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Exam 7 - Musculoskeletal and Neurologic Systems

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Quiz sobre Exam 7 - Musculoskeletal and Neurologic Systems, criado por Tamara Podnosova em 26-05-2019.
Tamara Podnosova
Quiz por Tamara Podnosova, atualizado more than 1 year ago
Tamara Podnosova
Criado por Tamara Podnosova quase 5 anos atrás
10
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Resumo de Recurso

Questão 1

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

Questão 2

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

Questão 3

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

Questão 4

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

Questão 5

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

Questão 6

Questão
A dislocation is a
Responda
  • 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

Questão 7

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

Questão 8

Questão
A crepitation is
Responda
  • 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

Questão 9

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

Questão 10

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

Questão 11

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

Questão 12

Questão
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?
Responda
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Questão 13

Questão
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?
Responda
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Questão 14

Questão
[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.
Responda
  • Lordosis
  • Kyphosis

Questão 15

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

Questão 16

Questão
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.
Responda
  • plumb line posture test

Questão 17

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

Questão 18

Questão
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.
Responda
  • shrug
  • abduct
  • spinal accessory

Questão 19

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

Questão 20

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

Questão 21

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

Questão 22

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

Questão 23

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

Questão 24

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

Questão 25

Questão
[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.
Responda
  • umbilicus
  • epigastrium
  • pubis
  • True
  • Real
  • Apparent
  • False

Questão 26

Questão
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.
Responda
  • bulge sign
  • ballottement of the patella

Questão 27

Questão
"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?
Responda
  • Tinel's sign
  • Bulge sign
  • Barlow maneuver
  • Ballottement of the patella

Questão 28

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

Questão 29

Questão
Infants have what type of shape to their spine?
Responda
  • S shape
  • C shape
  • Double S shape
  • Z shape

Questão 30

Questão
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.
Responda
  • Ortolani's maneuver
  • Allis maneuver

Questão 31

Questão
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.
Responda
  • True
  • False

Questão 32

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

Questão 33

Questão
[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.
Responda
  • Bowlegged stance
  • Knock knees

Questão 34

Questão
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
Responda
  • True
  • False

Questão 35

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

Questão 36

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

Questão 37

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

Questão 38

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

Questão 39

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

Questão 40

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

Questão 41

Questão
Osteoporosis is a normal part of aging
Responda
  • True
  • False

Questão 42

Questão
Osteoporosis is caused by:
Responda
  • Increased progesterone
  • Decreased calcium
  • Decreased Vitamin B
  • Decreased Vitamin D
  • Decreased estrogen

Questão 43

Questão
[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.
Responda
  • Osteoporosis
  • Rheumatoid arthritis
  • Osteoarthritis

Questão 44

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

Questão 45

Questão
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].
Responda
  • distal
  • proximal
  • osteoarthritis

Questão 46

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

Questão 47

Questão
[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.
Responda
  • Tophi

Questão 48

Questão
A patient is considered to be comatose if their GCS is
Responda
  • 0
  • 3
  • 11
  • 8

Questão 49

Questão
The GCS categories are
Responda
  • eye response
  • reflex response
  • motor response
  • verbal response

Questão 50

Questão
[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.
Responda
  • Decorticate
  • Decerebrate

Questão 51

Questão
Unilateral anosmia is the result of which CN nerve dysfunction
Responda
  • I
  • IV
  • IX
  • II

Questão 52

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

Questão 53

Questão
Absense of PERRLA can occur with dysfunction of which cranial nerves
Responda
  • II
  • III
  • IV
  • VI

Questão 54

Questão
Ptosis is the result of which CN dysfunction
Responda
  • II
  • III
  • IV
  • VI

Questão 55

Questão
Facial asymmetry is the result of which CN dysfunction
Responda
  • VII
  • V
  • X
  • IX

Questão 56

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

Questão 57

Questão
Nystagmus is a cranial nerve issue
Responda
  • True
  • False

Questão 58

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

Questão 59

Questão
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.
Responda
  • tandem gait
  • Romberg test

Questão 60

Questão
Ataxia is
Responda
  • impaired gait
  • impaired coordination
  • impaired motor skills
  • impaired sensation

Questão 61

Questão
The following are abnormal findings of muscle tone
Responda
  • flaccidity
  • spasticity
  • rigidity
  • hypetrophy
  • atrophy

Questão 62

Questão
Muscle tone is tested by using
Responda
  • passive ROM
  • active ROM

Questão 63

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

Questão 64

Questão
Rapid alternating movements (RAM) test [blank_start]cerebellar[blank_end] function.
Responda
  • cerebellar

Questão 65

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

Questão 66

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

Questão 67

Questão
The heel to shin test is used to test [blank_start]cerebellar function[blank_end]
Responda
  • cerebellar function

Questão 68

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

Questão 69

Questão
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.
Responda
  • monofilament test

Questão 70

Questão
[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.
Responda
  • Stereognosis
  • Graphesthesia

Questão 71

Questão
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.
Responda
  • stereognosis

Questão 72

Questão
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.
Responda
  • graphesthesia

Questão 73

Questão
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?
Responda
  • 6mm
  • 9mm
  • 1mm

Questão 74

Questão
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?
Responda
  • 50mm
  • 38mm
  • 76mm
  • 80mm

Questão 75

Questão
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?
Responda
  • sensory cortex lesion
  • upper motor neuron problem
  • lower motor neuron problem
  • cranial nerve problem

Questão 76

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

Questão 77

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

Questão 78

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

Questão 79

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

Questão 80

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

Questão 81

Questão
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
Responda
  • lower motor neuron
  • peripheral

Questão 82

Questão
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
Responda
  • upper motor neuron
  • central

Questão 83

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

Questão 84

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

Questão 85

Questão
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.
Responda
  • reinforcement

Questão 86

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

Questão 87

Questão
A positive Babinski sign is normal in babies up to 24 months
Responda
  • True
  • False

Questão 88

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

Questão 89

Questão
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.
Responda
  • intracranial pressure
  • pronator drift
  • dilation
  • bradycardia
  • widening

Questão 90

Questão
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
Responda
  • True
  • False

Questão 91

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

Questão 92

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

Questão 93

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

Questão 94

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

Questão 95

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

Questão 96

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

Questão 97

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

Questão 98

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

Questão 99

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

Questão 100

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

Questão 101

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

Questão 102

Questão
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.
Responda
  • screening
  • complete

Questão 103

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

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