NR511 Differential Diagnosis and Primary Care Practicum Week 5 Quiz With Answers (15 Solved Questions)

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lOMoARcPSD|28205643NR 511 Differential Diagnosis & Primary CarePracticum Week 5 QuizN/B: Score15/15

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A 28-year-old male presents to the clinic for follow-up from theemergency department,where he was seen for right forearm pain 3 days ago. He works as acarpenter and is right hand dominant. He states he was diagnosed withright forearm tendinitis and is not sure what this means. As part ofteaching, the clinician explains that the conditionis caused byinflammation of one or more of the tendons. Which of the followingdescribes tendons?Thefibrocartilaginous disks that separate bony surfaces.The pouches of synovialfluid that cushion bone and other jointstructures.The collagenfibers that connect muscle to bone.The ropelike bundles of collagenfibrils that connectbone to bone. Tendons are the collagenfibers thatconnect muscle to bone.A conservative approach is recommended in the initial approach to themanagement oflow back pain. Which of the following would be an appropriatetreatment plan for a 32- year-old obese male (BMI 33) diagnosed withan acute lumbar strain?Surgery.Epidural Steroid Injections (ESI).Non-Steroidal Anti-Inflammatory DrugsQuestion 21 / 1 ptsQuestion 11 / 1 pts

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(NSAIDs). Bedrest.It has been proven that rest has little to no effect on the resolution ofLBP. Patients should do whatever activities are tolerable. Almost90% of cases resolve within 1 to 6 weeks thus the initialmanagement should include non-pharmacologic (masage, heat,etc.), pharmacological (NSAIDs, short term use of musclerelaxants) and activity. Surgery and ESI are not indicated in theinitial management of LBP.A 48-year-old male presents with acute low back pain in the right thatincreases when standing and bending. Upon physical exam, lowerextremity muscle strength is 5/5 and straigh leg raise test is negative.Which of the following is the most likely diagnosis?Muscle strain.Spondylolisthesis.Herniated nucleuspulposus.Osteoarthritis.Muscle strain is usually located in the low back and is unilateral inlocation. The onset is acute, and pain increases with standing andbending and decreases with sitting. The straight leg raise test andplain x-ray are both negative.A 55-year-old female presents to the clinic with complaints of left handand wrist pain and swelling after a slip and fall on the ice yesterday. Onexamination, the clinician notes tenderness at the “anatomicalsnuffbox.” Thisfinding most likely indicates which of the following?Hamate fracture.Scaphoidfracture. UlnarQuestion 31 / 1 ptsQuestion 41 / 1 pts

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