Exam 25: Diseases of the Musculoskeletal System

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Vitamin D increases blood concentrations of calcium and phosphorus by doing all of the following except:

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The active form of vitamin D is:

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Which of the following fatty acids can contribute to the alleviation of inflammation in somebody with rheumatoid arthritis?

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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  
-The registered dietitian recommends that she take calcium supplements Which of the following is true?

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Calcium carbonate supplementation can interfere with the absorption of:

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You have recently diagnosed a male with osteoporosis In addition to supplementation with calcium and vitamin D, what other pharmacological treatment should you recommend?

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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 most calcium?

(Multiple Choice)
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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 medications used to treat RA may increase KL's risk for fractures?

(Multiple Choice)
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Cigarette smokers are more likely to have an increased risk of poor bone health for all of the following reasons except:

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You have a patient who reports the feeling of tetany occurring in both the hands and feet What is the likely cause of these symptoms?

(Multiple Choice)
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You have just diagnosed an individual with gout; you tell this patient that she/he should avoid purine-rich foods Therefore, you recommend an avoidance of all of the following except _____

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When blood calcium concentration is low the _____ releases _____ in order to raise blood calcium levels

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Treatment of gout includes all of the following except:

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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  
-How much supplemental calcium will the registered dietitian recommend for her?

(Multiple Choice)
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You have a recently diagnosed renal patient Because of this disease and the altered function of the kidneys, which of the following micronutrients must he/she supplement with?

(Multiple Choice)
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Which of the following diseases is characterized by inadequate mineralization of the organic matrix within the bones of children?

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You have recently diagnosed a lactose intolerant elderly patient with osteoporosis What should you recommend as part of this patient's treatment?

(Multiple Choice)
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Which of the following is a chronic musculoskeletal disorder characterized by widespread muscle pain, joint stiffness, cognitive problems, and tender points?

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