NCLEX : Symptoms and Test for Musculoskeletal Conditions

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #1 : Symptoms And Test For Musculoskeletal Conditions

All of the following are common findings in osteoarthritis except __________.

Possible Answers:

stiffness and pain in affected joints 

symmetrical joint involvement

bony protuberances of affected joints

asymmetrical joint involvement

Correct answer:

symmetrical joint involvement

Explanation:

Osteoarthritis generally presents as asymmetrical joint stiffness and pain, often with bony protuberances (osteophytes) that are either palpable or visible on imaging. Symmetrical joint involvement is more typical in rheumatoid arthritis. Joints will present with signs of inflammation: redness, heat, pain, and swelling, due to the inflammatory nature of this condition.

Example Question #2 : Symptoms And Test For Musculoskeletal Conditions

A positive anterior drawer test of the knee would be indicative of injury to which of the following structures?

Possible Answers:

Medial collateral ligament

Lateral collateral ligament

Anterior cruciate ligament

Posterior cruciate ligament

Correct answer:

Anterior cruciate ligament

Explanation:

The anterior drawer test of the knee checks for injury to or instability of the anterior cruciate ligament. During this test the patient lies supine position with knees bent to 90 degrees. The practitioner sits on the both feet of the subject and places both hands around the upper tibia of the patient's symptomatic leg, then pulls anteriorly on the proximal tibia. A positive finding would be excessive anterior translocation or a soft end-feel, indicating a sprain or tear of the anterior cruciate ligament.

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