Fractures RA vs. OA Diagnostic Tests Osteoporosis Misc.
100
What is another word that means “greenstick” fracture? What is another word that means “simple” fracture?
Incomplete Fracture
Closed Fracture
100
Which disease has inflammatory processes?
Rheumatoid Arthritis
100
What does a DEXA score of -0.7 indicate?
Normal BMD
100
What kind of exercise should a patient at high-risk for osteoporosis be encouraged to do? Give an example of one.
Weight-bearing
ie: walking, jogging, stairs
100
Which of these does not fall under hip precautions?

Use adduction pillow
Don’t bend hip >90 degrees
Use fracture pan
High seats
Use adduction pillow
200
Name 2 things that affect bone healing.
Blood supply, Inadequate immobilization, Type of Injury, Displacement, Metabolic/Nutrition Problems
200
Name this disease:
Clear synovial fluid
Low level of WBCs
Osteoarthritis
200
What enzyme is indicative of fracture healing?
ALP
200
Name two modifiable risk factors for Osteoporosis.
Dairy-free diet (low calcium & vitamin D intake), Obesity, Smoking, Sedentary lifestyle, Alcoholism
200
Why do you need long-term ATB treatment in osteomyelitis?
Bone is harder to penetrate
300
Would you apply heat or cold to a fracture? Why?
Cold because it would decrease blood flow to site thereby decreasing inflammation.
(Remember RICE)
300
Which disease targets specific joints? Name the joints.
Osteoarthritis.
Weight-bearing joints: hips, knees, cervical & lumbar spine, hands, feet
300
What is the definitive finding of gout in the synovial fluid of the affected joint?
Urate Crystals
300
What is the appropriate daily dose of Vitamin D intake?
800-1000 units
300
What is the Triad of Fat Embolism Clinical Manifestations?
Hypoxemia
Neurologic Compromise
Petechial Rash
400
A patient with a left arm fracture x3 days is c/o pain that isn’t relieved with pain meds anymore. What is the priority nursing action?
Complete a neurovascular assessment
400
A patient complains to you about joint pain that occurs continuously, beginning with morning stiffness lasting over an hour. He states his fingers feel hot and swollen. What is your first thought this patient might be experiencing?
Rheumatoid Arthritis
400
Osteomalacia looks similar osteoporosis on X-ray scans except for the occurrence of what 2 things?
Looser lines &
Pseudo- fractures
400
Which patient needs a BMD test?

Women younger than 60 who have reached menopause.

Adults who break a bone after age 35.

All women aged 50 or older.
Women younger than 60 who have reached menopause.
400
What 3 major symptoms does the nurse need to watch for with a patient on a COX-2 inhibitor?
Redness
Edema
Warmth of LE






Musculoskeletal System

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