Stiffening and fusion of the spine and sacroiliac joints
What is the most common cause of a corner metaphyseal fx in a child younger
than 12 months of age? - ANSWER-Transverse tibia fracture resulting from
physical abuse
Bouchard's nodes will be associated with what condition? -
ANSWER-Osteoarthritis
They are bony enlargements of the middle joints of the finger and proximal
interphalangeal joints on the hands
Older adult female complains of stiffness and pain in both hands and left knee
shortly after waking and worsens in the afternoon. She feels some relief with rest.
On exam, the FNP notices the presence of Heberden's nodes. Which of the
following is most likely? - ANSWER-Osteoarthritis
*Stiffness and pain typically worse in the afternoon and evening*
Heberden's nodes are found on the distal interphalangeal joints
Define T-score in regards to osteoporosis - ANSWER-Compares bone density
with that of a healthy 30 year old of the same sex. 30 years of age is peak bone
mass
Osteoporosis is defined as having a T-score of -2.5 or less
, The greater the negative number the more severe osteoporosis
Which observation by the FNP would lead to inclusion of a differential diagnosis
of osteoporosis in a 78 year old female pt who has been c/o bone and joint pain?
- ANSWER-Low vitamin D levels
FNP understands that chronic synovitis with pannus formation is the basic
pathophysiologic finding in patients with? - ANSWER-RA
synovial hypertrophy: progressive destruction of the cartilage, ligament, tendons,
and bones
Pannus=any abnormal tissue that invades the space in between a joint
FNP is examining a pt who is c/o pain in her hips and knees. She has a hx of
osteoarthritis. On exam, the joints are painful to movement and are warm to the
touch. What is hte best immediate therapy for this patient? - ANSWER-Moist
heat and or cold therapy on painful joints
When counseling a postmenopausal 60 year old female patient on prevention of
osteoporosis, what are therapeutic recommendations? - ANSWER-Stop smoking
Continue hormone replacement therapy
Monitor bone loss by Dexa scans every 1-2 years
Daily intake of calcium and vitamin D
Calcium: 1200 mg daily
Vitamin D: 800-1000 daily
A 3 year old African American male presents to the clinic for a well child exam.
The APRN observes that the child has a short stature, bowed legs, and
hypotonia. Which action is most appropriate by the APRN? - ANSWER-Check
the child's vitamin D level
Ask the child's mother about hx of breast-feeding
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