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)