MODULE 4 EXERCISE - NA
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Apr 3, 2024
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MODULE 4 EXERCISE – MUSCLUOSKELETON SYSTEM
1.
_____Which of the following roots refers to arrangement, order, coordination?
A) carp/o B) kinesi/o C) spondyl/o D) tax/o E) ton/o 2.
_____Identify and define the root in the term metacarpectomy.
A)
meta
– after
B)
carp
– wrist
C)
ec
– out
D)
ectomy
– removal
E)
tomy
– incision
3.
_____Identify and define the root(s) in the term spondyloarthropathy.
A)
spondylo vertebra; arthro
joint
B)
spondylo
vertebra
C)
arthro
joint
D)
pathy
disease
4.
_____Identify and define the root(s) in the term
craniosynostosis.
A)
cranio - head, skull
B)
cranio
- head, skull; ost
- bone
C)
cranio
- head, skull; synos
- similar
D)
osto
- bone
E)
syn
- similar; os
- bone
5.
_____Identify and define the roots in the term ankylosing spondylitis. A)
ankylo
stiff, bent; spondylo
joint
B)
ankylo
joint; spondylo
vertebra
C)
ankylo
stiff, bent; spondylo
vertebra
D)
ankylo
vertebra; spondylo
stiff, bent
E)
ankylo
vertebra; spondylo
joint
6.
_____Which is the correct breakdown and translation of the medical term cervicodynia
?
A)
cervico
(ankle) + dynia
(pain) = ankle pain
B)
cervico
(bone) + dynia
(binding)=binding of the bone
C)
cervico
(neck) + dynia
(pain) = neck pain
D)
cervico
(vertebra) + dynia
(binding) = binding of the vertebra
E)
cervico
(wrist) + dynia
(pain) = wrist pain
7.
_____Which is the correct breakdown and translation of the medical term myasthenia
?
A)
my
(joint) + asthenia
(growth) = joint growth
B)
my
(muscle) + asthenia
(pain) = muscle pain
C)
my
(muscle) + asthenia
(weakness) = muscle weakness
D)
my
(joint) + asthen
(growth) + ia
(condition) = condition of joint growth
E)
my
(muscle) + asthen
(pain) + ia
(condition) = muscle pain
8.
_____Which is the correct breakdown & translation of the term bradykinesia
into its component parts?
A)
brady
(against) + kinesia
(movement) = something working against movement
B)
brady
(bad) + kinesia
(growth) = bad growth
C)
brady
(fast) + kinesia
(movement) = fast movement
D)
brady
(good) + kinesia
(growth) = good growth
E)
brady
(slow) + kinesia
(movement) = slow movement
9.
_____
Build a medical term that means "joint recording process," a procedure used to examine a joint.
A)
Arthrocentesis
B)
Arthrogram
C)
Arthrography
D)
Arthroscope
E)
Arthroscopy
10. _____
Build a medical term that means "puncture of a joint."
A) Arthrocentesis
B) Arthrogram
C) Arthrography
D) Arthroscope
E) Arthroscopy
11.
_____
Build a medical term that means "wrist inflammation."
A) Carpitis
B) Craniomalacia
C) Spondylitis
D) Spondylomalacia
E) Tarsoptosis
12.
_____
Translate the medical term osteolysis
as literally as possible.
A) Bone death
B) Bone growth
C) Bone hardening
D) Bone loss
E) Bone softening
13.
_____
Translate the medical term myomalacia
as literally as possible.
A) Muscle death
B) Muscle growth
C) Muscle hardening
D) Muscle loss
E) Muscle softening
14.
_____
Translate the term spondylitis
as literally as possible.
A) Ankle pain
B) Finger condition
C) Tendon softening
D) Vertebra inflammation
E) Wrist hardening
15.
_____
Build a medical term that means "muscle tone."
A) Myocele
B) Myolysis
C) Myosclerosis
D) Myotasis
E) Myotonia
16.
_____
Build a medical term that means "poor bone development."
A) Osteodystrophy
B) Osteolysis
C) Osteomalacia
D) Osteonecrosis
E) Osteosclerosis
17. Read the information from
the Orthopedic Consult note below:
Thank you for referring Mr. Samuels to my office. I saw him on March 3, 2017. Mr. Samuels has a 4-month history of increasing pain in his right distal femur. He first noticed pain after being kicked in the leg at a soccer game and was evaluated in your office 3 weeks later for persistent pain. There was a soft tissue mass in his distal femur that was tender to touch. An x-ray was performed to rule out a fracture or chronic osteomyelitis. The x-ray showed both osteolysis of the metaphysis and periosteal new bone formation. Labs were drawn including CBC, CPK, and ESR. He was referred to my office for further evaluation of the x-ray findings.
According to the note, which of the following statements is NOT true?
A) An x-ray was performed to rule out a broken bone.
B) An x-ray was performed to rule out inflammation of the bone and bone marrow.
C) The x-ray showed bone loss in the metaphysis.
D) The x-ray showed new bone formation of the periosteum (the bone marrow, what is inside
, the bone).
E) The x-ray showed new bone formation of the periosteum (the membrane covering, or around
, the bone).
Explanation: The x-ray showed periosteal [peri (around) + oste (bone) + al = around the bone; the periosteum is the membrane covering the bones] new bone formation.
18) Read the following excerpt from a patient's health record:
On exam, Mr. Samuels was a pleasant young man, well developed and well nourished, and in no acute distress. His lungs
were clear and heart was regular in rate and rhythm. No murmurs were heard. Examination of his right leg revealed a significant soft tissue mass over his distal femur on the right. The mass was tender. He did not have any knee effusion. I reviewed the labs and x-ray. His findings were consistent with osteosarcoma.
Given this information, which of the following statements is TRUE?
A) Mr. Samuels has a cancerous tumor originating in his knee joint.
B) Mr. Samuels has a soft tissue mass on his femur caused by a build-up of fluid in his knee.
C) Mr. Samuels has a soft tissue mass on the bottom part of his right femur.
D) Mr. Samuels has fluid build-up in his knee.
E) Mr. Samuels is experiencing an abnormal bone hardening on his right leg.
Explanation: Examination of his right leg revealed a significant soft tissue mass over his distal (away from the center) femur, on the right.
19) The following is the final paragraph in an Orthopedic Consult Note from Dr. Phyllis Sanchez, MD, FAAOS:
I discussed the next steps with Mr. Samuels and his family, including staging the tumor and scheduling a biopsy to confirm the diagnosis. I discussed the surgery with Mr. Samuels and his family in the office. His tumor will likely require tumor resection with partial ostectomy of the femur with osteoplasty. I discussed the benefits of a metal endoprosthesis versus an allograft for the osteoplasty. Mr. Samuels is scheduled to return to my office 1 week following his biopsy to discuss the results.
Given this information, which of the following statements is NOT true?
A) As part of his treatment plan, part of Mr. Samuel's femur will be removed and then reconstructed.
B) Dr. Sanchez prefers a metal device to replace some of the missing bone as opposed to taking some bone from another
place on Mr. Samuel's body for the bone reconstruction.
C) Mr. Samuels has a bone disease that requires surgery.
D) Mr. Samuels has a tumor that will require surgery.
Explanation: Mr. Samuels does not have osteopathy (bone disease).
20) Which is NOT included in this patient's admission or discharge diagnosis?
Discharge Summary
Patient Name: Decker Macmillan
Date of Admission: 1/1/15
Date of Discharge: 1/4/15
Admission Diagnosis
1. Hypotonia
2. Lordosis
Discharge Diagnosis
1. Muscular dystrophy
2. Scoliosis
A) Abnormal forward curvature of the lower spine
B) Abnormal forward curvature of the upper spine
C) Crooked back, or abnormal lateral curvature of the spine
D) Decrease in muscle tone or tightness
E) Disorder characterized by poor muscle development
Explanation: Decker was not diagnosed with kyphosis (abnormal forward curvature of the upper spine).
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21) Read this excerpt from the patient's discharge summary:
HPI
Decker Macmillan is an 8-year-old boy admitted directly to the pediatric floor for workup of chronic progressive hypotonia. His parents report they have noticed progressive weakness. Decker has had increasing difficulty running, jumping, and climbing stairs. His parents initially thought his problems were due to his asthma, but they noticed that he also had a waddling gait. They took him to their primary care provider, who referred him for evaluation. On admission, Decker denied
any history of myalgia, arthrodynia, or dystaxia. His problem appeared to be limited to muscle tone.
According to this information, which of the following is part of the history of the present illness?
A) Decrease in muscle tone or tightness
B) Joint pain
C) Muscle pain
D) Poor coordination
Explanation: Decker denied any history of myalgia (muscle pain), arthrodynia (joint pain), or dystaxia (poor coordination).
22) Read this excerpt from a patient's health record:
Hospital Course
Neuro: On admission exam, Decker was found to have mild lumbar lordosis, pseudohypertrophy of his calf muscles, and a waddling gait. He did not have any genu varum or genu valgus. No hyporeflexia was noted. The initial concern was a muscular dystrophy. Given a family history of polymyositis, that was considered as well. Decker's labs were consistent with muscular dystrophy. An electromyography showed myopathic changes. A muscle biopsy was then performed to help distinguish which of the muscular dystrophies the patient has. The results are pending.
CV: Cardiology was consulted, given the strong risk for developing cardiomyopathy.
Resp: No problems were seen throughout the hospital stay. Decker was educated in performing breathing exercises and also about the respiratory problems often seen later on in the condition.
Ortho: Orthopedic surgery was consulted for Decker's scoliosis.
Social: Much of the hospital stay focused on patient education.
Which of the following tests showed "myopathic changes"?
A) A record of the electrical activity of a muscle
B) Imaging procedure using a computer to produce cross sections along an axis
C) Procedure for looking into a muscle
D) Procedure for measuring the electrical activity of a muscle
E) Procedure for studying muscles
Explanation: An electromyography (a procedure for measuring the electrical activity of a muscle) showed myopathic changes.
23) Read this excerpt from a patient's health record:
Hospital Course
Neuro: On admission exam, Decker was found to have mild lumbar lordosis, pseudohypertrophy of his calf muscles, and a waddling gait. He did not have any genu varum or genu valgus. No hyporeflexia was noted. The initial concern was a muscular dystrophy. Given a family history of polymyositis, that was considered as well. Decker's labs were consistent with muscular dystrophy. An electromyography showed myopathic changes. A muscle biopsy was then performed to help distinguish which of the muscular dystrophies the patient has. The results are pending.
CV: Cardiology was consulted, given the strong risk for developing cardiomyopathy.
Resp: No problems were seen throughout the hospital stay. Decker was educated in performing on breathing exercises and also about the respiratory problems often seen later on in the condition.
Ortho: Orthopedic surgery was consulted for Decker's scoliosis.
Social: Much of the hospital stay focused on patient education.
Which of the following is a symptom found in this patient?
A) Abnormal forward curvature of the lower spine
B) Bow-legged
C) Decrease in muscle reflexes
D) Knock-kneed
E) Muscle inflammation
Explanation: Decker was found to have mild lumbar lordosis (abnormal forward curvature of the lower spine).
24) Read the patient's Discharge Physical Examination:
Discharge Physical Examination
Temp: 98.6; RR: 24; HR: 86; BP: 100/64
Gen: WDWN. Alert.
CV: RRR.
Resp: CTA.
Neuro: Hypotonia of legs (strength 3/5 bilaterally). Waddling gait. Using assistance to get up from seated position. Normal reflexes. Marked enlargement of calves.
According to the Discharge Physical Examination, which of the following is true?
A) The patient has a decrease in muscle tone or tightness in the legs.
B) The patient has an increase in muscle tone or tightness in the legs.
C) The patient is walking normally.
D) The patient's calves look normal.
E) The patient's left leg is stronger than the right.
25. _____Which is the correct breakdown and translation of the medical term spondyloarthropathy
?
A) spondylo
(cartilage) + arthro
(joint) + pathy
(disease) = disease of the cartilage in the joints
B) spondylo
(head) + arthro
(joint) + pathy
(condition) = joint condition of the head
C) spondylo
(neck) + arthro
(joint) + pathy
(disease) = joint disease of the neck
D) spondylo
(tendon) + arthro
(joint) + pathy
(condition) = condition of the tendons in the joints
E) spondylo
(vertebra) + arthro
(joint) + pathy
(disease) = joint disease of the vertebrae