Nokea
With regard to myotomal nerve supply
- A. opponens pollicis is C8
- B. shoulder abduction is C5, 6
- C. ankle plantar flexion is L4, 5
- D. elbow extension is C7, 8
Correct Answer: B
Rationale: Shoulder abduction is primarily controlled by the C5 and C6 nerve roots, which innervate the deltoid and supraspinatus muscles.
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Which assessment finding may indicate a stroke?
- A. Sudden weakness on one side of the body, difficulty speaking, or confusion.
- B. Steady gait and normal muscle strength.
- C. Clear, intact sensation in all extremities.
- D. Symmetrical deep tendon reflexes.
Correct Answer: A
Rationale: Sudden weakness, difficulty speaking, or confusion are hallmark signs of a stroke. Steady gait, intact sensation, and symmetrical reflexes are normal findings.
Which of the following diets will provide the greatest symptomatic relief for Mr. Sands?
- A. Clear liquid diet
- B. Soft diet with frequent meals
- C. Regular diet
- D. High-residue diet
Correct Answer: B
Rationale: A soft diet with frequent meals reduces strain on the esophagus and stomach.
What is the function of a tendon?
- A. Attaches muscle to bone
- B. Connects bone to bone at the joint
- C. Connects cartilage to muscle in joints
- D. Attaches synovium to the joint capsule
Correct Answer: A
Rationale: Tendons attach muscles to bones.
Mr. Smith develops signs of increased intracranial pressure. Which of the following medications is likely to be ordered for Mr. Smith?
- A. Mannitol
- B. Insulin
- C. Morphine sulfate
- D. Penicillin
Correct Answer: A
Rationale: Mannitol is an osmotic diuretic used to reduce intracranial pressure.
What is most likely to cause the pain experienced in the later stages of OA?
- A. Crepitation
- B. Bouchard's nodes
- C. Heberden's nodes
- D. Bone surfaces rubbing together
Correct Answer: D
Rationale: Bone-on-bone contact causes significant pain.