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pathology test ch 5

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ch 5 OA

Question 1 of 20

1

Osteomas, osteoid osteomas, and osteoblastomas are all examples of malignant bone tumors.

Select one of the following:

  • True
  • False

Explanation

Question 2 of 20

1

An example of a benign tumor of bone is a Ewing's sarcoma.

Select one of the following:

  • True
  • False

Explanation

Question 3 of 20

1

Gout is commonly classified as a type of crystal arthritis. Which of the following statements about gout is INCORRECT?

Select one of the following:

  • Skin lumps called tophi may occur close to joints, especially at the hands, elbow, and knee.

  • Most people with gout have a high level of uric acid in the blood.

  • Most cases of gout start in the metatarsophalangeal joint of the great toe.

  • All people with gout have high blood pressure and are obese.

Explanation

Question 4 of 20

1

The clinical picture of a person with spondylosis includes all of the following EXCEPT:

Select one of the following:

  • lipping of the vertebra bodies with reduced space between the vertebral bodies and osteophytes around the margin of the apophyseal joints of the spine may occur.

  • headaches, neck ache, and shoulder and arm pain may occur in people with cervical spondylosis.

  • altered sensation and paresthesia along the involved dermatome may occur.

  • pain is rarely a factor for people with spondylosis.

Explanation

Question 5 of 20

1

The clinical picture of osteoarthritis (OA) includes all the following EXCEPT:

Select one of the following:

  • stiffness of joints after inactivity that improves with movement.

  • morning stiffness that lasts several hours.

  • joint crepitus.

  • reduced range of motion.

Explanation

Question 6 of 20

1

Advice for a person with osteoarthoitis (OA) of the knee includes all of the following EXCEPT:

Select one of the following:

  • Avoid prolonged standing in one position.

  • If the knew swells, elevate the leg for 15 minutes, three times a day.

  • Use a cane to prevent a limp because a limp could place stress on other joints.

  • Avoid exercising every day, and do so every other day instead.

Explanation

Question 7 of 20

1

A disease resulting in inflammation of the none caused by an infection is:

Select one of the following:

  • osteoarthritis.

  • osteomalacia.

  • osteomyelitis.

  • tuberculosis.

Explanation

Question 8 of 20

1

Osteochondromas, also called exostoses, are the most common benign tumors of the bone in children and are usually located in the distal femur.

Select one of the following:

  • True
  • False

Explanation

Question 9 of 20

1

Several precautions exist for people who have a total hip arthroplasty. Which instruction should you AVOID giving to a patient after this surgery?

Select one of the following:

  • Do sit in a low, soft chair for comfort.

  • Do not cross the affected leg beyond midline.

  • Do not bend over to pick something up off the floor.

  • Do not flex the hip beyond 90 degrees.

Explanation

Question 10 of 20

1

Which of the following statements regarding spondylosis is INCORRECT?

Select one of the following:

  • Clinical symptioms may be absent.

  • It involves a defect in the pars interarticularis of the vertebrae of the lumbar spine.

  • It may be caused by repeated microtrauma to the pars interarticularis, which causes a stress fracture.

  • it usually occurs in the upper lumbar vertebrae.

Explanation

Question 11 of 20

1

Osteoporosis is a silent disease in the early stages and is the cause of fracture in approximately 1.5 million people per year. When working with a person who has osteoporosis, which of the following action is NOT appropriate?

Select one of the following:

  • Explaining that only women and men older than the age of 70 experience fractures from osteoporosis

  • Stressing that spinal flexion exercises are contraindicated for people with osteoporosis

  • Recommending the person stop smoking because smoking increases the risk of osteoporosis

  • Emphasizing that lumbar traction and spinal mobilizations are contraindicated for people with osteoporosis

Explanation

Question 12 of 20

1

People with human immunodeficiency virus (HIV) and autoimmune deficiency syndrome (AIDS) can develop arthritic symptoms.

Select one of the following:

  • True
  • False

Explanation

Question 13 of 20

1

Lyme disease is caused by the spirochete Borrelia burgdorferi and is transmitted to humans by two types of deer tick. Which of the following statements regarding Lyme disease is FALSE?

Select one of the following:

  • Initial characteristics of the disease may include flu-like symptoms with fever, chills, remains untreated or undiagnosed.

  • A skin rash, known as a "bull's-eye rash, " may appear.

  • The long-term effects of Lyme disease may include a form of arthritis if the disease remains untreated or undiagnosed.

  • The disease is treated with a short-term course of antibiotics/antimicrobial.

Explanation

Question 14 of 20

1

Heberden's nodes and Bouchard's nodes are characteristic of:

Select one of the following:

  • gout.

  • osteoarthrosis (OA)

  • Lyme disease.

  • ankylosing spondylitis.

Explanation

Question 15 of 20

1

Unicondylar knee resurfacing is a surgery in which one side of the internal surface of the knee is replaced and is an alternative to total knee arthroplasty.

Select one of the following:

  • True
  • False

Explanation

Question 16 of 20

1

Which of the following signs and symptoms is NOT indicative of osteoarthrosis?

Select one of the following:

  • Osteophytes

  • Swan-neck deformity of the fingers

  • Eburnation of bone ends

  • Cartilages fibrillation

Explanation

Question 17 of 20

1

A deformity of the knees in which the knees become "knocked-kneed" is called:

Select one of the following:

  • equino varus.

  • equino valgus.

  • genu varus.

  • genu valgus.

Explanation

Question 18 of 20

1

Tuberculosis (TB) is usually thought of as a disease affecting the lungs. However, people with severe TB can experience joint problems similar to those who have arthritis. Which of the following statements concerning TB is FALSE?

Select one of the following:

  • Infection with Mycobacterium tuberculosis is spread to the bones via the vascular system or from adjacent lymph nodes.

  • The bony areas most affected by TB are the spine and the long bones, particularly at the knew and hip.

  • Pott's disease is another name for TB that affects the internal organs other than the lungs.

  • People with TB of the bone may require surgery for the joints.

Explanation

Question 19 of 20

1

Developmental dysplasia of the hip (DDH), also known as congenital dislocation of the hip (CDH), is a genetic condition in which the head of the femur dislocates from the acetabulum of the pelvis. All of the following statements are true EXCEPT:

Select one of the following:

  • The key to a good outcome with DDH is early diagnosis and intervention.

  • The usual treatment for infants with DDH is a double hip spica cast or splint for several months with the hips maintained in an abducted position.

  • If DDH is not diagnosed, shortening of the affected leg may occur as a result of hip dislocation and the gait pattern will be affected .

  • DDH is more prevalent in males than females.

Explanation

Question 20 of 20

1

Which of the following interventions is MOST appropriate for a person with hemophilic arthritis of the knee?

Select one of the following:

  • High-impact aerobic exercises to improve general cardiac fitness

  • A running program to increase aerobic activity

  • An exercise program using high weights and low repetitions for quadriceps and hamstrings

  • A walking program to increase aerobic activity and improve muscle edurance

Explanation

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