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Worksheets

Musculoskeletal

Total questions: 23

Worksheet time: 18mins

Name
Class
Date
1.

A broad spectrum of _________ injuries result from numerous physical forces, including blunt tissue trauma, disruption of tendons and ligaments, and fractures of bony structures

a)

Musculoskeletal

b)

dislocation

c)

skeletal

d)

muscular

2.

______ injuries include contusions, hematomas, and lacerations

a)

joint

b)

soft tissue

c)

fracture

d)

head

3.

A ________ usually is caused by abnormal or excessive movement of the joint

a)

strain

b)

sprain

c)

fracture

d)

contusion

4.

A _______ is a stretching injury to a muscle or a musculotendinous unit caused by mechanical overloading

a)

strain

b)

sprain

c)

fracture

d)

contusion

5.

________ is the most common bone sarcoma among adults

a)

chondrosarcoma

b)

Ewing Sarcoma

c)

osteosarcoma

d)

Pagets Sarcoma

6.

Which gender is at higher risk for osteosarcomas?

a)

female

b)

male

7.

Which statement best describes osteosarcoma?

a)

Most commonly seen in those younger than 20 and is rarely seen after age 30

b)

Aggressive tumor of the multinucleated cells that often behaves like a malignant tumor

c)

Grows only during periods of skeletal growth

d)

Aggressive and highly malignant bone tumor that is most often seen in children

8.

People treated with corticosteroids and/or bisphosphonates are more vulnerable to developing:

a)

osteomyelitis

b)

osteonecrosis

c)

osteosarcoma

d)

osteopenia

9.

Grouped according to cause, fractures can be divided into three major categories: fractures caused by _______, fatigue or stress fractures, and _______ fractures

(a)  

10.

A ______ fracture occurs in bones that already are weakened by disease or tumors

a)

stress

b)

fatigue

c)

sudden injury

d)

pathologic

11.

The signs and symptoms of a ________ include pain, tenderness at the site of bone disruption, swelling, loss of function, deformity of the affected part, and abnormal mobility

a)

contusion

b)

hematoma

c)

fracture

d)

sprain

12.

Osteonecrosis is a condition in which part of a bone dies because of the interruption of its blood supply. What is the most common cause of osteonecrosis other than fracture?

a)

vessel injury

b)

prior steroid therapy

c)

radiation therapy

d)

embolism

13.

Osteosarcoma is an aggressive malignancy of the bone. What is the primary clinical feature of osteosarcoma?

a)

pain, worse during the day

b)

erythema in the overlaying skin

c)

nighttime awaking

d)

soreness in nearest joint

14.

A client has developed osteomyelitis and asks the health care provider how the problem occurred. The best response would be:

a)

excessive vitamin intake

b)

deficiency of calcium

c)

direct contamination of an open wound

d)

rheumatoid disease

15.

A 6-year old child as developed idiopathic osteonecrosis disease from the proximal (capital) femoral epiphysis. The health care provider would recognize this as:

a)

blout disease

b)

sever disease

c)

legg-calve-perthes disease

d)

osgood-schlatter disease

16.

A 20 year old male athlete presents with a soft tissue contusion on the right ankle. The most appropriate information for the nurse to provide would be:

a)

"Surgery will be the expected treatment, and consent will need to be signed immediately."

b)

"Apply heat compresses for 15min to open up the venules of the soft tissue."

c)

"Keep the ankle elevated and apply ice for 15 min at a time for the first 24 hours."

d)

"Pain medications will be the only treatment method needed."

17.

The healthcare provider is caring for a client who has just been diagnosed with an osteosarcoma. Select the response that best describes the diagnosis.

a)

Aggressive; malignant bone tumor

b)

Slow-growing; malignant bone tumor

c)

Benign bone tumor

d)

The least common malignant bone tumor

18.

A patient tells the nurse she is very concerned because the health care provider informed her that her fractured arm is healing with malunion. The nurse recognizes this as:

a)

Failure of a fracture to unite within the normal period

b)

Failure to produce union and cessation of the processes of bone

c)

Healing with deformity, angulation, or rotation that is visible on X-ray films

d)

An expected outcome as the client is obese

19.

A 16 year old male football player suffered a fracture of his radius and ulna. Assessment of the fracture includes the following data: the fracture does not protrude through the skin, and both bones broke completely through into two pieces. Select the best description of the injury.

a)

Thromboemboli

b)

Closed comminuted fracture

c)

Open spiral fracture

d)

Closed greenstick fracture

20.

A young adult has been diagnosed with a tumor of the femur, and the health care provider suspects malignancy. Upon further assessment, the client states that he experiences bone pain, limitation of movement, and tenderness over the involved bone area. Select the most likely diagnosis.

a)

osteosarcoma

b)

osteonecrosis

c)

chondrosarcoma

d)

Ewing Sarcoma

21.

The health care provider is evaluating a client with a suspected benign bone tumor. The provider confirms the diagnosis after evaluation of the client's x-ray results. Select the best description of the results.

a)

A uniform and well-defined area with well-demarcated edges

b)

Abnormal bone merging with surrounding normal bone tissue

c)

An area of partially destroyed bone adjacent to completely normal areas

d)

A moth-eaten pattern of bone destruction

22.

The nurse is assessing a client who sustained a fractured radius. A cast was applied to the extremity approx. 1 hour ago, and the client is now complaining of increased pain and numbness to the finger tips. The client is most likely experiencing:

a)

Complex regional pain syndrome

b)

Compartment syndrome

c)

Thromboemboli

d)

Fractured blisters

23.

The nurse is providing discharge instructions to a client who experienced a ligamentous sprain. The nurse determines that teaching was effective when the client states:

a)

"Constant heat will improve circulation to the area and it will feel better"

b)

"I will return tomorrow for the extremity to be casted"

c)

"I should rest, apply ice, compression, and elevation to the extremity"

d)

"I have no limitations to my activity"