Exam 7 - Musculoskeletal and Neurologic Systems

Beschreibung

Quiz am Exam 7 - Musculoskeletal and Neurologic Systems, erstellt von Tamara Podnosova am 26/05/2019.
Tamara Podnosova
Quiz von Tamara Podnosova, aktualisiert more than 1 year ago
Tamara Podnosova
Erstellt von Tamara Podnosova vor mehr als 5 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
Label the picture
Antworten
  • supination
  • pronation

Frage 2

Frage
Label the picture
Antworten
  • flexion
  • extension
  • flexion
  • extension

Frage 3

Antworten
  • dorsiflexion
  • plantar flexion

Frage 4

Frage
Label the picture
Antworten
  • inversion
  • eversion

Frage 5

Frage
Label the picture
Antworten
  • abduction
  • adduction

Frage 6

Frage
A dislocation is a
Antworten
  • 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

Frage 7

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

Frage 8

Frage
A crepitation is
Antworten
  • 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

Frage 9

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

Frage 10

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

Frage 11

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

Frage 12

Frage
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?
Antworten
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Frage 13

Frage
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?
Antworten
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Frage 14

Frage
[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.
Antworten
  • Lordosis
  • Kyphosis

Frage 15

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

Frage 16

Frage
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.
Antworten
  • plumb line posture test

Frage 17

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

Frage 18

Frage
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.
Antworten
  • shrug
  • abduct
  • spinal accessory

Frage 19

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

Frage 20

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

Frage 21

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

Frage 22

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

Frage 23

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

Frage 24

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

Frage 25

Frage
[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.
Antworten
  • umbilicus
  • epigastrium
  • pubis
  • True
  • Real
  • Apparent
  • False

Frage 26

Frage
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.
Antworten
  • bulge sign
  • ballottement of the patella

Frage 27

Frage
"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?
Antworten
  • Tinel's sign
  • Bulge sign
  • Barlow maneuver
  • Ballottement of the patella

Frage 28

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

Frage 29

Frage
Infants have what type of shape to their spine?
Antworten
  • S shape
  • C shape
  • Double S shape
  • Z shape

Frage 30

Frage
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.
Antworten
  • Ortolani's maneuver
  • Allis maneuver

Frage 31

Frage
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.
Antworten
  • True
  • False

Frage 32

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

Frage 33

Frage
[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.
Antworten
  • Bowlegged stance
  • Knock knees

Frage 34

Frage
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
Antworten
  • True
  • False

Frage 35

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

Frage 36

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

Frage 37

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

Frage 38

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

Frage 39

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

Frage 40

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

Frage 41

Frage
Osteoporosis is a normal part of aging
Antworten
  • True
  • False

Frage 42

Frage
Osteoporosis is caused by:
Antworten
  • Increased progesterone
  • Decreased calcium
  • Decreased Vitamin B
  • Decreased Vitamin D
  • Decreased estrogen

Frage 43

Frage
[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.
Antworten
  • Osteoporosis
  • Rheumatoid arthritis
  • Osteoarthritis

Frage 44

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

Frage 45

Frage
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].
Antworten
  • distal
  • proximal
  • osteoarthritis

Frage 46

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

Frage 47

Frage
[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.
Antworten
  • Tophi

Frage 48

Frage
A patient is considered to be comatose if their GCS is
Antworten
  • 0
  • 3
  • 11
  • 8

Frage 49

Frage
The GCS categories are
Antworten
  • eye response
  • reflex response
  • motor response
  • verbal response

Frage 50

Frage
[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.
Antworten
  • Decorticate
  • Decerebrate

Frage 51

Frage
Unilateral anosmia is the result of which CN nerve dysfunction
Antworten
  • I
  • IV
  • IX
  • II

Frage 52

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

Frage 53

Frage
Absense of PERRLA can occur with dysfunction of which cranial nerves
Antworten
  • II
  • III
  • IV
  • VI

Frage 54

Frage
Ptosis is the result of which CN dysfunction
Antworten
  • II
  • III
  • IV
  • VI

Frage 55

Frage
Facial asymmetry is the result of which CN dysfunction
Antworten
  • VII
  • V
  • X
  • IX

Frage 56

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

Frage 57

Frage
Nystagmus is a cranial nerve issue
Antworten
  • True
  • False

Frage 58

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

Frage 59

Frage
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.
Antworten
  • tandem gait
  • Romberg test

Frage 60

Frage
Ataxia is
Antworten
  • impaired gait
  • impaired coordination
  • impaired motor skills
  • impaired sensation

Frage 61

Frage
The following are abnormal findings of muscle tone
Antworten
  • flaccidity
  • spasticity
  • rigidity
  • hypetrophy
  • atrophy

Frage 62

Frage
Muscle tone is tested by using
Antworten
  • passive ROM
  • active ROM

Frage 63

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

Frage 64

Frage
Rapid alternating movements (RAM) test [blank_start]cerebellar[blank_end] function.
Antworten
  • cerebellar

Frage 65

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

Frage 66

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

Frage 67

Frage
The heel to shin test is used to test [blank_start]cerebellar function[blank_end]
Antworten
  • cerebellar function

Frage 68

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

Frage 69

Frage
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.
Antworten
  • monofilament test

Frage 70

Frage
[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.
Antworten
  • Stereognosis
  • Graphesthesia

Frage 71

Frage
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.
Antworten
  • stereognosis

Frage 72

Frage
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.
Antworten
  • graphesthesia

Frage 73

Frage
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?
Antworten
  • 6mm
  • 9mm
  • 1mm

Frage 74

Frage
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?
Antworten
  • 50mm
  • 38mm
  • 76mm
  • 80mm

Frage 75

Frage
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?
Antworten
  • sensory cortex lesion
  • upper motor neuron problem
  • lower motor neuron problem
  • cranial nerve problem

Frage 76

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

Frage 77

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

Frage 78

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

Frage 79

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

Frage 80

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

Frage 81

Frage
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
Antworten
  • lower motor neuron
  • peripheral

Frage 82

Frage
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
Antworten
  • upper motor neuron
  • central

Frage 83

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

Frage 84

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

Frage 85

Frage
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.
Antworten
  • reinforcement

Frage 86

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

Frage 87

Frage
A positive Babinski sign is normal in babies up to 24 months
Antworten
  • True
  • False

Frage 88

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

Frage 89

Frage
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.
Antworten
  • intracranial pressure
  • pronator drift
  • dilation
  • bradycardia
  • widening

Frage 90

Frage
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
Antworten
  • True
  • False

Frage 91

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

Frage 92

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

Frage 93

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

Frage 94

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

Frage 95

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

Frage 96

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

Frage 97

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

Frage 98

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

Frage 99

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

Frage 100

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

Frage 101

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

Frage 102

Frage
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.
Antworten
  • screening
  • complete

Frage 103

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