BIOD 331 PATHOPHYSIOLOGY EXAM 3
SCRIPT COMPLETE ANSWERS GRADED
A+
◉ The nursing instructor is teaching about osteoporosis and tells
students that reduced physical activity can contribute to the loss
of bone mass. Which of the following does she tell the students is
the rationale for this?
a) "Reduced physical activity increases the rate of bone loss, as
mechanical forces are important stimuli for normal bone
remodeling."
b) "Reduced physical activity puts less weight on the bones."
c) "Reduced physical activity puts more weight on the bones."
d) "There is no connection between reduced physical activity and
osteoporosis."
Answer: a) "Reduced physical activity increases the rate of bone
loss, as mechanical forces are important stimuli for normal bone
remodeling."
◉ A child's history and physical documents that the child has a
grade I metatarsus adductus deformity. When assessing the child,
the nurse anticipates finding which of the following?
a) The foot can be manipulated into a straight position
,b) A rigid deformity of the foot that cannot be straightened.
c) The foot is directed inward when walking
d) Only the lateral border of the foot can be straightened
Answer: a) The foot can be manipulated into a straight position
Metatarsus adductus is graded based on the foot's flexibility when
applying pressure to the medial foot. Grade I is a supple deformity
that can be passively manipulated into a straight position. Grade II
deformity corrects only to a straight lateral border and a grade III
deformity is rigid and typically requires further treatment.
◉ Which of the following should the nurse teach about secondary
osteoporosis?
a) It is not preventable.
b) It cannot be treated with conventional therapy.
c) It is secondary to many conditions.
d) It is not as severe as other types of osteoporosis.
Answer: c) It is secondary to many conditions.
◉ Which of the following statements correctly describe
osteogenesis imperfecta, or brittle bone disease?
a) Osteogenesis imperfecta results in a thickening of the bones.
b) Osteogenesis imperfecta is a very rare disease.
, c) Osteogenesis imperfecta is caused by deficiencies in the
synthesis of type I collagen.
d) Osteogenesis imperfecta is not a hereditary disorder.
Answer: c) Osteogenesis imperfecta is caused by deficiencies in
the synthesis of type I collagen.
◉ When comparing a child's clinical manifestations with that of
oligoarthritis versus systemic onset, the health care provider
diagnoses this in your 4-year-old child with oligoarthritis based
on which of the following clinical findings?
a) Daily has an intermittent elevated temperature.
b) Faint, red macular rash noted over entire body.
c) Right knee is warm and painful when putting it through normal
range of motion.
d) Rash is diffuse with severe itching.
Answer: c) Right knee is warm and painful when putting it
through normal range of motion.
Oligoarthritis, which is the most common type of JIA,
predominantly affects joints of the lower extremities, usually the
knees or ankle. Involvement of upper extremity large joints and
the hip is rarely a presenting sign. Often a single joint is affected at
onset. Children with this form of JIA are usually younger (1 to 5
years at onset) and are often rheumatoid factor (RF) positive. The
symptoms of systemic JIA include a daily intermittent high fever,
which usually is accompanied by a characteristic faint,
erythematous, macular rash. The rash is not pruritic
SCRIPT COMPLETE ANSWERS GRADED
A+
◉ The nursing instructor is teaching about osteoporosis and tells
students that reduced physical activity can contribute to the loss
of bone mass. Which of the following does she tell the students is
the rationale for this?
a) "Reduced physical activity increases the rate of bone loss, as
mechanical forces are important stimuli for normal bone
remodeling."
b) "Reduced physical activity puts less weight on the bones."
c) "Reduced physical activity puts more weight on the bones."
d) "There is no connection between reduced physical activity and
osteoporosis."
Answer: a) "Reduced physical activity increases the rate of bone
loss, as mechanical forces are important stimuli for normal bone
remodeling."
◉ A child's history and physical documents that the child has a
grade I metatarsus adductus deformity. When assessing the child,
the nurse anticipates finding which of the following?
a) The foot can be manipulated into a straight position
,b) A rigid deformity of the foot that cannot be straightened.
c) The foot is directed inward when walking
d) Only the lateral border of the foot can be straightened
Answer: a) The foot can be manipulated into a straight position
Metatarsus adductus is graded based on the foot's flexibility when
applying pressure to the medial foot. Grade I is a supple deformity
that can be passively manipulated into a straight position. Grade II
deformity corrects only to a straight lateral border and a grade III
deformity is rigid and typically requires further treatment.
◉ Which of the following should the nurse teach about secondary
osteoporosis?
a) It is not preventable.
b) It cannot be treated with conventional therapy.
c) It is secondary to many conditions.
d) It is not as severe as other types of osteoporosis.
Answer: c) It is secondary to many conditions.
◉ Which of the following statements correctly describe
osteogenesis imperfecta, or brittle bone disease?
a) Osteogenesis imperfecta results in a thickening of the bones.
b) Osteogenesis imperfecta is a very rare disease.
, c) Osteogenesis imperfecta is caused by deficiencies in the
synthesis of type I collagen.
d) Osteogenesis imperfecta is not a hereditary disorder.
Answer: c) Osteogenesis imperfecta is caused by deficiencies in
the synthesis of type I collagen.
◉ When comparing a child's clinical manifestations with that of
oligoarthritis versus systemic onset, the health care provider
diagnoses this in your 4-year-old child with oligoarthritis based
on which of the following clinical findings?
a) Daily has an intermittent elevated temperature.
b) Faint, red macular rash noted over entire body.
c) Right knee is warm and painful when putting it through normal
range of motion.
d) Rash is diffuse with severe itching.
Answer: c) Right knee is warm and painful when putting it
through normal range of motion.
Oligoarthritis, which is the most common type of JIA,
predominantly affects joints of the lower extremities, usually the
knees or ankle. Involvement of upper extremity large joints and
the hip is rarely a presenting sign. Often a single joint is affected at
onset. Children with this form of JIA are usually younger (1 to 5
years at onset) and are often rheumatoid factor (RF) positive. The
symptoms of systemic JIA include a daily intermittent high fever,
which usually is accompanied by a characteristic faint,
erythematous, macular rash. The rash is not pruritic
