Chapter 16 The Musculoskeletal System

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Chapter 16  The Musculoskeletal System

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

 

1. You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process?
A) Tenderness
B) Cool temperature
C) Ecchymosis
D) Nodules

Ans: A
Chapter: 16
Page and Header: 575, The Health History
Feedback: Tenderness implies an inflammatory process along with increased temperature and tenderness.

 

2. You are assessing a patient with diffuse joint pains and want to make sure that only the joints are the problem, and that the pain is not related to other diseases. Which of the following is a systemic cause of joint pain?
A) Gout
B) Osteoarthritis
C) Lupus
D) Spondylosis

Ans: C
Chapter: 16
Page and Header: 578, Joint Pain and Systemic Disorders
Feedback: Lupus is a systemic disease, one symptom of which may be joint pain. It is important to consider the presence of a systemic illness when a patient presents with arthritis.

 

3. A 19-year-old college sophomore comes to the clinic for evaluation of joint pains. The student has been back from spring break for 2 weeks; during her holiday, she went camping. She notes that she had a red spot, shaped like a target, but then it started spreading, and then the joint pains started. She used insect repellant but was in an area known to have ticks. She has never been sick and takes no medications routinely; she has never been sexually active. What is the most likely cause of her joint pain?
A) Trauma
B) Gonococcal arthritis
C) Psoriatic arthritis
D) Lyme disease

Ans: D
Chapter: 16
Page and Header: 578, Joint Pain and Systemic Disorders
Feedback: Lyme disease is characterized by a target-shaped red spot at the site of the bite, which disappears, then reappears and starts spreading (erythema migrans). Lyme disease can also result in joint pain as well as cardiac and neurologic manifestations.

 

4. An 85-year-old retired housewife comes with her daughter to establish care. Her daughter is concerned because her mother has started to fall more. As part of her physical examination, you ask her to walk across the examination room. Which of the following is not part of the stance phase of gait?
A) Foot arched
B) Heel strike
C) Mid-stance
D) Push-off

Ans: A
Chapter: 16
Page and Header: 587, Techniques of Examination
Feedback: The foot when it is flat is part of the stance phase of gait, not the foot when it is arched.

 

5. A 32-year-old warehouse worker presents for evaluation of low back pain. He notes a sudden onset of pain after lifting a set of boxes that were heavier than usual. He also states that he has numbness and tingling in the left leg. He wants to know if he needs to be off of work. What test should you perform to assess for a herniated disc?
A) Leg-length test
B) Straight-leg raise
C) Tinel’s test
D) Phalen’s test

Ans: B
Chapter: 16
Page and Header: 642, Table 16-1
Feedback: The straight-leg raise involves having the patient lie supine with the examiner raising the leg. If the patient experiences a sharp pain radiating from the back down the leg in an L5 or S1 distribution, that suggests the presence of a herniated disc.

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