Question 1

What is the basic pathology of rheumatoid arthritis?

Accepted Answer

A) a degenerative disorder involving the small joints 
B) a chronic inflammatory disorder affecting all joints 
C) a systemic inflammatory disorder due to an autoimmune reaction 
D) an inflammatory disorder causing damage to many organs 
A) a degenerative disorder involving the small joints 
B) a chronic inflammatory disorder affecting all joints 
C) a systemic inflammatory disorder due to an autoimmune reaction 
D) an inflammatory disorder causing damage to many organs C

Question 2

What is the distinguishing feature of primary fibromyalgia syndrome?

Accepted Answer

A) joint pain and stiffness throughout the body 
B) degeneration and atrophy of skeletal muscles in back and lower limbs 
C) localized areas of constant pain 
D) specific trigger points for pain and tenderness 
A) joint pain and stiffness throughout the body 
B) degeneration and atrophy of skeletal muscles in back and lower limbs 
C) localized areas of constant pain 
D) specific trigger points for pain and tenderness D

Question 3

Which of the following may precipitate an attack of gout?

Accepted Answer

A) a sudden increase in serum uric acid levels 
B) severe hypercalcemia 
C) mild trauma to the toes 
D) development of a tophus 
A) a sudden increase in serum uric acid levels 
B) severe hypercalcemia 
C) mild trauma to the toes 
D) development of a tophus A

Question 4

Bones classified as "irregular" would include:

Accepted Answer

A) skull bones 
B) the mandible 
C) wrist bones 
D) the femur 
A) skull bones 
B) the mandible 
C) wrist bones 
D) the femur

Question 5

What is the chemical transmitter released at the neuromuscular junction?

Accepted Answer

A) norepinephrine 
B) GABA 
C) serotonin 
D) acetylcholine 
A) norepinephrine 
B) GABA 
C) serotonin 
D) acetylcholine

Question 6

What is a typical characteristic of the pain caused by osteoarthritis?

Accepted Answer

A) relief with moderate activity 
B) quite severe in the early stages 
C) aggravated by general muscle aching 
D) increased with weight-bearing and activity 
A) relief with moderate activity 
B) quite severe in the early stages 
C) aggravated by general muscle aching 
D) increased with weight-bearing and activity

Question 7

Which of the following cells produce new bone?

Accepted Answer

A) osteocytes 
B) osteoblasts 
C) osteoclasts 
D) stem cells from the bone marrow 
A) osteocytes 
B) osteoblasts 
C) osteoclasts 
D) stem cells from the bone marrow

Question 8

What limits joint movement in osteoarthritis?

Accepted Answer

A) the osteophytes and irregular cartilage surface 
B) the wider joint space 
C) decreased amount of synovial fluid in the cavity 
D) fibrosis involving the joint capsule and ligaments 
A) the osteophytes and irregular cartilage surface 
B) the wider joint space 
C) decreased amount of synovial fluid in the cavity 
D) fibrosis involving the joint capsule and ligaments

Question 9

Where does inflammation usually begin in an individual with ankylosing spondylitis?

Accepted Answer

A) costovertebral joints and progression down the spine 
B) cervical and thoracic vertebrae,causing kyphosis 
C) sacroiliac joints and progression up the spine 
D) peripheral joints and then proceeds to the vertebrae 
A) costovertebral joints and progression down the spine 
B) cervical and thoracic vertebrae,causing kyphosis 
C) sacroiliac joints and progression up the spine 
D) peripheral joints and then proceeds to the vertebrae

Question 10

Which statement applies to menisci?

Accepted Answer

A) They are found in the hip joints. 
B) They are secretory membranes in joints. 
C) They prevent excessive movement of joints. 
D) They are found in the shoulder joint. 
A) They are found in the hip joints. 
B) They are secretory membranes in joints. 
C) They prevent excessive movement of joints. 
D) They are found in the shoulder joint.

Question 11

Juvenile rheumatoid arthritis differs from the adult form in that:

Accepted Answer

A) Only small joints are affected. 
B) Rheumatoid factor is not present in JRA,but systemic effects are more severe. 
C) Onset is more insidious in JRA. 
D) Deformity and loss of function occur in most children with JRA. 
A) Only small joints are affected. 
B) Rheumatoid factor is not present in JRA,but systemic effects are more severe. 
C) Onset is more insidious in JRA. 
D) Deformity and loss of function occur in most children with JRA.

Question 12

How does the joint appear during an exacerbation of rheumatoid arthritis?

Accepted Answer

A) relatively normal 
B) enlarged,firm,crepitus with movement 
C) deformed,pale and nodular 
D) red,warm,swollen,and tender to touch 
A) relatively normal 
B) enlarged,firm,crepitus with movement 
C) deformed,pale and nodular 
D) red,warm,swollen,and tender to touch

Question 13

Immovable joints are called:

Accepted Answer

A) amphiarthroses 
B) synarthroses 
C) diarthroses 
D) synovial joints 
A) amphiarthroses 
B) synarthroses 
C) diarthroses 
D) synovial joints

Question 14

What is the likely immediate result of fat emboli from a broken femur?

Accepted Answer

A) additional ischemia in the broken bone 
B) nonunion or malunion of the fracture 
C) pulmonary inflammation and obstruction 
D) abscess and infection at a distant site 
A) additional ischemia in the broken bone 
B) nonunion or malunion of the fracture 
C) pulmonary inflammation and obstruction 
D) abscess and infection at a distant site

Question 15

Systemic effects of rheumatoid arthritis are manifested as:

Accepted Answer

A) nodules in various tissues,severe fatigue,and anorexia 
B) headache,leukopenia,high fever 
C) swelling and dysfunction in many organs 
D) progressive damage to a joint 
A) nodules in various tissues,severe fatigue,and anorexia 
B) headache,leukopenia,high fever 
C) swelling and dysfunction in many organs 
D) progressive damage to a joint

Question 16

What is a common effect of long-term use of glucocorticoids to treat rheumatoid arthritis?

Accepted Answer

A) leukocytosis 
B) osteoporosis 
C) severe anemia 
D) orthostatic hypotension 
A) leukocytosis 
B) osteoporosis 
C) severe anemia 
D) orthostatic hypotension

Question 17

What is the prognosis for osteoarthritis?

Accepted Answer

A) The affected joints respond well to anti-inflammatory medication. 
B) Additional joints will never be affected. 
C) Damage is irreversible and usually progressive. 
D) Any affected joint can be replaced with a prosthesis. 
A) The affected joints respond well to anti-inflammatory medication. 
B) Additional joints will never be affected. 
C) Damage is irreversible and usually progressive. 
D) Any affected joint can be replaced with a prosthesis.

Question 18

Which statement defines a sprain? A tear in a ___________:

Accepted Answer

A) ligament 
B) tendon 
C) skeletal muscle 
D) meniscus 
A) ligament 
B) tendon 
C) skeletal muscle 
D) meniscus

Question 19

When a fracture is healing,the procallus or fibrocartilaginous callus:

Accepted Answer

A) can bear weight 
B) serves as a splint across the fracture site 
C) is the tissue to gradually be remodeled 
D) is made up of new bone 
A) can bear weight 
B) serves as a splint across the fracture site 
C) is the tissue to gradually be remodeled 
D) is made up of new bone

Question 20

Which of the following describes a Colles' fracture?

Accepted Answer

A) The distal radius is broken. 
B) The distal fibula is broken. 
C) A vertebra appears crushed. 
D) A spontaneous fracture occurs in weakened bone. 
A) The distal radius is broken. 
B) The distal fibula is broken. 
C) A vertebra appears crushed. 
D) A spontaneous fracture occurs in weakened bone.

Exam 26: Musculoskeletal Disorders

What is the basic pathology of rheumatoid arthritis?

What is the distinguishing feature of primary fibromyalgia syndrome?

Which of the following may precipitate an attack of gout?

Bones classified as "irregular" would include:

What is the chemical transmitter released at the neuromuscular junction?

What is a typical characteristic of the pain caused by osteoarthritis?

Which of the following cells produce new bone?

What limits joint movement in osteoarthritis?

Where does inflammation usually begin in an individual with ankylosing spondylitis?

Which statement applies to menisci?

Juvenile rheumatoid arthritis differs from the adult form in that:

How does the joint appear during an exacerbation of rheumatoid arthritis?

Immovable joints are called:

What is the likely immediate result of fat emboli from a broken femur?

Systemic effects of rheumatoid arthritis are manifested as:

What is a common effect of long-term use of glucocorticoids to treat rheumatoid arthritis?

What is the prognosis for osteoarthritis?

Which statement defines a sprain? A tear in a ___________:

When a fracture is healing,the procallus or fibrocartilaginous callus:

Which of the following describes a Colles' fracture?

Introduction to Pathophysiology

Inflammation and Healing

Immunity and Abnormal Responses

Infection

Neoplasms

Fluid, Electrolyte and Acid-Base Imbalances

Congenital and Genetic Disorders

Diseases Associated With Adolescence

Potential Complications of Pregnancy

Aging and Disease Processes

Effects of Immobility

The Influence of Stress

Pain

Substance Abuse

Environmental Hazards

Introduction to Basic Pharmacology and Selected Therapies

Blood and Lymphatic Disorders

Cardiovascular Disorders

Respiratory Disorders

Digestive System Disorders

Urinary System Disorders

Acute Neurological Disorders

Chronic Neurologic Disorders

Disorders of the Eye and Ear

Endocrine Disorders

Skin Disorders

Reproductive System Disorders

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