NUR 612 FINAL EXAM STUDY GUIDE
1. Which of the following joints is most likely to be affected by OA?
A. Wrists
B. Elbows
C. metacarpophalangeal joint
D. DIP Joint
Answer D. DIP Joint
2. 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
Answer A. Coarse crepitus
B. Joint Effusion
D. Knee often locks or pop is heard
3. Deformity of the PIP joints found in an elderly patient with OA are knowns as
A. Heberden’s Nodes
B. Bouchards nodes
C. Hallus valgus
D. Dupuytrens contracture
Answer B. Bouchards nodes
, NUR 612 FINAL EXAM STUDY GUIDE
4. 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
Answer B. Moving the knee from full extension with hip flexed and knee externally rotated
5. The most common type of injury causing a sport-related meniscal tear involves
A. Twisting of the knee
B. Hyperextension of the knee
C. Repetitive striking impact on the knee
D. Unknown origin
Answer A. Twisting of the knee
6. 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
Answer C. Inability to kneel
, NUR 612 FINAL EXAM STUDY GUIDE
7. 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
Answer A. MRI
8.The Phalen test is described as:
Answer Reproduction of symptoms with forced flexion of the wrists.
9.The Tinel test is best described as:
Answer abnormal tingling when the median nerve is tapped.
10. 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
Answer C. L5-S1
, NUR 612 FINAL EXAM STUDY GUIDE
11. You see a 48-year-old woman who reports LBP. She mentions new onset of loss of
bowel and bladder function. This most likely indicates:
A. Cauda equina syndrome
B. Muscular sprain
C. Vertebral fracture
D. Sciatic nerve entrapment
Answer Cauda Equina Syndrome
12. Immediate diagnostic imaging for LPB should be reserved for all the following except
the presence of: A. Signs of cauda equina
B. Severe neurological deficits
C. Risk for Cancer
D. Moderate pain lasting at least 2 weeks
Answer D. Moderate pain lasting at least 2 weeks
13. A lumbosacral X-ray would be most helpful to aid in diagnosis of new onset-LPB in
which of the following patients?
A. 49 year old man with 1 day of paint after yard work
B. 63 year old women who slipped on icy walkway
C. 54 year old obese man who reports pain radiating to buttocks
D. 61 year old woman reporting pain after attempting to lift her grandson
Answer B. 63-year-old woman who slipped on icy walkway
1. Which of the following joints is most likely to be affected by OA?
A. Wrists
B. Elbows
C. metacarpophalangeal joint
D. DIP Joint
Answer D. DIP Joint
2. 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
Answer A. Coarse crepitus
B. Joint Effusion
D. Knee often locks or pop is heard
3. Deformity of the PIP joints found in an elderly patient with OA are knowns as
A. Heberden’s Nodes
B. Bouchards nodes
C. Hallus valgus
D. Dupuytrens contracture
Answer B. Bouchards nodes
, NUR 612 FINAL EXAM STUDY GUIDE
4. 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
Answer B. Moving the knee from full extension with hip flexed and knee externally rotated
5. The most common type of injury causing a sport-related meniscal tear involves
A. Twisting of the knee
B. Hyperextension of the knee
C. Repetitive striking impact on the knee
D. Unknown origin
Answer A. Twisting of the knee
6. 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
Answer C. Inability to kneel
, NUR 612 FINAL EXAM STUDY GUIDE
7. 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
Answer A. MRI
8.The Phalen test is described as:
Answer Reproduction of symptoms with forced flexion of the wrists.
9.The Tinel test is best described as:
Answer abnormal tingling when the median nerve is tapped.
10. 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
Answer C. L5-S1
, NUR 612 FINAL EXAM STUDY GUIDE
11. You see a 48-year-old woman who reports LBP. She mentions new onset of loss of
bowel and bladder function. This most likely indicates:
A. Cauda equina syndrome
B. Muscular sprain
C. Vertebral fracture
D. Sciatic nerve entrapment
Answer Cauda Equina Syndrome
12. Immediate diagnostic imaging for LPB should be reserved for all the following except
the presence of: A. Signs of cauda equina
B. Severe neurological deficits
C. Risk for Cancer
D. Moderate pain lasting at least 2 weeks
Answer D. Moderate pain lasting at least 2 weeks
13. A lumbosacral X-ray would be most helpful to aid in diagnosis of new onset-LPB in
which of the following patients?
A. 49 year old man with 1 day of paint after yard work
B. 63 year old women who slipped on icy walkway
C. 54 year old obese man who reports pain radiating to buttocks
D. 61 year old woman reporting pain after attempting to lift her grandson
Answer B. 63-year-old woman who slipped on icy walkway
