Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited
movement in her right shoulder. She denies any history of trauma. Her examination
reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs.
Gray also is experiencing tenderness with motion and pain at the deltoid insertion.
Her medical history is significant for type 1 diabetes mellitus and hypertension. Her
social history reveals that she is a secretary and that she is right-handed. Based on her
examination and medical history, you suspect adhesive capsulitis, or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?
Question options:
a) History of hypertension
,b) Her affected shoulder is also her dominant arm.
c) Her history of diabetes mellitus
d) Her work as a secretary predisposes her to repetitive motions.
Give this one a try later!
c) Her history of diabetes mellitus
The patient is prescribed radioactive iodine (RAI) and asks the clinician how this drug
works. The clinician's response should include which of the following data?
Question options:
a) RAI prevents the peripheral conversion of T4 to T3.
b) RAI binds free T4.
c) RAI destroys thyroid tissue.
d) RAI reduces freely circulating iodine.
Give this one a try later!
c) RAI destroys thyroid tissue
The clinician suspects that a client has patellar instability. In order to test for this, the
client is seated with the quadriceps relaxed, and the knee is placed in extension. Next
the patella is displaced laterally, and the knee flexed to 30°. If instability is present,
this maneuver displaces the patella to an abnormal position on the lateral femoral
condyle, and the client will perceive pain. Testing for patellar instability in this way is
known as:
Question options:
a) Apprehension sign
, b) Bulge sign
c) Thumb sign
d) None of the above
Give this one a try later!
a) Apprehension sign
Mr. W, 53 years old, is seen in the clinic with concerns about his left foot. He has a 40-
year history of type 1 diabetes with "fairly good" control on twice-daily insulin. He
denies injury but states that he tripped a few months ago and that his foot is sore
when he walks. Physical examination reveals an edematous, erythremic, and warm
foot. There is a superficial ulcer on the plantar surface. Which of the following is the
most likely diagnosis?
Question options:
a) Fallen arch
b) Arthritis
c) Charcot joint
d) Sprained ankle
Give this one a try later!
c) Charcot joint
Which of the following tests is considered the gold standard for definitively
diagnosing osteoporosis?
Question options:
movement in her right shoulder. She denies any history of trauma. Her examination
reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs.
Gray also is experiencing tenderness with motion and pain at the deltoid insertion.
Her medical history is significant for type 1 diabetes mellitus and hypertension. Her
social history reveals that she is a secretary and that she is right-handed. Based on her
examination and medical history, you suspect adhesive capsulitis, or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?
Question options:
a) History of hypertension
,b) Her affected shoulder is also her dominant arm.
c) Her history of diabetes mellitus
d) Her work as a secretary predisposes her to repetitive motions.
Give this one a try later!
c) Her history of diabetes mellitus
The patient is prescribed radioactive iodine (RAI) and asks the clinician how this drug
works. The clinician's response should include which of the following data?
Question options:
a) RAI prevents the peripheral conversion of T4 to T3.
b) RAI binds free T4.
c) RAI destroys thyroid tissue.
d) RAI reduces freely circulating iodine.
Give this one a try later!
c) RAI destroys thyroid tissue
The clinician suspects that a client has patellar instability. In order to test for this, the
client is seated with the quadriceps relaxed, and the knee is placed in extension. Next
the patella is displaced laterally, and the knee flexed to 30°. If instability is present,
this maneuver displaces the patella to an abnormal position on the lateral femoral
condyle, and the client will perceive pain. Testing for patellar instability in this way is
known as:
Question options:
a) Apprehension sign
, b) Bulge sign
c) Thumb sign
d) None of the above
Give this one a try later!
a) Apprehension sign
Mr. W, 53 years old, is seen in the clinic with concerns about his left foot. He has a 40-
year history of type 1 diabetes with "fairly good" control on twice-daily insulin. He
denies injury but states that he tripped a few months ago and that his foot is sore
when he walks. Physical examination reveals an edematous, erythremic, and warm
foot. There is a superficial ulcer on the plantar surface. Which of the following is the
most likely diagnosis?
Question options:
a) Fallen arch
b) Arthritis
c) Charcot joint
d) Sprained ankle
Give this one a try later!
c) Charcot joint
Which of the following tests is considered the gold standard for definitively
diagnosing osteoporosis?
Question options:
