Define ankylosing spondylitis - ANSWER chronic inflammatory joint disease
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 no-
tices the presence of Heberden's nodes. Which of the following is most likely? - AN-
SWER 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
1
, 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 osteopo-
rosis 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 osteoporo-
sis, 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
2
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 no-
tices the presence of Heberden's nodes. Which of the following is most likely? - AN-
SWER 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
1
, 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 osteopo-
rosis 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 osteoporo-
sis, 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
2
