NSG6001/NSG6001/ Musculoskeletal Immune Disorder Exam: Questions & Answers: Guaranteed A+ Score

A post-menopausal female patient has a blood test that reveals hyperuricemia, although the patient has no symptoms of gout. What will the provider do? a. Ask the patient about medications and medical history b. Begin therapy with colchicine and an NSAID c. Recommend a low-purine, alcohol-restricted diet d. Treat for gout prophylactically to prevent a flare (ANS: A Ask the patient about medications and medical history Patients without symptoms of gout but with hyperuricemia do not need treatment, since most of these patients will never have a gout flare. It is important, however, to determine the cause of this finding and correct it if possible, since it is a risk factor for gout. Certain medications and medical conditions can predispose patients to gout. Colchicine and NSAIDs are used to treat symptoms of gout. Dietary changes are not necessary and are difficult to follow. Prophylaxis for prevention of flares is for patients who have gout and who are between flares.REF: Pathophysiology/Management/Non-Pharmacologic Treatment A patient has pain at the base of one thumb and reports frequently dropping things because of pain and weakness in that joint. During physical examination, what will the examiner do to help diagnose this condition? a. Adduct the first metacarpal and hyperextend the metacarpal phalanxb. Flex the thumb while placing a finger on the metacarpophalangeal joint c. Passively extend the thumb and observe for puckering of the skin d. Place the thumb on the palm while deviating the hand toward the ulna (Ans- A Adduct the first metacarpal and hyperextend the metacarpal phalanx Adduction of the first metacarpal with hyperextension of the first metacarpal phalanx will elicit pain in patients with trapeziometacarpal arthritis which has symptoms described above. Flexing the thumb while the examiner places a finger on the metacarpophalangeal joint will elicit a pop when the digit is extended in patients with trigger finger. Puckering of the skin occurs with palmar fibrosis. Placing the patient's thumb on the palm while deviating the hand toward the ulna will elicit pain in patients with tenosynovitis. REF: Physical Examination / Trapeziometacarpal Arthritis A patient has symptoms of carpal tunnel syndrome. Which diagnostic tests will help confirm this disorder? Select all that apply. a. Anti-nuclear antibody b. Electromyography c. Erythrocyte sedimentation rate d. Nerve conduction studies e. Plain radiographs (Ans- B Electromyograph