Orthopedic nursing exam CORRECT
100%
rheumatoid arthritis - ANSWERMultisystem inflammation
extra articular manifestations
40-60 y/o and females (75%) - ANSWERtypical diagnosis age and gender for RA
typical descriptors of the joint in RA - ANSWERlaxity, sublaxation, contractures,
nodules ankylosing
Pannus - ANSWERan abnormal layer of fibrovascular or granulation tissue over joint
tissue, destroys cartilage
Morning stiffness. Painful, stiff, & swollen joints. Limited range of motion of joints.
History of late afternoon temperature, with temperature spiking up to 105° F.
Systemic symptoms include malaise, fatigue, lethargy, anorexia, weight loss, &
growth problems. - ANSWERtypical symptoms of RA
NSAIDS
DMARDS
Biologic response modifiers (BRMs)
Steroids - ANSWERRheumatoid arthritis drug treatment options
disease-modifying antirheumatic drugs (DMARDs) - ANSWERhydroxychloroquine
Levaquin
methotrexate
minocycline
sulfasalazine
Osteoarthritis - ANSWERslow progressive loss of articular cartilage
"not inflammatory"
idiopathic osteoarthritis- old age
secondary osteoarthritis - from previous damage - ANSWER2 causes of OA
Cauda Equina Syndrome - ANSWERcentral disc prolapse compressing nerves
cutting off sensation and movement
Symptoms of cauda equina syndrome - ANSWERBladder and bowel incontinence,
perineal numbness, bilateral sciatica, lower limb weakness, crossed straight-leg
raisin sign
tibial osteotomy - ANSWERA wedge cut into the tibial plateau to correct varus or
valgus deformity.
arthrodesis - ANSWERsurgical fusion of a joint
, arthroplasty - ANSWERsurgical repair or replacement of a joint
hip resurfacing - ANSWERPlacing of metal cap over head of femur to restore
function of the hip
degenerative spondylolisthesis - ANSWERcaused by weakening of joints that allows
for forward slippage of one vertebral segment on one below due to degenerative
changes, most common site is L4/L5, william's flexion exercises may be indicated to
strengthen abs and reduce lumbar lordosis
herniated disc (slipped disc) - ANSWER
bulging disc - ANSWERc
saddle anesthesia - ANSWERloss of sensation restricted to the buttocks, perineum,
and inner thighs
increased risk of falls, risk of depression, activity intolerance , acute/ chronic pain -
ANSWERnursing diagnosis examples of degenerative disc disease
no - ANSWERis osteoarthritis reversible?
PTH increased, vitamin d decreased - ANSWERis PTH and Vit D increased or
decreased usually with OA
OA usually unilateral - ANSWERdifference between RA and OA pain
Bouchard's nodes - ANSWEROsteophytes at the proximal interphalangeal
joints(PIP) of hands
Heberden's nodes - ANSWERSwelling of distal interphalangeal finger joints,
characteristic of osteoarthritis
weight bearing xrays - ANSWERgold standard diagnosis of osteoarthritis
Weight loss, PT, aerobic exercise, TENS unit therapeutic ultrasound, braces, heat
ice - ANSWERnonpharmalogical treatment options of OA
- NSAIDs
- glucosamine
- viscosupplementation (gel injection)
-PRP (platelet rich plasma) - ANSWERpharmalogical treatment options of OA
athroscopy - ANSWERLess invasive surgery involving the use of a scope, or
camera, to see what is problem inside joints
Unicondylar knee replacement - ANSWERIs done when a client's joint is diseased in
one compartment of the joint
100%
rheumatoid arthritis - ANSWERMultisystem inflammation
extra articular manifestations
40-60 y/o and females (75%) - ANSWERtypical diagnosis age and gender for RA
typical descriptors of the joint in RA - ANSWERlaxity, sublaxation, contractures,
nodules ankylosing
Pannus - ANSWERan abnormal layer of fibrovascular or granulation tissue over joint
tissue, destroys cartilage
Morning stiffness. Painful, stiff, & swollen joints. Limited range of motion of joints.
History of late afternoon temperature, with temperature spiking up to 105° F.
Systemic symptoms include malaise, fatigue, lethargy, anorexia, weight loss, &
growth problems. - ANSWERtypical symptoms of RA
NSAIDS
DMARDS
Biologic response modifiers (BRMs)
Steroids - ANSWERRheumatoid arthritis drug treatment options
disease-modifying antirheumatic drugs (DMARDs) - ANSWERhydroxychloroquine
Levaquin
methotrexate
minocycline
sulfasalazine
Osteoarthritis - ANSWERslow progressive loss of articular cartilage
"not inflammatory"
idiopathic osteoarthritis- old age
secondary osteoarthritis - from previous damage - ANSWER2 causes of OA
Cauda Equina Syndrome - ANSWERcentral disc prolapse compressing nerves
cutting off sensation and movement
Symptoms of cauda equina syndrome - ANSWERBladder and bowel incontinence,
perineal numbness, bilateral sciatica, lower limb weakness, crossed straight-leg
raisin sign
tibial osteotomy - ANSWERA wedge cut into the tibial plateau to correct varus or
valgus deformity.
arthrodesis - ANSWERsurgical fusion of a joint
, arthroplasty - ANSWERsurgical repair or replacement of a joint
hip resurfacing - ANSWERPlacing of metal cap over head of femur to restore
function of the hip
degenerative spondylolisthesis - ANSWERcaused by weakening of joints that allows
for forward slippage of one vertebral segment on one below due to degenerative
changes, most common site is L4/L5, william's flexion exercises may be indicated to
strengthen abs and reduce lumbar lordosis
herniated disc (slipped disc) - ANSWER
bulging disc - ANSWERc
saddle anesthesia - ANSWERloss of sensation restricted to the buttocks, perineum,
and inner thighs
increased risk of falls, risk of depression, activity intolerance , acute/ chronic pain -
ANSWERnursing diagnosis examples of degenerative disc disease
no - ANSWERis osteoarthritis reversible?
PTH increased, vitamin d decreased - ANSWERis PTH and Vit D increased or
decreased usually with OA
OA usually unilateral - ANSWERdifference between RA and OA pain
Bouchard's nodes - ANSWEROsteophytes at the proximal interphalangeal
joints(PIP) of hands
Heberden's nodes - ANSWERSwelling of distal interphalangeal finger joints,
characteristic of osteoarthritis
weight bearing xrays - ANSWERgold standard diagnosis of osteoarthritis
Weight loss, PT, aerobic exercise, TENS unit therapeutic ultrasound, braces, heat
ice - ANSWERnonpharmalogical treatment options of OA
- NSAIDs
- glucosamine
- viscosupplementation (gel injection)
-PRP (platelet rich plasma) - ANSWERpharmalogical treatment options of OA
athroscopy - ANSWERLess invasive surgery involving the use of a scope, or
camera, to see what is problem inside joints
Unicondylar knee replacement - ANSWERIs done when a client's joint is diseased in
one compartment of the joint
