John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain.The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?
a) Valgus stress test
b) McMurray circumduction test
c) Lachman test
d) Varus stress test
The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort.Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs?
a) “You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.”
b) “You should start with the lowest dose that is effective in managing your pain to avoid developing tolerance to the medication.”
c) “You should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain.”
d) “It is important to take NSAIDs on an empty stomach in order to increase absorption.”
The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the examination and Diane’s description of her injury. Which of the following clues in Diane’s examination or history would alert the clinician to the need for obtaining radiographs?
a) Inability to bear weight immediately after the injury
b) Development of marked ankle swelling and discoloration after the injury
c) Crepitation with palpation or movement of the ankle
d) All of the above
The clinician finds numerous nodules on the thyroid of a 65-year-old woman. The clinician suspects thyroid cancer. Which of the following data would be most significant for this patient?
a) A history of tonsillectomy in the 1940s
b) Recent exposure to mumps
c) Vegetarian diet
d) Allergy to iodine