MUSCULOSKELETAL SYSTEM

QUESTION – 1

WHEN COUNSELING AN OLDER PATIENT ABOUT WAYS TO PREVENT FRACTURES,

WHICH INFORMATION WILL THE NURSE INCLUDE?

A. TACKING DOWN SCATTER RUGS IN THE HOME IS RECOMMENDED.

B. OCCASIONAL WEIGHT-BEARING EXERCISE WILL IMPROVE MUSCLE AND BONE
STRENGTH.
C. MOST FALLS HAPPEN OUTSIDE THE HOME.
D. BUYING SHOES THAT PROVIDE GOOD SUPPORT AND ARE COMFORTABLE TO
WEAR IS RECOMMENDED.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: D

RATIONALE: COMFORTABLE SHOES WITH GOOD SUPPORT WILL

HELP TO DECREASE THE RISK FOR FALLS. SCATTER RUGS SHOULD
BE ELIMINATED, NOT JUST TACKED DOWN. REGULAR WEIGHT-
BEARING EXERCISE WILL IMPROVE STRENGTH, BUT OCCASIONAL
EXERCISE IS NOT HELPFUL IN IMPROVING STRENGTH. FALLS
INSIDE THE HOME ARE RESPONSIBLE FOR MANY INJURIES.
MUSCULOSKELETAL SYSTEM
QUESTION – 2

A PATIENT IS SEEN AT THE URGENT CARE CENTER AFTER FALLING ON THE RIGHT
ARM AND SHOULDER. IT WILL BE MOST IMPORTANT FOR THE NURSE TO
DETERMINE:

A. WHETHER THERE IS BRUISING AT THE SHOULDER AREA.

B. WHETHER THE RIGHT ARM IS SHORTER THAN THE LEFT.
C. THE AMOUNT OF PAIN THE PATIENT IS EXPERIENCING.
D. HOW MUCH RANGE OF MOTION (ROM) IS PRESENT.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B

RATIONALE: A SHORTER LIMB AFTER A FALL INDICATES A

POSSIBLE DISLOCATION, WHICH IS AN ORTHOPEDIC
EMERGENCY. THE NURSE WILL EXPECT BRUISING AND PAIN AT
THE AREA, EVEN WITHOUT AN INJURY THAT REQUIRES
SURGERY. THE SHOULDER SHOULD BE IMMOBILIZED UNTIL IT IS
EVALUATED BY THE HEALTH CARE PROVIDER.
MUSCULOSKELETAL SYSTEM
QUESTION – 3

A CHECKOUT CLERK IN A GROCERY STORE HAS MUSCLE AND TENDON TEARS

THAT HAVE BECOME INFLAMED, CAUSING PAIN AND WEAKNESS IN THE LEFT
HAND AND ELBOW. THE NURSE IDENTIFIES THESE SYMPTOMS AS RELATED
TO;

A. MUSCLE SPASMS.
B. MENISCUS INJURY.
C. REPETITIVE STRAIN INJURY.
D. CARPAL TUNNEL SYNDROME.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: C

RATIONALE: THE PATIENT'S OCCUPATION AND THE

INFLAMMATION, PAIN, AND WEAKNESS IN THE ELBOW AND HAND
SUGGEST A REPETITIVE STRAIN INJURY. MUSCLE SPASMS WOULD
BE CHARACTERIZED BY A PALPABLE, FIRM MUSCLE MASS DURING
THE SPASM. MENISCUS INJURY WOULD AFFECT THE KNEE.
CARPAL TUNNEL SYNDROME IS CHARACTERIZED BY WEAKNESS
AND NUMBNESS OF THE HAND.
MUSCULOSKELETAL SYSTEM
QUESTION – 4

WHEN WORKING WITH A PATIENT WHOSE JOB INVOLVES MANY

HOURS OF WORD PROCESSING, THE NURSE WILL TEACH THE PATIENT
ABOUT THE NEED TO.

A. DO STRETCHING AND WARM-UP EXERCISES BEFORE STARTING WORK.

B. WRAP THE WRISTS WITH A COMPRESSION BANDAGE EVERY MORNING.
C. USE ACETAMINOPHEN (TYLENOL) INSTEAD OF NSAIDS FOR WRIST PAIN.
D. OBTAIN A KEYBOARD PAD TO SUPPORT THE WRIST WHILE WORD
PROCESSING.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: D

RATIONALE: REPETITIVE STRAIN INJURIES CAUSED BY PROLONGED

TIMES WORKING AT A KEYBOARD CAN BE PREVENTED BY THE USE OF A
PAD THAT WILL KEEP THE WRISTS IN A STRAIGHT POSITION.
STRETCHING EXERCISES DURING THE DAY MAY BE HELPFUL, BUT THESE
WOULD NOT BE NEEDED BEFORE STARTING. USE OF A COMPRESSION
BANDAGE IS NOT NEEDED, ALTHOUGH A SPLINT MAY BE USED FOR
CARPAL TUNNEL SYNDROME. NSAIDS ARE APPROPRIATE TO USE TO
DECREASE SWELLING.
MUSCULOSKELETAL SYSTEM
QUESTION – 5

A PATIENT ARRIVES IN THE EMERGENCY DEPARTMENT WITH ANKLE

SWELLING AND SEVERE PAIN AFTER TWISTING THE ANKLE PLAYING
SOCCER. ALL OF THE FOLLOWING ORDERS ARE WRITTEN BY THE
HEALTH CARE PROVIDER. WHICH ONE WILL THE NURSE ACT ON
FIRST?

A. ADMINISTER NAPROXEN (NAPROSYN) 500 MG PO.

B. WRAP THE ANKLE AND APPLY AN ICE PACK.
C. GIVE ACETAMINOPHEN WITH CODEINE (TYLENOL #3).
D. TAKE THE PATIENT TO THE RADIOLOGY DEPARTMENT FOR X-RAYS.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B

RATIONALE: IMMEDIATE CARE AFTER A SPRAIN OR STRAIN

INJURY INCLUDES THE APPLICATION OF COLD AND
COMPRESSION TO THE INJURY TO MINIMIZE SWELLING. THE
OTHER ACTIONS SHOULD BE TAKEN AFTER THE ANKLE IS
WRAPPED WITH A COMPRESSION BANDAGE AND ICE IS APPLIED.
MUSCULOSKELETAL SYSTEM
QUESTION – 6

FOLLOWING X-RAYS OF AN INJURED WRIST, THE PATIENT IS

INFORMED THAT IT IS BADLY SPRAINED. IN TEACHING THE
PATIENT TO CARE FOR THE INJURY, THE NURSE TELLS THE
PATIENT TO

A. APPLY A HEATING PAD TO REDUCE MUSCLE SPASMS.

B. WEAR AN ELASTIC COMPRESSION BANDAGE CONTINUOUSLY.
C. USE PILLOWS TO KEEP THE ARM ELEVATED ABOVE THE HEART.
D. GENTLY EXERCISE THE JOINT TO PREVENT MUSCLE SHORTENING.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: C

RATIONALE: ELEVATION OF THE ARM WILL REDUCE THE

AMOUNT OF SWELLING AND PAIN. FOR THE FIRST 24 TO 48
HOURS, COLD PACKS ARE USED TO REDUCE SWELLING.
COMPRESSION BANDAGES ARE NOT LEFT ON CONTINUOUSLY.
THE WRIST SHOULD BE RESTED AND KEPT IMMOBILE TO
PREVENT FURTHER SWELLING OR INJURY.
MUSCULOSKELETAL SYSTEM
QUESTION – 7

A 22-YEAR-OLD PATIENT STARTED AN EXERCISE REGIMEN 2 MONTHS

AGO THAT INCLUDES RUNNING 3 TO 4 MILES A DAY. THE PATIENT TELLS
THE NURSE, "I ENJOY MY DAILY RUNS, BUT NOW I HAVE SHIN SPLINTS."
WHICH RESPONSE BY THE NURSE IS APPROPRIATE?

A. "YOU MAY BE INCREASING YOUR RUNNING TIME TOO QUICKLY AND NEED TO
CUT BACK A LITTLE BIT."
B. "YOU NEED TO HAVE X-RAYS OF YOUR LOWER LEGS TO BE SURE YOU DO NOT
HAVE STRESS FRACTURES."
C. "YOU SHOULD EXPECT SOME LEG PAIN WHILE RUNNING."
D. "YOU SHOULD TRY SPEED-WALKING RATHER THAN RUNNING."
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: A

RATIONALE: THE PATIENT'S INFORMATION ABOUT RUNNING 3 TO 4 MILES

DAILY AFTER STARTING AN EXERCISE PROGRAM ONLY 2 MONTHS
PREVIOUSLY SUGGESTS THAT THE SHIN SPLINTS ARE CAUSED BY
OVERUSE. RADIOGRAPHS ARE NOT INDICATED FOR THE TYPE OF INJURY
DESCRIBED BY THE PATIENT. SHIN SPLINTS ARE NOT A NORMAL OR
EXPECTED RESPONSE TO RUNNING. BECAUSE THE PATIENT EXPRESSES
ENJOYMENT OF RUNNING, IT WOULD NOT BE APPROPRIATE FOR THE
NURSE TO SUGGEST A DIFFERENT SPORT.
MUSCULOSKELETAL SYSTEM
QUESTION – 8

A 20-YEAR-OLD BASEBALL PITCHER HAS AN ARTHROSCOPIC REPAIR OF A

ROTATOR CUFF INJURY PERFORMED IN SAME-DAY SURGERY. WHEN THE NURSE
PLANS POSTOPERATIVE TEACHING FOR THE PATIENT, WHICH INFORMATION
WILL BE INCLUDED?

A. "YOU HAVE AN APPOINTMENT WITH A PHYSICAL THERAPIST FOR TOMORROW."

B. "LEAVE THE SHOULDER IMMOBILIZER ON FOR THE FIRST FEW DAYS TO MINIMIZE
PAIN."
C. "THE DOCTOR WILL USE THE DROP-ARM TEST TO DETERMINE THE SUCCESS OF THE
PROCEDURE."
D. "YOU SHOULD TRY TO FIND A DIFFERENT POSITION TO PLAY ON THE BASEBALL
TEAM."
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: A

RATIONALE: PHYSICAL THERAPY AFTER A ROTATOR CUFF REPAIR

BEGINS ON THE FIRST POSTOPERATIVE DAY TO PREVENT "FROZEN
SHOULDER." A SHOULDER IMMOBILIZER IS USED IMMEDIATELY AFTER THE
SURGERY, BUT LEAVING THE ARM IMMOBILIZED FOR SEVERAL DAYS
WOULD LEAD TO LOSS OF ROM. THE DROP-ARM TEST IS USED TO TEST FOR
ROTATOR CUFF INJURY, BUT NOT AFTER SURGERY. THE PATIENT MAY BE
ABLE TO RETURN TO PITCHING AFTER REHABILITATION.
MUSCULOSKELETAL SYSTEM
QUESTION – 9

A PATIENT WITH A FRACTURED RADIUS ASKS WHEN THE CAST CAN BE

REMOVED. THE NURSE WILL INSTRUCT THE PATIENT THAT THE CAST
CAN BE REMOVED ONLY AFTER THE BONE

A. IS STRONG ENOUGH TO STAND MILD STRESS.

B. UNION IS COMPLETE ON THE X-RAY.
C. FRAGMENTS ARE FULLY FUSED.
D. HEALING HAS STARTED.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: A

RATIONALE: THE CAST MAY BE REMOVED WHEN CALLUS OSSIFICATION

HAS OCCURRED. IT IS NOT NECESSARY TO WAIT UNTIL RADIOLOGIC UNION
OR COMPLETE BONE FUSION OCCURS. BONE HEALING STARTS
IMMEDIATELY AFTER THE INJURY, BUT THE CAST WILL NEED TO BE WORN
AT LEAST 3 WEEKS.
MUSCULOSKELETAL SYSTEM
QUESTION – 10

A PATIENT WITH A COMMINUTED FRACTURE OF THE RIGHT FEMUR HAS

BUCK'S TRACTION IN PLACE WHILE WAITING FOR SURGERY. TO ASSESS FOR
PRESSURE AREAS ON THE PATIENT'S BACK AND SACRAL AREA AND TO
PROVIDE SKIN CARE, THE NURSE SHOULD

A. HAVE THE PATIENT LIFT THE BUTTOCKS BY BENDING AND PUSHING WITH THE LEFT
LEG.
B. TURN THE PATIENT PARTIALLY TO EACH SIDE WITH THE ASSISTANCE OF ANOTHER
NURSE.
C. PLACE A PILLOW BETWEEN THE PATIENT'S LEGS AND TURN GENTLY TO EACH SIDE.
D. LOOSEN THE TRACTION AND HAVE THE PATIENT TURN ONTO THE UNAFFECTED SIDE.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: A

RATIONALE: THE PATIENT CAN LIFT THE BUTTOCKS OFF THE BED BY
USING THE LEFT LEG WITHOUT CHANGING THE RIGHT-LEG ALIGNMENT.
TURNING THE PATIENT WILL TEND TO MOVE THE LEG OUT OF ALIGNMENT.
DISCONNECTING THE TRACTION WILL INTERRUPT THE WEIGHT NEEDED
TO IMMOBILIZE AND ALIGN THE FRACTURE.
MUSCULOSKELETAL SYSTEM
QUESTION – 11

YOUR PATIENT WILL BE USING CRUTCHES FOR MOBILITY. AFTER EDUCATING THE PATIENT ON HOW TO ADJUST THE
CRUTCHES TO FIT CORRECTLY, YOU ASSESS HOW WELL THE PATIENT UNDERSTOOD THE INSTRUCTIONS. WHAT
FINDINGS DEMONSTRATE THAT THE CRUTCHES WERE ADJUSTED CORRECTLY BY THE PATIENT?
SELECT ALL THAT APPLY:

A. THE HAND GRIPS OF THE CRUTCHES ARE EVEN WITH THE MID-FOREARM.
B. WHEN THE PATIENT GRIPS THE HAND GRIPS OF THE CRUTCHES THE ELBOW BENDS AT ABOUT 30
DEGREES.
C. THE PATIENT HAS A 2-3 FINGER WIDTH DISTANCE BETWEEN THE AXILLAE AND CRUTCH REST PAD.
D. THE PATIENT PLACES WEIGHT ON THE AXILLAE RATHER THAN THE HANDS WHILE AMBULATING.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B & C

RATIONALE: THE ANSWERS ARE B AND C. PROPERLY FITTED CRUTCHES SHOULD BE

A 2-3 FINGER WIDTH (ABOUT 1-1.5 INCHES) DISTANCE BETWEEN THE AXILLAE (ARMPIT
AREA) AND THE CRUTCH REST PADS DURING AMBULATION. THIS PREVENTS DAMAGING
THE NERVES THAT ARE LOCATED IN THE AXILLAE DURING AMBULATION. IN ADDITION,
WHEN THE PATIENT GRIPS THE HAND GRIPS OF THE CRUTCHES THE ELBOW SHOULD
SLIGHTLY BEND AT ABOUT 30 DEGREES. OPTION A IS WRONG BECAUSE THE HAND GRIPS
OF THE CRUTCHES SHOULD BE EVEN WITH THE HIP LINE (NOT THE MID-FOREARM), AND
OPTION D IS WRONG BECAUSE THE PATIENT SHOULD PLACE WEIGHT ON THE HANDS
WHILE AMBULATING NOT THE AXILLAE AREA (THIS CAN CAUSE NERVE DAMAGE).
MUSCULOSKELETAL SYSTEM
QUESTION – 12

YOUR PATIENT IS USING A CANE FOR THE FIRST TIME. BEFORE USING THE CANE, YOU ASSESS THAT THE CANE
PROPERLY FITS THE PATIENT. WHICH FINDINGS BELOW DEMONSTRATE THE CANE PROPERLY FITS THE PATIENT?
SELECT ALL THAT APPLY:
SELECT ALL THAT APPLY:

A. THE ARM THAT IS HOLDING THE CANE IS FLEXED AT ABOUT A 40 DEGREE ANGLE.
B. THE TOP OF THE CANE IS AT THE LEVEL OF THE GREATER TROCHANTER.
C. WHEN THE PATIENT DANGLES THEIR ARMS, THE TOP OF THE CANE IS EVEN WITH THE CREASE OF
THE WRIST CLOSEST TO THE HAND.
D. THERE IS A 1.5 INCH GAP BETWEEN THE TOP OF THE CANE AND THE AXILLAE.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B & C

RATIONALE: OPTION B AND C ARE CORRECT BECAUSE THESE ARE THE

TWO METHODS USED TO DETERMINE A PROPER FIT FOR A CANE.  OPTION A
IS WRONG BECAUSE THE ARM HOLDING THE CANE SHOULD BE FLEXED AT
ABOUT 15-30 DEGREE ANGLE (NOT 40 DEGREE ANGLE). OPTION D IS WRONG
BECAUSE PROPER MEASUREMENT OF A CANE HAS NOTHING TO DO WITH
THE AXILLAE REGION (THIS IS APPLICABLE ONLY FOR CRUTCHES).
MUSCULOSKELETAL SYSTEM
QUESTION – 13

A PATIENT WILL BE USING A WALKER FOR THE FIRST TIME. YOU ADJUST THE WALKER TO FIT THE PATIENT. WHICH
FINDING BELOW DEMONSTRATES THAT THE WALKER PROPERLY FITS THE PATIENT?

A. THERE IS A 2-3 FINGER WIDTH DISTANCE BETWEEN THE HAND GRIPS OF THE WALKER AND THE
WRISTS.
B. THE ELBOWS BEND AT ABOUT A 15-30 DEGREE ANGLE WHEN THE PATIENT HOLDS ONTO THE
HAND GRIPS OF THE WALKER.
C. THE PATIENT’S BACK IS MID-LINE WITH THE CROSSBAR OF THE WALKER.
D. THE CROSSBAR OF THE WALKER IS EVEN WITH THE GREATER TROCHANTER.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B

RATIONALE: WHEN A PATIENT HOLDS THE HAND GRIPS OF THE WALKER,

THE ELBOWS SHOULD SLIGHTLY BEND AT A 15-30 DEGREE ANGLE.
MUSCULOSKELETAL SYSTEM
QUESTION – 14

YOUR PATIENT IS PRESCRIBED TO USE CRUTCHES FOR AMBULATION. THE PATIENT CAN BEAR PARTIAL WEIGHT AND NEEDS TO BE
TAUGHT HOW TO USE THE TWO-POINT GAIT WHILE USING CRUTCHES. WHICH DESCRIPTION BELOW BEST DESCRIBES THIS TYPE OF
GAIT WITH CRUTCHES?

A. THE PATIENT MOVES BOTH CRUTCHES FORWARD AND THEN MOVES BOTH LEGS FORWARD TO THE SAME POINT
AS THE CRUTCHES.
B. THE PATIENT MOVES THE RIGHT CRUTCH (INJURED SIDE), THEN MOVES THE LEFT FOOT (NON-INJURED SIDE),
THEN MOVES THE LEFT CRUTCH (NON-INJURED SIDE), AND THEN MOVES THE RIGHT FOOT (INJURED SIDE).
C. THE PATIENT MOVES BOTH THE RIGHT CRUTCH (INJURED SIDE) AND LEFT FOOT (NON-INJURED SIDE) FORWARD
TOGETHER, AND THEN MOVES THE LEFT CRUTCH (NON-INJURED SIDE) AND RIGHT FOOT (INJURED SIDE)
FORWARD TOGETHER.
D. THE PATIENT MOVES BOTH CRUTCHES AND INJURED LEG FORWARD TOGETHER, AND THEN MOVES THE NON-
INJURED LEG FORWARD.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: C

RATIONALE: THE TWO-POINT GAIT IS WHERE THE PATIENT MOVES BOTH

THE RIGHT CRUTCH (INJURED SIDE) AND LEFT FOOT (NON-INJURED SIDE)
FORWARD TOGETHER, AND THEN MOVES THE LEFT CRUTCH (NON-INJURED
SIDE) AND RIGHT FOOT (INJURED SIDE) FORWARD TOGETHER.
MUSCULOSKELETAL SYSTEM
QUESTION – 15

WHILE YOUR PATIENT IS AMBULATING WITH CRUTCHES HE MOVES BOTH CRUTCHES FORWARD ALONG WITH THE
INJURED LEG AND THEN MOVES THE NON-INJURED FORWARD. WHEN YOU DOCUMENT YOU WILL NOTE THAT THE
PATIENT USED WHAT TYPE OF GAIT WHILE AMBULATING WITH CRUTCHES?

A. TWO-POINT GAIT
B. THREE-POINT GAIT
C. FOUR-POINT GAIT
D. SWING-TO-GAIT
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B

RATIONALE: THIS DESCRIBES THE THREE-POINT GAIT WHILE USING

CRUTCHES.
MUSCULOSKELETAL SYSTEM
QUESTION – 16

WHILE GOING DOWN THE STAIRS WITH CRUTCHES THE PATIENT WILL MOVE THE CRUTCHES DOWN ONTO
THE STEP FOLLOWED BY?

A. MOVING THE NON-INJURED LEG DOWN ONTO THE STEP.

B. MOVING THE INJURED LEG DOWN ONTO THE STEP.
C. MOVING BOTH LEGS DOWN ONTO THE STEP.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B

RATIONALE: WHEN GOING DOWN THE STAIRS WITH CRUTCHES, THE

PATIENT WILL MOVE THE CRUTCHES DOWN FIRST ONTO THE STEP
FOLLOWED BY MOVING THE INJURED LEG AND THEN THE PATIENT WILL
MOVE THE NON-INJURED LEG DOWN.
MUSCULOSKELETAL SYSTEM
QUESTION – 17

A PATIENT NEEDS TO GO UP THE STAIRS WHILE USING CRUTCHES. WHAT FINDING BY THE NURSE
DEMONSTRATES THE PATIENT UNDERSTANDS HOW TO AMBULATE UPSTAIRS WITH CRUTCHES?

A. THE PATIENT MOVES THE CRUTCHES FORWARD UP THE STEP, THEN THE INJURED AND NON-INJURED LEG.
B. THE PATIENT MOVES THE NON-INJURED LEG FORWARD ONTO THE STEP AND THEN THE MOVES THE INJURED
LEG AND CRUTCHES UP.
C. THE PATIENT MOVES THE INJURED LEG FORWARD ONTO THE STEPS, THEN MOVES THE CRUTCHES, AND THEN
MOVES THE NON-INJURED LEG.
D. THE PATIENT MOVES THE CRUTCHES AND NON-INJURED LEG FORWARD TO THE STEP TOGETHER, AND THEN
THE NON-INJURED LEG.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B

RATIONALE: THE PATIENT WILL MOVE THE NON-INJURED LEG FORWARD

ONTO THE STEP AND THEN WILL MOVE THE INJURED LEG AND CRUTCHES
UP.
MUSCULOSKELETAL SYSTEM
QUESTION – 18

YOUR PATIENT ATTEMPTS TO SIT DOWN IN THE BEDSIDE CHAIR AFTER AMBULATING IN THE HALLWAY WITH
CRUTCHES. WHAT FINDING REQUIRES YOU TO RE-EDUCATE THE PATIENT ON HOW TO SIT DOWN IN THE
CHAIR CORRECTLY WHILE USING CRUTCHES?

A. THE PATIENT PLACES BOTH CRUTCHES ON THE NON-INJURED SIDE BEFORE SITTING DOWN IN THE CHAIR.
B. THE PATIENT BACKS UP TO THE CHAIR’S SEAT UNTIL HE FEELS IT WITH HIS NON-INJURED LEG AND STOPS.
C. THE PATIENT KEEPS THE INJURED LEG EXTENDED OUT IN FRONT OF HIM WHILE SITTING DOWN.
D. THE PATIENT HOLDS BOTH CRUTCHES ON ONE SIDE AND REACHES FOR THE HAND GRIPS ON THE CRUTCHES
AND PLACES WEIGHT ON THEM WHILE SITTING DOWN.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: A

RATIONALE: THIS REQUIRES RE-EDUCATION BECAUSE THE PATIENT

SHOULD PLACE BOTH CRUTCHES ON THE INJURED SIDE (NOT THE NON-
INJURED SIDE) BEFORE SITTING DOWN IN THE CHAIR. THE CRUTCHES WILL
HELP PROVIDE WEIGHT SUPPORT TO THE INJURED SIDE WHILE SITTING
DOWN.
MUSCULOSKELETAL SYSTEM
QUESTION – 19

WHEN A PATIENT USES A CANE TO AMBULATE, THE PATIENT WILL HOLD THE
CANE ON THE?

A. WEAK SIDE
B. STRONG SIDE
C. IT DOES NOT MATTER. THE PATIENT SHOULD CHOOSE WHAT SIDE IS THE
MOST COMFORTABLE FOR THEM.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B

RATIONALE: THE PATIENT WILL HOLD THE CANE ON THE STRONG SIDE
(NON-INJURED SIDE).
MUSCULOSKELETAL SYSTEM
QUESTION – 20

WHICH DEMONSTRATION BY THE PATIENT BELOW SHOWS THAT THE PATIENT KNOWS HOW TO PROPERLY
AMBULATE A CANE?

A. THE PATIENT HOLDS THE CANE ON THE STRONG SIDE AND MOVES THE CANE AND WEAK
SIDE FORWARD TOGETHER, AND THEN MOVES THE STRONG SIDE.
B. THE PATIENT HOLDS THE CANE ON THE STRONG SIDE AND MOVES THE CANE FORWARD,
THEN MOVES THE WEAK SIDE, AND THEN MOVES THE STRONG SIDE.
C. THE PATIENT HOLDS THE CANE ON THE WEAK SIDE AND MOVES THE CANE FORWARD,
THEN MOVES THE WEAK SIDE, AND THEN MOVES THE STRONG SIDE.
D. THE PATIENT HOLDS THE CANE ON THE WEAK SIDE AND MOVES THE CANE AND WEAK
SIDE FORWARD TOGETHER, AND THEN MOVES THE STRONG SIDE.
MUSCULOSKELETAL SYSTEM
ANSWER

CORRECT ANSWER: B

RATIONALE: THE PATIENT HOLDS THE CANE ON THE STRONG SIDE AND
MOVES THE CANE AND WEAK SIDE FORWARD TOGETHER, AND THEN
MOVES STRONG SIDE.
THE END