Question Question 1 . 1 . Which of the following best describes the pain associated with osteoarthritis? (Points : 2) Constant, burning, and throbbing with an acute onset Dull and primarily affected by eposure to cold and barometric pressure Begins upon arising and after prolonged weight bearing and/or use of the joint Begins in the morning and limits continued ambulation Question 2 . 2 . Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR) will begin treatment with corticosteroids until the condition has resolved . You look over her records and it has been 2 years since her last physical eamination and any laboratory or diagnostic tests as she relocated and had not yet identified a health-care provider . In prioritizing your management plan, your first orders should include: (Points : 2) Recommending she increase her dietary intake of Calcium and Vitamin D Ordering once a year bisphosphonate and a proton pump inhibitor Participate in a fall prevention program Dual-energy -ray (DEA) scan and updating immunizations Question 3 . 3 . In providing health teaching related to dietary restrictions, the nurse practitioner should advise a patient with gout to avoid which of the following dietary items: (Points : 2) Green leafy vegetables Beer, sausage, fried seafood Sugar Gluten and bread items Question 4 . 4 . A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple joints of the body . There is no history of systemic disease and no history of trauma . On physical eamination, the patient has no swelling or decreased range of motion in any of the joints . She indicates specific points on the neck and shoulders that are particularly affected . She complains of tenderness upon palpation of the neck, both shoulders, hips, and medial regions of the knees . The clinician should include the following disorder in the list of potential diagnoses: (Points : 2) Osteoarthritis Rheumatoid arthritis Fibromyalgia Polymyalgia rheumatica Question 5 . 5 . A 46-year-old female complains of fatigue, general malaise, and pain and swelling in her hands that has gradually worsened over the last few weeks . She reports that pain, stiffness, and swelling of her hands are most severe in the morning . On physical eamination, you note swelling of the metacarpophalangeal joints bilaterally . These are common signs of: (Points : 2) Osteoarthritis Rheumatoid arthritis Scleroderma Sarcoidosis Question 6 . 6 . Which of the following statements about osteoarthritis is true? (Points : 2) It affects primarily weight-bearing joints It is a systemic inflammatory illness The metacarpal phalangeal joints are commonly involved Prolonged morning stiffness is common Question 7 . 7 . The most appropriate first-line treatment for an acute gout flare is (assuming no kidney disease or elevated bleeding risk): (Points : 2) Indomethacin 50 mg thrice daily for 2 days; then 25 mg thrice daily for 3 days Doycycline 100 mg twice daily for 5 days Prednisolone 35 mg four times a day for 5 days Ice therapy Question 8 . 8 . A 34-year-old female presents with fever, general malaise, fatigue, arthralgias and rash for the last 2 weeks . On physical eamination, you note facial erythema across the nose and cheeks . Serum diagnostic tests reveal positive antinuclear antibodies, anti-DNA antibodies, elevated C-reactive protein and erythrocyte sedimentation rate . The clinician should include the following disorder in the list of potential problems: (Points : 2) Fibromyalgia Sarcoidosis Systemic lupus erythematosus Rheumatoid arthritis Question 9 . 9 . Your 66-year-old male patient has recently started treatment for metabolic syndrome and is currently taking the following medications: an ACE inhibitor and beta blocker for treatment of hypertension . He is also taking a statin medication, simvastatin for hyperlipidemia, and a biguanide, metformin, for type 2 diabetes . The patient complains of myalgias of the legs bilaterally and blood work s…
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