1. Which laboratory test is most important to monitor in a patient
receiving long-term corticosteroid therapy for rheumatoid
arthritis?
A. Complete blood count (CBC)
B. Blood glucose levels
C. Serum calcium levels
D. Liver function tests
Answer and Rationale:
B. Blood glucose levels
Rationale: Long-term corticosteroid therapy can cause
hyperglycemia, making regular monitoring essential.
2. Which intervention is most important for preventing foot drop
in a patient with prolonged immobility?
A. Positioning a pillow under the heels
B. Applying ankle-foot orthosis
C. Elevating the feet above the heart
D. Massaging the calves regularly
Answer and Rationale:
B. Applying ankle-foot orthosis
,Rationale: An ankle-foot orthosis or similar devices help maintain
the foot in a neutral position and prevent contractures.
3. What is a common complication of long-term use of NSAIDs in
orthopedic conditions?
A. Kidney stones
B. Peptic ulcers
C. Liver failure
D. Hypokalemia
Answer and Rationale:
B. Peptic ulcers
Rationale: Prolonged NSAID use can cause gastric irritation,
leading to peptic ulcers.
4. Which diagnostic finding is most indicative of osteomyelitis?
A. Elevated white blood cell count and C-reactive protein
B. Low calcium levels
C. Increased creatinine
D. Decreased hemoglobin
Answer and Rationale:
A. Elevated white blood cell count and C-reactive protein
, Rationale: Osteomyelitis, an infection of the bone, is typically
associated with inflammation markers like an elevated WBC count
and C-reactive protein.
5. Which intervention is most effective in preventing dislocation
after a hip replacement?
A. Encouraging sitting in low chairs
B. Placing pillows under the knees while sleeping
C. Using an abduction pillow between the legs
D. Crossing legs when sitting to reduce strain
Answer and Rationale:
C. Using an abduction pillow between the legs
Rationale: An abduction pillow maintains proper hip alignment
and prevents internal rotation or adduction, which could lead to
dislocation.
6. What is the primary concern in a patient with a pelvic fracture?
A. Nerve compression
B. Hemorrhage
C. Infection
D. Muscle weakness
Answer and Rationale:
B. Hemorrhage
receiving long-term corticosteroid therapy for rheumatoid
arthritis?
A. Complete blood count (CBC)
B. Blood glucose levels
C. Serum calcium levels
D. Liver function tests
Answer and Rationale:
B. Blood glucose levels
Rationale: Long-term corticosteroid therapy can cause
hyperglycemia, making regular monitoring essential.
2. Which intervention is most important for preventing foot drop
in a patient with prolonged immobility?
A. Positioning a pillow under the heels
B. Applying ankle-foot orthosis
C. Elevating the feet above the heart
D. Massaging the calves regularly
Answer and Rationale:
B. Applying ankle-foot orthosis
,Rationale: An ankle-foot orthosis or similar devices help maintain
the foot in a neutral position and prevent contractures.
3. What is a common complication of long-term use of NSAIDs in
orthopedic conditions?
A. Kidney stones
B. Peptic ulcers
C. Liver failure
D. Hypokalemia
Answer and Rationale:
B. Peptic ulcers
Rationale: Prolonged NSAID use can cause gastric irritation,
leading to peptic ulcers.
4. Which diagnostic finding is most indicative of osteomyelitis?
A. Elevated white blood cell count and C-reactive protein
B. Low calcium levels
C. Increased creatinine
D. Decreased hemoglobin
Answer and Rationale:
A. Elevated white blood cell count and C-reactive protein
, Rationale: Osteomyelitis, an infection of the bone, is typically
associated with inflammation markers like an elevated WBC count
and C-reactive protein.
5. Which intervention is most effective in preventing dislocation
after a hip replacement?
A. Encouraging sitting in low chairs
B. Placing pillows under the knees while sleeping
C. Using an abduction pillow between the legs
D. Crossing legs when sitting to reduce strain
Answer and Rationale:
C. Using an abduction pillow between the legs
Rationale: An abduction pillow maintains proper hip alignment
and prevents internal rotation or adduction, which could lead to
dislocation.
6. What is the primary concern in a patient with a pelvic fracture?
A. Nerve compression
B. Hemorrhage
C. Infection
D. Muscle weakness
Answer and Rationale:
B. Hemorrhage
