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Exam 7 - Musculoskeletal and Neurologic Systems

Description

Quiz on Exam 7 - Musculoskeletal and Neurologic Systems, created by Tamara Podnosova on 26/05/2019.
Tamara Podnosova
Quiz by Tamara Podnosova, updated more than 1 year ago
Tamara Podnosova
Created by Tamara Podnosova over 5 years ago
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Resource summary

Question 1

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

Question 2

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

Question 3

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

Question 4

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

Question 5

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

Question 6

Question
A dislocation is a
Answer
  • 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

Question 7

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

Question 8

Question
A crepitation is
Answer
  • 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

Question 9

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

Question 10

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

Question 11

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

Question 12

Question
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?
Answer
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Question 13

Question
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?
Answer
  • 0/5
  • 1/5
  • 2/5
  • 3/5
  • 4/5
  • 5/5

Question 14

Question
[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.
Answer
  • Lordosis
  • Kyphosis

Question 15

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

Question 16

Question
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.
Answer
  • plumb line posture test

Question 17

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

Question 18

Question
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.
Answer
  • shrug
  • abduct
  • spinal accessory

Question 19

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

Question 20

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

Question 21

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

Question 22

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

Question 23

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

Question 24

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

Question 25

Question
[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.
Answer
  • umbilicus
  • epigastrium
  • pubis
  • True
  • Real
  • Apparent
  • False

Question 26

Question
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.
Answer
  • bulge sign
  • ballottement of the patella

Question 27

Question
"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?
Answer
  • Tinel's sign
  • Bulge sign
  • Barlow maneuver
  • Ballottement of the patella

Question 28

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

Question 29

Question
Infants have what type of shape to their spine?
Answer
  • S shape
  • C shape
  • Double S shape
  • Z shape

Question 30

Question
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.
Answer
  • Ortolani's maneuver
  • Allis maneuver

Question 31

Question
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.
Answer
  • True
  • False

Question 32

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

Question 33

Question
[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.
Answer
  • Bowlegged stance
  • Knock knees

Question 34

Question
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
Answer
  • True
  • False

Question 35

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

Question 36

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

Question 37

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

Question 38

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

Question 39

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

Question 40

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

Question 41

Question
Osteoporosis is a normal part of aging
Answer
  • True
  • False

Question 42

Question
Osteoporosis is caused by:
Answer
  • Increased progesterone
  • Decreased calcium
  • Decreased Vitamin B
  • Decreased Vitamin D
  • Decreased estrogen

Question 43

Question
[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.
Answer
  • Osteoporosis
  • Rheumatoid arthritis
  • Osteoarthritis

Question 44

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

Question 45

Question
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].
Answer
  • distal
  • proximal
  • osteoarthritis

Question 46

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

Question 47

Question
[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.
Answer
  • Tophi

Question 48

Question
A patient is considered to be comatose if their GCS is
Answer
  • 0
  • 3
  • 11
  • 8

Question 49

Question
The GCS categories are
Answer
  • eye response
  • reflex response
  • motor response
  • verbal response

Question 50

Question
[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.
Answer
  • Decorticate
  • Decerebrate

Question 51

Question
Unilateral anosmia is the result of which CN nerve dysfunction
Answer
  • I
  • IV
  • IX
  • II

Question 52

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

Question 53

Question
Absense of PERRLA can occur with dysfunction of which cranial nerves
Answer
  • II
  • III
  • IV
  • VI

Question 54

Question
Ptosis is the result of which CN dysfunction
Answer
  • II
  • III
  • IV
  • VI

Question 55

Question
Facial asymmetry is the result of which CN dysfunction
Answer
  • VII
  • V
  • X
  • IX

Question 56

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

Question 57

Question
Nystagmus is a cranial nerve issue
Answer
  • True
  • False

Question 58

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

Question 59

Question
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.
Answer
  • tandem gait
  • Romberg test

Question 60

Question
Ataxia is
Answer
  • impaired gait
  • impaired coordination
  • impaired motor skills
  • impaired sensation

Question 61

Question
The following are abnormal findings of muscle tone
Answer
  • flaccidity
  • spasticity
  • rigidity
  • hypetrophy
  • atrophy

Question 62

Question
Muscle tone is tested by using
Answer
  • passive ROM
  • active ROM

Question 63

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

Question 64

Question
Rapid alternating movements (RAM) test [blank_start]cerebellar[blank_end] function.
Answer
  • cerebellar

Question 65

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

Question 66

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

Question 67

Question
The heel to shin test is used to test [blank_start]cerebellar function[blank_end]
Answer
  • cerebellar function

Question 68

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

Question 69

Question
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.
Answer
  • monofilament test

Question 70

Question
[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.
Answer
  • Stereognosis
  • Graphesthesia

Question 71

Question
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.
Answer
  • stereognosis

Question 72

Question
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.
Answer
  • graphesthesia

Question 73

Question
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?
Answer
  • 6mm
  • 9mm
  • 1mm

Question 74

Question
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?
Answer
  • 50mm
  • 38mm
  • 76mm
  • 80mm

Question 75

Question
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?
Answer
  • sensory cortex lesion
  • upper motor neuron problem
  • lower motor neuron problem
  • cranial nerve problem

Question 76

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

Question 77

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

Question 78

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

Question 79

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

Question 80

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

Question 81

Question
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
Answer
  • lower motor neuron
  • peripheral

Question 82

Question
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
Answer
  • upper motor neuron
  • central

Question 83

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

Question 84

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

Question 85

Question
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.
Answer
  • reinforcement

Question 86

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

Question 87

Question
A positive Babinski sign is normal in babies up to 24 months
Answer
  • True
  • False

Question 88

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

Question 89

Question
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.
Answer
  • intracranial pressure
  • pronator drift
  • dilation
  • bradycardia
  • widening

Question 90

Question
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
Answer
  • True
  • False

Question 91

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

Question 92

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

Question 93

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

Question 94

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

Question 95

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

Question 96

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

Question 97

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

Question 98

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

Question 99

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

Question 100

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

Question 101

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

Question 102

Question
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.
Answer
  • screening
  • complete

Question 103

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