WGU D115 OA Study Guide Unit 7 Exam Questions and Answers Solved

WGU D115 OA Define ankylosing spondylitis - correct answers 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? - correct answers Transverse tibia fracture resulting from physical abuse Bouchard's nodes will be associated with what condition? - correct answers 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? - correct answers 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 - correct answers 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? - correct answers Low vitamin D levels FNP understands that chronic synovitis with pannus formation is the basic pathophysiologic finding in patients with? - correct answers 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? - correct answers 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? - correct answers Stop smoking 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? - correct answers 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? - correct answers 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? - correct answers 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? - correct answers 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? - correct answers Osteomyelitis