NAON Sports Injuries Practice Assessment
Which of the following is characteristic of a stress fracture? a. painful resisted active movement of the joint b. gradual onset of pain and history of over use c. no swelling or warmth d. callus will never be palpable
b. gradual onset of pain and history of over use
During a high school football game, a player experiences neck pain following a tackle. Following evaluation, he is diagnosed with a cervical sprain. Which of the following options may be used? a. immobilization with collar for 48 hours b. warm compresses c. cryotherapy d. steroid
c. cryotherapy
A young soccer player presents to the emergency room with complaints of pain over the iliac crest. Radiographics confirm an avulsion fracture of the pelvis. Which statement indicates understanding of treatment? a. "I will begin physical therapy to strengthen my muscles to prevent further injury once my symptoms subside" b. "I will be on crutches for at least 2 weeks" c. "my soccer career is over" d. "sitting in a low chair will provide the most comfort"
a. "I will begin physical therapy to strengthen my muscles to prevent further injury once my symptoms subside"
Which of these athletes would be at highest risk for lateral epicondylitis? a. 40-year-old tennis player who plays daily b. 35-year-old basketball player who plays 3-4 times a week c. 16-year-old swim champion d. 26-year-old tennis player who plays about once a week
a. 40-year-old tennis player who plays daily
Your patient is a 17-year-old high school senior who is the star running back for his high school's football team. He comes to the orthopaedic clinic for evaluation of "a problem with my right knee." Which of these statements would be suggestive of a tear in the anterior cruciate ligament (ACL)? a. I was running and got cut off. I heard a pop and my leg gave way on me b. I hear a popping in my knee when I bend it c. my foot drags when I try to walk fast d. I get pain in my calf when I flex my foot
a. I was running and got cut off. I heard a pop and my leg gave way on me
Treatment of soft tissue sprains using the PRICEMM Acronym. What does the MM stand for? a. Medications such as NSAIDs; Modalities such as physical therapy and occupational therapy b. Management of edema reduction; Monitoring of bleeding c. Moving of patient; Motion of extremity d. Management of first aid care; Mobilizing the patient
a. Medications such as NSAIDs; Modalities such as physical therapy and occupational therapy
The most common treatment modality for muscle strains is a. PRICE b. full weight bearing c. full ROM d. heat applied to injury
a. PRICE
There are three grades of ligament injury: grade 1, grade 2, and grade 3. Which of the following describes a grade 1 ligament injury? a. a few fibers of the ligament fibers are torn b. up to 1/2 of ligament fibers are torn c. ligaments are completely torn through d. complete instability of the joint
a. a few fibers of the ligament fibers are torn
Your patient is a 19-year-old athlete (marathon training and soccer player) with a diagnosis of groin strain. Which is the immediate step in the patient's treatment plan? a. abdominal exam b. application of ice c. activity modification d. preventionary education
a. abdominal exam
A 65-year-old patient who plays tennis every day, comes to the clinic complaining of pain, muscle spasms, limitation of movement, and tenderness in the right shoulder. It is suspected that he has a rotator cuff will exhibit pain when it is in which of these positions? a. abduction or external rotation b. adduction or internal rotation c. abduction and forward flexion d. adduction and forward flexion
a. abduction or external rotation
An avid golfer comes to the office complaining of pain and stiffness in the inside of the elbow. Which is the likely cause of his elbow problem? a. elbow subluxation b. olecranon bursitis c. lateral epicondylitis d. medial epicondylitis
d. medial epicondylitis
Provocative tests are conducted to determine instability of the ankle. To assess the integrity of the anterior talofibular ligament, the examiner holds the foot in neutral, grasps the hind foot while pulling the foot forward and feels for the tightness in the ligamentous structures. What is the name of the test? a. anterior drawer test b. talar tilt test c. squeeze test d. ottawa ankle test
a. anterior drawer test
Neurovascular assessment is important following shoulder dislocation. Which artery may be impinged as a result of shoulder dislocation? a. axillary b. femoral c. tibial d. median
a. axillary
Runners look for carbohydrates prior to their run. Which food would be beneficial for this recommendation? a. bananas b. walnuts c. chicken d. bran
a. bananas
Your patient has a diagnosis of De Quervain's Tendonitis. He is fitted with a wrist splint to allow the wrist to rest and heal. What may be another treatment modality? a. cortisone injection(s) b. oral corticosteroids c. aspiration of excess fluid d. surgery
a. cortisone injection(s)
What are risk factors for developing frozen shoulder? a. female gender, ages 40-60, and the presence of comorbid conditions b. male, adolescent phase of development c. participates regularly in yoga d. has full ROM of arm
a. female gender, ages 40-60, and the presence of comorbid conditions
A 53-year-old jogger has been diagnosed with early plantar fasciitis. What is the location of pain in plantar fasciitis? a. heel b. toes c. ankle d. tibia
a. heel
An athlete sustains a right shoulder injury during a wrestling match. The arm is abducted and externally rotated. An anterior shoulder dislocation is revealed and is reduced under anesthesia. Additional treatment is most likely to include which of these activity limitations? a. immobilize the arm in a collar and cuff for 3-6 weeks b. refrain from sports activities for 1-2 weeks c. immobilize the arm in a sling with a figure 8 bandage for 1-2 weeks d. avoid positions of extreme abduction for 3 months
a. immobilize the arm in a collar and cuff for 3-6 weeks
The best way to evaluate balance is to assess strength of the opposing muscle groups while using/performing which of the following? a. isometric measuring devices b. isometric exercises c. flexibility exercises d. AROM exercises
a. isometric measuring devices
Your patient presents to the clinic with Carpal Tunnel syndrome. She discusses treatment options with her physician, including the option of a single injection of cortisone combined with neutral splinting for three weeks. The patient would be a candidate for this therapy if her symptoms: a. occur intermittently b. have persisted for more than a year c. include severe sensory deficit d. are accompanied by muscle atrophy
a. occur intermittently
A 53-year-old jogger has been diagnosed with early plantar fasciitis. Since he has early plantar fasciitis, his pain is expected to be most severe at wich of these times? a. on initial weight bearing in the morning b. after walking all day c. at rest after strenuous activity d. with active foot flexion
a. on initial weight bearing in the morning
As a female in the over 60 age range participates in activities, she should be aware that most athletic injuries in this age group are due to which of the following? a. overuse tendinitis b. overuse muscle atrophy c. side effects of medications d. factors associated with the natural aging process
a. overuse tendinitis
The Thompson test is used to assist in diagnosing Achilles tendon rupture. During this test, the examiner squeezes the calf while the patient is kneeling on a chair or lying prone. What action of the ankle and foot should occur? a. plantar flex b. dorsiflex c. pronate d. remain still
a. plantar flex
The acromioclavicular joint connects the clavicle to which of the following? a. scapula b. manubrium sterni c. humerus d. thoracic wall
a. scapula
Which is included in the treatment plan for a clavicle fracture? a. sling b. bed rest c. shoulder AROM d. ORIF
a. sling
Which of the following is the initial treatment for plantar fasciitis? a. stretching the Achilles tendon numerous times a day b. night splints c. corticosteroid injections d. extracorpal shock wave therapy
a. stretching the Achilles tendon numerous times a day
Following a complete tendon rupture, when conservative measures fail or the tendon has receded, surgical intervention is required. Which of the following statements indicates that the patient about to undergo surgery understands the rehabilitation course? a. "Rehabilitation may take up to a year" b. "Rehabilitation consists of gentle exercises" c. "I may return to activities when strength reaches half of the unaffected side" d. "One of the best ways to prevent further injury is with cool down exercises after activities"
b. "Rehabilitation consists of gentle exercises"
The diagnosis of a right, full thickness, rotator cuff tear is made for your 65-year-old patient, who plays tennis everyday. He is expected to have which of the following symptoms associated with the injury? a. decreased pain in the right shoulder at night b. dropping arm to waist upon passive abduction c. numbness and tingling in the lateral aspect of the right arm d. impaired circulation to the right shoulder
b. dropping arm to waist upon passive abduction
Your patient has a partial rotator cuff tear. He has already had a steroid injection and six weeks of rehabilitation. The patient returns to the clinic with continued pain and little improvement. Athroscopic surgery is scheduled. Which of the following indicates that the patient understands that post-op rehabilitation plan? a. "I will be immobilized with a sling and swathe for several days before beginning therapy" b. "rehabilitation will begin immediately and may continue for several months" c. "I will begin performing flexion and external rotation exercises early right away in therapy" d. "the goal of my treatment is to enable me to return to 75-80% range of motion of my shoulder"
b. "rehabilitation will begin immediately and may continue for several months"
An avulsion fracture of the pelvis greater than how many cm may require surgical intervention? a. 0.5-1.0 cm b. 1-2 cm c. 2-3 cm d. 3-4 cm
b. 1-2 cm
Lesions may be detected on x-ray of the shoulder following dislocation. What is the name of a lesion on the glenoid rim? a. Hill Sachs b. Bankhart c. Galeazzi d. Bennett
b. Bankhart
What is the name for a partial or complete rupture of the ulnar collateral ligament of the thumb at the metacarpophalangeal joint? a. Boutonniere deformity b. Gamekeeper's thumb or skiers thumb c. Mallet finger d. Bennett's fracture
b. Gamekeeper's thumb or skiers thumb
Your patient has a diagnosis of rotator cuff tear. Which of the following tests is used to determine the severity of the tear? a. x-ray b. MRI c. CT scan d. ultrasound
b. MRI
Which of the following is the usual treatment plan for medial epicondylitis? a. steroid injection first b. PRICEMM, NSAIDs c. immobilization with a sling d. surgical decompression
b. PRICEMM, NSAIDs
What is the difference between a strain and sprain? a. a sprain is treated initially with ice, while a strain is treated initially with heat b. a strain involves muscle or tendon trauma, while a sprain involves ligament trauma c. a sprain is classified by degree of injury, while a strain is not classified by degrees d. a strain is associated with hemorrhage, while a sprain is associated with edema
b. a strain involves muscle or tendon trauma, while a sprain involves ligament trauma
Which of the following is true regarding assessment of ligament injuries? a. ligaments tend to be pliable and elastic b. all sprains are ligament injuries c. ligaments attach muscles to bones d. a grade 3 ligament tear is torn 50%
b. all sprains are ligament injuries
Which of the following describes a gait used to accommodate pain on weight bearing? a. trendelenberg b. antalgic c. ataxic d. festinating
b. antalgic
Treatment of a complete Achilles tendon rupture may include which of the following? a. casting for 3 weeks b. application of a heel lift c. warm compresses d. gentle range of motion
b. application of a heel lift
What is the initial treatment of a cervical burner? a. application of warm compresses, temporary immobilization b. application of cold compresses, temporary immobilization c. long term immobilization of the spine d. x-ray examination
b. application of cold compresses, temporary immobilization
What would be one of the elements that would be assessed during a youth physical for sports? a. age that the youth began to walk b. assess for conditions that predispose the youth to serious injury c. compartment syndrome d. how much weight the youth can life
b. assess for conditions that predispose the youth to serious injury
Mallet finger is caused by direct forced flexion of the distal interpharengeal joint, usually while catching a ball. What is the usual course of treatment? a. ROM to maintain flexibility b. continuous splinting for 6-8 weeks c. open reduction d. cessation of sports until healed
b. continuous splinting for 6-8 weeks
What are relevant nursing considerations when a patient is discharged with a short cast? a. bandage should be applied before icing b. crutch training and educating patient about the signs and symptoms of compartment syndrome c. bandage should be applied to promote arterial flow d. bandage should remain in place until injury has healed
b. crutch training and educating patient about the signs and symptoms of compartment syndrome
Women are participating in more organized sports. Certain sports-related injuries have been identified that relate specifically to women. The American College of Sports Medicine in 1992 identified the "female athlete triad." Which of the following is a component of this triad? a. osteopenia b. eating disorders c. increased energy d. increased injuries
b. eating disorders
Your patient has a history and symptoms suggesting a tear in the anterior cruciate ligament (ACL). He agrees to undergo diagnostic arthroscopy and a possible ACL repair. What should be emphasized during pre-op teaching? a. he'll need to arrange for home tutoring to maintain his grade point average b. he'll need to adhere to the prescribed rehabilitation program c. he'll need to plan diversional activities to avoid boredom and depression d. he'll be able to drive himself to therapy
b. he'll need to adhere to the prescribed rehabilitation program
Your patient is a 16-year-old athlete who was a running a 400-meter relay, inverted her foot and sustained a severe second-degree ankle sprain. Which of the following is a requirement in order to return to sports participation? a. gallops sideways b. hops on one foot c. walks without a limp d. performs isometric exercises
b. hops on one foot
A patient presents in clinic with pain and stiffness in the elbow. It is sensitive to touch and it occasionally swells. Elbow function is normal. What is the likely problem with his elbow? a. lateral epicondylitis b. medial epicondylitis c. epicondylar fracture d. elbow dislocation
b. medial epicondylitis
Cryotherapy is most effective for: a. chronic strains b. minimizing swelling and decreasing pain for an acute 2nd degree sprain c. rheumatoid arthritis d. back pain
b. minimizing swelling and decreasing pain for an acute 2nd degree sprain
Magnet therapy involves wearing high powered magnetic discs on various parts of the vody. What can result from magnet therapy? a. improve strength b. pain reduction c. quick muscle healing d. promotion of spiritual restoration
b. pain reduction
Ms. Kraul, a 16-year-old high school student who was running a 400-meter relay today in competition, inverted her foot and sustained a severe second-degree ankle sprain. Which of these findings is likely? a. lack of hemorrhage b. pain with weight-bearing c. positive Homan's sign d. positive Thompson squeeze test
b. pain with weight-bearing
A 37-year-old male presents at the clinic with a very painful, swollen ankle. He reports stepping off a sidewalk and twisting his ankle. He has been unable to bear weight on it since the injury. A third degree ankle sprain is confirmed. Which of the following indicates a third degree ankle sprain? a. mild to moderate swelling b. positive anterior drawer test c. normal talar tilt d. mild/moderate pain
b. positive anterior drawer test
Soft tissue injuries are treated by PRICMM. What does the "P" represent? a. pain medication b. protection c. physical therapy d. passive motion
b. protection
Jamming the toe against the inside of the athletic shoe can lead to Runner's Toe. It is most experienced by rock climbers and runners who run on hilly or uneven surfaces. Trephination is often necessary to treat Runner's Toe. What is trephination? a. removal of the toe nail b. puncturing a hole in the toe nail to relieve pressure c. removal of callus formation on the toe d. osteotomy
b. puncturing a hole in the toe nail to relieve pressure
The apprehension test is used to test instability of what body part? a. knee b. shoulder c. ankle d. cervical spine
b. shoulder
Chiropractic care provides hands on treatment using what type of manipulation? a. joint b. spinal c. muscular d. immune system
b. spinal
Since quick relocation is important to prevent further damage, which of the following should occur at the scene? a. manipulation to relocate b. splinting c. manual traction d. assisted ambulation with crutches
b. splinting
A cross-country skier is diagnosed with acute trochanteric bursitis. If systemic medications are ineffective, which of the following may be tried? a. complete avoidance of activity b. steroid injection c. surgery d. flat shoewear
b. steroid injection
The rotator cuff is composed of four muscles. Which is most commonly injured? a. infraspinatous b. supraspinatous c. teres minor d. subscapulasis
b. supraspinatous
A patient presents at the clinic complaining of persistent heel pain following running a marathon. The pain is worse in the morning and improves with walking. X-ray confirms the presence of heel spurs. What is likely causing her pain? a. pressure from the heel spurs b. tears in the fascia from running c. referred pain from an ankle sprain d. over-stretched tendons from improperly fitting shoes
b. tears in the fascia from running
Why is gathering information regarding the mechanism of injury important? a. to help determine medications to be given on the field b. to determine diagnostic imaging c. to determine urgency of injury d. to predict length of time away from activities
b. to determine diagnostic imaging
What is the recommended window of time to repair a complete distal bicep tendon rupture? a. within 24 hours b. within a 2 week window c. within 4 hours d. within a month
b. within a 2 week window
Which indicates further patient education is needed about NSAIDs? a. "I should discontinue medication and call my MD if I experience black stools" b. "I should not take NSAIDs if I am allergic to aspirin" c. "All NSAIDs are essentially the same, so I can take whatever is available at home" d. "NSAIDs may also reduce fever"
c. "All NSAIDs are essentially the same, so I can take whatever is available at home"
Which of the following indicates that the patient understands his treatment course following a third degree ankle sprain? a. "rehabilitation will begin early for edema control" b. "range of motion exercises will begin immediately to maintain flexibility" c. "I can return to competition once strength and mobility return" d. "I will be treated in a cast or splint for 8 weeks
c. "I can return to competition once strength and mobility return"
Your patient has a partial tear of the rotator cuff. The subacromial space is injected with steroids at the initial appointment for pain relief. Which statement indicates that the patient understands the treatment plan? a. "I will need to have surgery to regain complete use of my shoulder" b. "I should take NSAIDs as directed and rest my arm as much as possible" c. "I will begin physical therapy immediately to strengthen the muscle complex" d. "I should return to the clinic in a few days for the second injection"
c. "I will begin physical therapy immediately to strengthen the muscle complex"
Your patient is an avid sports player and presents to the clinic with symptoms of impingement syndrome of the rotator cuff muscle. He asks you what may have caused the injury. What is your best response? a. "the injury was likely caused by using too heavy of a bowling ball" b. "backhand tennis swings can cause such an injury" c. "impingement is an overuse injury likely caused by exertion with overhead activities" d. "treading water can result in rotator cuff impingement"
c. "impingement is an overuse injury likely caused by exertion with overhead activities"
Your patient is a 16-year-old athlete who was a running a 400-meter relay, inverted her foot and sustained a severe second-degree ankle sprain. Which of these instructions should she receive concerning self care? a. "begin performing active exercises on the affected ankle at this time" b. "you can return to running in three to five days" c. "you may need to use elevation and ice for months intermittently" d. "you won't need to wear a brace"
c. "you may need to use elevation and ice for months intermittently"
Your patient, a 15-year-old athlete, is scheduled for an arthroscopic meniscectomy on a short-stay surgical unit. Which of these instructions should be included in her pre-op teaching? a. "eat a light breakfast before you come in for the procedure" b. "gentle exercise will begin soon after surgery" c. "you should limit how much you climb stairs after your surgery" d. "you won't be able to return to sports activities for about 2-3 weeks"
c. "you should limit how much you climb stairs after your surgery"
What type of injury would it be if a patient is presented with point tenderness with muscle spasms and during palpation there is a bulge at the ankle? a. 1st degree ankle strain b. 2nd degree ankle strain c. 3rd degree ankle strain d. severe ankle sprain
c. 3rd degree ankle strain
Which procedure secures the rim of glenoid fossa? a. capsulorrhaphy b. Putti-Platt c. Bankart d. Bristow-Helfet
c. Bankart
De Quervain's tenosynovitis is caused by repetitive and forceful exertions of the wrist/hand. Which of the following tests is positive in De Quervain's tenosynovitis? a. Phalen's test b. Milgram's test c. Finkelstein's test d. Tinel's sign
c. Finkelstein's test
Your patient has been diagnosed with Carpal Tunnel Syndrome. The initial treatment was steroid injections in both hands and neutral position splints worn throughout the day and night. Three months later, she has returned to the clinic with continued pain in both hands. She elects to undergo an open procedure for carpal tunnel release. What can she expect post-operatively related to immobility? a. a dressing post-op for 2 days b. a cast for 2-3 weeks post-op c. a dressing for a week and splint for 2-3 weeks post-op d. a dressing and splint for 2-3 weeks post op
c. a dressing for a week and splint for 2-3 weeks post-op
During a high school football game, a player sustains an injury following a hard tackle. Assessment reveals severe pain and spasm at the hip and thigh. The extremity is shortened and externally rotated? a. femur fracture b. posterior hip dislocation c. anterior hip dislocation d. fractured pelvis
c. anterior hip dislocation
Your patient experienced pain in the anterior portion of the lower leg after running a marathon. Initial x-ray revealed no fractures. She was diagnosed with medial tibial stress syndrome (shin splints). After one month, she has returned to the clinic with persistent pain. Stress fractures are suspected. What test is the gold standard to confirm stress fractures? a. MRI b. CT scan c. bone scintigraphy d. x-ray
c. bone scintigraphy
Your patient is a 16-year-old athlete who was a running a 400-meter relay, inverted her foot and sustained a severe second-degree ankle sprain. What is an immediate goal? a. achieve full weight bearing b. maintain full range of motion c. control pain and inflammation d. prevent loss of muscle strength
c. control pain and inflammation
A patient sustained a thumb injury while snow skiing after falling on her side while continuing to grip a ski pole. She complains of pain and instability of the thumb. What is the likely diagnosis? a. boxer's fracture b. bennett fracture c. gamekeeper's thumb d. boutonniere deformity
c. gamekeeper's thumb
The mechanism of injury related to an MCL/LCL injury occurs when the foot is firmly planted on the ground while a varus or valgus stress occurs to the knee joint. Which of the following provides stability to the knee by resisting valgus stress and external rotational forces of the tibia in relation to the femur? a. anterior cruciate ligament b. posterior cruciate ligament c. medial collateral ligament d. lateral collateral ligament
c. medial collateral ligament
What is the most significant risk with a dislocation injury? a. infection b. full ROM of extremity c. neurovascular dysfunction d. pain
c. neurovascular dysfunction
Which of the following clinical findings is indicative of a second degree acromioclavicular separation? a. normal x-ray b. bruising c. palpable separations d. obvious deformity
c. palpable separations
Your patient presents to the clinic with complaints of pain in the anterior portion of the lower leg after running a marathon. Initial x-ray reveals no fractures. She is diagnosed with medial tibial stress syndrome (shin splints). Which factors contribute to shin splints? a. insufficient calcium for bone strength b. rapid increase in running speed c. recurrent impact exercise d. excessive padding in athletic shoes
c. recurrent impact exercise
Your patient a 15-year-old athlete who has pain in her right knee, accompanied by swelling and pain along the medial joint line with a feeling of instability. The patient's MRI confirms a meniscal tear. Initial treatment should include which of the following? a. opioids b. an aggressive therapy plan c. rest, ice and compression d. knee aspiration
c. rest, ice and compression
Nursing considerations for someone recovering from an AC injury: a. dislocation b. cast care c. self care deficits d. crutch training
c. self care deficits
Which of the following is a possible complication following arthroscopic rotator cuff repair? a. brachial nerve injury b. deltoid detachment c. tendon re-tear d. systemic reaction to the scaffolding materials
c. tendon re-tear
A cervical burner or stinger syndrome happens when: a. the head is forced back, hyperextending the neck b. the head is forced forward towards the chest c. the head is forced away from the shoulder d. the head is suddenly twisted toward the side
c. the head is forced away from the shoulder
Your patient is a 15-year-old girl who is a member of her school's field hockey team. She comes to the Orthopaedic center complaining of pain in her right knee, accompanied by swelling and pain along the medial joint line with a feeling of instability. She does not remember a definite event preceding the pain. It is suspected that she has a torn meniscus. What is the reason to obtain an MRI of her knee? a. to determine if infection is present b. to determine the amount of fluid in her knee c. to rule out meniscal and ACL tears d. an x-ray showed a soft tissue injury
c. to rule out meniscal and ACL tears
A cross-country skier is diagnosed with acute trochanteric bursitis. What is the usual associated complaint? a. decreased ROM of the hip b. decreased ROM of the knee c. warmth around the hip joint d. warmth around the knee joint
c. warmth around the hip joint
You are a school nurse, when should you advise seeking advanced medical attention? a. when pain lasts longer than 1 week b. with any injury that is not healed in 7-10 days c. with any injury around or near a joint d. with any injury resulting in edema or bruising
c. with any injury around or near a joint
What is typically sprained or fractured when a person falls on an outstretched hand? a. fingers b. metacarpals c. wrist d. foot
c. wrist
Your patient is scheduled for a diagnostic arthroscopy and a possible ACL repair. He is a 17-year-old athlete. He arrives at the outpatient surgical center for his scheduled arthroscopy. Which of the following statement should be reported to the surgeon? a. "I had two cavities in my teeth filled yesterday" b. "my knee was really swollen yesterday: c. "I didn't sleep well last night" d. "My little brother broke out with chickenpox last night. I hope I don't get them!"
d. "My little brother broke out with chickenpox last night. I hope I don't get them!"
An athlete sustains an anterior hip dislocation in his high school football game. Failure to relocate the hip within how many hours may result in osseous death of the femoral head? a. 6 b. 8 c. 12 d. 24
d. 24
Your patient had an operative repair of a full-thickness rotator cuff tear. Following surgery, he begins rehabilitation. How long does it take to achieve full rehabilitation following this surgery? a. 4-6 weeks b. 8-10 weeks c. 3-4 months d. 6-12 months
d. 6-12 months
A 34-year-old computer programmer presents to the clinic with bilateral wrist pain associated with paresthesia of the finger tips. She also complains of being awakened at night with pain with hands. Carpal Tunnel Syndrom is suspected. The nurse should expect which of these tests be completed to confirm the diagnosis of carpal tunnel syndrome? a. Lachman b. Allen c. Gaenslen's d. Phalen's
d. Phalen's
What condition is caused by repetitive movements and overuse by runners? a. Pes Planus b. Pes Cavus c. Foot Drop d. Plantar Fasciitis
d. Plantar Fasciitis
A patient presents in the clinic with complaints of pain in the wrist; he plays tennis every weekend. Examination elicits pain with palpation at the radial styloid and base of the thumb. He is diagnosed with De. Quervain's Tendonitis. Which of the following is the pathophysiology associated with De Quervain's? a. repeated injury and inflammation causes the tendon sheath to become stenosed; the tendon enlarges, forming a nodule or diffuse mass b. disease or thickening of the tendon sheaths, resulting in pressure on the medial nerve c. formation of a cyst filled with clear mucinous gel-like material encased in fibrous capsule d. acute and chronic reinjury that causes recurrent inflammation, pain, and fibroblastic changes in the tendon and its sheath
d. acute and chronic reinjury that causes recurrent inflammation, pain, and fibroblastic changes in the tendon and its sheath
Which of the following contributes to a ruptured Achilles tendon? a. wearing high heeled shoes b. cross country running c. cycling d. certain antibiotics
d. certain antibiotics
During contact sports a fall on a shoulder or an outstretched arm that prevents a person from raising their arm would most likely be a: a. rib fracture b. shoulder dislocation c. proximal humerus fracture d. clavicle fracture
d. clavicle fracture
Your patient has a complete (full) Achilles tendon rupture. The Achilles tendon attaches which two structures together? a. peroneous tertius muscle to the os calcis b. palmaris longus muscle to the os calcis c. gastrocnemius to the tibia d. gastrocnemius and soleus muscles to the os calcis
d. gastrocnemius and soleus muscles to the os calcis
A 19-year-old patient, comes into the office complaining of pain in the groin and low abdomen. The patient run 25-30 miles per week and is in training for a marathon. He also plays soccer several times a week. Which of the following is the likely diagnosis? a. partially dislocated hip b. herniated nucleus pulposus L5 c. hip pointer d. groin strain
d. groin strain
An athlete sustains an anterior shoulder dislocation during a wrestling match. The probability of this patient having a recurrence of this injury is most related to which of these factors? a. immobilization of 3-6 weeks with first dislocation b. no use of ice immediately after dislocation c. accompanied by axillary nerve damage d. his age at the time of first dislocation
d. his age at the time of first dislocation
A partial or complete tear of the ulnar collateral ligament (UCL) is called: a. lateral epicondylitis b. olecranon bursitis c. distal bicep tendon rupture d. pitcher's elbow
d. pitcher's elbow
Which of the following is used routinely for AC separations? a. casting for 4 weeks b. knee immobilizer c. ace bandage d. sling
d. sling
Which of the following may be included in the usual treatment of lateral epicondylitis? a. moist heat b. casting c. pendulum exercises d. splint
d. splint
