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Instructions:

  

* Read the article on page 255.

 

* Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.

 

* Complete registration information (Section A) and course evaluation (Section C).

 

* Mail completed test with registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg., 4 Suite 206, Brick, NJ 08723.

 

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* If you pass, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.

 

* A passing score for this test is 10 correct answers.

 

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Registration Deadline: June 5, 2020

 

Provider Accreditation:

 

Lippincott Professional Development (LPD) will award 1.0 contact hours for this continuing nursing education activity.

 

LPD is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

 

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hours. LWW is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.

 

Disclosure: The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

 

This article has been approved by the Orthopaedic Nurses Certification Board for Category A credit toward recertification as an ONC.

 

Payment and Discounts:

  

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* We offer special discounts. Send in 6 tests together and the least expensive one is free; send in 12 tests and the 2 least expensive ones are free, etc. We also offer institutional bulk discounts for multiple tests. Call 800-787-8985 for more information.

 

CE TEST QUESTIONS

GENERAL PURPOSE: To provide information on meniscus tears in the knee.

 

LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:

  

1. Outline the anatomy of the knee as well as the mechanism of injury and treatment of meniscus tears in the knee.

 

2. Select appropriate treatment choices for a patient with a meniscus tear.

 

 

1. The menisci of the knee are

 

a. ligaments.

 

b. tendons.

 

c. fibrocartilage.

 

2. The most common mechanism for acute tears in the knee menisci is a forceful

 

a. twisting motion.

 

b. flexion motion.

 

c. extension motion.

 

3. The patient in the case presented in this article complained of increased pain with

 

a. rest.

 

b. weight bearing.

 

c. passive motion.

 

4. This patient ambulated with a(n)

 

a. antalgic gait.

 

b. circumduction gait.

 

c. waddling gait.

 

5. Which of the following was a positive finding in this patient?

 

a. deformity

 

b. effusion

 

c. discoloration

 

6. Testing of the affected and unaffected knees revealed

 

a. limited range of motion of the affected knee.

 

b. instability with ligamentous testing of the affected knee.

 

c. equal strength in both knees.

 

7. This patient had a positive

 

a. Thessaly sign.

 

b. Buchberger test.

 

c. Craig's sign.

 

8. Conservative measures prescribed for this patient included the use of a

 

a. knee immobilizer.

 

b. hinged knee brace.

 

c. knee sleeve.

 

9. As noted in the article, for patients with osteoarthritis (OA) of the knee with meniscal injury, several studies have reported the benefits of physical therapy in restoring functional gait with outcomes similar or superior to those following

 

a. intraarticular steroid injection.

 

b. total knee replacement.

 

c. meniscectomy.

 

10. In addition to exercise, what treatment ultimately led to this patient's return to normal activities of daily living without continued knee symptoms?

 

a. intraarticular steroid injection

 

b. low level laser therapy

 

c. meniscectomy

 

11. Practitioners should have a high degree of suspicion for meniscus pathology if the patient reports a typical mechanism of injury and

 

a. a significant hematoma over the painful area.

 

b. catching or locking of the knee.

 

c. paresthesia in the lower leg or foot.

 

12. The diagnosis of meniscus tear should be confirmed with

 

a. magnetic resonance imaging.

 

b. ultrasound.

 

c. positron emission tomography.

 

13. In deciding on a course of treatment, the author recommends that the advance practice provider take into account all of the followingexcept

 

a. the patient's age.

 

b. current medications.

 

c. associated mechanical symptoms.

 

14. Patients with meniscus tears should be referred to an orthopedic sports medicine surgeon if their symptoms persist beyond a minimum of

 

a. 3-4 weeks.

 

b. 6-8 weeks.

 

c. 10-12 weeks.