NSG 6020- ORTHOPEDICS QUESTIONS
AND ANSWERS
When55examining55the55foot55of55a55patient,55the55nurse55practitioner55notes55tendernes
s55of55the55posterior55medial55malleolus.55This55could55be55suggestive55of:55-55answer--
Tibial55tendinitis
When55testing55hand55grip55strength55on55a55patient,55the55nurse55practitioner55asks55th
e55patient55to55squeeze55which55finger(s)?:55-55answer--Second55and55third55fingers
A55thickened55nodule55overlying55the55flexor55tendon55of55the554th55finger55and55possibl
y55the555th55finger55near55the55distal55palmar55crease55is55suggestive55of:55-55answer--
Dupuytren's55contracture
The55forward55slippage55of55one55vertebrae55resulting55in55spinal55cord55compression55i
s55referred55to55as:55-55answer--Spondylolisthesis
Apatient55complains55of55shooting55pains55below55the55knee55radiating55into55the55latera
l55leg55and55calf.55This55type55of55low55back55pain55is55referred55to55as:55-55answer--
radicular55low55back55pain
Thenar55atrophy55suggests:55-55answer--A55median55nerve55disorder
What55test55is55performed55when55the55nurse55practitioner55instructs55the55patient55to55h
old55his55wrists55in55flexion55for556055seconds55while55pressing55back55on55his55hands55t
ogether55to55form55right55angles:55-55answer--phalen's55test
When55inspecting55the55should55and55shoulder55girdle,55the55rounded55lateral55aspect55
of55the55should55appears55flattened.55This55finding55could55be55associated55with:55-
55answer--Anterior55should55dislocation
When55inspecting55the55shoulder55and55shoulder55girdle,55an55elevation55of55the55right55
should55was55noted55this55finding55could55be55associated55with:55-55answer--Scoliosis
On55examination55of55the55foot,55the55nurse55practitioner55notes55acute55inflammation55
of55the55first55metatarsophalangeal55joint.55This55finding55could55be55consistent55wit55h55
-55answer--Gout
, Decreased55spinal55mobility55in55the55lumbar55region55could55be55suggestive55of:55-
55answer--osteoarthritis
When55performing55a55musculoskeletal55examination,55the55nurse55practitioner55instruct
s55the55patient55to55move55his55arm55behind55himself.55This55motion55of55the55should55gi
rdle55would55be55an55example55of:55-55answer--Extension
Passive55flexion,55valgus55stress,55and55internal55rotation55of55the55lower55leg55evaluate
55the:55-55answer--medial55meniscus
A553555year55old55female55patient55presents55to55the55nurse55practitioner55with55complai
nts55of55pain55in55the55joints55of55both55hands55accompanied55by55stiffness,55especially5
5in55the55morning55with55tenderness55and55warmth55to55touch.55Examination55reveals55s
welling55of55the55synovial55tissue55and55limitation55of55motion.55These55findings55are55co
nsistent55with:55-55answer--rheumatoid55arthritis
With55the55patient55in55the55dorsal55decubitus55position,55have55him55slowly55extend55th
e55knee55while55maintaining55the55varus55stress55and55external55rotation.55If55a55snap55o
n55the55medial55joint55line55is55palpated,55this55may55indicate55a55positive55test55for55a55:
55-55answer--medial55meniscal55tear
After55attempting55to55elicit55the55Moro55reflex55in55a55newborn,55the55nurse55practitioner
55identifies55absence55of55movement55of55the55left55arm.55The55next55assessment55woul
d55be55to:55-55answer--examine55the55clavical
When55examining55the55foot55of55a55patient,55the55nurse55practitioner55notes55a55bony55
projection55along55the55edge55of55the55right55calcaneus55with55minimal55pain55and55tend
erness55to55touch.55This55could55be55suggestive55of:55-55answer--a55bone55spur
When55performing55a55spinal55exam,55the55nurse55practitioner55notices55unequal55heigh
ts55of55the55iliac55crest.55This55finding55could55be55suggestive55of:55-55answer--
unequal55leg55length
To55palpate55the55medial55meniscus,55slightly55internally55rotate55the55tibia55and55palpat
e55the55medial55soft55tissue55along55the:55-55answer--
upper55edge55of55the55tibial55plateau
The55medial55and55lateral55menisci:55-55answer--
cushions55the55action55of55the55femur55on55the55tibia
The55nurse55practitioner55instructs55the55patient55to55lie55supine,55bend55his55knee,55and
55turn55his55lower55leg55and55foot55away55from55the55midline.55This55maneuver55would55
assess55hip:55-55answer--internal55rotation
AND ANSWERS
When55examining55the55foot55of55a55patient,55the55nurse55practitioner55notes55tendernes
s55of55the55posterior55medial55malleolus.55This55could55be55suggestive55of:55-55answer--
Tibial55tendinitis
When55testing55hand55grip55strength55on55a55patient,55the55nurse55practitioner55asks55th
e55patient55to55squeeze55which55finger(s)?:55-55answer--Second55and55third55fingers
A55thickened55nodule55overlying55the55flexor55tendon55of55the554th55finger55and55possibl
y55the555th55finger55near55the55distal55palmar55crease55is55suggestive55of:55-55answer--
Dupuytren's55contracture
The55forward55slippage55of55one55vertebrae55resulting55in55spinal55cord55compression55i
s55referred55to55as:55-55answer--Spondylolisthesis
Apatient55complains55of55shooting55pains55below55the55knee55radiating55into55the55latera
l55leg55and55calf.55This55type55of55low55back55pain55is55referred55to55as:55-55answer--
radicular55low55back55pain
Thenar55atrophy55suggests:55-55answer--A55median55nerve55disorder
What55test55is55performed55when55the55nurse55practitioner55instructs55the55patient55to55h
old55his55wrists55in55flexion55for556055seconds55while55pressing55back55on55his55hands55t
ogether55to55form55right55angles:55-55answer--phalen's55test
When55inspecting55the55should55and55shoulder55girdle,55the55rounded55lateral55aspect55
of55the55should55appears55flattened.55This55finding55could55be55associated55with:55-
55answer--Anterior55should55dislocation
When55inspecting55the55shoulder55and55shoulder55girdle,55an55elevation55of55the55right55
should55was55noted55this55finding55could55be55associated55with:55-55answer--Scoliosis
On55examination55of55the55foot,55the55nurse55practitioner55notes55acute55inflammation55
of55the55first55metatarsophalangeal55joint.55This55finding55could55be55consistent55wit55h55
-55answer--Gout
, Decreased55spinal55mobility55in55the55lumbar55region55could55be55suggestive55of:55-
55answer--osteoarthritis
When55performing55a55musculoskeletal55examination,55the55nurse55practitioner55instruct
s55the55patient55to55move55his55arm55behind55himself.55This55motion55of55the55should55gi
rdle55would55be55an55example55of:55-55answer--Extension
Passive55flexion,55valgus55stress,55and55internal55rotation55of55the55lower55leg55evaluate
55the:55-55answer--medial55meniscus
A553555year55old55female55patient55presents55to55the55nurse55practitioner55with55complai
nts55of55pain55in55the55joints55of55both55hands55accompanied55by55stiffness,55especially5
5in55the55morning55with55tenderness55and55warmth55to55touch.55Examination55reveals55s
welling55of55the55synovial55tissue55and55limitation55of55motion.55These55findings55are55co
nsistent55with:55-55answer--rheumatoid55arthritis
With55the55patient55in55the55dorsal55decubitus55position,55have55him55slowly55extend55th
e55knee55while55maintaining55the55varus55stress55and55external55rotation.55If55a55snap55o
n55the55medial55joint55line55is55palpated,55this55may55indicate55a55positive55test55for55a55:
55-55answer--medial55meniscal55tear
After55attempting55to55elicit55the55Moro55reflex55in55a55newborn,55the55nurse55practitioner
55identifies55absence55of55movement55of55the55left55arm.55The55next55assessment55woul
d55be55to:55-55answer--examine55the55clavical
When55examining55the55foot55of55a55patient,55the55nurse55practitioner55notes55a55bony55
projection55along55the55edge55of55the55right55calcaneus55with55minimal55pain55and55tend
erness55to55touch.55This55could55be55suggestive55of:55-55answer--a55bone55spur
When55performing55a55spinal55exam,55the55nurse55practitioner55notices55unequal55heigh
ts55of55the55iliac55crest.55This55finding55could55be55suggestive55of:55-55answer--
unequal55leg55length
To55palpate55the55medial55meniscus,55slightly55internally55rotate55the55tibia55and55palpat
e55the55medial55soft55tissue55along55the:55-55answer--
upper55edge55of55the55tibial55plateau
The55medial55and55lateral55menisci:55-55answer--
cushions55the55action55of55the55femur55on55the55tibia
The55nurse55practitioner55instructs55the55patient55to55lie55supine,55bend55his55knee,55and
55turn55his55lower55leg55and55foot55away55from55the55midline.55This55maneuver55would55
assess55hip:55-55answer--internal55rotation
