Orthopedic /
Nurse
/ /
Certification
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Exam Questions With Correct Answers
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Dermatomyositis //- /
/CORRECT /
/ANSWERS(S)✔✔chronic /
/systemic /
/immunological /
/disease //involving //inflammation //of //the //skin, //connective //tissue, //and //muscles,
causes //widespread //skin //rash //and //permanent //bumps //underneath //skin
Polymyositis/Dermatomyositis //S/S //- //CORRECT //ANSWERS(S)✔✔-Muscle //weakness
-Red //or //purple //symmetric //rash //(heliotrope)
-Scaly, //smooth, //or //raised //rash //on //knuckles //and //sides //of //hand //(gottron's //papules)
-Joint //redness, //pain, //and //inflammation //and //decreased //ROM
-Weakened //pharyngeal //muscles
Polymyositis/Dermatomyositis //Care //- //CORRECT //ANSWERS(S)✔✔-Biopsy //for //dx
-Long //term //corticosteroids
-Immunosuppressive //drugs
-IV //immunoglobulin //(hydrate //patient //well, //may //get //HA)
Fibromyalgia //S/S //- //CORRECT //ANSWERS(S)✔✔*Chronic //musculoskeletal //syndrome*
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Widespread /
/burning /
/and //gnawing, //joint //and //muscle //pain, //fatigue, //"tender //points" //(↑ //sensitivity //to //touch)
-*Begins //with //a //flu-like //viral //illness*
-Lower //pain //threshold
*ABSENCE //of //inflammation*
-Cognitive //difficulties
-RLS
-IBS
Fibromyalgia /
/Diagnosis //- /
/CORRECT /
/ANSWERS(S)✔✔Two /
/criteria /
/are /
/met: /
/pain /
/is /
/experienced /
/in /
/11 //of //the //18 //tender //pints //on //palpation //and //a //history //of //widespread //pain //for //at //least //3
//months
Fibromyalgia //treatment //- //CORRECT //ANSWERS(S)✔✔-Rest
-Lyrica, //Cymbalta, //Savella
-Antidepressants
-Benzos
-Massage
-Heat //and //cold //packs
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-Stretching
-Limit //sugar, //caffeine, //and //alcohol
Osteoarthritis //(OA) //- //CORRECT //ANSWERS(S)✔✔-
Formation //of //bone //spurs //and //osteophytes
-Inflammation //of //the //joint
-Breakdown //of //cartilage
Symptoms //of //OA //- //CORRECT //ANSWERS(S)✔✔-Pain //& //Stiffness: //worse //in //the //morning //for
//<30 //min, //prolonged //inactivity //or //weather //changes
-Locking, //cracking, //grinding, //or //feeling //of //giving //out //of //knees
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Swelling, /
/nodules /
/or /
/stiffness /
/of /
/fingers //and //difficulty //gripping, //Herberden's //nodes, //Bouchard's //nodes, //bowlegged, //knock-
knees
Goals //of //management //of //OA //- //CORRECT //ANSWERS(S)✔✔-Reduce //pain //and //inflammation
-Maintain //joint //function
Diagnostics //of //OA //- //CORRECT //ANSWERS(S)✔✔-X-ray
-MRI
-Joint //aspiration
-CT
Treatment //of //OA //- //CORRECT //ANSWERS(S)✔✔-Maintain //ROM
, ////////////////////////////////
-Increase //muscle //strength
-Reduce //stress //on //joints
-Heat //and //cold
-Glucosamine
-Stretching
-Weight //control
-Topical //analgesic-Capsaicin //cream, //bengay, //Icy //hot
-Corticosteroid //injection: //lasts //3-4 //weeks
-Viscosupplementation: //Lasts //6 //months
-Arthroscopy
Salicylate //- //CORRECT //ANSWERS(S)✔✔-Aspirin
-Anti-inflammatory, //Analgesic, //Antipyretic
-Administer //with //food //or //full //glass //of //water
-Monitor //for //bleeding
NSAIDs //- //CORRECT //ANSWERS(S)✔✔-
Ibuprofen, //naproxen, //indomethacin, //ketorolac, //diclofenac, //celecoxib
-Anti-inflammatory, //Analgesic, //Antipyretic
-Administer //with //food
-Monitor //for //signs //of //bleeding //or //GI //upset
Doxycycline //- //CORRECT //ANSWERS(S)✔✔-
Decreases //action //of //enzymes //on //cartilage //degradation
Minocycline //- //CORRECT //ANSWERS(S)✔✔-Antirheumatic //effect