ORTHOPEDIC NURSING EXAM Q&A STUDY
GUIDE WITH VERIFIED ANSWERS
◉ rheumatoid arthritis. Answer: Multisystem inflammation
extra articular manifestations
◉ 40-60 y/o and females (75%). Answer: typical diagnosis age and
gender for RA
◉ typical descriptors of the joint in RA. Answer: laxity, sublaxation,
contractures, nodules ankylosing
◉ Pannus. Answer: an abnormal layer of fibrovascular or granulation
tissue over joint tissue, destroys cartilage
◉ Morning stiffness. Painful, stiff, & swollen joints. Limited range of
motion of joints. History of late afternoon temperature, with
temperature spiking up to 105° F. Systemic symptoms include
malaise, fatigue, lethargy, anorexia, weight loss, & growth problems..
Answer: typical symptoms of RA
◉ NSAIDS
DMARDS
Biologic response modifiers (BRMs)
,Steroids. Answer: Rheumatoid arthritis drug treatment options
◉ disease-modifying antirheumatic drugs (DMARDs). Answer:
hydroxychloroquine
Levaquin
methotrexate
minocycline
sulfasalazine
◉ Osteoarthritis. Answer: slow progressive loss of articular cartilage
"not inflammatory"
◉ idiopathic osteoarthritis- old age
secondary osteoarthritis - from previous damage. Answer: 2 causes of
OA
◉ Cauda Equina Syndrome. Answer: central disc prolapse
compressing nerves cutting off sensation and movement
◉ Symptoms of cauda equina syndrome. Answer: Bladder and bowel
incontinence, perineal numbness, bilateral sciatica, lower limb
weakness, crossed straight-leg raisin sign
◉ degenerative spondylolisthesis. Answer: caused by weakening of
joints that allows for forward slippage of one vertebral segment on
one below due to degenerative changes, most common site is L4/L5,
,william's flexion exercises may be indicated to strengthen abs and
reduce lumbar lordosis
◉ herniated disc (slipped disc). Answer:
◉ bulging disc. Answer: c
◉ saddle anesthesia. Answer: loss of sensation restricted to the
buttocks, perineum, and inner thighs
◉ increased risk of falls, risk of depression, activity intolerance ,
acute/ chronic pain. Answer: nursing diagnosis examples of
degenerative disc disease
◉ no. Answer: is osteoarthritis reversible?
◉ PTH increased, vitamin d decreased. Answer: is PTH and Vit D
increased or decreased usually with OA
◉ OA usually unilateral. Answer: difference between RA and OA
pain
◉ Bouchard's nodes. Answer: Osteophytes at the proximal
interphalangeal joints(PIP) of hands
, ◉ Heberden's nodes. Answer: Swelling of distal interphalangeal
finger joints, characteristic of osteoarthritis
◉ weight bearing xrays. Answer: gold standard diagnosis of
osteoarthritis
◉ Weight loss, PT, aerobic exercise, TENS unit therapeutic
ultrasound, braces, heat ice. Answer: nonpharmalogical treatment
options of OA
◉ - NSAIDs
- glucosamine
- viscosupplementation (gel injection)
-PRP (platelet rich plasma). Answer: pharmalogical treatment options
of OA
◉ athroscopy. Answer: Less invasive surgery involving the use of a
scope, or camera, to see what is problem inside joints
◉ tibial osteotomy. Answer: A wedge cut into the tibial plateau to
correct varus or valgus deformity.
◉ arthrodesis. Answer: surgical fusion of a joint
◉ arthroplasty. Answer: surgical repair or replacement of a joint
GUIDE WITH VERIFIED ANSWERS
◉ rheumatoid arthritis. Answer: Multisystem inflammation
extra articular manifestations
◉ 40-60 y/o and females (75%). Answer: typical diagnosis age and
gender for RA
◉ typical descriptors of the joint in RA. Answer: laxity, sublaxation,
contractures, nodules ankylosing
◉ Pannus. Answer: an abnormal layer of fibrovascular or granulation
tissue over joint tissue, destroys cartilage
◉ Morning stiffness. Painful, stiff, & swollen joints. Limited range of
motion of joints. History of late afternoon temperature, with
temperature spiking up to 105° F. Systemic symptoms include
malaise, fatigue, lethargy, anorexia, weight loss, & growth problems..
Answer: typical symptoms of RA
◉ NSAIDS
DMARDS
Biologic response modifiers (BRMs)
,Steroids. Answer: Rheumatoid arthritis drug treatment options
◉ disease-modifying antirheumatic drugs (DMARDs). Answer:
hydroxychloroquine
Levaquin
methotrexate
minocycline
sulfasalazine
◉ Osteoarthritis. Answer: slow progressive loss of articular cartilage
"not inflammatory"
◉ idiopathic osteoarthritis- old age
secondary osteoarthritis - from previous damage. Answer: 2 causes of
OA
◉ Cauda Equina Syndrome. Answer: central disc prolapse
compressing nerves cutting off sensation and movement
◉ Symptoms of cauda equina syndrome. Answer: Bladder and bowel
incontinence, perineal numbness, bilateral sciatica, lower limb
weakness, crossed straight-leg raisin sign
◉ degenerative spondylolisthesis. Answer: caused by weakening of
joints that allows for forward slippage of one vertebral segment on
one below due to degenerative changes, most common site is L4/L5,
,william's flexion exercises may be indicated to strengthen abs and
reduce lumbar lordosis
◉ herniated disc (slipped disc). Answer:
◉ bulging disc. Answer: c
◉ saddle anesthesia. Answer: loss of sensation restricted to the
buttocks, perineum, and inner thighs
◉ increased risk of falls, risk of depression, activity intolerance ,
acute/ chronic pain. Answer: nursing diagnosis examples of
degenerative disc disease
◉ no. Answer: is osteoarthritis reversible?
◉ PTH increased, vitamin d decreased. Answer: is PTH and Vit D
increased or decreased usually with OA
◉ OA usually unilateral. Answer: difference between RA and OA
pain
◉ Bouchard's nodes. Answer: Osteophytes at the proximal
interphalangeal joints(PIP) of hands
, ◉ Heberden's nodes. Answer: Swelling of distal interphalangeal
finger joints, characteristic of osteoarthritis
◉ weight bearing xrays. Answer: gold standard diagnosis of
osteoarthritis
◉ Weight loss, PT, aerobic exercise, TENS unit therapeutic
ultrasound, braces, heat ice. Answer: nonpharmalogical treatment
options of OA
◉ - NSAIDs
- glucosamine
- viscosupplementation (gel injection)
-PRP (platelet rich plasma). Answer: pharmalogical treatment options
of OA
◉ athroscopy. Answer: Less invasive surgery involving the use of a
scope, or camera, to see what is problem inside joints
◉ tibial osteotomy. Answer: A wedge cut into the tibial plateau to
correct varus or valgus deformity.
◉ arthrodesis. Answer: surgical fusion of a joint
◉ arthroplasty. Answer: surgical repair or replacement of a joint
