ONC Certification Study Guide Questions and Answers

What age does bone density peak for most people? - age 30 A 14 year old fell during a baseball game suffering first degree ankle sprain, physician rec standard conservative tx for 24 hours then contrast baths, which correctly describes contrast baths - soak foot in cold water for 15 min followed by warm for 15 min QID during the acute stage of rheumatoid arthritis affecting the ankles, what primary precaution should the patient use to protect the ankle joints - use of ankle splints which of the following is the definitive diagnostic test for juvenile idiopathic/rheumatoid arthritis - there is no definitive test for this which of the following is a method to relive pressure on the back for people whose work requires prolonged standing? - place one foot on a small stool or box what is the greatest risk in the immediate postoperative period for patients who suffer orthopedic traume requiring reconstructive surgery of the lower extremeties? - pulmonary embolism which of the following statements by the parent of a child with systemic juvenile idiopathic/rheumatoid arthritis (still's diesease) indicates a need for further education about the diesease - my child no longer has symptoms so i dont think she needs the medications which of the following patients is the best candidate for surgical repair of a ruptured achilles tendon? - 40 year old male in good general health using the symptom based diagnostic criteria of the american college of rheumatology for diagnosis of fibromyalgia, which of the minimal scores is consistent with the diagnosis - widespread pain index score of or equal to 7 and symptom severity score of or equal to 5 which of the follow heat producing therapies is most indicated for pain and stiffness of large joints such as shoulder or hip? - short wave diathermy what soft tissue penetrance does superficial heat such as paraffin baths or moist heat packs provide? - 1-2cm when using cryotherapy for an athletes foot, what is the max length of time the foot should be immersed in an ice bath at each treatment? - 20 minutes when using vapocoolant spray to facilitate stretching of the muscle after a hamstring injury, how far away from the skin should the spray container be held when spraying the skin? - 12 incehs which of the following tx is contraindicated for patients with a pacemaker? - TENS treatment A football player is to use a whirlpool bath to relieve muscle pain and stiffness what temperature should the water be maintained at? - 95-104 degrees fahrenheit women of childbearing age taking oral methotrexate for tx of rheumatoid arthritis should utilize birth control for what period - during tx and through one ovulatory cycle after tx which of the following is correct advice for patient during periods of exacerbation of rheumatoid arthritis affecting the knees? - avoid positions of flexion at what stage of rheumatoid arthritis is a patient if there is bone thinning with slight damage to the bone and slight cartilage damage wtih atrophy of adjacent muscles and limitations in join mobility? - stage 2 a patient with rheumatoid arthritis has been advised to do isometric exercises prior to beginning a program of dynamic and weight bearing exercises, what percentage of max contraction should be used for isometric exercises? - 70% a patient has a splint on the wrist and forearm but has developed "window" edema between the securing straps. In addition to elevating the extremity, which of the following is the best initial solution - replace straps with bias cut wrapping, from distal end to proximal a 60 year old woman has osteoarthritis of both knees. which of the following most suggests the need for intervention? - patient is 5'6" and weights 250 pounds a child is having serial plaster casts for treatment of talipes equinovarus (clubfoot) what should the parents be advised to do before bringing the child in for a cast change? - soak the cast off which of the following imaging techniques is most effective for diagnosing osteomyelitis from and infected injury? - MRI a 12 year old child with seropositive polyarticular juvenile idiopathic/rheumatoid arthritis has severe morning pain and stiffness and is reluctant to get out of bed. what intervention would be most helpful? - set an electric blanket to turn on 10 min before the child arises a 16 year old girl playing soccer fell, resulting in a lateral patellar dislocation with hemarthosis. The knee was relocaed and hemarthrosis aspirated how long should the extension brace be worn? - 3-4 weeks what is the most common cause of acute compartment syndrome? - tibial diaphysis or distal radius fracture what is the most common indication of advanced osteoporosis - kyphosis when assessing a patient gait, the ortho nurse notes that the patient appears unsteady and uncoordinated with a wide base measurement and lifts feet higher than normal while stepping with feet flat onto floor. how is gait characterized? - atAxia children with duchennes muscular dystrophy should be assessed for bone density beginning at about what age? - 3 years