Question 1

Researchers now believe that rheumatoid arthritis (RA) is a result of:

Accepted Answer

A)  an ineffective antiviral agent. 
B)  an autoimmune disease. 
C)  a complication of rheumatic fever. 
D)  a superficial joint injury. 
A)  an ineffective antiviral agent. 
B)  an autoimmune disease. 
C)  a complication of rheumatic fever. 
D)  a superficial joint injury. B

Question 2

A 60-year-old male presents with swelling and pain in the knee.CT reveals a tumor has developed from a preexisting benign bone lesion.This supports which diagnosis?

Accepted Answer

A)  Secondary chondrosarcoma 
B)  Rhabdomyoma 
C)  Rhabdomyosarcoma 
D)  Fibrosarcoma 
A)  Secondary chondrosarcoma 
B)  Rhabdomyoma 
C)  Rhabdomyosarcoma 
D)  Fibrosarcoma A

Question 3

The diagnosis of rhabdomyolysis is based on the measurement of which laboratory value?

Accepted Answer

A)  White blood cell count (WB
C)  
B)  Antinuclear antibodies 
C)  Aspartate aminotransferase 
D)  Creatine kinase (CK) 
A)  White blood cell count (WB
C)  
B)  Antinuclear antibodies 
C)  Aspartate aminotransferase 
D)  Creatine kinase (CK) D

Question 4

A disorder similar to osteomalacia that occurs in growing bones of children is termed:

Accepted Answer

A)  Paget disease. 
B)  rickets. 
C)  osteomyelitis. 
D)  osteosarcoma. 
A)  Paget disease. 
B)  rickets. 
C)  osteomyelitis. 
D)  osteosarcoma.

Question 5

What is the primary organism responsible for osteomyelitis?

Accepted Answer

A)  Staphylococcus aureus 
B)  Salmonella 
C)  Mycobacterium 
D)  Haemophilus influenza 
A)  Staphylococcus aureus 
B)  Salmonella 
C)  Mycobacterium 
D)  Haemophilus influenza

Question 6

Which clinical finding would be expected in the patient with rhabdomyolysis?

Accepted Answer

A)  Sweating 
B)  Dark urine 
C)  Yellow color to the skin 
D)  Lower extremity swelling 
A)  Sweating 
B)  Dark urine 
C)  Yellow color to the skin 
D)  Lower extremity swelling

Question 7

A 34-year-old female was recently diagnosed with rheumatoid arthritis (RA).Physical examination revealed that inflammation is noted in various:

Accepted Answer

A)  synovial membranes. 
B)  short bones. 
C)  subchondral bones. 
D)  bursae sacs. 
A)  synovial membranes. 
B)  short bones. 
C)  subchondral bones. 
D)  bursae sacs.

Question 8

A 21 year old is diagnosed with ankylosing spondylitis (AS).The most likely joint to be affected would be the:

Accepted Answer

A)  sacroiliac. 
B)  carpal. 
C)  shoulder. 
D)  knee. 
A)  sacroiliac. 
B)  carpal. 
C)  shoulder. 
D)  knee.

Question 9

A 56-year-old male was admitted to the hospital with a diagnosis of osteomalacia.History reveals that he underwent bariatric surgery 3 years earlier.What is the common link between the surgery and the development of osteomalacia?

Accepted Answer

A)  Impaired phosphate absorption 
B)  Increased calcium excretion 
C)  Vitamin D deficiency 
D)  Impaired vitamin C metabolism 
A)  Impaired phosphate absorption 
B)  Increased calcium excretion 
C)  Vitamin D deficiency 
D)  Impaired vitamin C metabolism

Question 10

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

Accepted Answer

A)  monoarticular arthritis. 
B)  tophaceous gout. 
C)  asymptomatic hyperuricemia. 
D)  complicated gout. 
A)  monoarticular arthritis. 
B)  tophaceous gout. 
C)  asymptomatic hyperuricemia. 
D)  complicated gout.

Question 11

A 32-year-old male was injured in a motor vehicle accident and confined to bed for 3 weeks.During this time, the size and strength of muscle fibers decreased, a condition referred to as:

Accepted Answer

A)  myelodysplasia. 
B)  ischemic atrophy. 
C)  disuse atrophy. 
D)  fibromyalgia. 
A)  myelodysplasia. 
B)  ischemic atrophy. 
C)  disuse atrophy. 
D)  fibromyalgia.

Question 12

The cause of Paget disease is:

Accepted Answer

A)  fluoride deficiency. 
B)  unknown at present. 
C)  excess vitamin A. 
D)  osteogenic sarcoma. 
A)  fluoride deficiency. 
B)  unknown at present. 
C)  excess vitamin A. 
D)  osteogenic sarcoma.

Question 13

What term is used to describe a torn ligament?

Accepted Answer

A)  Sprain 
B)  Strain 
C)  Disunion 
D)  Subluxation 
A)  Sprain 
B)  Strain 
C)  Disunion 
D)  Subluxation

Question 14

A 36 year old reports pain and weakness in the elbow.MRI reveals inflammation of the tendon and the presence of microtears where it attaches to bone.This condition is called:

Accepted Answer

A)  periostitis. 
B)  muscle strain. 
C)  bursitis. 
D)  epicondylopathy. 
A)  periostitis. 
B)  muscle strain. 
C)  bursitis. 
D)  epicondylopathy.

Question 15

A 70-year-old female presents with a hip fracture secondary to osteoporosis.This condition is caused by an increase in bone:

Accepted Answer

A)  density. 
B)  formation. 
C)  resorption. 
D)  mineralization. 
A)  density. 
B)  formation. 
C)  resorption. 
D)  mineralization.

Question 16

What is the term used to identify a pattern of bone destruction indicative of an aggressive malignant tumor? (Select all that apply.)

Accepted Answer

A)  Moth-eaten 
B)  Permeative 
C)  Geographic 
D)  Radial 
E)  Selective 
A)  Moth-eaten 
B)  Permeative 
C)  Geographic 
D)  Radial 
E)  Selective

Question 17

Osteomalacia is a result of:

Accepted Answer

A)  collagen breakdown in the bone matrix. 
B)  excessive bone resorption. 
C)  crowding of bone marrow by excessive bone growth. 
D)  inadequate bone mineralization. 
A)  collagen breakdown in the bone matrix. 
B)  excessive bone resorption. 
C)  crowding of bone marrow by excessive bone growth. 
D)  inadequate bone mineralization.

Question 18

A 70 year old diagnosed with osteoporosis fell and fractures the left leg at a location of preexisting abnormality.Which term describes the fracture?

Accepted Answer

A)  Fatigue 
B)  Stress 
C)  Pathologic 
D)  Greenstick 
A)  Fatigue 
B)  Stress 
C)  Pathologic 
D)  Greenstick

Question 19

The incidence of fractures of the pelvis is highest in:

Accepted Answer

A)  preadolescent boys. 
B)  adolescent boys. 
C)  adolescent girls. 
D)  older adults. 
A)  preadolescent boys. 
B)  adolescent boys. 
C)  adolescent girls. 
D)  older adults.

Question 20

A 46-year-old male diagnosed with gouty arthritis is at high risk for developing:

Accepted Answer

A)  cholelithiasis. 
B)  myocarditis. 
C)  renal stones. 
D)  liver failure. 
A)  cholelithiasis. 
B)  myocarditis. 
C)  renal stones. 
D)  liver failure.

Exam 41: Alterations of Musculoskeletal Function

Researchers now believe that rheumatoid arthritis (RA) is a result of:

A 60-year-old male presents with swelling and pain in the knee.CT reveals a tumor has developed from a preexisting benign bone lesion.This supports which diagnosis?

The diagnosis of rhabdomyolysis is based on the measurement of which laboratory value?

A disorder similar to osteomalacia that occurs in growing bones of children is termed:

What is the primary organism responsible for osteomyelitis?

Which clinical finding would be expected in the patient with rhabdomyolysis?

A 34-year-old female was recently diagnosed with rheumatoid arthritis (RA).Physical examination revealed that inflammation is noted in various:

A 21 year old is diagnosed with ankylosing spondylitis (AS).The most likely joint to be affected would be the:

A 56-year-old male was admitted to the hospital with a diagnosis of osteomalacia.History reveals that he underwent bariatric surgery 3 years earlier.What is the common link between the surgery and the development of osteomalacia?

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

A 32-year-old male was injured in a motor vehicle accident and confined to bed for 3 weeks.During this time, the size and strength of muscle fibers decreased, a condition referred to as:

The cause of Paget disease is:

What term is used to describe a torn ligament?

A 36 year old reports pain and weakness in the elbow.MRI reveals inflammation of the tendon and the presence of microtears where it attaches to bone.This condition is called:

A 70-year-old female presents with a hip fracture secondary to osteoporosis.This condition is caused by an increase in bone:

What is the term used to identify a pattern of bone destruction indicative of an aggressive malignant tumor? (Select all that apply.)

Osteomalacia is a result of:

A 70 year old diagnosed with osteoporosis fell and fractures the left leg at a location of preexisting abnormality.Which term describes the fracture?

The incidence of fractures of the pelvis is highest in:

A 46-year-old male diagnosed with gouty arthritis is at high risk for developing:

Cellular Biology

Genes and Genetic Diseases

Epigenetics and Disease

Altered Cellular and Tissue Biology

Fluids and Electrolytes, Acids and Bases

Innate Immunity: Inflammation and Wound Healing

Adaptive Immunity

Disorders of the Central and Peripheral Nervous Systems and Neuromuscular Junction

Alterations in Immunity

Infection and Defects in Mechanisms of Defense

Stress and Disease

Biology of Cancer

Cancer Epidemiology

Cancer in Children and Adolescents

Structure and Function of the Neurologic System

Pain, Temperature, Sleep, and Sensory Function

Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function

Mechanisms of Hormonal Regulation

Alterations of Hormonal Regulation

Obesity and Disorders of Nutrition

Structure and Function of the Hematologic System

Alterations of Hematologic Function

Alterations of Hematologic Function in Children

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urologic Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Reproductive Systems

Alterations of the Female Reproductive System

Alterations of the Male Reproductive System

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculoskeletal System

Alterations of Musculoskeletal Function in Children

Structure, Function, and Disorders of the Integument

Alterations of the Integument in Children

Alterations of Neurologic Function in Children

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