Exam 25: Diseases of the Musculoskeletal System

Inadequate intake of _____ during growth years will result in sub-optimal development of peak bone mass and an increased risk of osteoporosis

Which of the following is a chronic inflammatory disease in which the synovial membrane of the joints becomes inflamed?

Which of the following individuals is most likely to have a low BMD?

The lower the BMD, the greater the risk that the person will:

Which joint is the most commonly affected by gout?

Which of the following diseases occurs when the serum concentration of uric acid becomes elevated and crystals form within the synovial fluid?

Case Study You have a 35 yo F client who comes to see you for outpatient nutritional counseling for osteoporosis.Your client has a history of anorexia nervosa and reports low physical activity.She has recently finished treatment for her anorexia and does not take any medications other than iron for anemia due to her history. HT: 5'4       WT: 115# Diet Hx:

B 1 cup plain oatmeal	D 1 boneless, skinless chicken breast
1 cup orange juice	1 cup brown rice
	¼ cup soybeans
L 2 slices baked ham
1 slice Swiss cheese	S 1 cup low-fat chocolate milk
2 slices whole-wheat bread
Lettuce and tomato
1 tsp fat-free mayo

-Which food in this client's diet history provides the least calcium?

KL is a 70 yo African American F living in a long-term care facility in upstate New York.She has a history of RA, which was well controlled until recently.She reports taking calcium supplements.She presents to the hospital with a hip fracture following a fall. -The above medication may also cause _____, which may require nutrition intervention

When blood calcium concentration is high the _____ secretes _____ in order to normalize blood calcium levels

_____ is characterized by abnormal bone remodeling that is localized, progressive, and often crippling, and that results from overactive osteoclasts

KL is a 70 yo African American F living in a long-term care facility in upstate New York.She has a history of RA, which was well controlled until recently.She reports taking calcium supplements.She presents to the hospital with a hip fracture following a fall. -Which of the following is the likely cause of her fracture?

KL is a 70 yo African American F living in a long-term care facility in upstate New York.She has a history of RA, which was well controlled until recently.She reports taking calcium supplements.She presents to the hospital with a hip fracture following a fall. -Which dietary supplement will the registered dietitian recommend in order to reduce inflammation?

Although the etiology of fibromyalgia is unknown, it has often been associated with _____

KL is a 70 yo African American F living in a long-term care facility in upstate New York.She has a history of RA, which was well controlled until recently.She reports taking calcium supplements.She presents to the hospital with a hip fracture following a fall. -All of the following laboratory tests will help the physician to determine if KL has secondary osteoporosis except:

You have a patient who just gave birth and she wants to exclusively breast feed the infant What recommendation should you give?

KL is a 70 yo African American F living in a long-term care facility in upstate New York.She has a history of RA, which was well controlled until recently.She reports taking calcium supplements.She presents to the hospital with a hip fracture following a fall. -The registered dietitian discusses some additional research that may have potential in reducing symptoms of RA Which of the following might she suggest that KL remove from her diet?

You have a patient with a T-score of -27; therefore, you can diagnose him/her with:

Case Study You have a 35 yo F client who comes to see you for outpatient nutritional counseling for osteoporosis.Your client has a history of anorexia nervosa and reports low physical activity.She has recently finished treatment for her anorexia and does not take any medications other than iron for anemia due to her history. HT: 5'4       WT: 115# Diet Hx:

B 1 cup plain oatmeal	D 1 boneless, skinless chicken breast
1 cup orange juice	1 cup brown rice
	¼ cup soybeans
L 2 slices baked ham
1 slice Swiss cheese	S 1 cup low-fat chocolate milk
2 slices whole-wheat bread
Lettuce and tomato
1 tsp fat-free mayo

-Which of the following risk factors for osteoporosis does your client not present with?

Case Study You have a 35 yo F client who comes to see you for outpatient nutritional counseling for osteoporosis.Your client has a history of anorexia nervosa and reports low physical activity.She has recently finished treatment for her anorexia and does not take any medications other than iron for anemia due to her history. HT: 5'4       WT: 115# Diet Hx:

B 1 cup plain oatmeal	D 1 boneless, skinless chicken breast
1 cup orange juice	1 cup brown rice
	¼ cup soybeans
L 2 slices baked ham
1 slice Swiss cheese	S 1 cup low-fat chocolate milk
2 slices whole-wheat bread
Lettuce and tomato
1 tsp fat-free mayo

-Which of the following will affect her calcium intake?