NR511 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR511 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) Lachman maneuver Answer Anterior Cruciate Ligament (ACL) injury (knee exam) McMurray sign Answer Injury to the meniscus (knee exam); Cause of meniscus injury: suddenly planting leg on the ground and twisting; can cause immediate pain in the planted leg and inability to bear weight. Can lock up when trying to straighten it. Phalen's test Answer Numbness and tingling in the first 3 digits when pressing the dorsal surface of both hands together in a forced wrist flexion for at least 1 minute (wrist exam) Radial head fracture Answer palpate for tenderness, swelling, and crepitus just distal to the lateral epicondyle. (wrist exam) Articular and a non-articular musculoskeletal complaint differentiation between the two is that Answer non-articular complaints involves a point or focal tenderness Bulge Test Answer use to check for knee joint effusion carpal tunnel syndrome initial tx Answer inflammation of median nerve wrist splint and NSAID herniated disk most common area evaluation Answer L4-L5 (weakness in the great toe) Straight leg test: with patient in supine position, elevate affected leg; if this elicits back and sciatic nerve pain, this is a positive test for herniated disk straight leg test Answer Patient supine, passively raise patient's leg to point of pain or 90 degrees + pain from 0-35: piriformis syndrome, SI joint lesion + pain from 35-70: herniated disc + pain from 70-90: lumbar joint problem shoulder dislocation assessment Due to Answer pain noted when shrugging shoulders excessive pressure put on the shoulders muscle strains degree of ankle sprains: first second third Answer 1st-ligaments are stretched but not torn 2nd-most common; partial tearing of the ligament 3rd-most severe; ligament is torn completely •Strain-can be due to •How do you know it's a strain? •Treat with Answer -not warming up prior to exercise; Teachable moment when the patient presents with a strain is just to suggest stretching and warm-up exercises prior to the full exercise routine -Look for location; e.g. acute low back strain; low back pain that is not associated with sciatica; Is aggravated by sitting, standing, and certain movements; alleviated with rest; pain locally on palpation and muscle spasms are felt. -NSAID and recommend low back strengthening exercises; the type and intensity of the strengthening exercises depends on the patient's pain tolerance. Be careful to not add insult to injury! Cauda equine syndrome occurs when s/s tx Answer bundle of nerves below the end of the spinal cord known as the cauda equina is damaged. low back pain, pain that radiates down the leg, numbness around the anus, and loss of bowel or bladder control. referred to the ER for evaluation since it's going to require surgery (laminectomy) spinal fracture can present as consider red flags from the patient history that alerts you to a potential spinal fracture that may include Answer low back pain fall history, prolonged steroid use, osteopenia, osteoporosis lumbar spinal stenosis radicular complaints in legs with or without symptoms progress from _to_direction and walking or prolonged standing causes _and _ in the legs and buttocks. patients often report short term relief with Answer associated back pain proximal to distal direction pain and weakness leaning forward and often lean on counters when standing or grocery carts when shopping Cervical spondylosis, also known as Answer degenerative arthritis, is a blanket term for the chronic degenerative processes that affect the vertebrae and facet joints; causes pain, stiffness and disability. Cervical myelopathy s/s May have cervical spondylosis with _ symptoms For cervical spondylosis without myelopathy symptoms, the first line treatment is Answer radicular symptoms of the upper extremities and weakness. In severe cases, leg weakness, gait disturbances, and loss of bowel and bladder control may occur myelopathy PT red flags are important when assessing Answer back pain is most commonly associated with vertebral fractures in susceptible individuals Answer Osteoporosis