check your understanding week 7 for week 8 Flashcards

1
Q

Individuals diagnosed with systemic lupus erythematosus (SLE) are at risk for developing numerous complications of various organs because of

A

immune injury to basement membranes.

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2
Q

What type of fracture generally occurs in children?

A

Greenstick

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3
Q

Rheumatoid arthritis is commonly associated with the presence of rheumatoid factor autoantibodies in the bloodstream. This indicates that rheumatoid arthritis is likely to be

A

an autoimmune process.

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4
Q

The disorders characterized by softening and then enlargement of bones is referred to as

A

Paget disease.

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5
Q

A unique characteristic feature of fibromyalgia is the presence of

A

tender point pain.

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6
Q

A laboratory test result that helps confirm the diagnosis of systemic lupus erythematosus (SLE) is

A

positive antinuclear antibodies.

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7
Q

Gouty arthritis is a complication of

A

inadequate renal excretion of uric acid.

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8
Q

Systemic lupus erythematosus (SLE) is a rheumatic disease attributed to

A

autoimmune mechanisms.

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9
Q

Pain that waxes and wanes and is exacerbated by physical exertion is likely related to

A

fibromyalgia syndrome.

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10
Q

Compartment syndrome occurs secondary to

A

soft-tissue damage.

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11
Q

It is true that scleroderma involves

A

inflammation and fibrosis of connective tissue.

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12
Q

The final stage of gout, characterized by crystalline deposits in cartilage, synovial membranes, and soft tissue, is called

A

tophaceous gout.

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13
Q

Myasthenia gravis is an autoimmune disease in which

A

acetylcholine receptors are destroyed or dysfunctional.

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14
Q

Following a bone fracture, the most likely event to occur is

A

development of a blood clot beneath the periosteum.

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15
Q

In contrast to osteoarthritis, rheumatoid arthritis may be associated with

A

systemic aching in the musculoskeletal system.

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16
Q

A risk factor for osteoporosis is

A

early menopause.

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17
Q

Anticholinesterase inhibitors may be used to manage

A

myasthenia gravis.

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17
Q

Ankylosing spondylitis causes

A

intervertebral joint fusion.

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18
Q

Assessment of an extremity six hours after surgical alignment and casting demonstrates pulselessness and pallor. The priority action to take is to

A

initiate action to have the cast split or removed.

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19
Q

Most muscle strains are caused by

A

abnormal muscle contraction.

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20
Q

Which neurologic disorder is commonly referred to as Lou Gehrig disease?

A

Amyotrophic lateral sclerosis

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21
Q

A severe complication of elevated intracranial pressure is

A

brain herniation.

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22
Q

It is true that encephalitis is usually

A

because of a viral infection in brain cells.

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23
Q

It is true that Bell palsy is a

A

paralysis of the muscles innervated by the facial nerve.

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24
Q

In older women, osteoporosis is thought to be primarily because of

A

estrogen deficiency.

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25
Q

Steroids may be used in the management of acute exacerbation of symptoms in patients with multiple sclerosis, because

A

demyelination is mediated by immune mechanisms.

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26
Q

Intracranial pressure normally ranges from ______ mm Hg.

A

0 to 15

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27
Q

Most sensory afferent pain fibers enter the spinal cord by way of the ________ nerve roots.

A

posterior

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28
Q

The most important preventive measure for hemorrhagic stroke is

A

blood pressure control.

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29
Q

An example of inappropriate treatment for head trauma would be

A

hypoventilation.

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30
Q

Referred pain may be perceived at some distance from the area of tissue injury, but generally felt

A

within the same dermatome.

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31
Q

A tool used to assess levels of consciousness is

A

Glasgow Coma Scale (GCS).

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32
Q

________ occurs when a brainstem impaired patient exhibits a persistent rhythmic or jerky movement in one or both eyes.

A

Nystagmus

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33
Q

Which group of clinical findings indicates the poorest neurologic functioning?

A

Assumes decorticate posture with light touch, no verbal response

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34
Q

The physiologic mechanisms involved in the pain phenomenon are termed

A

nociception.

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35
Q

Modulation of pain signals is thought to be mediated by the release of

A

endorphins.

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36
Q

The stage of spinal shock that follows spinal cord injury is characterized by

A

absent spinal reflexes below the level of injury.

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37
Q

In the acute phase of stroke, treatment is focused on

A

stabilization of respiratory and cardiovascular function.

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38
Q

The gate control theory of pain transmission predicts that activity in touch receptors will

A

decrease pain signal transmission in the spinal cord.

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39
Q

The most important determinant for prescribing therapy for acute stroke is

A

ischemic versus hemorrhagic cause.

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40
Q

The chief pathologic features of osteoarthritis are

A

degeneration of articular cartilage, destruction of the bone under the cartilage, and thickening of the synovium.

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40
Q

The earliest manifestation of scleroderma is

A

Raynaud phenomenon.

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40
Q

“Please explain the pathophysiology of osteoarthritis to me,” says another nurse. “Is it just wear and tear so that the cartilage wears out?” Your best response is

A

“No; cells in bone, cartilage, and the synovial membrane all get activated and secrete inflammatory mediators that destroy cartilage and damage bone.”

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40
Q

Bone healing may be impaired by

A

nicotine use.

40
Q

Which disorder usually causes skeletal pain and involves significant bone demineralization from vitamin D deficiency?

A

Osteomalacia

40
Q

One of the most common causes of acute pain is

A

headache.

40
Q

Healing of a fractured bone with a poor alignment is called

A

malunion.

40
Q

People who have osteoporosis are at risk for

A

bone fractures.

41
Q

The most common symptom of multiple myeloma is

A

bone pain.

41
Q

Paget’s disease is characterized by

A

excessive bone resorption followed by excessive formation of fragile bone.

42
Q

The pathophysiology of rheumatoid arthritis involves

A

immune cells accumulating in pannus and destroying articular cartilage.

42
Q

Enteropathic arthritis is associated with

A

inflammatory bowel disease.

43
Q

Rheumatoid arthritis involves joint inflammation caused by

A

autoimmune injury.

43
Q

A patient presenting with a severe, pounding headache accompanied by nausea and photophobia is likely experiencing a ________ headache.

A

migraine

44
Q

Prosthetic joint infection is most often because of

A

hematogenous transfer.

44
Q

Orthostatic hypotension may be a manifestation of

A

Parkinson disease.

45
Q

Dopamine precursors and anticholinergics are all used in the management of Parkinson disease, because they

A

increase dopamine activity in the basal ganglia.

46
Q

What effect do demyelinating disorders such as multiple sclerosis have on neurotransmission?

A

Slower rate of action potential conduction

47
Q

A college student living in a dormitory reports a stiff neck and headache and is found to have a fever of 102°F. This information is most consistent with

A

meningitis.

48
Q

The classic manifestations of Parkinson disease include

A

rest tremor and skeletal muscle rigidity.

49
Q

Seizures that involve both hemispheres at the outset are termed

A

generalized.

50
Q

Upper extremity weakness in association with degeneration of CNS neurons is characteristic of

A

amyotrophic lateral sclerosis.

51
Q

Autonomic dysreflexia is characterized by

A

hypertension and bradycardia.

52
Q

It is recommended that women of childbearing age take folic acid daily for prevention of

A

neural tube defects.

53
Q

Complete healing of a bone fracture occurs when

A

the callus has been completely replaced with mature bone.

54
Q

The initial treatment of an individual experiencing a seizure is concentrated on

A

maintaining an airway.

54
Q

Parkinson disease is associated with

A

a deficiency of dopamine in the substantia nigra.

55
Q

Which treatment is helpful in neuropathic pain but not used for acute pain?

A

Anticonvulsants

56
Q

Which statement is true about the incidence of multiple sclerosis?

A

The age of onset ranges from 20 to 50 years.

57
Q

Ascending paralysis with no loss of sensation is characteristic of

A

Guillain-Barré syndrome.

58
Q

The pathophysiology of osteomalacia involves

A

inadequate mineralization in the osteoid.

59
Q

A patient diagnosed with diabetes, smokes a pack of cigarettes daily and eats very few green leafy vegetables. After experiencing a fractured toe, this patient is at risk for

A

delayed healing.

60
Q

The disease that is similar to osteomalacia and occurs in growing children is

A

rickets.

61
Q

A compound, transverse fracture is best described as a bone that is

A

broken and protruding through the skin.

62
Q

The person at highest risk of a greenstick fracture from falling off a tall ladder is age

A

8.

63
Q

The complication which is not likely to result from a compound, transverse fracture of the tibia and fibula is

A

air embolus.

64
Q

“Tell me again the name of that chemical that makes crystals when my gout flares up,” asks the client. The nurse’s best response is

A

uric acid.

65
Q

The most common site affected in Paget’s disease is the

A

lower spine.

65
Q

The most common presenting sign/symptom with rheumatic fever is

A

polyarthritis.

66
Q

The displacement of two bones in which the articular surfaces partially lose contact with each other is called

A

subluxation.

66
Q

A fracture in which bone breaks into two or more fragments is referred to as

A

comminuted.

67
Q

Secondary injury after head trauma refers to

A

brain injury resulting from the body’s response to tissue damage.

68
Q

Systemic disorders include

A

rheumatoid arthritis.

69
Q

Muscular dystrophy includes a number of muscle disorders that are

A

genetically transmitted.

70
Q

The first indication of brain compression from increasing intracranial pressure (ICP) may be

A

sluggish pupil response to light.

70
Q

The stroke etiology with the highest morbidity and mortality is

A

intracranial hemorrhage.

71
Q

Acceleration-deceleration movements of the head often result in polar injuries in which

A

focal injuries occur in two places at opposite poles.

72
Q

Risk factors for hemorrhagic stroke include

A

acute hypertension.

73
Q

The primary reason that prolonged seizure activity predisposes to ischemic brain damage is that

A

the lack of airway maintenance can lead to hypoxia.

74
Q

The dementia of Alzheimer disease is associated with structural changes in the brain, including

A

deposition of amyloid plaques in the brain.

75
Q

Leakage of CSF from the nose or ears is commonly associated with

A

basilar skull fracture.

76
Q

Rupture of a cerebral aneurysm should be suspected if the patient reports

A

sudden, severe headache.

77
Q

Pain with passive stretching of a muscle is indicative of

A

noncontractile tissue injury.

78
Q

The most common type of osteomyelitis is

A

hematogenous.

79
Q

A clinical finding consistent with a diagnosis of rheumatoid arthritis would be

A

systemic manifestations of inflammation.

80
Q

The most common source of osteomyelitis is

A

an infection that migrates via the bloodstream.

81
Q

Inflammation of the sacs that overlie bony prominences is called

A

bursitis.

82
Q

The ________ is the level of painful stimulation required to be perceived.

A

threshold

83
Q

Manifestations of acute brain ischemia (Cushing reflex) are due primarily to

A

sympathetic nervous system activation.

84
Q

________ edema occurs when ischemic tissue swells because of cellular energy failure.

A

Cytotoxic

85
Q

It is true that encephalitis is usually

A

because of a viral infection in brain cells.

86
Q

It is true that epidural bleeding is

A

characterized by a lucid interval immediately after injury.

87
Q

Most sensory afferent pain fibers enter the spinal cord by way of the ________ nerve roots.

A

posterior

88
Q

A patient who experiences early symptoms of muscle twitching, cramping, and stiffness of the hands may be demonstrating signs of

A

amyotrophic lateral sclerosis.

89
Q

To avoid the progression of cutaneous lesions, a patient diagnosed with systemic lupus erythematosus (SLE) should

A

avoid sun exposure.

90
Q

Clinical manifestations of a stroke within the right cerebral hemisphere include

A

left-sided muscle weakness and neglect.

91
Q

Subarachnoid hemorrhage is usually managed with volume expansion and blood pressure support to enhance cerebral perfusion. This is necessary because subarachnoid hemorrhage predisposes to

A

cerebral vasospasm.

92
Q

Before making a diagnosis of Alzheimer disease

A

other potential causes of dementia must be ruled out

93
Q

Slow pain sensation is transmitted primarily by

A

unmyelinated C fibers.