NSG 530 - Advanced Pathophysiology
Exam 4
Question:
A 36-year-old male complains of pain and weakness in the elbow. He reports that he is a warehouse worker and lifts boxes daily. MRI reveals inflammation of the tendon where it attaches to bone. This condition is
called:
Answer:
Epicondylopathy
Question:
What are the classic triad of clinical findings of rhabdomyolysis?
Answer:
Muscle pain, weakness, dark urine, elevated CK
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Question:
An important and useful clinical measure in the diagnosis of rhabdomyolysis is measurement of which laboratory value?
Answer:
Creatine kinase (CK)
Question:
Which of the following clinical findings would be expected in the patient with rhabdomyolysis?
Answer:
Dark urine
Question:
The cause of Paget disease is:
Answer:
unknown at present
Question:
Transchondral fractures are most prevalent in:
Answer:
adolescents
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Question:
Briefly explain Paget disease of the bone:
Answer:
A state of increased metabolic activity in bone characterized by abnormal and excessive bone remodeling, both resorption and formation.
Causes deformities, fractures, enlarges and softens bones.Neuro problems.
S&S: Impaired motor function, visual disturbances, skull thickness [assumes
asymmetric shape], dementia, deafness, headache
Possibly genetic and environmental factors
Most often affects skull, vertebrae, sacrum, sternum, pelvis, femur
Question:
A transchondral fracture:
Answer:
Fragmentation and separation of the articular cartilage covering the end of a bone
Common in adolescents
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Question:
A pathologic fracture:
Answer:
a break at the site of a preexisting abnormality, usually by force that would not fracture a normal bone.
Question:
A 70-year-old female with osteoporosis fractures her leg at a location of preexisting abnormality. She reports that the fracture occurred following a minor fall. Which of the following best describes the fracture?
Answer:
Pathologic fracture
Question:
Your patient has been diagnosed with osteomyelitis. What are the likely presenting signs and symptoms and the primary causal organism responsible for osteomyelitis?
Answer:
S&S: fever & infection
Causal organism: Staphylococcus aureus
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