Deck 23: Musculoskeletal System Disorders

Question 1

The goal of arthritis therapy includes all of the following EXCEPT

A) relief of pain, inflammation, and stiffness
B) maintaining joint function
C) preventing deformity to the joint
D) maintaining range of motion
E) curing the disease

Answer 1

maintaining joint function

Question 2

Calcium carbonate should be taken before meals to allow for absorption.

Answer 2

False

Question 3

Common side effects of musculoskeletal medications include

A) nausea and vomiting
B) pain in abdomen
C) headache
D) constipation and diarrhea
E) all of the above

Answer 3

all of the above

Question 4

Which of the following is NOT true of alendronate?

A) It should be given on an empty stomach.
B) It may cause esophagitis.
C) It should be given with a full glass of water.
D) It may be given without regard to vitamin D.
E) It may cause constipation, diarrhea, nausea, and flatulence.

Question 5

Which of the following are found in the names of gold salts?

A) "gold"
B) "ag"
C) "au"
D) "zine"
E) "rheu"

Question 6

Which of the following is NOT true about the cox inhibitor?

A) It is usually indicated for osteoarthritis and acute pain in the joints.
B) The drugs in this category can be safely used by persons who are allergic to penicillin and sulfa drugs.
C) It has "cox" in the generic name.
D) There is only one drug in the category.
E) This category of drugs suppresses inflammation with only minimal side effects.

Question 7

Calcium preparations require sunshine or other sources of vitamin D to be effective.

Question 8

Which of the following is not a nonsalicylate NSAID?

A) Tylenol
B) ibuprofen
C) naproxen (Naprosyn)
D) celecoxib (Celebrex)
E) oxaprozin (Daypro)

Question 9

Which is NOT true of NSAIDs?

A) They are fast acting.
B) They are relatively safe and have the advantage over other medications of not causing gastrointestinal symptomatology.
C) They are inexpensive.
D) They are both anti-inflammatory and analgesic agents.
E) They increase bleeding tendencies when taken on a regular basis.

Question 10

Anticholinesterase agents increase muscle tone.

Question 11

Medications for arthritis and rheumatism are relatively safe during pregnancy.

Question 12

Which of the following are used to treat osteoporosis?

A) calcitonin salmon
B) sodium fluoride
C) biphosphates
D) a and c
E) all of the above

Question 13

Medications used as antirheumatic/antiarthritic medications include

A) NSAIDs
B) DMARDs
C) glucocorticoids
D) a and b
E) all of the above

Question 14

Centrally acting muscle relaxants include all of the following EXCEPT

A) carisoprodol (Soma)
B) diazepam (Valium)
C) methocarbamol (Robaxin)
D) cyclobenzaprine (Flexeril)
E) probenecid (Benemid)

Question 15

Gold preparations cause

A) pruritus
B) stomatitis
C) rash
D) blood dyscrasias
E) all of the above

Question 16

Medications used for arthritis include

A) gold
B) NSAIDs
C) DMARDs
D) b and c
E) all of the above

Question 17

Tums is a good source of calcium for postmenopausal women who are trying to prevent osteoporosis.

Question 18

Patient teaching regarding gout should include which of the following?

A) Avoid foods high in purines, such as red meats, cheese, and alcohol.
B) Colchicine is the drug of choice for acute gout.
C) Allopurinol is used as a prophylactic for gout.
D) Both b and c should be included.
E) All of the above should be included.

Question 19

Fosamax may be prescribed to treat osteoporosis and also as a preventive agent.

Question 20

Immunosuppressant agents that are also DMARDs include all of the following EXCEPT

A) ibuprofen
B) gold salts
C) penicillamine
D) methotrexate
E) cyclosporine

Question 21

Skeletal muscle relaxants are safe to use and do not cause physical or psychologic dependence.

Question 22

People who are allergic to aspirin should have no difficulty taking nonsalicylate NSAIDs.

Question 23

Drug treatment for arthritis is long-term and requires the cooperation of the patient to be effective.

Question 24

A patient with arthritis must make decisions on a day-to-day basis about the medications to take.

Question 25

Steroids are given to obtain an exacerbation of rheumatoid disease.

Question 26

NSAIDs and steroids do not slow the progression of rheumatoid disease, but DMARDs do.

Question 27

Arthritis is an autoimmune disease, so immunosuppressants are used to treat this condition.

Question 28

Ibuprofen and naproxen are available both in OTC and prescription preparations.

Question 29

Skeletal muscle relaxants cause central nervous system depression and should be used with care when hazardous activities are necessary.

Question 30

Most cox inhibitors have been removed for therapeutic use by the FDA.

Question 31

Nonsalicylate NSAIDs should be taken with food, milk, or a full glass of water and can safely be administered with alcoholic beverages.

Question 32

DMARDs are less toxic than NSAIDs but are not used to treat arthritis as often because they have a slower onset of action.

Question 33

Methotrexate is a DMARD that is also used to treat cancer.

Question 34

Tinnitus and asthma should be reported to the physician immediately by the patient who is taking NSAIDs.

Question 35

Glucocorticosteroids are used for short-term therapy to reduce joint inflammation and to provide short-term therapy for arthritis.

Question 36

Many of the salicylate NSAIDs are OTC medications.

Question 37

Nonsalicylate NSAIDs may always be taken with aspirin.

Question 38

Gold salts work by reducing synovitis of rheumatoid disease.

Question 39

NSAIDs and steroids quickly relieve arthritis pain, while DMARDs have delayed time for symptom relief.

Question 40

NSAIDs are the first drugs used with arthritis, followed by disease-modifying antirheumatic drugs and then glucocorticoids.

Question 41

Rheumatoid arthritis is a progressive disease with increased ankylosing.

Question 42

Calcitonin is used for osteoporosis in those people who cannot take biphosphonates.

Question 43

Exercise is usually not used in treating musculoskeletal diseases.

Question 44

Pain is a common symptom of musculoskeletal disorders.

Question 45

Parathyroid hormone may be used for osteoporosis.

Question 46

Calcitonin mimics body chemicals to prevent bone resorption.

Question 47

Corticosteroids used for arthritis have long-term remission effects.

Question 48

Osteoporosis is a result of osteoarthritis.

Question 49

Adsorptives are the preferred medications for osteoporosis.

Question 50

Biphosphonates are used to prevent fractures.

Question 51

Central-acting and direct-acting muscle relaxants are the drugs of choice for muscle spasticity.

Question 52

Pharmacotherapy is the only treatment for arthritis.

Question 53

Bursitis is often treated with intraarticular injections of steroids.

Question 54

The same nostril may be used for administration of nasal calcitonin salmon.

Question 55

Joint calcification occurs from chronic inflammation; therefore TNF inhibitors are effective for rheumatoid arthritis.

Question 56

Each skeletal muscle relaxant has its own action, and these drugs must be closely chosen to match the drug to the disease.

Question 57

Arthritis can be cured using medications, especially NSAIDs.

Question 58

Most skeletal muscle relaxants are chosen by physician preference.

Question 59

Medications for osteoporosis should be taken in the morning with the patient remaining in an upright position for 30 to 60 minutes after administration but a meal may be eaten while waiting.

Question 60

Diazepam is the only centrally acting muscle relaxant that is also useful for spasticity and other muscular conditions.

Question 61

New medications for treating arthritis include an NSAID in combination with a protein pump inhibitor.

Question 62

Enteric-coated NSAIDs may reduce gastric symptoms when these medications are used for arthritis over long periods of time.

Question 63

Colchicine or an NSAID should be used for 7 days prior to using pegloticase.

Question 64

Match the following terms with their descriptions below.
Agent that interferes with the normal reaction of the immune system and prevents the production of antibodies

A)enteric-coated medications
B)DMARD
C)NSAID
D)immunosuppressant
E)salicylate

Question 65

TNF inhibitors bock the immune response to prevent inflammation of joints.

Question 66

Allopurinol is indicated for chronic gout.

Question 67

Many of the immunostimulants and immunomodulators contain black box warnings.

Question 68

Gold salts are used to relieve joint pain and stiffness with severe osteoarthritis.

Question 69

TNF inhibitors, methotrexate, and DMARDs may be used concurrently.

Question 70

Drugs for malaria may also be used for arthritis.

Question 71

Acetaminophen is a good drug for use with arthritis.

Question 72

NSAIDs used for joint conditions may mask signs of infection because of their analgesic and anti-inflammatory actions.

Question 73

Match the following terms with their descriptions below.
Medication that modifies rheumatic diseases

A)enteric-coated medications
B)DMARD
C)NSAID
D)immunosuppressant
E)salicylate

Question 74

Gold salts may halt joint regeneration and may even repair joint damage.

Question 75

NSAIDs that are available OTC are less expensive than salicylates.

Question 76

Match the following terms with their descriptions below.
Nonsteroidal anti-inflammatory drugs

A)enteric-coated medications
B)DMARD
C)NSAID
D)immunosuppressant
E)salicylate

Question 77

The use of colchicines is specific for gout.

Question 78

NSAIDs and DMARDs together may slow joint degeneration.

Question 79

Match the following terms with their descriptions below.
Medications formulated to pass through the stomach into the small intestines for absorption

A)enteric-coated medications
B)DMARD
C)NSAID
D)immunosuppressant
E)salicylate

Question 80

Match the following terms with their descriptions below.
Anti-inflammatory agent that contains acetylsalicylic acid

A)enteric-coated medications
B)DMARD
C)NSAID
D)immunosuppressant
E)salicylate