Deck 39: Infection and Inflammatory Disorders of the Musculoskeletal System

Question 1

Which laboratory test is used to identify Lyme disease?
1) Western blot test
2) Immunofluorescent assay (IFA)
3) Ultrasonography
4) Both A and B

Answer 1

3

Question 2

A nurse is caring for a client with hyperuricemia. Which part(s) of the client's body does the nurse assess for the presence of tophi?
1) Achilles tendon
2) Pinnae of the ears
3) Joints of the hands
4) All of the above

Answer 2

4

Question 3

A registered nurse is teaching a group of student nurses about synovial fluid. Which statement made by a student nurse indicates the need for further teaching?
1) "Synovial fluid provides stabilizing effects."
2) "The volume of synovial fluid increases in the presence of a joint disease."
3) "There is a wide exchange between the bloodstream and the synovial joint."
4) "In the synovium, all the essential nutrients are delivered and metabolic byproducts are cleared by the bloodstream."

Answer 3

3

Question 4

While reviewing an x-ray of the fingers of a client, the nurse observes that the end of the bone was whittled down to a sharp point. Which musculoskeletal disorder does the nurse suspect in the client?"
1) Lyme disease
2) Psoriatic arthritis
3) Ankylosing spondylitis
4) Pott's disease

Question 5

A client is having a skin rash presented as an oval-shaped and red-colored lesion. On assessment, the nurse finds enlargement of lymph nodes in this client. Which condition should the nurse suspect in the client?
1) Sacroilitis
2) Dactylitis
3) Lyme disease
4) Psoriatic arthritis

Question 6

Which is the most definitive diagnostic test for polymyositis and dermatomyositis?
1) Muscle biopsy
2) Western blot test
3) Immunofluorescent assay
4) Dual-energy x-ray absorptiometry (DEXA) scan

Question 7

Which statement made by a student nurse indicates the need for further teaching about treatment of various musculoskeletal disorders?
1) "Doxycycline is the first-line treatment for Lyme disease."
2) "Immunosuppressive agents are first-line agents for psoriatic arthritis."
3) "Oral corticosteroids are the first-line treatment for polymyalgia rheumatica."
4) "Nonsteroidal antiinflammatory drugs (NSAIDs) are the first-line agents for gout."

Question 8

The radiographic reports of a client reveal inflammation of the metatarsophalangeal joint of the great toe. Which disorder should the nurse suspect in the client?
1) Gout
2) Lyme disease
3) Septic arthritis
4) Polymyalgia rheumatica

Question 9

Which pathogen may cause ankylosing spondylitis?
1) Escherichia coli (E. coli)
2) Borrelia burgdorferi
3) Klebsiella pneumoniae
4) Staphylococcus aureus

Question 10

Which statement made by a client with musculoskeletal inflammation makes the nurse suspect polymyalgia rheumatica?
1) "I feel pain and stiffness in my back."
2) "My nails are separating from my nail beds."
3) "I feel stiffness in my shoulders and upper arms during the morning hours."
4) Both A and B

Question 11

A registered nurse is teaching a group of student nurses about gout. Which statement made by a student nurse indicates effective learning?
1) "Thiazides are used to treat gout."
2) "Primary gout is attributed to obesity."
3) "Pott's disease is associated with gout."
4) "Estrogen protects against hyperuricemia."

Question 12

A nurse is teaching a client nonpharmacological therapy to treat gout. Which statement by the client indicates the need for further teaching?
1) "I should avoid rapid weight loss."
2) "I should increase the intake of dietary meats."
3) "I should avoid binge drinking."
4) "I should drink 2 to 3 liters of fluid per day."

Question 13

A nurse is caring for a client with gout. Which medication in the client's prescription does the nurse suspect to decrease uric acid synthesis?
1) Probenecid
2) Colchicine
3) Allopurinol
4) Both A and B

Question 14

A client complains of pitting, ridging, and separation of nails from the nail bed. Which musculoskeletal disorder does the nurse suspect in the client?
1) Septic arthritis
2) Psoriatic arthritis
3) Ankylosing spondylitis
4) Polymyalgia rheumatic

Question 15

The laboratory report of a client with a bone infection shows an abscess below the bone surface. Which stage of bone infection does the nurse suspect in the client?
1) 1
2) 2
3) 3
4) 4

Question 16

Which treatment would a nurse expect to be beneficial in a client diagnosed with Lyme disease?
1) A local corticosteroid injection
2) A 10- to 21-day course of doxycycline
3) A high starting dose of nonsteroidal antiinflammatory drugs (NSAIDs)
4) Both A and B

Question 17

The laboratory report of a client shows elevated levels of interleukin-2 (IL-2) and interleukin-6 (IL-6). Which musculoskeletal disorder does the nurse suspect in the client?
1) Gout
2) Psoriatic arthritis
3) Ankylosing spondylitis
4) Polymyalgia rheumatica

Question 18

A client is found to have both osteomyelitis and arthritis. Which condition does the nurse suspect in the client?
1) Tophi
2) Podagra
3) Pott's disease
4) Lyme disease

Question 19

Which test is most important in diagnosing ankylosing spondylitis?
1) X-ray
2) Bone biopsy
3) Electromyography
4) Radionuclide bone scan

Question 20

Which disease can cause iritis and pulmonary fibrosis?
1) Polymyositis
2) Psoriatic arthritis
3) Ankylosing spondylitis
4) Polymyalgia rheumatica

Question 21

Which are the forms of psoriatic arthritis?
1) Spondylitis
2) Septic arthritis
3) Dermatomyositis
4) Arthritis mutilans
5) Distal interphalangeal (DIP) predominant

Question 22

What are the causes of secondary gout?
1) Psoriasis
2) Scleroderma
3) Rheumatoid arthritis
4) Neoplastic disease
5) Glycogen storage disease

Question 23

A client is diagnosed with ankylosing spondylitis. Which complications should the nurse expect to be present in the client?
1) Neural inflammation
2) Paralysis of facial nerves
3) Inflammation of the eyes
4) Scarring throughout the lungs
5) Inflammation of joints in extremities

Question 24

A nurse is caring for a client with Lyme disease. Which symptoms in the client lead the nurse to suspect early localized disease?
1) Arthralgia
2) Cranial neuritis
3) Bull's-eye rash
4) Lymphadenopathy
5) Subacute encephalopathy

Question 25

Which condition is related to ankylosing spondylitis?
1) Formation of abscesses in the bone
2) Inflammation at the joint of the great toe
3) Formation of abscesses in the paravertebral muscles
4) Inflammation at the point where tendons and ligaments join the bone around a joint