Question: 55 y/o fm in clinic for left hand and wrist pain and swelling after a slip and fall on ice yesterday. On exam, notes tenderness @ anatomical snuffbox. What is most likely?
Question: 28 y/o male in clinic from ED for right FA pain x 3 days ago. Works as a carpenter and rt. Hand dominant. Dx with rt. FA tendinitis and unsure of what that means. Teaching is inflammation caused by one or more tendons. Which following describes tendons?
Question: A conservative approach recommended in the initial approach to the management low back pain. Which of the following would be an appropriate treatment plan for a 32-year-old obese male (BMI 33) dx with acute lumbar strain?
Question: A 10 y/o male presents to the clinic after jumping off a 2-foot wall, twisting his foot and ankle upon landing. His ankle XR demonstrates a fx of the distal tibia, over the articular surface, through the epiphysis and physis. Based on the Salter-Harris classification of growth plate injuries, the clinician knows that this is a ___?
Question: A 42 y/o profess golfer c/o chronic back pain for many years. His workup reveals that is not the result of a degenerative disc problem. His back ‘goes out” about twice per year and he is out for work for about a week each time. Which of the following should the clinician advise?
Question: 49 y/o fm presents with low back pain radiating into the right leg. An XR of the lumbosacral spine is within normal limits. Which dx do you explore further?
Question: 13 y/o obese (BMI above 95%) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent “horseplay” with his friends. Pain progressively worsened and he is now unable to bear wx on his left leg. His current complaints include left groin, thigh and medial knee pain and tenderness. His exam demonstrates negative drawer, Lachman and McMurray tests; left hip with decreased internal rotation and abduction; and external hip rotation with knee flexion. Based on the above scenario, the clinican should suspect which of the follow?
Question: 55 y/o pt. is able to complete the ROM against gravity with some resistance. The NP would… which of the following numerical grades to this manual muscle testing description?
Question: 16 y/o male pt. presents to clinic after sustaining a football injury to his right knee. The clinician elicits a positive anterior/posterior drawer sign. This test indicates an injury to the ___?
Question: 62 y/o woman presents to the clinic with chronic low back pain. She states she has developed episodes of fecal incontinence and numbness in her right leg over the last week. Upon examination the clinician notes decreased perianal sensation to pinprick. What does the clinician do next?
Question: The valgus stress test, varus stress test, Lachman test and thumb sign are all considered standard tests to check the integrity of the ligaments of knee. Which of the following would the clinician choose to assess the anterior cruciate ligament (ACL), which is the most commonly involved structure in severe knee injury?
Question: A 55 y/o female patient presents with c/o pain and paresthesias in the left ulnar aspect of the FA, thumb and middle finger following a C6 & C7 nerve root dermatomal pattern. This is known as ___?
Question: 48 y/o male presents with acute low back pain in the right that increases when standing and bending. Upon PE, lower extremity muscle strength is 5/5 and straight leg raise test is negative. Which of the following is the most likely…?
Question: 16 y/o boy presents to the office with complaints of low back pain after lifting heavy boxes. In discussing with him proper body mechanics to prevent future injuries, the clinician should advise which of the following?
Question: In assessing the skeletal muscles, the clinician turns the patient’s forearm so that the palm is face up. This is called:
Instituition / Term
Term
Spring 2021
Institution
NR 511 Differential Diagnosis and Primary Care Practicum
-80x80.JPG "NR 511 Week 8 Reflection: June 2020v2")
