Question 1

A patient is diagnosed with osteomyelitis after a total knee replacement.What is the intervention of choice for this particular patient?

Accepted Answer

A)  aggressive physical therapy 
B)  ambulation intervention only 
C)  surgical intervention 
D)  intravenous (IV) and high dose antibiotic therapy 
A)  aggressive physical therapy 
B)  ambulation intervention only 
C)  surgical intervention 
D)  intravenous (IV) and high dose antibiotic therapy D

Question 2

What is the primary cause of prosthetic joint failure?

Accepted Answer

A)  infection 
B)  poor surgical techniques 
C)  poor adherence to home exercise program 
D)  poor physical therapy in the acute setting 
A)  infection 
B)  poor surgical techniques 
C)  poor adherence to home exercise program 
D)  poor physical therapy in the acute setting A

Question 3

Which of the following tests is the most accurate in detecting early osteomyelitis?

Accepted Answer

A)  x-ray 
B)  magnetic resonance imaging (MRI) 
C)  blood test for white blood count 
D)  culture of the suspected aspirate 
A)  x-ray 
B)  magnetic resonance imaging (MRI) 
C)  blood test for white blood count 
D)  culture of the suspected aspirate B

Question 4

Which of the following is considered a viral cause of septic arthritis?

Accepted Answer

A)  tuberculosis 
B)  rubella 
C)  Reiter syndrome 
D)  lyme disease 
A)  tuberculosis 
B)  rubella 
C)  Reiter syndrome 
D)  lyme disease

Question 5

How does back pain associated with osteomyelitis react with patient activity?

Accepted Answer

A)  Back pain would diminish with activity. 
B)  Back pain would not be present in a radicular distribution. 
C)  Back pain would be intermittent only. 
D)  Back pain would commonly be accompanied by spinal tenderness. 
A)  Back pain would diminish with activity. 
B)  Back pain would not be present in a radicular distribution. 
C)  Back pain would be intermittent only. 
D)  Back pain would commonly be accompanied by spinal tenderness.

Question 6

What invasive test is essential to confirm the presence of extrapulmonary TB in the spine?

Accepted Answer

A)  fine-needle aspiration with culture 
B)  plain film radiography 
C)  MRI 
D)  computed tomography (CT) 
A)  fine-needle aspiration with culture 
B)  plain film radiography 
C)  MRI 
D)  computed tomography (CT)

Question 7

Which of the following is indicative of mechanical loosening of a prosthetic joint?

Accepted Answer

A)  a wound over the surgical incision with drainage 
B)  constant joint pain 
C)  x-ray of the proximal component of the total joint with pathology 
D)  complaints of pain accompanied by fever 
A)  a wound over the surgical incision with drainage 
B)  constant joint pain 
C)  x-ray of the proximal component of the total joint with pathology 
D)  complaints of pain accompanied by fever

Question 8

What is a common initial site of bacterial seeding in a bone?

Accepted Answer

A)  epiphyseal growth plate 
B)  cortical bone 
C)  vascular loop 
D)  hematopoietic marrow 
A)  epiphyseal growth plate 
B)  cortical bone 
C)  vascular loop 
D)  hematopoietic marrow

Question 9

What factor(s)increase the likelihood of infection in a prosthetic implanted joint?

Accepted Answer

A)  prior surgery at the site of prosthesis 
B)  recent myocardial infarction 
C)  rheumatoid arthritis 
D)  corticosteroid therapy 
A)  prior surgery at the site of prosthesis 
B)  recent myocardial infarction 
C)  rheumatoid arthritis 
D)  corticosteroid therapy

Question 10

A child presents to the physician with complaints of low back pain.The physician suspects either vertebral osteomyelitis or diskitis.What test is essential for this differential diagnosis?

Accepted Answer

A)  plain film radiography 
B)  bone scans 
C)  MRI 
D)  cultures of blood and disk tissue 
A)  plain film radiography 
B)  bone scans 
C)  MRI 
D)  cultures of blood and disk tissue

Question 11

A patient is referred to physical therapy secondary to a diagnosis of infectious septic knee arthritis.What is the treatment of choice early in this patient's rehabilitation?

Accepted Answer

A)  weight-bearing exercises 
B)  aggressive range of motion 
C)  splinting and simple range motion 
D)  isokinetic exercise 
A)  weight-bearing exercises 
B)  aggressive range of motion 
C)  splinting and simple range motion 
D)  isokinetic exercise

Question 12

Which of the following patient populations require a singledose prophylactic antibiotic before a dental procedure?

Accepted Answer

A)  patients with diabetes mellitus 
B)  patients with sickle cell disease 
C)  patients with hemophilia 
D)  patients who have undergone joint replacement within the last 2 years 
A)  patients with diabetes mellitus 
B)  patients with sickle cell disease 
C)  patients with hemophilia 
D)  patients who have undergone joint replacement within the last 2 years

Question 13

Which of the following patient populations is most likely to develop osteomyelitis?

Accepted Answer

A)  children 
B)  older adults 
C)  intravenous drug abusers 
D)  people diagnosed with congestive heart failure 
A)  children 
B)  older adults 
C)  intravenous drug abusers 
D)  people diagnosed with congestive heart failure

Question 14

A patient has recently undergone surgery for an infection of the bursae in the hand.What is the appropriate course of rehabilitation for this patient?

Accepted Answer

A)  splinting and gentle passive range of motion 
B)  early active range of motion exercise 
C)  therapy should be delayed for 2 weeks after surgery 
D)  ultrasound over the surgical site 
A)  splinting and gentle passive range of motion 
B)  early active range of motion exercise 
C)  therapy should be delayed for 2 weeks after surgery 
D)  ultrasound over the surgical site

Question 15

Which of the following conditions could lead to hematogenous osteomyelitis?

Accepted Answer

A)  puncture wound to a bone 
B)  spread of organisms from preexisting infections 
C)  infection extended from an overlying burn 
D)  open fracture 
A)  puncture wound to a bone 
B)  spread of organisms from preexisting infections 
C)  infection extended from an overlying burn 
D)  open fracture

Question 16

What is the first step in preventing infections in an implanted prosthesis?

Accepted Answer

A)  preoperative antibiotics 
B)  use of laminar flow in the operating room 
C)  proper hand washing 
D)  improved surgical technique 
A)  preoperative antibiotics 
B)  use of laminar flow in the operating room 
C)  proper hand washing 
D)  improved surgical technique

Question 17

A patient with recent total knee replacement is considered to have osteomyelitis if aspirate shows a white blood cell count of more than _____.

Accepted Answer

A)  500 WBC/mL 
B)  1000 WBC/mL 
C)  1500 WBC/mL 
D)  2500 WBC/mL 
A)  500 WBC/mL 
B)  1000 WBC/mL 
C)  1500 WBC/mL 
D)  2500 WBC/mL

Question 18

Which of the following is not considered a route of hematogenous spread of infection to an implanted prosthetic joint?

Accepted Answer

A)  from dental infections 
B)  from contaminated implant material 
C)  from the respiratory tract 
D)  from the urinary tract 
A)  from dental infections 
B)  from contaminated implant material 
C)  from the respiratory tract 
D)  from the urinary tract

Question 19

A purple skin rash and eyelid edema are often associated with what type of myositis?

Accepted Answer

A)  rhabdomyolysis 
B)  dermatomyositis 
C)  polymyositis 
D)  inclusion body myositis 
A)  rhabdomyolysis 
B)  dermatomyositis 
C)  polymyositis 
D)  inclusion body myositis

Question 20

Why does osteomyelitis in the adult population lead to pathologic fracture?

Accepted Answer

A)  The epiphyseal growth plate is usually involved. 
B)  The periosteum is loosely attached to bone and moves away easily. 
C)  Osteomyelitis is rare in adults. 
D)  Infection disrupts and weakens the cortex inside the bone without pain. 
A)  The epiphyseal growth plate is usually involved. 
B)  The periosteum is loosely attached to bone and moves away easily. 
C)  Osteomyelitis is rare in adults. 
D)  Infection disrupts and weakens the cortex inside the bone without pain.

Exam 15: Infectious Diseases of the Musculoskeletal System

A patient is diagnosed with osteomyelitis after a total knee replacement.What is the intervention of choice for this particular patient?

What is the primary cause of prosthetic joint failure?

Which of the following tests is the most accurate in detecting early osteomyelitis?

Which of the following is considered a viral cause of septic arthritis?

How does back pain associated with osteomyelitis react with patient activity?

What invasive test is essential to confirm the presence of extrapulmonary TB in the spine?

Which of the following is indicative of mechanical loosening of a prosthetic joint?

What is a common initial site of bacterial seeding in a bone?

What factor(s)increase the likelihood of infection in a prosthetic implanted joint?

A child presents to the physician with complaints of low back pain.The physician suspects either vertebral osteomyelitis or diskitis.What test is essential for this differential diagnosis?

A patient is referred to physical therapy secondary to a diagnosis of infectious septic knee arthritis.What is the treatment of choice early in this patient's rehabilitation?

Which of the following patient populations require a singledose prophylactic antibiotic before a dental procedure?

Which of the following patient populations is most likely to develop osteomyelitis?

A patient has recently undergone surgery for an infection of the bursae in the hand.What is the appropriate course of rehabilitation for this patient?

Which of the following conditions could lead to hematogenous osteomyelitis?

What is the first step in preventing infections in an implanted prosthesis?

A patient with recent total knee replacement is considered to have osteomyelitis if aspirate shows a white blood cell count of more than _____.

Which of the following is not considered a route of hematogenous spread of infection to an implanted prosthetic joint?

A purple skin rash and eyelid edema are often associated with what type of myositis?

Why does osteomyelitis in the adult population lead to pathologic fracture?

Introduction to Concepts of Pathology

Problems Affecting Multiple Systems

Injury, Inflammation, and Healing

The Immune System

Infectious Disease

Oncology

The Integumentary System

The Endocrine and Metabolic Systems

The Cardiovascular System

The Hematologic System

The Respiratory System

The Hepatic, Pancreatic, and Biliary Systems

Introduction to Pathology of the Musculoskeletal System

Genetic and Developmental Disorders

Musculoskeletal Neoplasms

Bone, Joint, and Soft Tissue Diseases and Disorders

Introduction to Central Nervous System Disorders

Infectious Disorders of the Central Nervous System

Degenerative Diseases of the Central Nervous System

Stroke

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Cerebral Palsy

The Peripheral Nervous System

Behavioral, Social, and Environmental Factors Contributing to Disease and Dysfunction

The Psychosocial-Spiritual Impact on Health Care

Environmental and Occupational Medicine

The Gastrointestinal System

The Renal and Urologic Systems

Central Nervous System Neoplasms

Epilepsy

Headache

The Male Genital or Reproductive System

The Female Genital or Reproductive System

Vestibular Disorders

Laboratory Tests and Values

Filters