Deck 52: Alterations in Musculoskeletal Function: Rheumatic Disorders

Question 1

Joint inflammation following tick bite infection with Borrelia burgdorferi is called Still disease.

Answer 1

False

Question 2

Rheumatoid arthritis is commonly associated with the presence of rheumatoid factor autoantibodies in the bloodstream. This indicates that rheumatoid arthritis is likely to be

A) due to bacterial infection.
B) an autoimmune process.
C) an infective process.
D) due to an enzymatic defect.

Answer 2

an autoimmune process.

Question 3

Although skin manifestations may occur in numerous locations, the classic presentation of SLE includes

A) lesions affecting the palms of hands and the soles of feet.
B) dry, scaly patches in the antecubital area and behind the knees.
C) cracked, scaly areas in the webs of fingers.
D) a butterfly pattern rash on the face across the bridge of the nose.

Answer 3

a butterfly pattern rash on the face across the bridge of the nose.

Question 4

To avoid the progression of cutaneous lesions, a patient with SLE should

A) avoid sun exposure.
B) avoid excessive use of moisturizers.
C) refrain from washing the affected areas.
D) apply warm, wet compresses daily.

Question 5

C. S. is a 28-year-old woman diagnosed with rheumatoid arthritis 2 years previously. She has periods of relatively mild joint stiffness and pain interspersed with periods of increased symptom severity. A clinical finding consistent with C. S.'s diagnosis of rheumatoid arthritis would be

A) systemic manifestations of inflammation.
B) localized pain in weight-bearing joints.
C) reduced excretion of uric acid by the kidney.
D) firm, crystallized nodules or "tophi" at the affected joints.

Question 6

Gouty arthritis is a complication of

A). $\beta$ -hemolytic streptococcal infection.
B) autoimmune destruction of joint collagen.
C) excessive production of urea.
D) inadequate renal excretion of uric acid.

Question 7

A patient with SLE is treated with low-dose oral steroids to reduce joint inflammation during intermittent flare-ups. Steroids are the drug of choice because they

A) can be rapidly discontinued when no longer needed.
B) specifically suppress autoantibody production.
C) have minimal side effects.
D) effectively suppress a variety of immune responses.

Question 8

Osteoarthritis is a joint disorder caused by "wear and tear" with a minimal amount of inflammation.

Question 9

The majority of patients with rheumatoid arthritis have autoimmune antibodies called rheumatoid factors in their blood.

Question 10

A laboratory test result that helps confirm the diagnosis of SLE is

A) elevated serum calcium level.
B) elevated monoclonal antibody titer.
C) positive antinuclear antibodies.
D) positive microsomal antibodies.

Question 11

Joints affected by osteoarthritis are usually reddened, warm, and painful to palpation.

Question 12

Reiter syndrome is an inflammatory arthritis that develops after an infection in susceptible individuals.

Question 13

In contrast to osteoarthritis, rheumatoid arthritis may be associated with

A) debilitating joint pain and stiffness.
B) improvement in symptoms with aspirin therapy.
C) changes in activities of daily living.
D) widespread connective tissue inflammation.

Question 14

Systemic lupus erythematosus (SLE) is a rheumatic disease attributed to

A) wear and tear on weight-bearing joints.
B) septic joint inflammation and necrosis.
C) unknown etiologic factors.
D) autoimmune mechanisms.

Question 15

Individuals with SLE are at risk for developing numerous complications of various organs because of

A) excessive production of connective tissue.
B) formation of osteophytes in tissues.
C) immune injury to basement membranes.
D) impaired tissue oxygen transport.