Ch. 29 Flashcards
Of the layers of the skin, which has NO direct blood supply?
A) Dermis
B) Epidermis
C) Subcutaneous
D) Adipose
B) Epidermis
Page Ref: 696
Objective: Supplemental
The neurotransmitter ________ is responsible for contraction of the muscle.
A) acetylcholinesterase
B) myoglobin
C) acetylcholine
D) phosphokinase
C) acetylcholine
Page Ref: 697
Objective: Supplemental
A common complaint from patients who are immobile is/are:
A) decubitus ulcers.
B) cellulitis.
C) gangrene.
D) clostridia.
A) decubitus ulcers.
Page Ref: 699
Objective: 29.1 Define key terms introduced in this chapter.
All of the following are TRUE regarding myoglobin EXCEPT:
A) it results in dark tea- or cola-colored urine.
B) it is toxic to the liver and pancreas.
C) it can cause acute renal failure.
D) it is released as a result of rhabdomyolysis.
B) it is toxic to the liver and pancreas.
Page Ref: 702
Objective: 29.9 Describe the pathophysiology and management of rhabdomyolysis.
You have a young male patient who tells you he has Duchenne muscular dystrophy. All of the following are common with this disease EXCEPT:
A) the patient will be wheelchair bound by age 12.
B) weakened respiratory muscles can lead to pneumonia.
C) it occurs more commonly in females than males.
D) patients usually die from respiratory failure in the early 20s.
C) it occurs more commonly in females than males.
Page Ref: 701
Objective: 29.8 Describe the pathophysiology, progression, and needs of patients with muscular dystrophy.
One of the primary treatments for rhabdomyolysis is:
A) administration of a 50 percent dextrose solution.
B) IV antibiotics to reduce inflammation of the tissues.
C) IV administration of pain relievers.
D) administration of isotonic crystalloid fluids.
D) administration of isotonic crystalloid fluids.
Page Ref: 702
Objective: 29.9 Describe the pathophysiology and management of rhabdomyolysis.
In which of the following patients should you suspect pathological fractures?
A) A young boy fell off of his bicycle after hitting the curb.
B) A little girl broke her arm from pulling her shirt over her head.
C) An older man was struck by a car while crossing the street.
D) A woman tripped and fell down a stairwell.
B) A little girl broke her arm from pulling her shirt over her head.
Page Ref: 701
Objective: 29.2 Obtain a relevant history from patients presenting with nontraumatic musculoskeletal disorders.
Which of the following would lead to an increase in bone strength?
A) Weight bearing exercise
B) Being bedbound
C) Immobilization in a cast
D) Astronauts in weightless conditions
A) Weight bearing exercise
Page Ref: 700
Objective: 29.3 Describe the pathophysiology of, and concerns for, patients with osteoporosis.
You are called for a 48-year-old man who is complaining of back and leg pain. Your assessment finds pain and tenderness in his lower back with tingling through his left buttock and down his left leg. He tells you that he has been moving furniture. You should suspect:
A) decubitus.
B) kyphosis.
C) sciatica.
D) osteoarthritis.
C) sciatica.
Page Ref: 702
Objective: 29.4 List etiologies of nontraumatic back, neck, muscle, and joint pain.
All of the following would be appropriate care for a patient with non-traumatic back pain EXCEPT:
A) administration of analgesia prior to moving the patient.
B) application of an ice pack to the affected area.
C) spinal motion restriction.
D) administration of anti-inflammatory medications.
C) spinal motion restriction.
Page Ref: 702-703
Objective: 29.5 Explain considerations in assessing and managing patients with nontraumatic musculoskeletal complaints.
Severe cases of osteoarthritis can result in what conditions?
A) Deformity of the joint and muscle spasms
B) Pathologic fractures and compression fractures
C) Acute renal failure and compartment syndrome
D) Stevens-Johnson syndrome and decubitus ulcers
A) Deformity of the joint and muscle spasms
Page Ref: 700
Objective: 29.6 Describe the pathophysiology of arthritis, including osteoarthritis, septic arthritis, rheumatoid arthritis, and gout.
Inflammation of the skin, including the dermis and subcutaneous layers, that is usually caused by bacterial infection would be identified as:
A) an abscess.
B) cellulitis.
C) necrotizing fasciitis.
D) rhabdomyolysis.
B) cellulitis.
Page Ref: 698
Objective: 29.1 Define key terms introduced in this chapter.
Your patient is a 64-year-old man with a recurrent case of herpes. He has called 911 because he has raised, red lesions scattered around his stomach and back. Which of the following should you suspect?
A) Erythema multiforme
B) Stevens-Johnson syndrome
C) Toxic epidermal necrolysis
D) Cellulitis
A) Erythema multiforme
Page Ref: 699
Objective: 29.10 Discuss various types of soft-tissue infection and inflammation, such as cellulitis, gangrene, and necrotizing fasciitis.
Your 56-year-old female patient is complaining of chronic fatigue, muscle stiffness, and tender areas at several locations. Based on your assessment and the patient’s history, you should suspect:
A) rhabdomyolysis.
B) osteoporosis.
C) osteoarthritis.
D) fibromyalgia.
D) fibromyalgia.
Page Ref: 702
Objective: 29.7 List various etiologies of myalgia (muscle pain).
The current treatment for fibromyalgia is:
A) antidepressants.
B) allopurinol.
C) sulfonamide antibiotics.
D) anti-inflammatory drugs.
A) antidepressants.
Page Ref: 702
Objective: 29.7 List various etiologies of myalgia (muscle pain).
