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Exam 7 - Musculoskeletal and Neurologic Systems

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Test sobre Exam 7 - Musculoskeletal and Neurologic Systems, creado por Tamara Podnosova el 26/05/2019.
Tamara Podnosova
Test por Tamara Podnosova, actualizado hace más de 1 año
Tamara Podnosova
Creado por Tamara Podnosova hace casi 5 años
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Resumen del Recurso

Pregunta 1

Pregunta
Label the picture
Image:
Supination+And+Pronation (binary/octet-stream)
Respuesta
  • supination
  • pronation

Pregunta 2

Pregunta
Label the picture
Image:
Flexion+And+Extension (binary/octet-stream)
Respuesta
  • flexion
  • extension
  • flexion
  • extension

Pregunta 3

Pregunta
Label the picture
Image:
Dorsiflexion+And+Plantar+Flexion (binary/octet-stream)
Respuesta
  • dorsiflexion
  • plantar flexion

Pregunta 4

Pregunta
Label the picture
Image:
Inversion+And+Eversion (binary/octet-stream)
Respuesta
  • inversion
  • eversion

Pregunta 5

Pregunta
Label the picture
Image:
Abduction+And+Adduction (binary/octet-stream)
Respuesta
  • abduction
  • adduction

Pregunta 6

Pregunta
A dislocation is a
Respuesta
  • audible and palpable crunching or grating that accompanies movement
  • misalignment of two bones in a joint; partial dislocation
  • loss of contact between two bones in a joint
  • shortening of a muscle leading to limited ROM

Pregunta 7

Pregunta
A subluxation is a misalignment of two bones in a joint; partial dislocation
Respuesta
  • True
  • False

Pregunta 8

Pregunta
A crepitation is
Respuesta
  • loss of contact between two bones in a joint
  • audible and palpable crunching or grating that accompanies movement
  • shortening of a muscle leading to limited ROM
  • misalignment of two bones in a joint; partial dislocation

Pregunta 9

Pregunta
How would a nurse document normal strength?
Respuesta
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Pregunta 10

Pregunta
On assessment, a nurse observes that the patient has active movement, but cannot resist gravity, how will she document muscle strength?
Respuesta
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Pregunta 11

Pregunta
How would a nurse document that a patient has no strength/is paralysed?
Respuesta
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Pregunta 12

Pregunta
On assessment, a nurse observes that the patient has active movement against gravity, but has no movement against resistance, how will the nurse document the patient's strength?
Respuesta
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Pregunta 13

Pregunta
A nurse asks a patient to raise his arm in order to test strength, the nurse sees that the patient is trying but can only get his arm to slightly contract, how will the nurse document the patient's strength?
Respuesta
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Pregunta 14

Pregunta
[blank_start]Lordosis[blank_end] is the inward curvature of the lumbar spine. [blank_start]Kyphosis[blank_end] is the outward curvature of the upper spine.
Respuesta
  • Lordosis
  • Kyphosis

Pregunta 15

Pregunta
[blank_start]Lordosis[blank_end] is mostly commonly seen in pregnant women. [blank_start]Kyphosis[blank_end] is common in elderly women.
Respuesta
  • Lordosis
  • Kyphosis

Pregunta 16

Pregunta
The [blank_start]plumb line posture test[blank_end] is a test for posture. It is useful in identifying lordosis and kyphosis, but is not helpful in identifying scoliosis.
Respuesta
  • plumb line posture test

Pregunta 17

Pregunta
To test for [blank_start]cranial nerve XI[blank_end], we ask the patient to turn their head against resistance.
Respuesta
  • cranial nerve XI
  • cranial nerve X
  • cranial nerve VII
  • cranial nerve VI

Pregunta 18

Pregunta
When testing muscle strength of the shoulders, we ask patients to [blank_start]shrug[blank_end], which tests the [blank_start]spinal accessory[blank_end] nerve, and [blank_start]abduct[blank_end] against resistance.
Respuesta
  • shrug
  • abduct
  • spinal accessory

Pregunta 19

Pregunta
If a patient has a rotator cuff injury, they cannot [blank_start]abduct[blank_end].
Respuesta
  • abduct

Pregunta 20

Pregunta
During the [blank_start]Phalen test[blank_end], the patient holds their hands in forced flexion for 60 seconds.
Respuesta
  • Phalen test

Pregunta 21

Pregunta
A positive Phalen test is when a patient has parasthesias after holding their hands in forced flexion for 60 seconds
Respuesta
  • True
  • False

Pregunta 22

Pregunta
A negative Tinel's sign is when a patient has parasthesias when the median nerve is percussed
Respuesta
  • True
  • False

Pregunta 23

Pregunta
Pain with a straight leg raise from the supine position indicates a [blank_start]herniated disk[blank_end]
Respuesta
  • herniated disk
  • sciatica
  • appendicitis

Pregunta 24

Pregunta
A [blank_start]limping gait[blank_end] is a sign of limited ROM in the knee
Respuesta
  • limping gait

Pregunta 25

Pregunta
[blank_start]True[blank_end] leg length is measured from the anterior iliac spine to the medial malleolus. [blank_start]Apparent[blank_end] leg length is measured from the [blank_start]umbilicus[blank_end] to the medial malleolus.
Respuesta
  • umbilicus
  • epigastrium
  • pubis
  • True
  • Real
  • Apparent
  • False

Pregunta 26

Pregunta
The [blank_start]bulge sign[blank_end] confirms the presence of small amounts of fluid. The [blank_start]ballottement of the patella[blank_end] confirms the presence of larger amount of fluid.
Respuesta
  • bulge sign
  • ballottement of the patella

Pregunta 27

Pregunta
"Use your left hand to compress the suprapatellar pouch to move any fluid into the knee joint. With your right hand push the patella sharply against the femur." This is a description of which test?
Respuesta
  • Tinel's sign
  • Bulge sign
  • Barlow maneuver
  • Ballottement of the patella

Pregunta 28

Pregunta
In a rotator cuff injury, the only thing that will be normal is abduction
Respuesta
  • True
  • False

Pregunta 29

Pregunta
Infants have what type of shape to their spine?
Respuesta
  • S shape
  • C shape
  • Double S shape
  • Z shape

Pregunta 30

Pregunta
In an [blank_start]Ortolani's maneuver[blank_end], the infants legs are abducted. In [blank_start]Allis test[blank_end], the infants feet are flat on the table with the knees flexed.
Respuesta
  • Ortolani's maneuver
  • Allis maneuver

Pregunta 31

Pregunta
In a negative Ortolani sign, when the infant's legs are abducted, you will hear a clicking noise and the infant will cry of pain.
Respuesta
  • True
  • False

Pregunta 32

Pregunta
In a positive Allis maneuver, one knee is significantly lower than the other.
Respuesta
  • True
  • False

Pregunta 33

Pregunta
[blank_start]Bowlegged stance[blank_end] (genu varum) is when the toddler's knees are apart. [blank_start]Knock knees[blank_end] (genu valgum) is when the toddler's knees are together.
Respuesta
  • Bowlegged stance
  • Knock knees

Pregunta 34

Pregunta
During the get up and go test, if a healthy adult over the age of 60 can manage to rise from a chair, walk 10 feet, walk back and sit down under 10 second,s then they pass the test
Respuesta
  • True
  • False

Pregunta 35

Pregunta
The following are normal MSK changes associated with older adults:
Respuesta
  • Strength is 3/5
  • Slower ROM
  • Lordosis
  • Decreased stature
  • Kyphosis

Pregunta 36

Pregunta
To assess for [blank_start]fractures[blank_end] in an infant, we test their reflexes
Respuesta
  • fractures

Pregunta 37

Pregunta
In pregnant women, [blank_start]estrogen[blank_end] relaxes ligaments, which leads to joint [blank_start]instability[blank_end]
Respuesta
  • estrogen
  • instability

Pregunta 38

Pregunta
The 6 P's of a quick and accurate CMS check are
Respuesta
  • Poikilothermia
  • Paralysis
  • Petechiae
  • Paresis
  • Pain
  • Pallor
  • Paronychia
  • Parasthesia
  • Pulselessness

Pregunta 39

Pregunta
A patient with a herniated or slipped disk will have...
Respuesta
  • lateral tilting with forward bend
  • numbness radiating to the leg
  • sciatic pain
  • abnormal gait
  • thoracic pain

Pregunta 40

Pregunta
If a nurse suspects a patient to have a slipped or herniated disk, which test will she perform?
Respuesta
  • Lasegue test
  • Get Up and Go test
  • Plumb line posture test
  • Phalen's sign

Pregunta 41

Pregunta
Osteoporosis is a normal part of aging
Respuesta
  • True
  • False

Pregunta 42

Pregunta
Osteoporosis is caused by:
Respuesta
  • Increased progesterone
  • Decreased calcium
  • Decreased Vitamin B
  • Decreased Vitamin D
  • Decreased estrogen

Pregunta 43

Pregunta
[blank_start]Osteoporosis[blank_end] is the loss of bone density. [blank_start]Rheumatoid arthritis[blank_end] is an autoimmune disease. [blank_start]Osteoarthritis[blank_end] is the degenerative changes in articular cartilage.
Respuesta
  • Osteoporosis
  • Rheumatoid arthritis
  • Osteoarthritis

Pregunta 44

Pregunta
A patient with rheumatoid arthritis will have the following symptoms:
Respuesta
  • unilateral pain and edema
  • stiffness at night
  • stiffness in the morning
  • bilateral pain and edema
  • radial deviation
  • swan-neck deformity
  • boutonniere deformity

Pregunta 45

Pregunta
A nurse will observe Heberden's nodes in the [blank_start]distal[blank_end] IP joints and Bouchard's nodes in the [blank_start]proximal[blank_end] IP joints in a patient with [blank_start]osteoarthritis[blank_end].
Respuesta
  • distal
  • proximal
  • osteoarthritis

Pregunta 46

Pregunta
Gout is the result of increased in serum [blank_start]uric acid[blank_end] levels
Respuesta
  • uric acid

Pregunta 47

Pregunta
[blank_start]Tophi[blank_end] are round, pea-like deposits of uric acid in ear cartilage, subcutaneous tissue, or other joints. Seen in gout patients.
Respuesta
  • Tophi

Pregunta 48

Pregunta
A patient is considered to be comatose if their GCS is
Respuesta
  • 0
  • 3
  • 11
  • 8

Pregunta 49

Pregunta
The GCS categories are
Respuesta
  • eye response
  • reflex response
  • motor response
  • verbal response

Pregunta 50

Pregunta
[blank_start]Decorticate[blank_end] positioning is when the patient flexes in response to pain. [blank_start]Decerebrate[blank_end] positioning is when the patient extends in response to pain.
Respuesta
  • Decorticate
  • Decerebrate

Pregunta 51

Pregunta
Unilateral anosmia is the result of which CN nerve dysfunction
Respuesta
  • I
  • IV
  • IX
  • II

Pregunta 52

Pregunta
Poor vision and visual field loss is the result of which CN dysfunction
Respuesta
  • II
  • III
  • IV
  • VI

Pregunta 53

Pregunta
Absense of PERRLA can occur with dysfunction of which cranial nerves
Respuesta
  • II
  • III
  • IV
  • VI

Pregunta 54

Pregunta
Ptosis is the result of which CN dysfunction
Respuesta
  • II
  • III
  • IV
  • VI

Pregunta 55

Pregunta
Facial asymmetry is the result of which CN dysfunction
Respuesta
  • VII
  • V
  • X
  • IX

Pregunta 56

Pregunta
The Diagnostic Positions Test is used to test which CN?
Respuesta
  • II
  • III
  • V
  • VII

Pregunta 57

Pregunta
Nystagmus is a cranial nerve issue
Respuesta
  • True
  • False

Pregunta 58

Pregunta
To check for nystagmus, a nurse would check CN III, IV, and VI using the Diagnostic Positions Test
Respuesta
  • True
  • False

Pregunta 59

Pregunta
To check a patient's motor function, we use the heel to toe test, also known as [blank_start]tandem gait[blank_end], and the [blank_start]Romberg test[blank_end], where the patient stands with feet together, arms at their sides, with eyes closed for 20 seconds.
Respuesta
  • tandem gait
  • Romberg test

Pregunta 60

Pregunta
Ataxia is
Respuesta
  • impaired gait
  • impaired coordination
  • impaired motor skills
  • impaired sensation

Pregunta 61

Pregunta
The following are abnormal findings of muscle tone
Respuesta
  • flaccidity
  • spasticity
  • rigidity
  • hypetrophy
  • atrophy

Pregunta 62

Pregunta
Muscle tone is tested by using
Respuesta
  • passive ROM
  • active ROM

Pregunta 63

Pregunta
[blank_start]Paresis[blank_end] refers to muscle weakness. [blank_start]Paralysis[blank_end] refers to loss of function in muscle.
Respuesta
  • Paresis
  • Paralysis

Pregunta 64

Pregunta
Rapid alternating movements (RAM) test [blank_start]cerebellar[blank_end] function.
Respuesta
  • cerebellar

Pregunta 65

Pregunta
Dysdiadochokinesia (DDK) is the inability to perform [blank_start]rapid alternating movements[blank_end]
Respuesta
  • rapid alternating movements

Pregunta 66

Pregunta
[blank_start]Dysmetria[blank_end] is overshoot or tremors during the finger to finger or finger to nose test
Respuesta
  • Dysmetria

Pregunta 67

Pregunta
The heel to shin test is used to test [blank_start]cerebellar function[blank_end]
Respuesta
  • cerebellar function

Pregunta 68

Pregunta
The [blank_start]monofilament test[blank_end] is used to check for diabetic (peripheral) neuropathy
Respuesta
  • monofilament test

Pregunta 69

Pregunta
During the [blank_start]monofilament test[blank_end], a nurse will use a special strand of fiber and touch the patient's foot in 10 different areas.
Respuesta
  • monofilament test

Pregunta 70

Pregunta
[blank_start]Stereognosis[blank_end] is the ability to identify objects with closed eyes. [blank_start]Graphesthesia[blank_end] is the ability to identify the number drawn on the hand.
Respuesta
  • Stereognosis
  • Graphesthesia

Pregunta 71

Pregunta
To test for [blank_start]stereognosis[blank_end], a nurse will ask the patient to close their eyes, place an object in their hand, and ask them to identify the object.
Respuesta
  • stereognosis

Pregunta 72

Pregunta
To test for [blank_start]graphesthesia[blank_end], a nurse will ask a patient to close their eyes, she will draw a number 5 on their hand, and ask the patient to identify what she drew.
Respuesta
  • graphesthesia

Pregunta 73

Pregunta
When testing two-point discrimination on a patient's fingertip, at what distance between the two points will the nurse expect the patient to state they feel a single point?
Respuesta
  • 6mm
  • 9mm
  • 1mm

Pregunta 74

Pregunta
When testing two-point discrimination on a patient's arm, at what distance between the two points will the nurse expect the patient to state they feel a single point?
Respuesta
  • 50mm
  • 38mm
  • 76mm
  • 80mm

Pregunta 75

Pregunta
When testing two-point discrimination on a patient's finger, the patient reports they feel only one point at 15mm, what is the likely cause?
Respuesta
  • sensory cortex lesion
  • upper motor neuron problem
  • lower motor neuron problem
  • cranial nerve problem

Pregunta 76

Pregunta
When testing the bicep deep tendon reflex (DTR), the nurse expects to see
Respuesta
  • flexion at elbow
  • extension at elbow

Pregunta 77

Pregunta
When testing the tricep deep tendon reflex (DTR), the nurse expects to see
Respuesta
  • flexion at elbow
  • extension at elbow

Pregunta 78

Pregunta
When testing the brachioradialis deep tendon reflex (DTR), the nurse expects to see
Respuesta
  • supination/pronation of the forearm; elbow flexion
  • supination/pronation of the forearm; elbow extension

Pregunta 79

Pregunta
When testing the patellar deep tendon reflex (DTR), the nurse expects to see
Respuesta
  • flexion at the knee
  • extension at the knee

Pregunta 80

Pregunta
When testing the achilles deep tendon reflex (DTR), the nurse expects to see
Respuesta
  • plantar flexion
  • dorsiflexion

Pregunta 81

Pregunta
Hyporeflexia is caused by a lesion in the [blank_start]lower motor neuron[blank_end] and indicated problem with the [blank_start]central[blank_end] nervous system
Respuesta
  • lower motor neuron
  • peripheral

Pregunta 82

Pregunta
Hyperreflexia is caused by a lesion in the [blank_start]upper motor neuron[blank_end] and indicates a problem with the [blank_start]peripheral[blank_end] nervous system
Respuesta
  • upper motor neuron
  • central

Pregunta 83

Pregunta
When checking DTRs, a nurse elicits a normal, brisk reflex, how will she document it?
Respuesta
  • 0
  • 1+
  • 2+
  • 3+
  • 4+

Pregunta 84

Pregunta
When checking DTRs, an experienced nurse cannot elicit a reflex, how will she document it?
Respuesta
  • 0
  • 1+
  • 2+
  • 3+
  • 4+

Pregunta 85

Pregunta
A new nurse is struggling to elicit a reflex when checking DTRs. She is sure that the patient does not have hyporeflexia based on the patient's assessment so far. She asks a more experienced nurse for help and is told that she should try [blank_start]reinforcement[blank_end] in order to relax the muscles.
Respuesta
  • reinforcement

Pregunta 86

Pregunta
When testing the plantar reflex in a healthy adult, the nurse expects toe curling
Respuesta
  • True
  • False

Pregunta 87

Pregunta
A positive Babinski sign is normal in babies up to 24 months
Respuesta
  • True
  • False

Pregunta 88

Pregunta
During a neuro recheck, the nurse will assesss
Respuesta
  • GCS
  • PERRLA
  • motor function
  • sensory function
  • cranial nerves
  • vital signs

Pregunta 89

Pregunta
Neuro rechecks are done to assess for increased [blank_start]intracranial pressure[blank_end]. The nurse will check for [blank_start]pronator drift[blank_end] to look for hemiparesis. She will also check the pupils to evaluate for [blank_start]dilation[blank_end]. The nurse will also check the patient's HR to evaluate for [blank_start]bradycardia[blank_end], and BP to evaluate for a [blank_start]widening[blank_end] pulse pressure.
Respuesta
  • intracranial pressure
  • pronator drift
  • dilation
  • bradycardia
  • widening

Pregunta 90

Pregunta
In infants, if a reflex does not appear at the expected age or does not resolve at an expected age, that is a sign of CNS damage
Respuesta
  • True
  • False

Pregunta 91

Pregunta
An infant's rooting reflex is visible during which time period?
Respuesta
  • birth - 4 months
  • birth - 12 months
  • birth - 10 months
  • birth - 24 months

Pregunta 92

Pregunta
An infant's sucking reflex is visible during which time period?
Respuesta
  • birth - 4 months
  • birth - 12 months
  • birth - 10 months
  • birth - 24 months

Pregunta 93

Pregunta
An infant's palmar grasp reflex is visible during which time period?
Respuesta
  • 1-4 months
  • 2-6 months
  • birth - 4 months
  • birth - 10 months

Pregunta 94

Pregunta
An infant's plantar grasp reflex is visible during which time period?
Respuesta
  • birth - 4 months
  • birth - 12 months
  • birth - 10 months
  • birth - 24 months

Pregunta 95

Pregunta
An infant's Babinski reflex is visible during which time period?
Respuesta
  • birth - 4 months
  • birth - 12 months
  • birth - 10 months
  • birth - 24 months

Pregunta 96

Pregunta
An infant's startle reflex is visible during which time period?
Respuesta
  • birth - 4 months
  • birth - 12 months
  • birth - 24 months
  • birth - 10 months

Pregunta 97

Pregunta
An infant's tonic neck reflex is visible during which time period?
Respuesta
  • 1-4 months
  • 2-6 months
  • birth - 4 months
  • birth - 6 months

Pregunta 98

Pregunta
An infant's placing and stepping reflex is visible during which time period?
Respuesta
  • 4 days - walking
  • 1-4 months
  • 2-6 months
  • birth - 24 months

Pregunta 99

Pregunta
A nurse would expect to see the following neurologic changes in an older adult:
Respuesta
  • Slower gait
  • Strength 3/5
  • Slower RAM
  • DTRs 3+
  • Decreased pupillary reflex
  • Senile tremors

Pregunta 100

Pregunta
A nurse would expect to see the following in a patient with Parkinson's disease
Respuesta
  • resting "pill rolling" tremor
  • straight posture
  • muscle weakness
  • rigidity
  • normal gait
  • flat affect

Pregunta 101

Pregunta
A nurse would expect to see the following in a patient who is having a stroke
Respuesta
  • gradual unilateral weakness
  • dizziness
  • dysphagia
  • vision changes
  • HA

Pregunta 102

Pregunta
A [blank_start]screening[blank_end] neurologic exam is for patients who appear well and have no significant subjective findings from the history. A [blank_start]complete[blank_end] neurologic exam is for patients who have neurologic concerns or history of neurologic dysfunction.
Respuesta
  • screening
  • complete

Pregunta 103

Pregunta
A complete neurologic exam includes testing the following:
Respuesta
  • mental status
  • cranial nerves
  • motor function
  • sensory function
  • reflexes
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