Question 1

A patient prescribed prednisone repeatedly for treatment of rheumatoid arthritis may be at risk for developing osteoporosis.

Accepted Answer

Long-term use of corticosteroids increases the risk of osteoporosis.

Question 2

With therapeutic ultrasonography, the applicator should be focused directly over the affected bone.

Accepted Answer

The applicator in therapeutic ultrasonography should not be concentrated over bone, because this can cause damage.

Question 3

The physician must perform a reduction for a displaced fracture.

Accepted Answer

A reduction is the procedure for aligning the bones, and the bone ends are not in alignment in a displaced fracture.

Question 4

Lyrica, an antiseizure medication, is the first drug that has been approved by the FDA to treat fibromyalgia.

Accepted Answer

Lyrica is the only medication approved thus far specifically for fibromyalgia.

Question 5

A painful sports injury may be treated with a TENS unit.

Accepted Answer

Electrical stimulation relieves pain and promotes healing.

Question 6

One approach to the treatment of osteoporosis is rest and non-weight-bearing exercise.

Accepted Answer

Exercise and weight bearing help strengthen the bones.

Question 7

Myasthenia gravis is an autoimmune disorder caused by a problem with acetylcholine at the neuromuscular junction.

Accepted Answer

Myasthenia gravis is a neuromuscular problem caused by a lack of neurotransmitters.

Question 8

"Open reduction of a fracture" means that the physician is able to manipulate the bone into alignment.

Accepted Answer

"Open reduction" means that surgery is required to correct the fracture.

Question 9

Heat application is contraindicated over scar tissue.

Accepted Answer

Scar tissue does not have adequate circulation.

Question 10

Passive exercise of an injured muscle can be accomplished with electrical stimulation of the muscle.

Accepted Answer

A TENS unit stimulates muscle without movement.

Question 11

The primary symptom of myasthenia gravis is rapid eye movement.

Accepted Answer

Ptosis is the primary symptom.

Question 12

Lack of exposure to the sun may result in the development of osteomalacia.

Accepted Answer

Without sunlight, vitamin D cannot be synthesized.

Question 13

Slight erythema is normal after application of a moist hot pack or a paraffin bath.

Accepted Answer

Heat causes vasodilation, and the increased blood supply causes redness.

Question 14

If a patient has been properly fitted for crutches, the elbows should be bent approximately 45 degrees when the patient holds the handgrips.

Accepted Answer

The elbows should be bent about 30 degrees.

Question 15

A sprain damages a ligament and may involve surrounding blood vessels, muscles, tendons, and nerves.

Accepted Answer

Sprains frequently involve the surrounding soft tissue.

Question 16

A diet rich in calcium and vitamin K are important for musculoskeletal health.

Accepted Answer

Vitamin D is needed for calcium absorption.

Question 17

Chiropractors are medical doctors who provide relief from musculoskeletal discomfort through manipulation and a variety of treatments.

Accepted Answer

Chiropractors are not medical doctors (MDs).

Question 18

A greenstick fracture typically is seen in pediatric patients under age 14.

Accepted Answer

Greenstick fractures occur is children under age 10; the bones are less brittle at younger ages.

Question 19

Electric heating pads can be safely left in place up to 1 hour if the patient does not report any problems with circulation.

Accepted Answer

Electric heating pads should not be left in place longer than 30 minutes.

Question 20

Patients diagnosed with fibromyalgia may also report chronic sleep disorders.

Accepted Answer

A secondary problem with fibromyalgia is difficulty sleeping.

Quiz 43: Assisting in Orthopedic Medicine