Instructions:

* Read the article on page 398.

* 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.

* Within 4-6 weeks after your CE enrollment form is received, you will be notified of your test results.

* 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 8 correct answers.

* Need CE STAT? Visit http://www.nursingcenter.com for immediate results, other CE activities, and your personalized CE planner tool.

* No Internet access? Call 800-787-8985 for other rush service options.

* Questions? Contact Lippincott Professional Development: 800-787-8985

Registration Deadline: December 3, 2021

Provider Accreditation:

Lippincott Professional Development (LPD) will award 0.5 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 0.5 contact hours. LWW is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.

Disclosure: The author 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:

* The registration fee for this test is $2.50 for NAON members and $5.00 for nonmembers.

* If you take two or more tests in any nursing journal published by LWW and send in your CE enrollment forms together, you may deduct $0.95 from the price of each test.

* 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 the diagnosis and management of post-traumatic arthritis of the shoulder.

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

1. Identify the incidence and etiology of and risk factors for post-traumatic osteoarthritis (OA).

2. Select the diagnosis and management of a patient with symptomatic, post-traumatic arthritis of the shoulder.

1. In what percentage of persons with symptomatic OA in the U.S. is the OA attributed to a post-traumatic etiology?

a. 5%

b. 12%

c. 23%

2. Although post-traumatic OA is associated most commonly with a fracture or impaction type injury, it may also be seen after a

a. nerve injury.

b. dislocation.

c. laceration over a joint.

3. As noted in the article, risk factors for OA include

a. poor nutrition.

b. osteoporosis.

c. age.

4. How long before the development of chronic pain did the patient in the case study sustain a shoulder fracture?

a. 2 months

b. 12 months

c. 5 years

5. What kind of posture did this patient have?

a. flat back

b. lordosis

c. shoulder slump

6. Positive findings related to this patient's shoulder included

a. crepitation.

b. swelling.

c. hand numbness.

7. What test was performed on this patient that had a negative result?

a. empty can

b. drop arm

c. lift-off

8. Radiographs of the patient's shoulder, obtained at the time of evaluation, included the

a. Grashey view.

b. Stryker notch view.

c. Garth view.

9. After evaluation by the orthopedic practitioner, which treatment option did this patient choose?

a. intraarticular steroid injection

b. moist heat

c. oxycodone

10. An additional treatment option provided for this patient was

a. referral to a shoulder surgeon for possible arthroplasty.

b. a transcutaneous electrical nerve stimulation (TENS) unit.

c. a home exercise program.

11. Which statement is true regarding post-traumatic arthritis?

a. Osteoarthritis can develop despite optimal surgical intervention and outcomes.

b. Several treatments are available to prevent OA after trauma.

c. Management of post-traumatic arthritis is different from management of primary symptomatic OA.