Question 1

A 13-year-old female presents with pain at night,cough,and dyspnea.Testing reveals a metastasizing malignant bone tumor.The most likely type of tumor is:&#10;A) Nonossifying fibroma&#10;B) Chondrosarcoma&#10;C) Ewing sarcoma&#10;D) Osteosarcoma

Accepted Answer

With osteosarcoma,the most common presenting complaint is pain.Night pain,awakening a child from sleep,is a particularly foreboding sign.There may be swelling,warmth,and redness caused by the vascularity of the tumor.Symptoms also may include cough,dyspnea,and chest pain if lung metastasis is present.
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With osteosarcoma,not nonossifying fibroma,the most common presenting complaint is pain.Night pain,awakening a child from sleep,is a particularly foreboding sign.There may be swelling,warmth,and redness caused by the vascularity of the tumor.Symptoms also may include cough,dyspnea,and chest pain if lung metastasis is present.
With osteosarcoma,not chondrosarcoma,the most common presenting complaint is pain.Night pain,awakening a child from sleep,is a particularly foreboding sign.There may be swelling,warmth,and redness caused by the vascularity of the tumor.Symptoms also may include cough,dyspnea,and chest pain if lung metastasis is present.
With osteosarcoma,not Ewing sarcoma,the most common presenting complaint is pain.Night pain,awakening a child from sleep,is a particularly foreboding sign.There may be swelling,warmth,and redness caused by the vascularity of the tumor.Symptoms also may include cough,dyspnea,and chest pain if lung metastasis is present.

Question 2

A 22-year-old female has a brother with DMD and wants to know if her children will inherit it.A fairly accurate test to identify female carriers of the disease is measurement of serum levels of:&#10;A) Dystrophin&#10;B) Myoglobin&#10;C) Creatine kinase (CK)&#10;D) Troponin&#10;1

Accepted Answer

Diagnosis is confirmed by measuring the blood CK level,which is sometimes 100 times the normal level,with confirmation by genetic testing for mutations in the dystrophin gene.
Diagnosis is confirmed by measuring the blood CK level,which is sometimes 100 times the normal level,with confirmation by genetic testing for mutations in the dystrophin gene.
Diagnosis is confirmed by measuring the blood CK level,which is sometimes 100 times the normal level,with confirmation by genetic testing for mutations in the dystrophin gene.
Diagnosis is confirmed by measuring the blood CK level,which is sometimes 100 times the normal level,with confirmation by genetic testing for mutations in the dystrophin gene.

Question 3

A 5-year-old female was diagnosed with seropositive juvenile rheumatoid arthritis (RA).The treatment option for this disease is termed:&#10;A) Supportive&#10;B) Curative&#10;C) Antibacterial&#10;D) Experimental

Accepted Answer

Treatment is supportive,not curative.Nonsteroidal anti-inflammatory drugs (NSAIDs)are a mainstay,and methotrexate is also being used with success.The aims are to minimize inflammation and deformity.
Treatment is supportive,not curative.
Juvenile RA is not infectious,so treatment is not antibacterial.
Treatment may include experimental options,but the treatment remains supportive.

Question 4

The treatment of Osgood-Schlatter disease includes:&#10;A) Steroids&#10;B) Restriction from physical activity&#10;C) High doses of aspirin&#10;D) Knee replacement

Accepted Answer

The primary treatment of Osgood-Schlatter disease includes restriction from physical activity.
The primary treatment of Osgood-Schlatter disease includes restriction from physical activity,not steroids.
The primary treatment of Osgood-Schlatter disease includes restriction from physical activity,not high doses of aspirin.
The primary treatment of Osgood-Schlatter disease includes restriction from physical activity,not knee replacement.

Question 5

A 6-year-old male presents with fever,pain,swelling,and warmth.Tests reveal osteomyelitis In addition to the clinical symptoms,the nurse would expect elevations in which lab tests? (Select all that apply.)

A) C-reactive protein
B) White blood cell count
C) Red cell count
D) Erythrocyte sedimentation rate (ESR)
E) Liver enzymes

Accepted Answer

Children often will present with fever,elevated white blood cell count (50% to 70%),elevated C-reactive protein (98%),and elevated ESR (90%).

Question 6

Osgood-Schlatter disease causes inflammation of the:&#10;A) Shoulder joint&#10;B) Patellar tendon&#10;C) Elbow ligaments&#10;D) Hip cartilage

Accepted Answer

Osgood-Schlatter disease affects the patella.
Osgood-Schlatter affects the patella,not the shoulder.
Osgood-Schlatter affects the patella,not the elbow.
Osgood-Schlatter affects the patella,not the hip.

Question 7

A major predictor of poor prognosis for Ewing sarcoma is:&#10;A) Age of onset&#10;B) Size of tumor&#10;C) Presence of metastasis&#10;D) Gender of child

Accepted Answer

Metastasis at diagnosis is another poor prognostic indicator,with 5-year survival rate dropping to under 40%.
Metastasis is the major indicator of poor prognosis,not age of onset.
Metastasis is the major indicator of poor prognosis,not size of tumor.
Metastasis is the major indicator of poor prognosis,not gender.

Question 8

Children with OI suffer from frequent:&#10;A) Bone fractures&#10;B) Dislocations&#10;C) Bone infections&#10;D) Joint injuries

Accepted Answer

Children with OI suffer from bone fractures.
Children with OI suffer from bone fractures,not dislocations.
Children with OI suffer from bone fractures,not bone infections.
Children with OI suffer from bone fractures,not joint injuries.

Question 9

LCP disease affects which of the following joints?&#10;A) Vertebral&#10;B) Shoulder&#10;C) Hip&#10;D) Knee

Accepted Answer

LCP affects the hip.
LCP affects the hip,not the vertebrae.
LCP affects the hip,not the shoulder.
LCP affects the hip,not the knee.

Question 10

The onset of DMD most often occurs at:&#10;A) 3 to 6 months of age&#10;B) Preschool years&#10;C) School age&#10;D) The onset of puberty

Accepted Answer

Boys with DMD will present in the preschool years with muscle weakness,difficulty walking,and large calves.
Boys with DMD will present in the preschool years,not as early as 3 to 6 months.
Boys with DMD will present in the preschool years,not as late as school age.
Boys with DMD will present in the preschool years with muscle weakness,not at puberty.

Question 11

While performing an assessment of a 2-month-old,the nurse notes a positive Ortolani click.The nurse would suspect the child has:&#10;A) A hip fracture&#10;B) Hip dysplasia&#10;C) Osteogenesis imperfecta&#10;D) Osteomyelitis

Accepted Answer

The answer of While performing an assessment of a 2-month-old,the...

Question 12

A 9-month-old male was diagnosed with osteogenesis imperfecta (OI)following recurrent fractures and findings of osteopenia.This disease is caused by:&#10;A) Uterine teratogens&#10;B) A genetic defect&#10;C) Malnutrition&#10;D) Trauma

Accepted Answer

The answer of A 9-month-old male was diagnosed with osteogenesis...

Question 13

In reviewing the history of the patient with osteosarcoma,the nurse might also expect the patient to have:&#10;A) Rhabdomyosarcoma&#10;B) Ewing sarcoma&#10;C) Fibroma&#10;D) Retinoblastoma

Accepted Answer

The answer of In reviewing the history of the patient...

Question 14

Ewing sarcoma originates from:&#10;A) Osteoblasts&#10;B) Epithelial cells&#10;C) The spleen&#10;D) The bone marrow

Accepted Answer

The answer of Ewing sarcoma originates from:&#10;A) Osteoblasts&#10;B) Epithelial cells&#10;C)...

Question 15

A 16-year-old male was recently diagnosed with osteosarcoma.The tumor is most likely present in the _____ of long bones.&#10;A) Epiphyses&#10;B) Metaphyses&#10;C) Marrow&#10;D) Osteocytes

Accepted Answer

The answer of A 16-year-old male was recently diagnosed with...

Question 16

A 1-year-old female was diagnosed with OI.Which of the following is a complication in this patient?&#10;A) Congestive heart failure&#10;B) Liver failure&#10;C) Aortic aneurysm&#10;D) Pulmonary emboli

Accepted Answer

The answer of A 1-year-old female was diagnosed with OI.Which...

Question 17

A 9-month-old male was diagnosed with OI following recurrent fractures and findings of osteopenia.This disease is caused by errors in the synthesis of:&#10;A) Elastin&#10;B) Glycoproteins&#10;C) Collagen&#10;D) Calcium salts

Accepted Answer

The answer of A 9-month-old male was diagnosed with OI...

Question 18

A 3-year-old male presents with developmental delay.Testing reveals that the child has muscular dystrophy.Treatment will include:&#10;A) Aspirin&#10;B) Antivirals&#10;C) Steroids&#10;D) Chemotherapy

Accepted Answer

The answer of A 3-year-old male presents with developmental delay.Testing...

Question 19

Duchenne muscular dystrophy (DMD)has a(n)_____ inheritance pattern.&#10;A) Autosomal recessive&#10;B) X-linked recessive&#10;C) Y-linked dominant&#10;D) Autosomal dominant

Accepted Answer

The answer of Duchenne muscular dystrophy (DMD)has a(n)_____ inheritance pattern.&#10;A)...

Question 20

Which of the following types of scoliosis accounts for the majority of the cases of scoliosis?&#10;A) Idiopathic&#10;B) Infectious&#10;C) Iatrogenic&#10;D) Secondary

Accepted Answer

The answer of Which of the following types of scoliosis...

Question 21

Polyarthritis is a type of juvenile arthritis in which more than _____ joints are affected

Accepted Answer

The answer of Polyarthritis is a type of juvenile arthritis...

Question 22

Incidence of Legg-Calv&#233;-Perthes (LCP)disease peaks at age______.

Accepted Answer

The answer of Incidence of Legg-Calv&#233;-Perthes (LCP)disease peaks at age______....

Deck 38: Alterations of Musculoskeletal Function in Children