Question 1

Gouty arthritis is a complication of

Accepted Answer

A)  group A streptococcal infection. 
B)  autoimmune destruction of joint collagen. 
C)  excessive production of urea. 
D)  inadequate renal excretion of uric acid. 
A)  group A streptococcal infection. 
B)  autoimmune destruction of joint collagen. 
C)  excessive production of urea. 
D)  inadequate renal excretion of uric acid.

Question 2

"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

Accepted Answer

A)  calcium phosphate. 
B)  urea. 
C)  uric acid. 
D)  beta-hydroxybutyric acid. 
A)  calcium phosphate. 
B)  urea. 
C)  uric acid. 
D)  beta-hydroxybutyric acid.

Question 3

Ankylosing spondylitis is characterized by

Accepted Answer

A)  inflammation, stiffness, and fusion of spinal joints. 
B)  loss of articular cartilage in weight-bearing joints. 
C)  excessive bone remodeling leading to soft bone. 
D)  immune mechanisms leading to widespread joint inflammation. 
A)  inflammation, stiffness, and fusion of spinal joints. 
B)  loss of articular cartilage in weight-bearing joints. 
C)  excessive bone remodeling leading to soft bone. 
D)  immune mechanisms leading to widespread joint inflammation.

Question 4

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

Accepted Answer

A)  elevated serum calcium level. 
B)  elevated monoclonal antibody titer. 
C)  positive antinuclear antibodies. 
D)  positive microsomal antibodies. 
A)  elevated serum calcium level. 
B)  elevated monoclonal antibody titer. 
C)  positive antinuclear antibodies. 
D)  positive microsomal antibodies.

Question 5

In contrast to osteoarthritis, rheumatoid arthritis may be associated with

Accepted Answer

A)  debilitating joint pain and stiffness. 
B)  improvement in symptoms with aspirin therapy. 
C)  changes in activities of daily living. 
D)  systemic aching in the musculoskeletal system. 
A)  debilitating joint pain and stiffness. 
B)  improvement in symptoms with aspirin therapy. 
C)  changes in activities of daily living. 
D)  systemic aching in the musculoskeletal system.

Question 6

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

Accepted Answer

A)  wear and tear on weight-bearing joints. 
B)  septic joint inflammation and necrosis. 
C)  unknown etiologic factors. 
D)  autoimmune mechanisms. 
A)  wear and tear on weight-bearing joints. 
B)  septic joint inflammation and necrosis. 
C)  unknown etiologic factors. 
D)  autoimmune mechanisms.

Question 7

Prosthetic joint infection is most often due to

Accepted Answer

A)  defective replacement material. 
B)  injury to the joint. 
C)  hematogenous transfer. 
D)  arthritis. 
A)  defective replacement material. 
B)  injury to the joint. 
C)  hematogenous transfer. 
D)  arthritis.

Question 8

The earliest manifestation of scleroderma is

Accepted Answer

A)  thick, tight, shiny skin. 
B)  skin hyper/hypopigmentation. 
C)  renal impairment. 
D)  Raynaud phenomenon. 
A)  thick, tight, shiny skin. 
B)  skin hyper/hypopigmentation. 
C)  renal impairment. 
D)  Raynaud phenomenon.

Question 9

Polymyositis involves inflammation and necrosis of _____ tissue.

Accepted Answer

A)  muscle 
B)  epidermal 
C)  nerve 
D)  fat 
A)  muscle 
B)  epidermal 
C)  nerve 
D)  fat

Question 10

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

Accepted Answer

A)  systemic manifestations of inflammation. 
B)  localized pain in weight-bearing joints. 
C)  reduced excretion of uric acid by the kidney. 
D)  firm, crystallized nodules or "tophi" at the affected joints. 
A)  systemic manifestations of inflammation. 
B)  localized pain in weight-bearing joints. 
C)  reduced excretion of uric acid by the kidney. 
D)  firm, crystallized nodules or "tophi" at the affected joints.

Question 11

It is true that scleroderma involves

Accepted Answer

A)  inflammation and fibrosis of connective tissue. 
B)  autoantibodies against acetylcholine receptors. 
C)  infection by beta-hemolytic streptococcus. 
D)  inflammation due to antigenic fragments of dead organisms. 
A)  inflammation and fibrosis of connective tissue. 
B)  autoantibodies against acetylcholine receptors. 
C)  infection by beta-hemolytic streptococcus. 
D)  inflammation due to antigenic fragments of dead organisms.

Exam 52: Alterations in Musculoskeletal Function: Rheumatic Disorders

Gouty arthritis is a complication of

"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

Ankylosing spondylitis is characterized by

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

In contrast to osteoarthritis, rheumatoid arthritis may be associated with

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

Prosthetic joint infection is most often due to

The earliest manifestation of scleroderma is

Polymyositis involves inflammation and necrosis of _____ tissue.

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

It is true that scleroderma involves

Introduction to Pathophysiology

Homeostasis and Adaptive Responses to Stressors

Cell Structure and Function

Cell Injury, Aging, and Death

Genome Structure, Regulation, and Tissue Differentiation

Genetic and Developmental Disorders

Neoplasia

Infectious Processes

Inflammation and Immunity

Alterations in Immune Function

Malignant Disorders of White Blood Cells

HIV Disease and AIDS

Alterations in Oxygen Transport

Alterations in Hemostasis and Blood Coagulation

Alterations in Blood Flow

Alterations in Blood Pressure

Cardiac Function

Alterations in Cardiac Function

Heart Failure and Dysrhythmias: Common Sequelae of Cardiac Diseases

Shock

Respiratory Function and Alterations in Gas Exchange

Obstructive Pulmonary Disorders

Restrictive Pulmonary Disorders

Fluid and Electrolyte Homeostasis and Imbalances

Acid-Base Homeostasis and Imbalances

Renal Function

Intrarenal Disorders

Acute Kidney Injury and Chronic Kidney Disease

Disorders of the Lower Urinary Tract

Male Genital and Reproductive Function

Alterations in Male Genital and Reproductive Function

Female Genital and Reproductive Function

Alterations in Female Genital and Reproductive Function

Sexually Transmitted Infections

Gastrointestinal Function

Gastrointestinal Disorders

Alterations in Function of the Gallbladder and Exocrine Pancreas

Liver Diseases

Endocrine Physiology and Mechanisms of Hypothalamic-Pituitary Regulation

Disorders of Endocrine Function

Diabetes Mellitus

Alterations in Metabolism and Nutrition

Structure and Function of the Nervous System

Acute Disorders of Brain Function

Chronic Disorders of Neurologic Function

Alterations in Special Sensory Function

Pain

Neurobiology of Psychotic Illnesses

Neurobiology of Nonpsychotic Illnesses

Structure and Function of the Musculoskeletal System

Alterations in Musculoskeletal Function: Trauma, Infection, and Disease

Alterations in the Integumentary System

Burn Injuries

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