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

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WGU D115 OA Study Guide Unit 7 Exam Questions and Answers (Solved)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 WGU D115 OA Study Guide Unit 7 Exam Questions and Answers (Solved) Page 2 of 20 *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 WGU D115 OA Study Guide Unit 7 Exam Questions and Answers (Solved) Page 3 of 20 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 WGU D115 OA Study Guide Unit 7 Exam Questions and Answers (Solved) Page 4 of 20 Daily intake of calcium and vitamin D Calcium: 1200 mg daily Vitamin D: 800-1000 daily

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


Page 1 of 20

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

*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

Page 2 of 20

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

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




Page 3 of 20

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