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Exam 22: Musculoskeletal System

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Question 1

Multiple Choice

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The nurse is examining a 3-month-old infant.While the nurse holds his or her thumbs on the infant's inner mid thighs and the fingers on the outside of the infant's hips,touching the greater trochanter,the nurse adducts the legs until the his or her thumbs touch and then abducts the legs until the infant's knees touch the table.The nurse does not notice any "clunking" sounds and is confident to record a:

A) Positive Allis test.
B) Negative Allis test.
C) Positive Ortolani sign.
D) Negative Ortolani sign.

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Question 2

Multiple Choice

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A patient's annual physical examination reveals a lateral curvature of the thoracic and lumbar segments of his spine; however,this curvature disappears with forward bending.The nurse knows that this abnormality of the spine is called:

A) Structural scoliosis.
B) Functional scoliosis.
C) Herniated nucleus pulposus.
D) Dislocated hip.

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Question 3

Multiple Choice

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An 85-year-old patient comments during his annual physical examination that he seems to be getting shorter as he ages.The nurse should explain that decreased height occurs with aging because:

Of the 33 vertebrae in the spinal column,there are:

A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms.The nurse should suspect:

The nurse notices that a woman in an exercise class is unable to jump rope.The nurse is aware that to jump rope,one's shoulder has to be capable of:

When performing a musculoskeletal assessment,the nurse knows that the correct approach for the examination should be:

The nurse is providing patient education for a man who has been diagnosed with a rotator cuff injury.The nurse knows that a rotator cuff injury involves the:

The nurse is examining a 2-month-old infant and notices asymmetry of the infant's gluteal folds.The nurse should assess for other signs of what disorder?

A man who has had gout for several years comes to the clinic with a problem with his toe.On examination,the nurse notices the presence of hard,painless nodules over the great toe; one has burst open with a chalky discharge.This finding is known as:

The nurse is examining a 6-month-old infant and places the infant's feet flat on the table and flexes his knees up.The nurse notes that the right knee is significantly lower than the left.Which of these statements is true of this finding?

A patient tells the nurse that,"All my life I've been called 'knock knees'." The nurse knows that another term for knock knees is:

The nurse is assessing the joints of a woman who has stated,"I have a long family history of arthritis,and my joints hurt." The nurse suspects that she has osteoarthritis.Which of these are symptoms of osteoarthritis? Select all that apply.

An imaginary line connecting the highest point on each iliac crest would cross the __________ vertebra.

The nurse is examining the hip area of a patient and palpates a flat depression on the upper,lateral side of the thigh when the patient is standing.The nurse interprets this finding as the:

An 80-year-old woman is visiting the clinic for a checkup.She states,"I can't walk as much as I used to." The nurse is observing for motor dysfunction in her hip and should ask her to:

The ankle joint is the articulation of the tibia,fibula,and:

A patient has been diagnosed with osteoporosis and asks the nurse,"What is osteoporosis?" The nurse explains that osteoporosis is defined as:

A professional tennis player comes into the clinic complaining of a sore elbow.The nurse will assess for tenderness at the:

A patient is visiting the clinic for an evaluation of a swollen,painful knuckle.The nurse notices that the knuckle above his ring on the left hand is swollen and that he is unable to remove his wedding ring.This joint is called the _________ joint.