Brunner's Musculoskeletal Questions (The Point)
What are the lifestyle risk factors for osteoporosis?
- lack of sunshine - low diet in calcium and VITD - cigarette smoking - alcohol/caffeine - lack of weight excursuses
What fingers does Dupuytren contracture effect?
4th and 5th fingers
Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing bone density?
Calcitonin
Which common problem of the upper extremity results from entrapment of the median nerve at the wrist?
Carpal Tunnel Syndrome
Infection that is blood borne includes which sign?
Chills
Meniscectomy refers to the a) replacement of one of the articular surfaces of a joint. b) excision of damaged joint fibrocartilage. c) incision and diversion of the muscle fascia. d) removal of a body part.
D
Flexion deformity caused by slow progressive contracture of the palmar fascia
Dupuytren contracture
When the great toe deviates laterally, what is it called?
Hallux valgus
Which condition is a metabolic bone disease characterized by inadequate mineralization of bone?
Osteomalacia
Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which of the following bone disorders?
Paget Disease
Which term refers to a disease of a nerve root?
Radiculopathy
What is the main organism causing osteomyelitis?
Staphylococcus aureus
Morton's Neuroma
Swelling of the third (lateral) branch of the median plantar nerve
Patients with musculoskeletal injury need to have what in their diet?
Vitamin D
Which would be consistent as a component of self care activities for the pt with a cast?
cushion edges of cast with tape
The nurse teaching the client with a cast about home care includes which instruction?
dry a wet fiberglass cast throughly to avoid skin problems and never cover it with plastic
when is Raloxifene contraindicated
hx of DVT
How to prevent disuse syndrome?
isometric exercises
Chronic osteomyelitis, antibiotics given are adjunctive therapy to what?
surgical debridement
Patients with osteomalacia should include what in their diet?
Calcium, phosphorus, VIT D
Which device is designed specifically to support and immobilize a body part in a desired position?
Splint
Osteomalacia education to the patient
need to be evaluated for underlying causing, such as renal failure
The nurse teaches the client which intervention to avoid hip dislocation after replacement surgery?
never cross legs when seated
What does the nurse need to do if seeing a indentation on a cast?
notify MD, may be skin breakdown
What should the nurse do if the patient is suspected to have compartment syndrome?
provide support to the injured extremity prepare to remove the cast
What should be included in a teaching plan for plantar fasciitis?
stretching exercises
Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which of the following bone disorders? a) Osteoporosis b) Osteomalacia c) Osteitis deformans d) Osteomyelitis
C.) Osteitis deformans
After the administration of Alendronate (biphosphonate) the patient needs to-
sit upright for at least 30 minutes (should be a hour)