Question 1

In contrast to osteoarthritis,rheumatoid arthritis may be associated with

Accepted Answer

A)  debilitating joint pain and stiffness. 
B)  improvement in symptoms with aspirin therapy. 
C)  changes in activities of daily living. 
D)  systemic aching in the musculoskeletal system. 
A)  debilitating joint pain and stiffness. 
B)  improvement in symptoms with aspirin therapy. 
C)  changes in activities of daily living. 
D)  systemic aching in the musculoskeletal system.

Question 2

A clinical finding consistent with a diagnosis of rheumatoid arthritis would be

Accepted Answer

A)  systemic manifestations of inflammation. 
B)  localized pain in weight-bearing joints. 
C)  reduced excretion of uric acid by the kidney. 
D)  firm, crystallized nodules or "tophi" at the affected joints. 
A)  systemic manifestations of inflammation. 
B)  localized pain in weight-bearing joints. 
C)  reduced excretion of uric acid by the kidney. 
D)  firm, crystallized nodules or "tophi" at the affected joints.

Question 3

The chief pathologic features of osteoarthritis are

Accepted Answer

A)  stress fractures of the epiphysis, inflammation of the diaphysis, and accumulation of excessive synovial fluid. 
B)  autoimmune damage to the synovium, destruction of articular cartilage by pannus, and thickening of synovial fluid. 
C)  degeneration of articular cartilage, destruction of the bone under the cartilage, and thickening of the synovium. 
D)  thinning of the joint capsule, resorption of bone, excessive formation of new bone, and formation of bone spurs. 
A)  stress fractures of the epiphysis, inflammation of the diaphysis, and accumulation of excessive synovial fluid. 
B)  autoimmune damage to the synovium, destruction of articular cartilage by pannus, and thickening of synovial fluid. 
C)  degeneration of articular cartilage, destruction of the bone under the cartilage, and thickening of the synovium. 
D)  thinning of the joint capsule, resorption of bone, excessive formation of new bone, and formation of bone spurs.

Question 4

The pain of nonarticular rheumatism ("growing pain")is worse

Accepted Answer

A)  during activity. 
B)  following strenuous exercise. 
C)  upon awakening. 
D)  during the night. 
A)  during activity. 
B)  following strenuous exercise. 
C)  upon awakening. 
D)  during the night.

Question 5

The earliest manifestation of scleroderma is

Accepted Answer

A)  thick, tight, shiny skin. 
B)  skin hyper/hypopigmentation. 
C)  renal impairment. 
D)  Raynaud phenomenon. 
A)  thick, tight, shiny skin. 
B)  skin hyper/hypopigmentation. 
C)  renal impairment. 
D)  Raynaud phenomenon.

Question 6

"Tell me again the name of that chemical that makes crystals when my gout flares up," asks the client.The nurse's best response is

Accepted Answer

A)  calcium phosphate. 
B)  urea. 
C)  uric acid. 
D)  beta-hydroxybutyric acid. 
A)  calcium phosphate. 
B)  urea. 
C)  uric acid. 
D)  beta-hydroxybutyric acid.

Question 7

The pathophysiology of rheumatoid arthritis involves

Accepted Answer

A)  immune cells accumulating in pannus and destroying articular cartilage. 
B)  free radicals attaching to the synovial membrane and tunneling into articular cartilage. 
C)  excessive wear and tear and microtrauma that damage articular cartilage. 
D)  cysts developing in subchondral bone and creating fissures in articular cartilage. 
A)  immune cells accumulating in pannus and destroying articular cartilage. 
B)  free radicals attaching to the synovial membrane and tunneling into articular cartilage. 
C)  excessive wear and tear and microtrauma that damage articular cartilage. 
D)  cysts developing in subchondral bone and creating fissures in articular cartilage.

Question 8

To avoid the progression of cutaneous lesions,a patient diagnosed with systemic lupus erythematosus (SLE)should

Accepted Answer

A)  avoid sun exposure. 
B)  avoid excessive use of moisturizers. 
C)  refrain from washing the affected areas. 
D)  apply warm, wet compresses daily. 
A)  avoid sun exposure. 
B)  avoid excessive use of moisturizers. 
C)  refrain from washing the affected areas. 
D)  apply warm, wet compresses daily.

Exam 52: Alterations in Musculoskeletal Function: Rheumatic Disorders

In contrast to osteoarthritis,rheumatoid arthritis may be associated with

A clinical finding consistent with a diagnosis of rheumatoid arthritis would be

The chief pathologic features of osteoarthritis are

The pain of nonarticular rheumatism ("growing pain")is worse

The earliest manifestation of scleroderma is

"Tell me again the name of that chemical that makes crystals when my gout flares up," asks the client.The nurse's best response is

The pathophysiology of rheumatoid arthritis involves

To avoid the progression of cutaneous lesions,a patient diagnosed with systemic lupus erythematosus (SLE)should

Introduction to Pathophysiology

Homeostasis, Allostasis, and Adaptive Responses to Stressors

Cell Structure and Function

Cell Injury, Aging, and Death

Genome Structure, Regulation, and Tissue Differentiation

Genetic and Developmental Disorders

Neoplasia

Infectious Processes

Inflammation and Immunity

Alterations in Immune Function

Malignant Disorders of White Blood Cells

HIV Disease and Aids

Alterations in Oxygen Transport

Alterations in Homeostasis and Blood Coagulation

Alterations in Blood Flow

Alterations in Blood Pressure

Cardiac Function

Alterations in Cardiac Function

Heart Failure and Dysrhythmias: Common Sequelae of Cardiac Diseases

Shock

Respiratory Function and Alterations in Gas Exchange

Obstructive Pulmonary Disorders

Restrictive Pulmonary Disorders

Fluid and Electrolyte Homeostasis and Imbalances

Acid-Base Homeostasis and Imbalances

Renal Function

Intrarenal Disorders

Acute Kidney Injury and Chronic Kidney Disease

Disorders of the Lower Urinary Tract

Male Genital and Reproductive Function

Alterations in Male Genital and Reproductive Function

Female Genital and Reproductive Function

Alterations in Female Genital and Reproductive Function

Sexually Transmitted Infections

Gastrointestinal Function

Gastrointestinal Disorders

Alterations in Function of the Gallbladder and Exocrine Pancreas

Liver Diseases

Endocrine Physiology and Mechanisms of Hypothalamic-Pituitary Regulation

Disorders of Endocrine Function

Diabetes Mellitus

Alterations in Metabolism and Nutrition

Structure and Function of the Nervous System

Acute Disorders of Brain Function

Chronic Disorders of Neurologic Function

Alterations in Special Sensory Function

Pain

Neurobiology of Psychotic Illnesses

Neurobiology of Nonpsychotic Illnesses

Structure and Function of the Musculoskeletal System

Alterations in Musculoskeletal Function: Trauma, Infection, and Disease

Alterations in the Integumentary System

Burn Injuries

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