*NURSING > QUESTIONS and ANSWERS > Barkley FNP Review LATEST EXAM WITH 100% VERIFIED SOLUTION 2022-2023 LATEST 100% GRADED A+ (All)
Barkley FNP Review LATEST EXAM WITH 100% VERIFIED SOLUTION 2022-2023 LATEST 100% GRADED A+Barkley FNP Review What does a positive posterior drawer sign in a 10-year-old soccer player signify?a)Normal... kneeb)Instability of the kneec) Swelling on the kneed) Injury to the meniscus - ANS: BThe drawer test is used to identify mediolateral or anteroposterior plane instability of theknee. The test is performed on the unaffected and affected knee for comparison. Theanterior drawer test evaluates the anterior cruciate ligament (ACL). To perform the test,the patient lies supine and the knee is placed at 90-degree flexion. Grasp the posterioraspect of the tibia over the upper calf muscle; then, with a steady force, try to push thelower leg forward and backward. Anterior or posterior movement of the knee is positive.With the leg extended, stabilize the femur with one hand and the ankle with the other. Tryto abduct and adduct the knee. There should be no medial or lateral movement. A patient injures an ankle while playing soccer and reports rolling the foot inward whilefalling with immediate pain and swelling of the lateral part of the joint. The patient is ableto bear weight and denies hearing an audible sound at the time of injury. What does thishistory indicate?a. Likely ankle sprain with a possible fractureb. Mild ankle injury without fracturec. Mild soft tissue injury onlyd. Serious ankle injury with certain fracture - ANS: AImmediate swelling of the joint raises the index of suspicion for a fracture or a substantialamount of joint involvement. Without radiographs, none of these possibilities can beconfirmed.REF: Clinical Presentation A patient who is a distance runner reports pain in one heel that is worse in the morningand seems to improve with exercise. The provider notes localized swelling and a bonyprominence at the heel. What is the initial treatment for this condition?a. Cessation of all sports activities and exerciseb. Crutches and partial weight bearingc. Physical therapy for ultrasound therapyd. Referral to an orthopedist for MRI and evaluation - ANS: AThis patient has symptoms consistent with Achilles tendonitis. Immediate cessation ofsports and exercise is the first step in management. Crutches and partial weight bearingmay be indicated if symptoms do not improve with rest and NSAIDs. Physical therapy is [Show More]
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