WGU D115 OA exam Questions and Verified Answers 2023/2024
Define ankylosing spondylitis Correct Answer chronic inflammatory joint disease
Stiffening and fusion of the spine and sacroiliac joints
What is the most common cause of a corner metaphyseal fx in a child younger than 12 months of age? Correct Answer Transverse tibia fracture resulting from physical abuse
Bouchard's nodes will be associated with what condition? Correct Answer Osteoarthritis
They are bony enlargements of the middle joints of the finger and proximal interphalangeal joints on the hands
Older adult female complains of stiffness and pain in both hands and left knee shortly after waking and worsens in the afternoon. She feels some relief with rest. On exam, the FNP notices the presence of Heberden's nodes. Which of the following is most likely? Correct Answer Osteoarthritis
*Stiffness and pain typically worse in the afternoon and evening*
Heberden's nodes are found on the distal interphalangeal joints
Define T-score in regards to osteoporosis Correct Answer Compares bone density with that of a healthy 30 year old of the same sex. 30 years of age is peak bone mass
Osteoporosis is defined as having a T-score of -2.5 or less
The greater the negative number the more severe osteoporosis
Which observation by the FNP would lead to inclusion of a differential diagnosis of osteoporosis in a 78 year old female pt who has been c/o bone and joint pain? Correct Answer Low vitamin D levels 1 / 2
FNP understands that chronic synovitis with pannus formation is the basic pathophysiologic finding in patients with? Correct Answer RA
synovial hypertrophy: progressive destruction of the cartilage, ligament,
tendons, and bones
Pannus=any abnormal tissue that invades the space in between a joint
FNP is examining a pt who is c/o pain in her hips and knees. She has a hx of osteoarthritis. On exam, the joints are painful to movement and are warm to the touch. What is hte best immediate therapy for this patient?Correct Answer Moist heat and or cold therapy on painful joints
When counseling a postmenopausal 60 year old female patient on prevention of osteoporosis, what are therapeutic recommendations?Correct Answer Stop smoking
Continue hormone replacement therapy
Monitor bone loss by Dexa scans every 1-2 years
Daily intake of calcium and vitamin D
Calcium: 1200 mg daily
Vitamin D: 800-1000 daily
A 3 year old African American male presents to the clinic for a well child exam. The APRN observes that the child has a short stature, bowed legs, and hypotonia. Which action is most appropriate by the APRN?Correct Answer Check the child's vitamin D level
Ask the child's mother about hx of breast-feeding
*Disease is rickets*-causes soft bones which causes skeletal deformities. Caused by low vit D
-Children who breast feed for long periods of time without vitamin D supplementation are at risk because breast milk has a low vitamin D content
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