An 11-year-old patient complains of pain after pitching during a baseball game. On examination, the NP notes increased pain in the right elbow with wrist flexion against resistance. This finding is most consistent with:
lateral epicondylitis.
medial epicondylitis.
ulnar collateral ligament injury.
arthritis in the elbow.
The Correct Answer is B
Rationale:
A. Lateral epicondylitis, or “tennis elbow,” causes pain on the lateral (outside) aspect of the elbow, typically worsened with wrist extension against resistance.
B. Medial epicondylitis, or “little league elbow,” causes pain on the medial (inside) aspect of the elbow, which is aggravated by wrist flexion against resistance. This is common in young athletes who perform repetitive throwing motions, such as baseball pitchers.
C. Ulnar collateral ligament injury involves instability of the elbow and pain with valgus stress, rather than isolated pain with wrist flexion.
D. Arthritis in the elbow is uncommon in an 11-year-old and typically presents with chronic pain, swelling, and decreased range of motion, not acute pain following pitching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Limiting fats is inappropriate for children with cystic fibrosis (CF) because they require a high-calorie, high-fat diet to maintain growth due to malabsorption.
B. Increasing calories by 50% is appropriate, but limiting salt is not recommended; children with CF often require extra salt due to excessive losses in sweat.
C. While vitamins are important, CF patients require fat-soluble vitamins (A, D, E, K) rather than B complex and C specifically.
D. Adding pancreatic enzymes four to five times a day is essential for children with CF who have pancreatic insufficiency. These enzymes aid in digestion and absorption of nutrients, improving growth and nutritional status.
Correct Answer is C
Explanation
Rationale:
A. Giardia infections can persist or recur; monitoring is recommended even if symptoms improve.
B. 7–14 days may be too soon for reliable detection of persistent infection, as cysts may not yet be shed consistently.
C. A follow-up stool specimen 3 to 4 weeks after treatment ensures eradication of Giardia lamblia and confirms that the infection has resolved, especially since cyst shedding may be intermittent.
D. Testing immediately upon completion of metronidazole may yield false-negative results due to intermittent cyst shedding; waiting a few weeks provides a more accurate assessment.
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