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NURS 6030 - Musculoskeletal Questions and Answers, Exams of Nursing

A comprehensive set of questions and answers related to various musculoskeletal conditions, including acl injuries, carpal tunnel syndrome, cauda equina syndrome, osteoarthritis, gout, and more. It covers key diagnostic features, clinical presentations, treatment options, and relevant anatomical structures. Designed to aid in the understanding of musculoskeletal disorders and their management.

Typology: Exams

2024/2025

Available from 01/04/2025

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NURS 6030- Musculoskeletal Questions With Complete
Solutions
ACL Injury Correct Answers Anterior cruciate ligament
typically injured
in sports- during rapid deceleration, on
quickly changing directions or a direct blow
to the lateral portion of knee
• Patient may recall a "pop"
or feeling the knee "snap"
Anterior Drawer Test Correct Answers ACL
carpal tunnel syndrome (CTS) Correct Answers compression
of the median nerve as it passes between the ligament and the
bones and tendons of the wrist
Cauda Equina Syndrome Correct Answers -Injury at the L1
level and below resulting in a LMN lesion
-Flaccid paralysis w/no spinal reflex activity
bowel and bladder dysfunction
Urinary retention in 90% cases
saddle anesthesia, reduction of sensation over the
buttocks, upper posterior thighs, and perineum
Chronic Gout Correct Answers Colchicine, Allopurinol (for
chronic gout)
Clinical Features of OA Correct Answers Joint Pain- deep
aching pain aggravated by motion and
weight bearing; sometimes worse at night after day of
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NURS 6030- Musculoskeletal Questions With Complete Solutions ACL Injury Correct Answers Anterior cruciate ligament typically injured in sports- during rapid deceleration, on quickly changing directions or a direct blow to the lateral portion of knee

  • Patient may recall a "pop" or feeling the knee "snap" Anterior Drawer Test Correct Answers ACL carpal tunnel syndrome (CTS) Correct Answers compression of the median nerve as it passes between the ligament and the bones and tendons of the wrist Cauda Equina Syndrome Correct Answers -Injury at the L level and below resulting in a LMN lesion -Flaccid paralysis w/no spinal reflex activity bowel and bladder dysfunction Urinary retention in 90% cases saddle anesthesia, reduction of sensation over the buttocks, upper posterior thighs, and perineum Chronic Gout Correct Answers Colchicine, Allopurinol (for chronic gout) Clinical Features of OA Correct Answers Joint Pain- deep aching pain aggravated by motion and weight bearing; sometimes worse at night after day of

vigorous activity

  • Joint stiffness, esp. after periods of inactivity
  • Joint enlargement of osteophyte formation
  • Crepitus on movement with joint
  • Later stages, pain on motion and at rest, limitation of motion, mal-alignment, bony protuberances from spurs Common Causes of LBP Correct Answers Lumbar muscle strain
  • Herniated disc
  • Spinal mal-alignment
  • Osteoarthritis
  • Spinal Stenosis costochondritis Correct Answers an inflammation of the cartilage that connects a rib to the sternum; Most common cause of non-cardiac chest pain
  • Pain is reproducible/increased with palpation CTS History Correct Answers Numbness, tingling, pain
  • Symptoms nocturnal
  • Symptoms relieved by "shaking or wringing" the hand CTS Treatment Correct Answers •Wrist splints •Steroid injections •Anti-inflammatory agents (NSAIDS) •Rest •Surgery

syndrome Develops when uric acid crystals collect in the synovial fluid Joints more commonly affected by osteoarthritis Correct Answers Knees, Hips, Hands, Spine lateral epicondylitis Correct Answers Inflammation of the muscle attachment to the lateral epicondyle of the elbow. Often caused by strongly gripping. Commonly called tennis elbow. LCL Correct Answers LCL injuries occur with an internal rotation or a blow to the medial side of the knee with a firmly planed foot Major radiographic features of OA Correct Answers Joint space narrowing (best predicts disease progression) Subchondral sclerosis (hardening of tissue beneath the cartilage) Osteophytes/bone spurs - patellofemoral and tibiofemoral joint osteophytes correlate best with pain) Subchondral cysts (fluid filled sacs in the bone marrow) MCL Correct Answers MCL injury occurs with external rotational wrenching motion of the knee or a blow to the lateral side of the knee with a firmly planted foot Morton's Neuroma Correct Answers inflammation of the nerve typically between the 3rd and 4th metatarsals

Pathogenesis of osteoarthritis Correct Answers degenerative disease of cartilage (chondrocytes and matrix) Phalen's maneuver Correct Answers Place back of the hand together & bend at both wrist & 80% who have carpel tunnel syndrome will have paresthesia within 60 seconds, a positive Phalens maneuver Purine Rich Foods Correct Answers Organ meats and other meats

  • Anchovies
  • Sardines
  • Meat extracts--gravy, broth, bouillon rheumatoid arthritis (RA) Correct Answers chronic systemic disease characterized by autoimmune inflammatory changes in the connective tissue throughout the body S/S of Gout Correct Answers 1. Complaint of pain occurring at night involving the great toe or other joints
  1. Signs of edema, heat, discoloration and limited movement in joints
  2. Elevated temperature and hypertension, tachycardia and tachypnea
  3. Tophi can form in the kidneys and alter kidney function (typically seen on earlobes, fingers, hands, and toes) S/S of RA Correct Answers Primarily manifested by synovitis and destructive arthritis of the diarthrodial joints; fingers (MCP,