Instructions:

* Read the article on page 353.

* 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 7 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: September 2, 2022

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 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 $5.00 for NAON members and $10.00 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 about Geyser phenomenon of the shoulder, using a case study to illustrate.

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

1. Identify the components of Geyser phenomenon of the shoulder and its clinical presentation.

2. Explain the diagnosis and treatment of this rare condition.

1. Cysts of the acromioclavicular (AC) joint associated with chronic rotator cuff pathology are classified as

a. Type 1.

b. Type 2.

c. atypical ganglion cysts.

2. Which of the following accurately describes Geyser phenomenon or Geyser sign?

a. Imaging reveals fluid erupting through the AC joint.

b. It always presents as shoulder pain, with or without a palpable mass.

c. It involves a Type 1 cyst of the AC joint.

3. The primary complaint of the patient in the case study was

a. chronic shoulder pain.

b. limited range of motion.

c. a shoulder "lump."

4. Narrowing of the acromiohumeral interval on imaging is primarily indicative of

a. a labral tear.

b. Geyser phenomenon.

c. chronic rotator cuff pathology.

5. The preferred primary diagnostic imaging tool in the evaluation of soft tissue masses is

a. magnetic resonance imaging.

b. sonography.

c. computed tomography scan.

6. The use of contrast in evaluation of a soft tissue mass of the shoulder is most valuable for determining

a. exact size and location.

b. malignancy.

c. resectability.

7. A finding of rounded lesion with only rim enhancement is consistent with a

a. solid mass.

b. cyst.

c. malignant tumor.

8. The constellation of findings known as Geyser phenomenon includes all of the followingexcept

a. subscapular bursitis.

b. chronic labral tearing.

c. glenohumeral joint degeneration.

9. Evidence-based treatment to address Geyser phenomenon includes

a. excision of the cyst with delayed joint repair.

b. surgical treatment of underlying pathology at the time of cyst excision.

c. treating the patient symptomatically, starting with physical therapy.

10. In the instance where a solid tumor is found on imaging without contrast, the next intervention should be

a. excision of the tumor.

b. fine needle aspiration biopsy.

c. referral to an orthopedic oncologist.