FNP MSK bits

16. First-line therapy for treating patients with acute gouty arthritis includes: A. aspirin. B. naproxen sodium. C. allopurinol. D. probenecid.

B. naproxen sodium.

19. Dietary recommendations for a person with gouty arthritis include avoiding foods high in: A. artificial flavors and colors. B. purine. C. vitamin C. D. protein.

B. purine.

9. Risk factors for lateral epicondylitis include all of the following except: A. repetitive lifting. B. playing tennis. C. hammering. D. gout.

D. gout.

2. First-line treatment options for bursitis usually include: A. corticosteroid bursal injection. B. heat to area. C. weight-bearing exercises. D. nonsteroidal anti-inflammatory drugs (NSAIDs).

D. nonsteroidal anti-inflammatory drugs (NSAIDs).

6. Likely sequelae of intrabursal corticosteroid injection include: A. irreversible skin atrophy. B. infection. C. inflammatory reaction. D. soreness at the site of injection.

D. soreness at the site of injection

18. The most common locations for tophi include all of the following except: A. the auricles. B. the elbows. C. the extensor surfaces of the hands. D. the shoulders.

D. the shoulders.

17. Which of the following patients with acute gouty arthritis is the best candidate for local corticosteroid injection? A. a 66-year-old patient with a gastric ulcer B. a 44-year-old patient taking a thiazide diuretic C. a 68-year-old patient with type 2 diabetes mellitus D. a 32-year-old patient who is a binge drinker

A. a 66-year-old patient with a gastric ulcer

24. First-line pharmacological intervention for milder OA should be a trial of: A. acetaminophen. B. naproxen. C. celecoxib. D. intra-articular corticosteroid injection.

A. acetaminophen.

7. First-line therapy for prepatellar bursitis should include: A. bursal aspiration. B. intrabursal corticosteroid injection. C. acetaminophen. D. knee splinting.

A. bursal aspiration.

5. Patients with gluteus medius or deep trochanteric bursitis typically present with: A. increased pain from resisted hip abduction. B. limited hip ROM. C. sciatic nerve pain. D. heat over the affected area.

A. increased pain from resisted hip abduction.

3. Patients with olecranon bursitis typically present with: A. swelling and redness over the affected area. B. limited elbow range of motion (ROM). C. nerve impingement. D. destruction of the joint space.

A. swelling and redness over the affected area.

13. Risk factors for acute gouty arthritis include: A. thiazide diuretic use. B. female gender. C. rheumatoid arthritis. D. joint trauma.

A. thiazide diuretic use.

22. Which of the following best describes the presentation of a patient with OA? A. worst symptoms in weight-bearing joints later in the day B. symmetrical early morning stiffness C. sausage-shaped digits with associated skin lesions D. back pain with rest and anterior uveitis

A. worst symptoms in weight-bearing joints later in the day

21. Deformity of the proximal interphalangeal joints found in an elderly patient with OA is known as: A. Heberden nodes. B. Bouchard nodes. C. hallus valgus. D. Dupuytren contracture.

B. Bouchard nodes

26. Glucosamine and chondroitin are over-the-counter nutritional supplements that are usually taken to help with the management of: A. rheumatoid arthritis. B. OA. C Reiter syndrome. D. gouty arthritis

B. OA.

12. Risk factors for medial epicondylitis include playing: A. tennis. B. golf. C. baseball. D. volleyball.

B. golf.

14. The clinical presentation of acute gouty arthritis affecting the base of the great toe includes: A. slow onset of discomfort over many days. B. greatest swelling and pain along the median border of the joint. C. improvement of symptoms with joint rest. D. fever.

B. greatest swelling and pain along the median border of the joint.

1. The most common cause of acute bursitis is: A. inactivity. B. joint overuse. C. fibromyalgia. D. bacterial infection.

B. joint overuse.

10. Initial therapy for treatment of lateral epicondylitis includes: A. a long arm cast. B. a short arm cast with a thumb spica. C. a wrist splint with metal stays. D. a shoulder sling.

C. a wrist splint with metal stays.

15. The most helpful diagnostic test to perform during acute gouty arthritis is: A. measurement of erythrocyte sedimentation rate (ESR). B. measurement of serum uric acid. C. analysis of aspirate from the affected joint. D. joint radiography.

C. analysis of aspirate from the affected joint.

4. Patients with subscapular bursitis typically present with: A. limited shoulder ROM. B. heat over affected area. C. localized tenderness under the superomedial angle of the scapula. D. cervical nerve root irritation.

C. localized tenderness under the superomedial angle of the scapula.

23. As part of the evaluation of patients with OA, the NP anticipates finding: A. anemia of chronic disease. B. elevated CRP level. C. narrowing of the joint space on radiograph. D. elevated antinuclear antibody (ANA) titer.

C. narrowing of the joint space on radiograph.

25. In caring for a patient with OA of the knee, you advise that: A. straight-leg raising should be avoided. B. heat should be applied to painful joints after exercise. C. quadriceps-strengthening exercises should be performed. D. physical activity should be avoided.

C. quadriceps-strengthening exercises should be performed.

11. Patients with medial epicondylitis typically present with: A. forearm numbness. B. reduction in ROM. C. pain on elbow flexion. D. decreased grip strength.

D. decreased grip strength.

8. Patients with lateral epicondylitis typically present with: A. electric-like pain elicited by tapping over the median nerve. B. reduced joint ROM. C. pain that is worst with elbow flexion. D. decreased hand grip strength.

D. decreased hand grip strength.

20. Which of the following joints is most likely to be affected by osteoarthritis (OA)? A. wrists B. elbows C. metacarpophalangeal joint D. distal interphalangeal joint

D. distal interphalangeal joint