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ORTHOPEDICS EXAM QUESTIONS WITH CORRECT
VERIFIED SOLUTIONS 100% GUARANTEED PASS
A 70 year old patient has had intermittent back pain for more than 3 years. In the last year, it is constant (pain scale is 2-3/10) and at times is sharp. She is not a surgical candidate. What class of medication would be a good choice for improvement of chronic pain in this patient? Naproxen Codeine Amitriptyline Sertraline - ANS ✓Amitriptyline A 75 year-old female, who knits daily, has a positive Finkelstein test. What is her likely diagnosis? Gamekeeper's thumb De Quervain's tenosynovitis Osteoarthritis of the thumb Trigger thumb - ANS ✓De Quervain's tenosynovitis A 45 year-old male who is in good health presents with complaints of pain in his left heel. He states that the first few steps out of bed in the morning are extremely painful. He has no history of trauma. What is the likely etiology of his pain? Achilles tendinitis
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Plantar fasciitis Calcaneal spur Arthritis of the foot - ANS ✓Plantar fasciitis A young athlete is found to have a depression of the longitudinal arch of both feet. He complains of heel pain bilaterally. The rest of his foot is normal and he has continued with his activities. What could be recommended for his heel pain? An x-ray of the foot is needed first. He needs some heel support in his shoes. NSAIDs should be used initially. Rigid orthotics could be ordered for his shoes. - ANS ✓He needs some heel support in his shoes. Which of the following is true regarding metatarsus adductus? This is another term for clubfoot Mild flexible metatarsus usually spontaneously corrects X-rays are usually necessary to diagnose this Infants frequently require casting to correct - ANS ✓Mild flexible metatarsus usually spontaneously corrects A patient is at increased risk of osteopenia if she uses which form of birth control? Injectable progestin Intrauterine device Oral contraceptives Natural family planning - ANS ✓Injectable progestin
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Degree of pain Extent of mobility Degree of swelling No symptom can rule out a fracture - ANS ✓No symptom can rule out a fracture An adolescent complains of knee pain. He is diagnosed with Osgood- Schlatter disease. What assessment finding is typical? The pain is always bilateral. Pain worsens with quadriceps contraction. There will be an avulsion of the quadriceps tendon. Assessments vary. An x-ray can be used for diagnosis. - ANS ✓Pain worsens with quadriceps contraction A 75 year-old female who is otherwise healthy has osteoarthritis in her right knee. She complains of pain not relieved by acetaminophen 2000 mg daily. What should be done? Increase her acetaminophen to 4 grams daily Consider an NSAID Continue acetaminophen and order physical therapy Continue acetaminophen and refer to orthopedics - ANS ✓Continue acetaminophen and order physical therapy A positive Trendelenburg's test could be used to identify a child with: scoliosis. Osgood-Schlatter disease.
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nursemaid's elbow. slipped capital femoral epiphysis. - ANS ✓slipped capital femoral epiphysis. Explanation: A characteristic of rheumatoid arthritis not typical in osteoarthritis is: weight loss. morning stiffness. symmetrical joint involvement. the presence of Bouchard's nodes. - ANS ✓symmetrical joint involvement. A male patient who injured his back lifting a heavy object reports that he has low back pain. He is diagnosed with a lumbar strain. He is afraid to continue activities of daily living and especially walking because he has pain with these activities. What statement below is true? Stop doing any activities that produce pain in your lower back. Continue your activities of daily living, but stop walking, except to go to the bathroom. Bedrest will help your back pain. Continue your activities of daily living and walking. - ANS ✓Continue your activities of daily living and walking. The Ottawa ankle rules help the examiner determine when: an inversion ankle injury has occurred. an anterior talofibular fracture has occurred. x-rays are needed with a suspected ankle sprain. referral to orthopedics should occur. - ANS ✓x-rays are needed with a suspected ankle sprain.
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Vodka Beer Wine Bourbon - ANS ✓Wine A nurse practitioner has successfully reduced a nursemaid's elbow. How can the NP know that it was successful? X-rays Child moves the affected arm at the elbow A click is heard The deformity has resolved - ANS ✓Child moves the affected arm at the elbow A 75 year-old has pain from osteoarthritis in her right knee. What intervention is considered first line to treat her pain? Exercise Acetaminophen Ibuprofen Tramadol - ANS ✓Exercise An adolescent athlete has injured his ankle playing basketball. He has right ankle pain, ecchymosis, significant edema, and he is unable to bear weight at the time of the clinical exam. Which diagnosis is least likely? An avulsion fracture Grade I sprain Correct Grade II sprain Grade III sprain - ANS ✓Grade I sprain Correct
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What is the most prevalent skeletal problem in the United States? Osteoarthritis Correct Stress fractures Osteoporosis Gouty arthritis - ANS ✓Osteoarthritis Correct An x-ray report of a patient's painful right knee indicates "joint space narrowing". What does this mean? The patient is agingGout is presentThis is a normal findingLoss of cartilage has occurred - ANS ✓Loss of cartilage has occurred Besides inadequate intake of Vitamin D in elder adults, what other factor contributes to deficiencies? Impaired synthesis of previtamin D Decreased physical activity Diminished hepatic function Decreased body mass - ANS ✓Impaired synthesis of previtamin D A 60 year-old patient who is otherwise healthy, presents with acute onset of right knee pain. She denies injury but reports that she walked up a lot of steps yesterday. She is diagnosed with prepatellar bursitis. What is a common finding? Limping and erythema about the anterior knee Swelling and pain to touch of the anterior knee Posterior knee pain, anterior knee edema, and redness
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A 6 year-old complains that his legs hurt. His mother states that he has complained for the past 2 weeks, and she thought it was from "playing outside too much". When asked to identify the painful areas, the child points to the midshaft of the femurs. He grimaces slightly when asked to walk. What should be part of the differential diagnosis? Osgood-Schlatter disease Growing pains Acute lymphocytic leukemia (ALL) Psychogenic pain - ANS ✓Acute lymphocytic leukemia (ALL) A patient who frequently has episodes of gout should avoid which groups of food? Beans, rice, and tea Scrambled eggs, milk, and toast Roast beef with gravy, rice Fish and steamed vegetables - ANS ✓Roast beef with gravy, rice The age at which a child can first walk backwards is: 12 months. 15 months. 18 months. 24 months. - ANS ✓18 months. The "get up and go" test in an elderly patient is used to evaluate: risk for falls. lower extremity strength.
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mental acuity. driving safety. - ANS ✓risk for falls. E A long distance runner is diagnosed with a tibial stress fracture. Which statement is true about the injury? The pain worsens with rest. The patient should be casted for 6 weeks. Plain x-rays will confirm the diagnosis. Rest and an alternative activity are recommended. - ANS ✓Rest and an alternative activity are recommended. What should the nurse practitioner assess in a patient who reports a fall but does not have serious physical injury? Blood pressure while the patient is seated Medications taken a few hours before the fall Visual acuity and ability to distinguish colors The ability to get out of a chair easily - ANS ✓Medications taken a few hours before the fall A 4 year-old was brought into the clinic by her mother who reports that she pulled her arms upward to pick her up and now the child won't use her right arm. A nursemaid's elbow is suspected. Which statement below is correct? The child is crying because her arm hurts. She will need to be admitted to the hospital for fracture reduction. Her arm is slightly flexed and held close to her body.
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A 49 year-old patient has osteoarthritis in the lumbar spine and hip. His hip x-ray demonstrates bone on bone. What can be done to resolve his complaints of pain in his hip? Acetaminophen onlyAn NSAID onlyAcetaminophen and physical therapy IncorrectAcetaminophen and a referral to orthopedics - ANS ✓Acetaminophen and a referral to orthopedics E What joints are least commonly involved in osteoarthritis? Fingers Wrists Hips Knees - ANS ✓Wrists A patient has suspected plantar fasciitis. The plantar fascia is best examined: with the great toe dorsiflexed. with the foot in neutral position. while the patient stands. with the ankle at a 90 degree angle. - ANS ✓with the great toe dorsiflexed. A 60 year-old adult with an antalgic gait and complaints of hip pain is examined. He has trochanteric tenderness. What is the most common cause of this?
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Bone cancer Trochanteric strain Trochanteric bursitis Osteoarthritis - ANS ✓Trochanteric bursitis Women are commonly screened for osteoporosis at age 65 years. How should screening for osteoporosis be managed in a male this age? They should be screened starting at age 65 if they have risk factors. They should be screened routinely at age 65. They do not need screening since this is not prevalent in males. They should be screened if they have prostate disease. - ANS ✓They should be screened starting at age 65 if they have risk factors. A male patient takes HCTZ daily for hypertension. He developed severe pain in his great toe yesterday. He was diagnosed with gout today and started on a medication. Which medication listed below would be contraindicated at this time? Allopurinol Prednisone Colchicine Indomethacin - ANS ✓Allopurinol A 14 year-old male client reports dull anterior knee pain, exacerbated by kneeling. What is the likely etiology? Patellar fasciitis Osgood-Schlatter disease Osteosarcoma of the tibia
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Strain Bursitis Stress fracture Tendonitis - ANS ✓Stress fracture When should functional rehabilitation occur once a patient has had an ankle or knee sprain? The day of the injury About 5 days post-injury 2 - 3 weeks after injury When the patient's pain level allows - ANS ✓The day of the injury A 79 year-old frail adult reports that she had a fall last week. She had no broken bones but is very sore. In evaluating this adult, what question is most important to ask? Do you have gait problems? Have you had other falls this year? Are you on any new medications? Does your family know that you fell? - ANS ✓Have you had other falls this year? What is the value of Vitamin D supplementation in the diet of older adults? It decreases the risk of falls. It decreases the severity of hip fractures. There is no clear value unless a Vitamin D deficiency is identified.
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It helps to prevent fractures. - ANS ✓It decreases the risk of falls. Which patient below should be screened for osteoporosis? 60 year-old male with rheumatoid arthritis 50 year-old Caucasian female A 65 year-old male who is otherwise healthy A 62 year-old post menopausal female - ANS ✓60 year-old male with rheumatoid arthritis Which diagnosis is the least likely cause of extrinsic shoulder pain? Angina Hepatobiliary disease Pneumonia Gout - ANS ✓Gout A positive Tinel's test can be used to assess carpal tunnel syndrome. What other test can be used to assess for this? Patrick's test Finkelstein's test Phalen's test Allen's test - ANS ✓Phalen's test A college age basketball player landed awkwardly on his foot and ankle after jumping during a game yesterday. He states that he sprained his ankle. He complains of ankle pain and foot pain but is able to limp into the exam room. How should he be managed?
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They should not be used to treat acute low back pain. - ANS ✓They are associated with more side effects than acetaminophen. What does a positive anterior drawer test demonstrate with an injured knee? Injury to the lateral meniscus Instability of the anterior cruciate ligament Stability of the posterior cruciate ligament Stability of the lateral knee - ANS ✓Instability of the anterior cruciate ligament A patient with sciatica is most likely to describe relief of symptoms with: sitting. standing. side lying or standing. walking. - ANS ✓side lying or standing. A patient has cut himself on a fence post while working outside. He has not had a tetanus shot in more than 10 years. How long can he wait before getting the immunization and still prevent tetanus? 24 hours 48 hours 72 hours 5 days - ANS ✓72 hours Which of the following is NOT true regarding cervical whiplash injury? This occurs after a traumatic event.
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It may be accompanied by severe pain, spasm. Is identifiable on MRI or CT, but not x-ray. Occipital pain and headache can occur. - ANS ✓Is identifiable on MRI or CT, but not x-ray. An 80 year-old patient is very active but presents today with posterior hip pain for the past week. Which of the following is least likely part of the differential diagnosis? Osteoarthritis Sacroiliac joint disease Lumbar radiculopathy Herpes zoster - ANS ✓Osteoarthritis . An elderly patient had a total knee replacement (TKR) 10 months ago. He is doing well. What information should he be given regarding the knee replacement? He should take an aspirin daily for the first year. He should receive an antibiotic prior to dental procedures. He should take the flu shot annually. There are no recommendations 6 months after his surgery. - ANS ✓He should receive an antibiotic prior to dental The average age of pubertal growth spurt in North American boys is: 9.5 - 11.5 years. 10 - 12 years. 12 - 14 years.
