Deck 38: Alterations of Musculoskeletal Function in Children

Question 1

A 13-year-old female presents with pain at night,cough,and dyspnea.Testing reveals a metastasizing malignant bone tumor.The most likely type of tumor is:

A) Nonossifying fibroma
B) Chondrosarcoma
C) Ewing sarcoma
D) Osteosarcoma

Answer 1

Osteosarcoma

Question 2

A 22-year-old female has a brother with DMD and wants to know if her children will inherit it.A fairly accurate test to identify female carriers of the disease is measurement of serum levels of:

A) Dystrophin
B) Myoglobin
C) Creatine kinase (CK)
D) Troponin
1

Answer 2

Creatine kinase (CK)

Question 3

A 5-year-old female was diagnosed with seropositive juvenile rheumatoid arthritis (RA).The treatment option for this disease is termed:

A) Supportive
B) Curative
C) Antibacterial
D) Experimental

Answer 3

Supportive

Question 4

The treatment of Osgood-Schlatter disease includes:

A) Steroids
B) Restriction from physical activity
C) High doses of aspirin
D) Knee replacement

Question 5

A 6-year-old male presents with fever,pain,swelling,and warmth.Tests reveal osteomyelitis In addition to the clinical symptoms,the nurse would expect elevations in which lab tests? (Select all that apply.)

A) C-reactive protein
B) White blood cell count
C) Red cell count
D) Erythrocyte sedimentation rate (ESR)
E) Liver enzymes

Question 6

Osgood-Schlatter disease causes inflammation of the:

A) Shoulder joint
B) Patellar tendon
C) Elbow ligaments
D) Hip cartilage

Question 7

A major predictor of poor prognosis for Ewing sarcoma is:

A) Age of onset
B) Size of tumor
C) Presence of metastasis
D) Gender of child

Question 8

Children with OI suffer from frequent:

A) Bone fractures
B) Dislocations
C) Bone infections
D) Joint injuries

Question 9

LCP disease affects which of the following joints?

A) Vertebral
B) Shoulder
C) Hip
D) Knee

Question 10

The onset of DMD most often occurs at:

A) 3 to 6 months of age
B) Preschool years
C) School age
D) The onset of puberty

Question 11

While performing an assessment of a 2-month-old,the nurse notes a positive Ortolani click.The nurse would suspect the child has:

A) A hip fracture
B) Hip dysplasia
C) Osteogenesis imperfecta
D) Osteomyelitis

Question 12

A 9-month-old male was diagnosed with osteogenesis imperfecta (OI)following recurrent fractures and findings of osteopenia.This disease is caused by:

A) Uterine teratogens
B) A genetic defect
C) Malnutrition
D) Trauma

Question 13

In reviewing the history of the patient with osteosarcoma,the nurse might also expect the patient to have:

A) Rhabdomyosarcoma
B) Ewing sarcoma
C) Fibroma
D) Retinoblastoma

Question 14

Ewing sarcoma originates from:

A) Osteoblasts
B) Epithelial cells
C) The spleen
D) The bone marrow

Question 15

A 16-year-old male was recently diagnosed with osteosarcoma.The tumor is most likely present in the _____ of long bones.

A) Epiphyses
B) Metaphyses
C) Marrow
D) Osteocytes

Question 16

A 1-year-old female was diagnosed with OI.Which of the following is a complication in this patient?

A) Congestive heart failure
B) Liver failure
C) Aortic aneurysm
D) Pulmonary emboli

Question 17

A 9-month-old male was diagnosed with OI following recurrent fractures and findings of osteopenia.This disease is caused by errors in the synthesis of:

A) Elastin
B) Glycoproteins
C) Collagen
D) Calcium salts

Question 18

A 3-year-old male presents with developmental delay.Testing reveals that the child has muscular dystrophy.Treatment will include:

A) Aspirin
B) Antivirals
C) Steroids
D) Chemotherapy

Question 19

Duchenne muscular dystrophy (DMD)has a(n)_____ inheritance pattern.

A) Autosomal recessive
B) X-linked recessive
C) Y-linked dominant
D) Autosomal dominant

Question 20

Which of the following types of scoliosis accounts for the majority of the cases of scoliosis?

A) Idiopathic
B) Infectious
C) Iatrogenic
D) Secondary

Question 21

Polyarthritis is a type of juvenile arthritis in which more than _____ joints are affected

Question 22

Incidence of Legg-Calvé-Perthes (LCP)disease peaks at age______.