Musculoskeletal Disorders Flashcards
Fitzgerald
The most common cause of acute bursitis is: A. inactivity B. joint overuse C. fibromyalgia D. bacterial infection.
B. joint overuse
First-line treatment options for bursitis usually include:
A. corticosteroid bursal injection
B. heat to area
C. weight-bearing exercises
D. non steroidal anti-inflammatory drugs (NSAIDS).
D. NSAIDS
Patients with olecranon bursitis typically present with:
A. swelling and redness over the affected area
B. limited elbow range of motion (ROM)
C. nerve impingement
D. destruction of the joint space.
A. swelling and redness over the affected area
Patients with subscapular bursitis typically present with:
A. limited shoulder ROM
B. heat over affected area
C. localized tenderness under the superomedial angle of the scapula
D. cervical nerve root irritation.
C. localized tenderness under the superomedial angle of the scapula
Patients with gluteus medium or deep trochanteric bursitis typically present with:
A. increased pain from resisted hip abduction
B. limited hip ROM
C. sciatic nerve pain
D. heat over the affected area.
A. increased pain from resisted hip abduction
Likely sequelae of intramural corticosteroid injection include: A. irreversible skin atrophy B. infection C. inflammatory reaction D. soreness at the injection site.
D. soreness at the injection site
First-line therapy for prepateller bursitis should include: A. bursal aspiration B. intramural corticosteroid injection C. acetaminophen D. knee splinting.
A. bursal aspiration
Clinical conditions with a presentation similar to acute bursitis include with of the following? (more than one can apply.) A. rheumatoid arthritis B. septic arthritis C. joint trauma D. pseudogout
ALL apply: A. rheumatoid arthritis B. septic arthritis C. joint trauma D. pseudogout
Patients with lateral epicondylitis typically present with:
A. electric-like pain elicited by tapping over the median nerve
B. reduced joint ROM
C. pain that is worse with elbow flexion
D. decreased hand grip strength.
D. decreased hand grip strength
Risk factors for lateral epicondylitis include all of the following except: A. repetitive lifting B. playing tennis C. hammering D. gout.
D. gout
Up to what percentage of patients with medial epicondylitis recover without surgery? A. 35% B. 50% C. 70% D. 95%
D. 95%
Initial treatment of lateral epicondylitis includes all of the following except: A. rest and activity modifications B. corticosteroid injections C. topical or ora NSAIDs D. counterforce bracing.
B. corticosteroid injections
Extracorporeal shock-wave therapy can be used in the treatment of epicondylitis as a means to: A. improve ROM B. build forearm strength C. promote the natural healing process D. stretch the extensor tendon.
C. promote the natural healing process
Patients with medial epicondylitis typically present with: A. forearm numbness B. reduction in ROM C. pain on elbow flexion D. decreased grip strength.
D. decreased grip strength
Risk factors for medial epicondylitis include playing: A. tennis B. golf C. baseball D. volleyball.
B. golf
Risk factor for acute gouty arthritis include: A. obesity B. female gender C. rheumatoid arthritis D. joint trauma
A. obesity
The use of all the following medications can trigger gout except: A. aspirin B. statins C. diuretics D. niacin.
B. statins
Secondary gout can be caused by all of the following conditions except: A. psoriasis B. hemolytic anemia C. bacterial cellulitis D. renal failure.
C. bacterial cellulitis
The clinical presentation of acute gouty arthritis affecting the base of the great toe includes:
A. slow onset of discomfort over many days
B. greatest swelling and pain along the median aspect of the joint
C. improvement of symptoms with joint rest
D. fever.
B. greatest swelling and pain along the median aspect of the joint
The most helpful diagnostic test to perform during acute gouty arthritis is:
A. measurement of erythrocyte sedimentation rate (ESR)
B. measurement of serum uric acid
C. analysis of aspirate from the affected joint
D. joint radiography
C. analysis of aspirate form the affected joint
First-line therapy for treating patients with acute gouty arthritis usually includes: A. aspirin B. naproxen sodium C. allopurinol D. probenecid
B. naproxen sodium
Tophi are best described as:
A. ulcerations originating on swollen joints
B. swollen lymph nodes
C. abscesses with one or more openings draining pus onto the skin
D. nontender, firm nodules located in soft tissue.
D. nontender, firm nodules located in soft tissue
Which of the following patients with acute gouty arthritis is the best candidate for local corticosteroid injection?
A. a 66-year-old patient with a gastric ulcer
B. a 44-year-old patient taking thiazide diuretic
C. a 68-year-old patient with type 2 diabetes mellitus
D. a 32-year-old patient with who is a binge drinker.
A. a 66-year-old patient with a gastric ulcer
The most common locations for tophi include all of the following except: A. the auricles B. the elbows C. the extensor surfaces of the hands D. the shoulders.
D. the shoulders
Which of the following foods is least likely to trigger acute gouty arthritis? A. mussels B. beef liver C. hard cheese D. spinach.
C. hard cheese
Indicate whether each medication is used for prevention (P) or treatment (T) of gout.
- febuxostat (Uloric)
- colchicine
- allopurinol (Aloprim)
- febuxostat (Uloric) = Prevention
- colchicine = Treatment
- allopurinol = Prevention
Pegloticase (Krystexxa) reduces serum uric acid levels by:
A. reducing the production of urea
B. converting uric acid to allantoin
C. blocking conversion of urea to uric acid
D. binding to uric acid and facilitating elimination through the GI system.
B. converting uric acid to allantion
Which of the following dietary supplements is associated with increased risk for gout? A. vitamin A B. gingko biloba C. brewer's yeast D. glucosamine.
C. brewer’s yeast
Pseudogout is caused by the formations of what type of crystals in joints? A. uric acid B. calcium oxalate C. struvite D. calcium pyrophosphate dihydrate.
D. calcium pyrophosphate dihydrate