Deck 13: Nontraumatic Musculoskeletal Disorders

Question 1

Osgood-Schlatter disease is a painful swelling of the ________, seen primarily in children.

A) medial humeral epicondyle
B) femoral synovial bursae
C) anterior tibial tubercle
D) carpal tunnel sheath

Answer 1

anterior tibial tubercle

Question 2

A degenerative joint disease in which the articular cartilage is damaged and breaks down is known as:

A) osteoarthritis.
B) osteoporosis.
C) septic arthritis.
D) bursitis.

Answer 2

osteoarthritis.

Question 3

The most common form of bone disease is:

A) osteoporosis.
B) osteomyelitis.
C) rheumatoid arthritis.
D) osteoarthritis.

Answer 3

osteoporosis.

Question 4

A patient with a soft tissue infection can develop gangrene. Which of the following complications of infection can lead to gangrene?

A) Decubitus ulcers
B) Necrotizing fasciitis
C) Interrupted blood supply
D) Metabolic acidosis

Question 5

The current treatment for fibromyalgia is:

A) exercise and stress management.
B) allopurinol.
C) sulfonamide antibiotics.
D) anti-inflammatory drugs.

Question 6

Gangrene, so called because the infected area oozes foul-smelling liquid, occurs as a result of:

A) Group A hemolytic streptococci.
B) pressure ischemia.
C) Stevens-Johnson syndrome.
D) an untreated infection.

Question 7

Your 56-year-old female patient is complaining of chronic fatigue, muscle stiffness, and tender areas on each elbow. Based on your assessment and the patient's history, you should suspect:

A) reflex sympathetic dystrophy.
B) osteoporosis.
C) osteoarthritis.
D) fibromyalgia.

Question 8

Your patient is complaining about severe pain from a minor scratch on his arm. His medical history includes type II diabetes and hypertension. He is agonizing over the pain in his arm. You should suspect:

A) gangrene.
B) necrotizing fasciitis.
C) infectious cellulitis.
D) ankylosing spondylosis.

Question 9

A common complaint from patients who are immobile is:

A) decubitus ulcers
B) cellulitis
C) gangrene
D) fasciitis

Question 10

What is referred to as an infection of the bone, most commonly caused by a bacterial infection?

A) Osteomyelitis
B) Gout
C) Septic arthritis
D) Neoplastic infection

Question 11

You are called for a 48-year-old male who is complaining of back and leg pain. Your assessment shows that he has pain and tenderness in his lower back with tingling through his left buttock and down his left leg. He tells you that he has been moving furniture. You should suspect:

A) decubitus.
B) kyphosis.
C) sciatica.
D) osteoarthritis.

Question 12

Which of the following is a form of arthritis that occurs from uric acid crystals being deposited in a joint?

A) Bursitis
B) Gout
C) Osteopenia
D) Rickets

Question 13

In which of the following patients should you suspect pathological fractures?

A) A young boy who fell off his bicycle, landing after hitting the curb
B) A little girl who broke her arm from pulling her shirt over her head
C) An older man who was struck by a car while crossing the street
D) A woman who tripped and fell down a stairwell

Question 14

Inflammation of the skin, including the dermis and subcutaneous layers, usually caused by bacterial infection would be identified as:

A) an abscess.
B) cellulitis.
C) necrotizing fasciitis.
D) rhabdomyolysis.

Question 15

A patient has an advanced infection in his foot. There is discoloration of the skin, foul smelling discharge and loss of sensation. These signs are typically seen in:

A) ankylosing spondylosis.
B) cellulitis.
C) necrotizing fasciitis.
D) gangrene.

Question 16

All of the following would be appropriate care for a patient with nontraumatic back pain EXCEPT:

A) administration of analgesia prior to moving the patient.
B) application of an ice pack to the affected area.
C) spinal immobilization with careful padding of voids.
D) administration of anti-inflammatory medications.

Question 17

This is a chronic disease that leads to inflammation and injury to the joints and the surrounding tissues. It is also considered an autoimmune disease.

A) Septic arthritis
B) Degenerative joint disease
C) Rheumatoid arthritis
D) Ankylosing spondylitis

Question 18

Which of the following is NOT a repetitive motion injury?

A) Tennis elbow
B) Tenosynovitis
C) Carpal tunnel syndrome
D) Osteoarthritis

Question 19

All of the following are malignant bone tumors EXCEPT:

A) chondrosarcoma.
B) osteosarcoma.
C) rhabdomyosarcoma.
D) fibrosarcoma.

Question 20

The form of arthritis that causes the bones that form the joints to become fused is:

A) osteoarthritis.
B) ankylosing spondylitis.
C) osteopenia.
D) septic arthritis.

Question 21

The strongest and most rigid cartilage in the body is:

A) elastic cartilage.
B) hyaline cartilage.
C) fibrocartilage.
D) All cartilage is equally rigid.

Question 22

The knee is classified as a ________ joint.

A) saddle
B) gliding
C) hinge
D) ellipsoidal

Question 23

Your patient is complaining of a low-grade fever and increasing joint pain and swelling, but has normal lymph nodes. You suspect which of the following?

A) DDD
B) Osteoporosis
C) Rheumatoid arthritis
D) Lupus erythematosus

Question 24

Another name for tennis elbow is:

A) tenosynovitis.
B) medial epicondylitis.
C) bursitis.
D) lateral epicondylitis.

Question 25

A patient presents with a history of an infected pustule. The patient states that he has been self-treating with homeopathic remedies. He called today because he noticed that the tissue has become black and blue. You suspect:

A) contusion.
B) gangrene.
C) tenosynovitis.
D) osteomyelitis.

Question 26

You are evaluating a patient with swollen lymph nodes, fever, swelling, and painful joints. You suspect which of the following?

A) DDD
B) Osteoporosis
C) Rheumatoid arthritis
D) Systemic lupus erythematosus

Question 27

The human skeleton consists of approximately how many bones?

A) 210
B) 200
C) 202
D) 206

Question 28

You are evaluating a patient complaining of severe pain in the elbow after a game of tennis. You suspect:

A) epicondylitis.
B) tenosynovitis.
C) bursitis.
D) tendonitis.

Question 29

You are evaluating a patient complaining of swollen and exudative legs. The patient has a history of diabetes mellitus. You suspect which of the following?

A) Lupus erythematosus
B) Rheumatoid arthritis
C) Fasciitis
D) Cellulitis

Question 30

There are approximately how many skeletal muscles in the human body?

A) 420
B) 400
C) 606
D) 700

Question 31

You are questioning a patient about her pain when the patient jokingly says, "I used to be three inches taller." You suspect what underlying disease?

A) Lupus erythematosus
B) DDD
C) Osteoporosis
D) Cushing's syndrome

Question 32

You are called for an ill person. Upon your arrival, the patient is complaining of numbness to the perineum and back pain, and has evidence of urinary incontinence. You suspect:

A) urinary tract infection.
B) lumbago.
C) systemic lupus erythematosus.
D) cauda equina syndrome.