Chapter 13 Nontraumatic Musculoskeletal Disorders

Chapter 13 Nontraumatic Musculoskeletal Disorders 1) A common complaint from patients who are immobile is: A) decubitus ulcers B) cellulitis C) gangrene D) fasciitis Answer: A Diff: 2 Page Ref: 497 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 2) In which of the following patients should you suspect pathological fractures? A) A young boy who fell off his bicycle, landing after hitting the curb B) A little girl who broke her arm from pulling her shirt over her head C) An older man who was struck by a car while crossing the street D) A woman who tripped and fell down a stairwell Answer: B Diff: 3 Page Ref: 498 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 217 3) You are called for a 48-year-old male who is complaining of back and leg pain. Your assessment shows that he has pain and tenderness in his lower back with tingling through his left buttock and down his left leg. He tells you that he has been moving furniture. You should suspect: A) decubitus. B) kyphosis. C) sciatica. D) osteoarthritis. Answer: C Diff: 2 Page Ref: 491 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 4) All of the following would be appropriate care for a patient with nontraumatic back pain EXCEPT: A) administration of analgesia prior to moving the patient. B) application of an ice pack to the affected area. C) spinal immobilization with careful padding of voids. D) administration of anti-inflammatory medications. Answer: C Diff: 2 Page Ref: 491 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 5, 6 5) Inflammation of the skin, including the dermis and subcutaneous layers, usually caused by bacterial infection would be identified as: A) an abscess. B) cellulitis. C) necrotizing fasciitis. D) rhabdomyolysis. Answer: B Diff: 1 Page Ref: 496 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 6) Your 56-year-old female patient is complaining of chronic fatigue, muscle stiffness, and tender areas on each elbow. Based on your assessment and the patient's history, you should suspect: A) reflex sympathetic dystrophy. B) osteoporosis. C) osteoarthritis. D) fibromyalgia. Answer: D Diff: 2 Page Ref: 499 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4, 5 218 7) The current treatment for fibromyalgia is: A) exercise and stress management. B) allopurinol. C) sulfonamide antibiotics. D) anti-inflammatory drugs. Answer: A Diff: 1 Page Ref: 499 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4 8) A patient with a soft tissue infection can develop gangrene. Which of the following complications of infection can lead to gangrene? A) Decubitus ulcers B) Necrotizing fasciitis C) Interrupted blood supply D) Metabolic acidosis Answer: C Diff: 1 Page Ref: 496-497 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4 9) Your patient is complaining about severe pain from a minor scratch on his arm. His medical history includes type II diabetes and hypertension. He is agonizing over the pain in his arm. You should suspect: A) gangrene. B) necrotizing fasciitis. C) infectious cellulitis. D) ankylosing spondylosis. Answer: B Diff: 2 Page Ref: 496 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 10) A patient has an advanced infection in his foot. There is discoloration of the skin, foul smelling discharge and loss of sensation. These signs are typically seen in: A) ankylosing spondylosis. B) cellulitis. C) necrotizing fasciitis. D) gangrene. Answer: D Diff: 1 Page Ref: 496-497 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4, 5 219 11) A degenerative joint disease in which the articular cartilage is damaged and breaks down is known as: A) osteoarthritis. B) osteoporosis. C) septic arthritis. D) bursitis. Answer: A Diff: 1 Page Ref: 493 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 12) Which of the following is a form of arthritis that occurs from uric acid crystals being deposited in a joint? A) Bursitis B) Gout C) Osteopenia D) Rickets Answer: B Diff: 1 Page Ref: 495-496 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 13) Gangrene, so called because the infected area oozes foul-smelling liquid, occurs as a result of: A) Group A hemolytic streptococci. B) pressure ischemia. C) Stevens-Johnson syndrome. D) an untreated infection. Answer: D Diff: 1 Page Ref: 496 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 14) The form of arthritis that causes the bones that form the joints to become fused is: A) osteoarthritis. B) ankylosing spondylitis. C) osteopenia. D) septic arthritis. Answer: B Diff: 1 Page Ref: 494 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 220 15) Which of the following is NOT a repetitive motion injury? A) Tennis elbow B) Tenosynovitis C) Carpal tunnel syndrome D) Osteoarthritis Answer: D Diff: 2 Page Ref: 491-493 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4 16) The most common form of bone disease is: A) osteoporosis. B) osteomyelitis. C) rheumatoid arthritis. D) osteoarthritis. Answer: A Diff: 1 Page Ref: 493 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 17) This is a chronic disease that leads to inflammation and injury to the joints and the surrounding tissues. It is also considered an autoimmune disease. A) Septic arthritis B) Degenerative joint disease C) Rheumatoid arthritis D) Ankylosing spondylitis Answer: C Diff: 1 Page Ref: 494 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 18) What is referred to as an infection of the bone, most commonly caused by a bacterial infection? A) Osteomyelitis B) Gout C) Septic arthritis D) Neoplastic infection Answer: A Diff: 1 Page Ref: 497 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 221 19) Osgood-Schlatter disease is a painful swelling of the ________, seen primarily in children. A) medial humeral epicondyle B) femoral synovial bursae C) anterior tibial tubercle D) carpal tunnel sheath Answer: C Diff: 2 Page Ref: 499 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 20) All of the following are malignant bone tumors EXCEPT: A) chondrosarcoma. B) osteosarcoma. C) rhabdomyosarcoma. D) fibrosarcoma. Answer: C Diff: 2 Page Ref: 498 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 1, 4 21) The knee is classified as a ________ joint. A) saddle B) gliding C) hinge D) ellipsoidal Answer: C Diff: 1 Page Ref: 487 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 2 22) Another name for tennis elbow is: A) tenosynovitis. B) medial epicondylitis. C) bursitis. D) lateral epicondylitis. Answer: D Diff: 2 Page Ref: 492 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4 222 23) The human skeleton consists of approximately how many bones? A) 210 B) 200 C) 202 D) 206 Answer: D Diff: 1 Page Ref: 487 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 2 24) The strongest and most rigid cartilage in the body is: A) elastic cartilage. B) hyaline cartilage. C) fibrocartilage. D) All cartilage is equally rigid. Answer: C Diff: 1 Page Ref: 488 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 2 25) There are approximately how many skeletal muscles in the human body? A) 420 B) 400 C) 606 D) 700 Answer: D Diff: 1 Page Ref: 490 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 2 26) You are called for an ill person. Upon your arrival, the patient is complaining of numbness to the perineum and back pain, and has evidence of urinary incontinence. You suspect: A) urinary tract infection. B) lumbago. C) systemic lupus erythematosus. D) cauda equina syndrome. Answer: D Diff: 2 Page Ref: 491 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 223 27) You are evaluating a patient complaining of severe pain in the elbow after a game of tennis. You suspect: A) epicondylitis. B) tenosynovitis. C) bursitis. D) tendonitis. Answer: A Diff: 2 Page Ref: 492 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 28) You are questioning a patient about her pain when the patient jokingly says, "I used to be three inches taller." You suspect what underlying disease? A) Lupus erythematosus B) DDD C) Osteoporosis D) Cushing's syndrome Answer: C Diff: 2 Page Ref: 493 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 3, 4 29) Your patient is complaining of a low-grade fever and increasing joint pain and swelling, but has normal lymph nodes. You suspect which of the following? A) DDD B) Osteoporosis C) Rheumatoid arthritis D) Lupus erythematosus Answer: C Diff: 2 Page Ref: 494 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 30) You are evaluating a patient with swollen lymph nodes, fever, swelling, and painful joints. You suspect which of the following? A) DDD B) Osteoporosis C) Rheumatoid arthritis D) Systemic lupus erythematosus Answer: D Diff: 2 Page Ref: 495 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 224 31) You are evaluating a patient complaining of swollen and exudative legs. The patient has a history of diabetes mellitus. You suspect which of the following? A) Lupus erythematosus B) Rheumatoid arthritis C) Fasciitis D) Cellulitis Answer: D Diff: 2 Page Ref: 496 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 4, 5 32) A patient presents with a history of an infected pustule. The patient states that he has been self-treating with homeopathic remedies. He called today because he noticed that the tissue has become black and blue. You suspect: A) contusion. B) gangrene. C) tenosynovitis. D) osteomyelitis. Answer: B Diff: 2 Page Ref: 496 Standard: Medicine (Nontraumatic Musculoskeletal Disorders) Objective: 5 225