Name_____________________

Total time Allowed: 60 min

Total Marks: 30
Encircle the best answer, Cutting & Overwriting will be
considered as wrong.
1-Which segment is more involved in cervicogenic
headache :
a-c1-c2 c-o-c1
b-c2-c3 d-c3-c4

2-All are signs and symptoms of cervicogenic headache

except:

a-initiated by neck cervical or occipital

movements, region
b-initiated by d-ipsilateral neck,
sustained awkward shoulder or arm pain
head positioning, of radicular or non-
c-relieved by radicular nature
external pressure on
3-SCM pain referral is to :
a-periorbital, behind c-glasses stem
ear
b-top of the head
beside eye
4-Nerves involved in cervicogenic headache are:
1. a-greater and lesser 3. c-all of the
occipital nerves above.
2. b-auricular d-none of the above
nerve
4. 5-shoulder impingement syndrome mostly
involves mechanical compression of all except:
5. a-long head of 7. c-subacromial
biceps bursa
6. b-rotator cuf 8. d-supraspinatus

9.

10.
11.

12. 6-The client with rheumatoid arthritis tells the nurse,

"I have a friend who took gold shots and had a wonderful
response. Why didn't my physician let me try that?"
Which of the following responses by the nurse would be
most appropriate?

13. a-"It's the for you."

physician's
prerogative to decide
how to treat you. The
physician has chosen
what is best for your
situation."
b- "Tell me more about
your friend's arthritic
condition. Maybe I can
answer that question
c-"That drug is used
for cases that are
worse than yours. It
wouldn't help you, so
don't worry about it."
d- "Every person is
diferent. What works
for one client may not
always be efective for
another."

14.

15. 7-what is rare when it comes to the rotator cuf?

16. a-a tear or 18. c-a tear and

complete rupture of complete rupture of
subscapularis and teres minor
infraspinatus
19. d-both a and c
17. b-a tear or
complete rupture of 20. e-all are correct
supraspinatus

21. 8-swimmers and throwers have :

22. a- 23. b-increase

Increaseexternal internal rotation
rotation
 24. c-decrease
external and internal
rotation

25. d-none of the

above

26.
27. 9-impingement of the structures in the subacromial
space can occur between the?

a- acromion process
b- coracoacromial ligament
c- acromioclavicular ligament
d-only a and b
e-all of the above

10-On a visit to the clinic, a client reports the onset of

early symptoms of rheumatoid arthritis. The nurse should
conduct a focused assessment for:

a-Limited motion of stifness.

joints. d-Rheumatoid
b-Deformed joints nodules.
of the hands.
c-Early morning

11-2. A client with rheumatoid arthritis states, "I can't do

my household chores without becoming tired. My knees
hurt whenever I walk." Which nursing diagnosis would be
most appropriate?

a. Activity c- Inefective
intolerance related coping related to
to fatigue and pain. chronic pain.
b. Self-care deficit d- Disturbed body
related to image related to
increasing joint fatigue and joint
pain. pain.
12-Physical therapy should be performed :

28. a-shortly after c-weeks after

analgesics have analgesics have
been administered been administered
to the surgical to the surgical
patient. patients

b-before analgesics d-all of the above.

have been
administered to the
surgical patients

13-The terms effleurage and petrissage refer to which

physical therapy modality?

29. a-massage c-shortwave

diathermy
b-ultrasound
d-none of the above

14-Identify the clinical presentation of osteoporosis.

a-Shortened stature
b-Vertebra, hip, forearm fracture
c-Kyphosis/lordosis
d-only both a and b
15-regarding osteoporosis:
a-osteoporosis is more severe than
osteopenia
b-osteopenia is more severe than
osteoporosis
c-both are equal in severity
d-none of the above
16-what part of bone is efected by
osteoporosis:
a-cortical
b-trabecular/spongy
c-both are equally efected
 d-cortical bone is more involved than
spongy bone
17- a 50 yr old patient c/o pain, loss of function, change in
sensation or may feel swelling in body,and gives history of
stifness, soreness, generalized tenderness may appear
gradually and worsen with as day progress .this condition
refers to:
a-muscle strain c-both .
b-ligamentous sprain d-none

18-localized pain, worse w activity, swelling (edema),

sometimes discolored from bleeding into muscle
(ecchymosis); may report pop/snap or feeling of joint
slipping/instability

a-subluxation c-strain

b-sprain d-contussion

19-movement ,elevation,traction and heat therapy is used

for :

30. a-small b-large muscles

muscles group(hamstrings
groups(rotator and quads)
cufs)
c-can be used for
both

d-none of the above

20-PRICE therapy is used for :

a-small muscles c-can be used for

groups(rotator both
cufs)
d-none of the above
b-large muscles
group(hamstrings
and quads)
21-fibrosis, tendinitis
Neer's stage of impingement?

a-1 d-none

b-2

c-3

22- structural abnormalities in shape of acromion,posture

and presence of bony spurs are :

31. a-primary b-secondary causes

causes of of impingement
impingement
c-both

d-none

23- for every 2 degrees of GH motion there should be how

many degrees of scapulothoracic motion?

a-1 degree d-0 degree

b-2 degrees

c-4 degrees

24- passive full elevation with medial rotation test is:

a-neers test c-yergason test

d-ac joint test
b-Hawkins Kennedy
test

25 flexed to 90 degrees, full horizontal adduction, with full

medial rotation is :
 a-hawkinskennedy c-neers test
test
d-both a and b
b-ac joint test

26- Which of the following should the nurse assess when

completing the history and physical examination of a
client diagnosed with osteoarthritis?

a. Anemia. c. Weight loss.

b. Osteoporosis. d. Local joint pain.

27- After teaching a group of clients with osteoarthritis

about using regular exercise, which of the following client
statements indicates efective teaching?

a-"Performing range- should determine

of-motion exercises when to stop
will increase my joint exercising."
mobility." d. "Exercising in the
b. "Exercise helps to outdoors year-round
drive synovial fluid promotes joint
through the relaxation."
cartilage."
c. "Joint swelling

28-A separation of a small bone fragment from the bone

where a tendon or ligament is attached:

a-compound fracture c-displaced fracture

b-avulsion fracture d-collesfracrure

29- A chronic pain disorder that results from abnormal

healing after minor or major injury to a bone, muscle, or
nerve is :
a-reflex sympathetic b-causalgia
dystrophy
c-reflex somatic e-both a and b
dystrophy

d-chronic pain syndrome

30-a small isolated patch of contracted muscle tissue in

spasm is:

1. a-trigger point d-muscle spasm

b-tender point

c-both a and b