A 34-year-old female presents with fever, general malaise, fatigue, arthralgias and
rash for the last 2 weeks. On physical examination, you note facial erythema across
the nose and cheeks. Serum diagnostic tests reveal positive antinuclear antibodies,
anti-DNA antibodies, elevated C-reactive protein and erythrocyte sedimentation rate.
The clinician should include the following disorder in the list of potential problems:
Give this one a try later!
Systemic lupus
A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple
joints of the body. There is no history of systemic disease and no history of trauma. On
physical examination, the patient has no swelling or decreased range of motion in any
of the joints. She indicates specific points on the neck and shoulders that are
particularly affected. She complains of tenderness upon palpation of the neck, both
shoulders, hips, and medial regions of the knees. The clinician should include the
following disorder in the list of potential diagnoses:
, Give this one a try later!
Fibromyalgia
A 43-year-old female was in a bicycling accident and complains of severe pain of the
right foot. The patient limps into the emergency room. On physical examination, there
is no point tenderness over the medial or lateral ankle malleolus. There is no foot
tenderness except at the base of the fifth metatarsal bone. According to the Ottawa
foot rules, should an X-ray of the feet be ordered?
Give this one a try later!
A and C
Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR) will begin
treatment with corticosteroids until the condition has resolved. You look over her
records and it has been 2 years since her last physical examination and any laboratory
or diagnostic tests as she relocated and had not yet identified a health-care provider.
In prioritizing your management plan, your first orders should include:
Give this one a try later!
Dual-energy X-ray (DEXA) scan and updating immunizations
What is the most common cause of hip pain in older adults?
Give this one a try later!
rash for the last 2 weeks. On physical examination, you note facial erythema across
the nose and cheeks. Serum diagnostic tests reveal positive antinuclear antibodies,
anti-DNA antibodies, elevated C-reactive protein and erythrocyte sedimentation rate.
The clinician should include the following disorder in the list of potential problems:
Give this one a try later!
Systemic lupus
A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple
joints of the body. There is no history of systemic disease and no history of trauma. On
physical examination, the patient has no swelling or decreased range of motion in any
of the joints. She indicates specific points on the neck and shoulders that are
particularly affected. She complains of tenderness upon palpation of the neck, both
shoulders, hips, and medial regions of the knees. The clinician should include the
following disorder in the list of potential diagnoses:
, Give this one a try later!
Fibromyalgia
A 43-year-old female was in a bicycling accident and complains of severe pain of the
right foot. The patient limps into the emergency room. On physical examination, there
is no point tenderness over the medial or lateral ankle malleolus. There is no foot
tenderness except at the base of the fifth metatarsal bone. According to the Ottawa
foot rules, should an X-ray of the feet be ordered?
Give this one a try later!
A and C
Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR) will begin
treatment with corticosteroids until the condition has resolved. You look over her
records and it has been 2 years since her last physical examination and any laboratory
or diagnostic tests as she relocated and had not yet identified a health-care provider.
In prioritizing your management plan, your first orders should include:
Give this one a try later!
Dual-energy X-ray (DEXA) scan and updating immunizations
What is the most common cause of hip pain in older adults?
Give this one a try later!
