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Clinical Assessment 2 > Bates Chapter 16 > Flashcards

Bates Chapter 16 Flashcards

1
Q

What systemic disorder can a butterfly rash on the cheeks along with joint pain indicate ?

A

Systemic lupus erythematous

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2
Q

What systemic disorder can scaly rash and pitted nails of psoriasis indicate along with joint pain ? Seen on extensor surfaces

A

Psoriatic arthritis

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3
Q

What systemic disorder presents with a few papules, pustules, or vesicles on reddened bases, located on distal extremities along with joint pain .

A

Gonococcal arthritis

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4
Q

What systemic disease is expended by an expanding erythematous patch early in the illness along with joint pain ?

A

Lyme disease

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5
Q

What can hives along with joint pain indicate?

A

Serum sickness or drug reaction

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6
Q

What can symptoms of urethritis along with joint pain indicate?

A

Reiter’s syndrome (can’t see, can’t pee, can’t climb a tree) or possibly gonococcal arthritis

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7
Q

What can a mental status change along with facial or other weakness, stiff neck, and joint pain indicate?

A

Lyme disease

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8
Q

What can joint pain with diarrhea, abdominal pain, cramping indicate?

A

Arthritis with ulcerative colitis, regional enteritis, scleroderma

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9
Q

What can joint pain preceding a sore throat indicate?

A

Acute rheumatic fever or gonococcal arthritis

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10
Q

A T score (from the DXA scan) of what indicates osteoporosis?

A

Less than -2.5 (Greater than 2.5 standard deviations below the mean for adult white women)

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11
Q

If T scores are 1.0 to 2.5 standard deviations below the mean for young adult white women, what does that indicate?

A

Osteopenia

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12
Q

When is peak bone mass reached?

A

Age 30

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13
Q

What are Z scores used for when comparing DXA scores?

A

Age-matched controls. Useful when screening young people

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14
Q

How much calcium should individuals 19-50 take per day?

A

1000 mg/ day

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15
Q

How much calcium should women over the age of 50 and men over the age of 71 have per day?

A

1200 mg/day

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16
Q

How much Vitamin D should individual 19-71 have per day?

A

600 IU/ day

17
Q

How much vitamin D should individuals over 71 have per day?

A

800 IU/ day

18
Q

What are the two main forms of calcium supplements?

A 
Calcium carbonate
Calcium citrate (more easily absorbed)
19
Q

Which parts of teh spine are concave?

A

Cervical

Lumbar

20
Q

What parts of the spine are convex

A

Thoracic

Sacrococcygeal

21
Q

What is a lateral deviation and rotation of the head from contraction of the SCM muscle?

A

Torticollis

22
Q

In what conditions are “step-offs” felt on palpation? This condition is due to the forward slippage of one vertebrae which may compress the spinal cord.

A

Spondylolisthesis

23
Q

What are recommended physical activity guidelines?

A

at least 2 hours and 30 minutes of moderate intensity or 1 hour and 15 minutes of vigorous-intensity, aerobic physical activity (of combination of equivalent)

Moderate or high intensity muscle strengthening activity that involves all major muscle groups on 2 or more days a week

24
Q

What are a few risk factors for osteoporosis and fracture?

A
  • prior fragility fracture
  • postmenopausal
  • > 50 y/o
  • low dietary Ca
  • vitamin D deficiency
  • tobacco and ETOH use
  • family history of fracture in 1st degree relative
  • use of corticosteroids
25
Q

What age is peak bone mass reached?

A

30 years

26
Q

Whats is ligamentous laxity?

A

joint instability from excess mobility of joint ligaments

occurs with ACL during knee trauma

27
Q

What are 4 signs of inflammation and arthritis?

A

swelling, warmth, redness, tenderness

28
Q

What is diseases are associated with diffuse tenderness vs focal tenderness?

A

focal = injury

diffuse= infection, arthritis

29
Q

What does tenderness over extensor and abductor tendons of the thumb at the radial styloid suggest?

A

de Quervain’s tenosynovitis

Gonococcal tenosynovities

30
Q

The MCP joints are rarely involved in ______, but are often tender and boggy with _______.

A

osteoarthritis, rheumatoid arthritis

31
Q

What is stance?

A

when the foot is on the ground and bears weight; most hip problems occur here

32
Q

What is swing?

A

when foot moves forward and does not bear weight

Clinical Assessment 2 (17 decks)

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