Know about the different types of fractures: growth plate and shaft. - Answer
, GROWTH PLATE FX - Answer - can cause permanent deformities based of where the fracture is located.
-outcomes depend on the pts age,fx location and type, blood supply to the physis, and treatment.
- salter-harris classification
SHAFT - Answer - most common:
Oblique - tibial fx - occurs usually from tripping, stepping on a toy, nor falling from a moderate height.
Usually will notice a limp
Torus or greenstick - forearm; from a fall on an outstretched hand.
When is a mature gait typically established? - Answer By age 3. By 7 will resemble an adult gait.
Galeazzi - Answer - flexing the hips and knees while the child lies supine. Placing the soles of the feet
on the table near the buttocks. And then looking at the knee's height equality.
- Assesses for conditions that can cause leg length discrepancies
Barlow - Answer - unclothed pT in supine positioned with knees flexed. The hip is flexed, and the thigh
is brought into an adduction position while applying pressure downward.
- With hip instability, the femoral head slips out of the acetabulum, this is a positive Barlow.
- Assesses for hip dislocation in the first month
Ortolani - Answer place in supine position with both knees flexed. The provider's thumb is placed near
the lesser trochanter and the pad of the second finger is placed on the bony prominence of the greater
trochanter. The leg is flexed at the hip and then abducted while pushing with fingers located over the
trochanter posteriorly. The femoral head is lifted anteriorly into the acetabulum
- Used to gently reduce a dislocated hip
What can the NP teach parents to possibly prevent hip dysplasia in the newborn? - Answer Do not
swaddle hips too tightly - let legs fall apart in the frog leg position
What is the Klisic test? - Answer - provides and observational sign of hip placement
Questions 100% Well Answered.
What are the most common signs and symptoms of Juvenile Idiopathic Arthritis (JIA)? - Answer see
Table 33.14; "Juvenile Idiopathic Arthritis Subtypes and Clinical Joint Characteristics")
page 550
What are common musculoskeletal and congenital problems? - Answer athletic injuries, back pain.
Foot injuries, knee disorders, shin splints, stress fx
What shape is the spine by late adolescence? - Answer S shape
What can be used to measure bone age? - Answer radiographs of the left hand and wrist
The growth plate area is weaker than the remaining bone because..... - Answer it is less calcified.
What is Osteogenesis Imperfecta? - Answer Genetic disorder characterized by decreased levels of
collagen, the major protein of the body's connective tissue
What are some intrauterine causes of compression deformations? - Answer Intrinsic causes =
neuromuscular disorders and maternal oligohydramnios
- Extrinsic causes = fetal crowding
A patient presents in your office with a fracture to the leg. There really is not a good explanation as to
why this occurred. What should you be suspicious of - Answer abuse
What is the reason that children's bones heal more quickly than adults? - Answer They have more
periosteum than adults
Know about the different types of fractures: growth plate and shaft. - Answer
, GROWTH PLATE FX - Answer - can cause permanent deformities based of where the fracture is located.
-outcomes depend on the pts age,fx location and type, blood supply to the physis, and treatment.
- salter-harris classification
SHAFT - Answer - most common:
Oblique - tibial fx - occurs usually from tripping, stepping on a toy, nor falling from a moderate height.
Usually will notice a limp
Torus or greenstick - forearm; from a fall on an outstretched hand.
When is a mature gait typically established? - Answer By age 3. By 7 will resemble an adult gait.
Galeazzi - Answer - flexing the hips and knees while the child lies supine. Placing the soles of the feet
on the table near the buttocks. And then looking at the knee's height equality.
- Assesses for conditions that can cause leg length discrepancies
Barlow - Answer - unclothed pT in supine positioned with knees flexed. The hip is flexed, and the thigh
is brought into an adduction position while applying pressure downward.
- With hip instability, the femoral head slips out of the acetabulum, this is a positive Barlow.
- Assesses for hip dislocation in the first month
Ortolani - Answer place in supine position with both knees flexed. The provider's thumb is placed near
the lesser trochanter and the pad of the second finger is placed on the bony prominence of the greater
trochanter. The leg is flexed at the hip and then abducted while pushing with fingers located over the
trochanter posteriorly. The femoral head is lifted anteriorly into the acetabulum
- Used to gently reduce a dislocated hip
What can the NP teach parents to possibly prevent hip dysplasia in the newborn? - Answer Do not
swaddle hips too tightly - let legs fall apart in the frog leg position
What is the Klisic test? - Answer - provides and observational sign of hip placement
