WGU D115 OA Study Guide Unit 7
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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 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
, WGU D115 OA Study Guide Unit 7
Verified 100%
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
*Disease is rickets*-causes soft bones which causes skeletal deformities. Caused by
low vit D
-Children who breast feed for long periods of time without vitamin D supplementation
are at risk because breast milk has a low vitamin D content
Differences between Juvenile Idiopathic Arthritis and adult RA? - Answer JIA affects
the large joints whereas RA affects the small joints
JIA the ANA (Antinuclear antibody) level is positive
RA factor is not detected in JIA.. duh
JIA is positive for cyclic citrullinated peptide antibody
A preadolescent arrives at the clinic and reports pain and swelling in the left knee
after playing sports. APRN suspects? - Answer Osgood Schlatter Disease
-causes tentinitis of the anterior patellar tendon within the patella
-More in preadolescents and those who play sports
-Insufficient blood supply
Structural scoliosis may be caused by? - Answer Neuromuscular disease
Which disorder is characterized as an infection in the bone often associated with
septic arthritis beginning as a bloody abscess in the metaphysis of the bone? -
Answer Osteomyelitis
Which neuromuscular condition only occurs in males? - Answer Duchenne muscular
dystrophy DMD
Verified 100%
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 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
, WGU D115 OA Study Guide Unit 7
Verified 100%
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
*Disease is rickets*-causes soft bones which causes skeletal deformities. Caused by
low vit D
-Children who breast feed for long periods of time without vitamin D supplementation
are at risk because breast milk has a low vitamin D content
Differences between Juvenile Idiopathic Arthritis and adult RA? - Answer JIA affects
the large joints whereas RA affects the small joints
JIA the ANA (Antinuclear antibody) level is positive
RA factor is not detected in JIA.. duh
JIA is positive for cyclic citrullinated peptide antibody
A preadolescent arrives at the clinic and reports pain and swelling in the left knee
after playing sports. APRN suspects? - Answer Osgood Schlatter Disease
-causes tentinitis of the anterior patellar tendon within the patella
-More in preadolescents and those who play sports
-Insufficient blood supply
Structural scoliosis may be caused by? - Answer Neuromuscular disease
Which disorder is characterized as an infection in the bone often associated with
septic arthritis beginning as a bloody abscess in the metaphysis of the bone? -
Answer Osteomyelitis
Which neuromuscular condition only occurs in males? - Answer Duchenne muscular
dystrophy DMD
