Deck 17: Bone, Joint, and Soft Tissue Diseases and Disorders

Question 1

Definitive osteophyte formation occurs at what grade of osteoarthritis?

A) grade I
B) grade II
C) grade III
D) grade IV

Answer 1

grade II

Question 2

What is the recommended minimum daily requirement of elemental calcium for a 70-year-old female?

A) 800 mg
B) 1000 mg
C) 1200 mg
D) 1500 mg

Answer 2

1500 mg

Question 3

What is the most common presenting symptom in Paget's disease?

A) fatigue
B) tendonitis
C) pain
D) general stiffness

Answer 3

pain

Question 4

What is the most common site of osteochondritis dissecans?

A) lateral femoral condyle
B) medial femoral condyle
C) tibial tubercle
D) calcaneus

Question 5

Which of the following complications after a fracture is considered a medical emergency?

A) fat embolism
B) refracture
C) delayed union
D) malunion

Question 6

Which of the following conditions is most likely to be improved with exercise?

A) osteomalacia
B) osteopenia
C) osteopetrosis
D) osteoporosis

Question 7

What age group is most likely to suffer from Osgood-Schlatter syndrome?

A) infants
B) toddlers
C) adolescents
D) elderly

Question 8

How long does morning stiffness associated with osteoarthritis,typically last?

A) 5 to 10 minutes
B) 20 to 30 minutes
C) 2 to 3 hours
D) 4 to 6 hours

Question 9

Which of the following is the least effective treatment for Osgood-Schlatter syndrome?

A) discontinuing the aggravating activity
B) icing the affected knee daily
C) stretching the hamstrings
D) immobilizing the knee

Question 10

What type of fracture most commonly occurs in distance runners?

A) pathologic fracture
B) stress fracture
C) traumatic fracture
D) compound fracture

Question 11

What is the most common osteoporosis-related fracture?

A) vertebral compression fracture
B) rib fracture
C) metacarpal fracture
D) hip fracture

Question 12

Which of the following diagnostic tools is the most sensitive to pathologic fractures?

A) x-rays
B) computed tomography (CT) scan
C) magnetic resonance imaging (MRI)
D) bone scan

Question 13

A patient reports to physical therapy and states that their bone mineral density testing T-score is −0.8.What is the correct interpretation of this data?

A) This is a normal score with low risk for fracture.
B) This patient has a high risk for fracture.
C) This patient should be classified with osteopenia.
D) The patient should be classified with osteoporosis.

Question 14

Which of the following group of individuals is most likely to have the highest bone mass?

A) males 15 to 20 years old
B) females 15 to 20 years old
C) males 30 to 35 years old
D) females 35 to 40 years old

Question 15

What are the two primary causes of osteomalacia?

A) diabetes mellitus and increased renal phosphorus loss
B) insufficient intestinal calcium absorption and diabetes mellitus
C) excessive corticosteroid use and increased renal phosphorus losses
D) insufficient intestinal calcium absorption and increased renal phosphorus losses

Question 16

At what stage of Legg-Calve-Perthes disease does new bone replace necrotic bone?

A) stage I
B) stage II
C) stage III
D) stage IV

Question 17

How soon after the initial trauma can heterotopic ossification be seen on radiographic examination?

A) 1 to 2 weeks
B) 2 to 3 weeks
C) 3 to 4 weeks
D) 4 to 6 weeks

Question 18

Which of the following signs/symptoms is indicative of osteoarthritis?

A) Its onset may be sudden over several weeks or months.
B) Inflammation, redness, and warmth are always present.
C) Osteoarthritis usually begins on one side of the body.
D) Systemic presentation with fatigue, weight loss, and fever is characteristic of osteoarthritis.

Question 19

Which of the following activities should be avoided by patients with a diagnosis of osteoporosis?

A) swimming
B) bowling
C) treadmill walking
D) low intensity step aerobics

Question 20

Which of the following is indicative of swan neck deformity?

A) hyperflexion of the proximal interphalangeal joint and flexion of the distal interphalangeal joint
B) flexion of the proximal interphalangeal joint and hyperextension of the distal interphalangeal joint
C) hyperextension of the proximal interphalangeal joint and extension of the distal interphalangeal joint
D) hyperextension of the proximal interphalangeal joint and partial flexion of the distal interphalangeal joint

Question 21

What is the recommended sleeping and resting position for a person with ankylosing spondylitis (AS)?

A) supine
B) right side-lying
C) left side-lying
D) prone

Question 22

A patient with rheumatoid arthritis complains of joint pain that lasted for 3 hours after her last therapy session.What is the appropriate action the physical therapist assistant (PTA)should take for today's exercise session?

A) increase intensity of exercise
B) decrease intensity of exercise
C) maintain current level of exercise
D) contact the supervising physical therapist