Chapter 9 Human Diseases

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St. John's University *

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1240

Subject

Nursing

Date

Nov 24, 2024

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docx

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3

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Allen has been suffering some serious back and leg pain. He sees his primary care provider (PCP), who suspects there may be an intervertebral herniated disk. What is the first test to confirm his suspicions? Straight-leg-raising test Which group has the higher risk for developing osteoporosis? Postmenopausal women You are preparing the laboratory order for one of Dr. Andrews's young clients suspected of having osteomyelitis. What tests is the doctor most likely to order? X-ray, bone scan, or MRI of infected area Norma, age 67, comes to the urgent care center with her daughter complaining of severe wrist pain. She tripped and fell down the step to her driveway and put out her hand to break the fall. The wrist is x-rayed and a break is found. What type fracture is identified on the medical record? Colles fracture Anita has a metabolic bone disease that has caused osteomalacia. As a licensed practical nurse (LPN), she suspects a fracture of the radius when she calls to see her PCP. What type of fracture might this be? Greenstick What is the best definition of ankylosis? Immobility of a joint The treatment for myasthenia gravis includes: Anticholinesterase drugs; possible thymectomy What is the likely prognosis of systemic lupus erythematosus (SLE)? Much improved with early detection and careful treatment Of the spinal deformities described below, identify the one that most refers to an abnormal inward curve of a portion of the spine, commonly known as swayback. Lordosis The hunchback bell ringer of Notre Dame's cathedral suffered what deformity? Kyphosis Which of the following best identifies the major differences between osteoarthritis and rheumatoid arthritis (RA)? RA is chronic, systemic, and inflammatory and affects the synovial membranes of multiple joints; osteoarthritis is a chronic inflammatory process of joints and bones resulting in degeneration of joint cartilage and new bone formation. Mitch has been a surgical nurse in a major hospital center for 12 years. He has some arthritis in his feet, but now he is experiencing foot pain as soon as he gets out of bed and can stand for only about 3 hours in the operating room without a great deal of discomfort. He speaks to an orthopedic surgeon he often works with who suggests he might be checked for what disorder? Plantar fasciitis Why is it important to treat both bursitis and tendonitis as soon as possible? Early treatment prevents surgical intervention or debility and calcification What are three of the most common diagnostic tools used in determining bone disorders? X-rays, bone scans, and MRI
Rich is a 43-year-old busy defense attorney. He is stunned by the news that he has Paget disease. His first symptom was having to increase the fit on the baseball cap he wears on weekends. What are the possible complications that are so worrisome to Rich? Hypercalcemia, kidney stones, congestive heart failure, bone cancer Which of the following best describes the appendicular skeleton? Bones of the limbs, shoulders, and pelvic girdle What is the name of the chronic disorder of uric acid metabolism that causes joint pain? Gout The radiologist was able to diagnose a common ailment from the x-ray that showed a tearing of a ligament surrounding the ankle joint of his client. What is the diagnosis? Sprain What is the immediate treatment of a sprain or strain? Resting and elevating the affected part Lucy is 58 and suffers from lupus (presently in remission), but she is beginning to have difficulties going up and down the stairs to her apartment and at her place of work. What might these symptoms indicate? Polymyositis Marge suffers from a chronic disease that makes it very difficult to get hugs when she goes to a family celebration. What is the most likely disease? Fibromyalgia What is the chronic, progressive neuromuscular disease that produces sporadic weakness and exhaustion of skeletal muscles called? Myasthenia gravis What is the classic symptom of a bone neoplasm? Dull, localized bone pain What are the most common symptoms of any disorder of the musculoskeletal system? Pain, fatigue and weakness, tenderness and swelling What is the name of the disease that destroys cartilage, erodes bone, and deforms joints? Rheumatoid arthritis What is the difference between the following two terms? a. Dislocation b. Subluxation Dislocation or luxation is when a bone separates from a joint. Subluxation is a partial dislocation What steps can be taken to prevent carpal tunnel syndrome? Follow work ergonomics: adjust keyboard so wrists do not bend sharply; sit in a chair with both feet flat on the floor; avoid repetitive movements of the wrist or hand; use wrist rests for computer keyboards and mouse pads. What are the three main neoplasms of the musculoskeletal system? osteogenic sarcoma, chondrosarcoma, malignant giant cell tumor Can you name and identify the three types of muscles? skeletal- connected to skeleton and consciously controlled smooth- involuntary cardiac- combination of smooth and skeletal and only in the heart
How would you describe three spinal deformities: scoliosis, lordosis, and kyphosis? ______ Lordosis is the inward curve of the spine. Scoliosis is the sidewards curve of the spine. Kyphosis is the outward curve of the spine. Raynaud phenomenon Intermittent interruptions of blood supply to the fingers and toes Ankylosis Immobility of joint Crepitation Crackling sound due to the grating of bones Scoliosis Spinal fusion with bone grafts and metal rods may be necessary DEXA Measures bone density Paresthesia Sensation of numbness, prickling, or tingling Osteomyelitis Often caused by trauma and Staphylococcus infection Pinched nerve Inhibits conduction of nerve impulse from spinal cord to brain Tennis elbow Bursitis of the olecranon Tophi Urate crystal deposits
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