Ch12 The Musculoskeletal System Verified Test Bank

CHAPTER 12: ADVANCED HEALTH ASSESSMENT OF THE MUSCULOSKELETAL SYSTEM

1. Which joint type allows for no or minimal movement?

a. Synovial

b. Fibrous

c. Cartilaginous

d. Epiphyseal

2. Which joint type allows for full movement?

a. Synovial

b. Fibrous

c. Cartilaginous

d. Ligament

3. Which portion of the bone allows for skeletal growth?

a. Middle

b. Diaphysis

c. Cartilaginous

d. Epiphyseal

4. Which tissue connects muscle to bone?

a. Ligaments

b. Tendons

c. Cartilage

d. Bursae

5. Which situation would cause a patient to assume an antalgic gait?

a. Fracture

b. Pain

c. Tendon tears

d. Sprains

6. The clinician is grading muscle strength. Upon examination, the clinician finds movement against gravity but no resistance. What grade of strength should be documented?

a. 1

b. 2

c. 3

d. 5

7. The clinician assesses a patient with a fracture, described as a bone broken in two places. How should the clinician document this fracture?

a. Transverse

b. Spiral

c. Comminuted

d. Incomplete

8. The clinician asks a patient to stand and place their hand behind their back, with the back (dorsum) of their hand resting in the mid lumbar spine region. The patient then is asked to lift their hand straight off the back. If the patient cannot perform the motion, or it is painful, which would the clinician document?

a. Rotator cuff injury

b. Clavicle fracture

c. Shoulder dislocation

d. Fractured humerus

9. The clinician is examining a patient’s hand and finds the fourth and fifth finger drawn down toward the palm. The patient is unable to extend the fingers fully. What diagnosis would the clinician suspect?

a. Carpal tunnel syndrome

b. Tenosynovitis

c. Trigger finger

d. Dupuytren’s contractures

10. A patient complains of swelling and pain over the dorsal or volar aspect of the wrist. What diagnosis would the clinician make?

a. Carpal tunnel syndrome

b. Tendonitis

c. Ganglion cyst

d. Scaphoid fracture

11. A patient expresses a history of progressive stiffness in the back and straightening of the spine. What diagnosis would the clinician make?

a. Scoliosis

b. Ankylosing spondylitis

c. Lumbar sprain

d. Spondylolisthesis

12. The clinician is working in the ED when a high school football player is brought in by ambulance. The patient’s shoulder is found to have complete loss of joint articulation upon examination and confirmed by x-ray. What diagnosis would the clinician make?

a. Subluxation

b. Dislocation

c. Valgus deformity

d. Clavicle fracture

13. A patient who is 32 weeks pregnant complains of an unsteady gait and moderate pain in her thighs. What diagnosis would the clinician make and what patient teaching should the clinician implement?

14. The clinician is performing passive range of motion. What type of joint activity is occurring in this process?

15. The clinician who is evaluating a newborn notes a positive Ortolani’s click. What does this finding indicate?

16. Differentiate between the Tinel and Phalen test for carpal tunnel.

17. Describe the performance and purpose of the straight leg raise and identify a positive outcome.

18. Describe specific assessments the clinician should employ when assessing the veteran population.

19. The clinician is evaluating a patient who identifies as transgender and reports taking testosterone and other hormone replacement. What specific assessment factors would the clinician consider?

20. When visiting with a patient about nutritional intake and reduction of fracture risk, what information should the clinician provide?