BIOD 331 PATHOPHYSIOLOGY EXAM 3
COMPREHENSIVE QUESTIONS AND
SOLUTIONS
◉ A nursing student who is studying about disorders of the
skeletal system is heard making the following statement, "Many
skeletal disorders of early infancy are caused by intrauterine
positions and need to be surgically fixed." Is this statement true or
false?
a) False
b) True
Answer: a) False
Although it is true that many disorders of early infancy are caused
by intrauterine positions, they are mostly resolved as the child
grows.
◉ The nurse suspects idiopathic scolios in a patient based on
which of the following assessment findings?
a) Complaints of back pain in the teen years
b) Loss of bone density confirmed with x-ray
c) Uneven shoulders or iliac crest
,d) Late onset of first menarche
Answer: c) Uneven shoulders or iliac crest
The cardinal signs of scoliosis are uneven shoulders or iliac crest,
prominent scapula on the convex side of the curve, asymmetry of
the thoracic cage, and rib hump. Curves that are detected before
menarche are more likely to progress than those detected after.
This is not the only cause of pain in teens.
◉ A client with confirmed low bone density asks the nurse if there
is anything she can to decrease the risk of trauma. The best
response would be:
a) Lawn bowling for 1 hour per week
b) Running 1 mile per day with good athletic shoes
c) Brisk walking three times per week on a flat surface
d) High-impact aerobic exercise for 1 hour three times per week
Answer: c) Brisk walking three times per week on a flat surface
Weight-bearing exercises such as walking, jogging, rowing, and
weight lifting are important in the maintenance of bone mass. The
other options place the person at risk for injury if the bones are
weakened.
◉ Which best describes metatarsus adductus?
a) A condition of out-toeing
, b) An adducted forefoot which gives the foot a kidney-shaped
appearance
c) An abnormal rotation of the hip
d) A condition involving a congenital dislocation at the hip
Answer: b) An adducted forefoot which gives the foot a kidney-
shaped appearance
◉ Which of the following persons should the nurse assess to
determine if they have premature osteoporosis?
a) Anyone with an eating disorder.
b) Anyone over the age of 70.
c) Anyone under the age of 20.
d) Patients who run daily.
Answer: a) Anyone with an eating disorder.
◉ A client presents to the orthopedic clinic for evaluation since
the primary care provider thinks the client may have rheumatoid
arthritis (RA). Which statement by the client correlates with the
diagnosis of RA? Select all that apply.
a) "I'm having a hard time opening doors since it hurts so bad."
b) "Look how my hand is deformed. My doctor calls it
'hyperextension.'"
COMPREHENSIVE QUESTIONS AND
SOLUTIONS
◉ A nursing student who is studying about disorders of the
skeletal system is heard making the following statement, "Many
skeletal disorders of early infancy are caused by intrauterine
positions and need to be surgically fixed." Is this statement true or
false?
a) False
b) True
Answer: a) False
Although it is true that many disorders of early infancy are caused
by intrauterine positions, they are mostly resolved as the child
grows.
◉ The nurse suspects idiopathic scolios in a patient based on
which of the following assessment findings?
a) Complaints of back pain in the teen years
b) Loss of bone density confirmed with x-ray
c) Uneven shoulders or iliac crest
,d) Late onset of first menarche
Answer: c) Uneven shoulders or iliac crest
The cardinal signs of scoliosis are uneven shoulders or iliac crest,
prominent scapula on the convex side of the curve, asymmetry of
the thoracic cage, and rib hump. Curves that are detected before
menarche are more likely to progress than those detected after.
This is not the only cause of pain in teens.
◉ A client with confirmed low bone density asks the nurse if there
is anything she can to decrease the risk of trauma. The best
response would be:
a) Lawn bowling for 1 hour per week
b) Running 1 mile per day with good athletic shoes
c) Brisk walking three times per week on a flat surface
d) High-impact aerobic exercise for 1 hour three times per week
Answer: c) Brisk walking three times per week on a flat surface
Weight-bearing exercises such as walking, jogging, rowing, and
weight lifting are important in the maintenance of bone mass. The
other options place the person at risk for injury if the bones are
weakened.
◉ Which best describes metatarsus adductus?
a) A condition of out-toeing
, b) An adducted forefoot which gives the foot a kidney-shaped
appearance
c) An abnormal rotation of the hip
d) A condition involving a congenital dislocation at the hip
Answer: b) An adducted forefoot which gives the foot a kidney-
shaped appearance
◉ Which of the following persons should the nurse assess to
determine if they have premature osteoporosis?
a) Anyone with an eating disorder.
b) Anyone over the age of 70.
c) Anyone under the age of 20.
d) Patients who run daily.
Answer: a) Anyone with an eating disorder.
◉ A client presents to the orthopedic clinic for evaluation since
the primary care provider thinks the client may have rheumatoid
arthritis (RA). Which statement by the client correlates with the
diagnosis of RA? Select all that apply.
a) "I'm having a hard time opening doors since it hurts so bad."
b) "Look how my hand is deformed. My doctor calls it
'hyperextension.'"
