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The pediatric orthopedic condition described as osteonecrosis of the capital
femoral epiphysis due to interrupted vascular supply that results in ischemia and
alteration in cartilage growth is:
toxic synovitis.
Legg-Calve-Perthes disease.
spondyloepiphyseal dysplasia.
juvenile rheumatoid arthritis. - Correct Answer-Legg-Calve-Perthes disease.
A 54-year-old woman reports left wrist stiffness at rest and with movement. An X-
ray of the left wrist identifies joint space narrowing, bony erosion in the joint, and
reduced bone density surrounding the joint. What is the probable diagnosis?
Bursitis
Osteoarthritis
Systemic lupus
Rheumatoid arthritis - Correct Answer-Rheumatoid arthritis
A lateral deviation of the spinal column that may cause rotation or deformity in
the vertebrae is termed:
scoliosis.
osteoporosis.
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,Legg Calve Perthes disease.
Osgood Schlatter disease. - Correct Answer-scoliosis.
Synovial fluid does NOT:
reduce the friction between articular cartilage of synovial joints during
movement.
provide nutrition to the avascular articular cartilage.
regenerate bone epiphyses.
aid in shock absorption. - Correct Answer-regenerate bone epiphyses.
The most common site of curvature in a patient with scoliosis is:
the left cervical spine.
the right lumbar spine.
the left lumbar spine.
the right thoracic spine. - Correct Answer-the right thoracic spine.
The pathologic hallmark of juvenile rheumatoid arthritis is:
inflamed synovial tissue.
osteophyte development.
subchondral sclerosis.
popliteal cyst rupture. - Correct Answer-inflamed synovial tissue.
The skeletal disorder characterized by loss of total bone mass and increased bone
fragility is termed:
rickets.
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,osteomalacia.
osteopenia.
osteoporosis. - Correct Answer-osteoporosis.
A 50-year-old woman reports morning joint stiffness that lasts less than 1 hour
and resumes after activity. During physical examination, the NP detects crepitus.
This symptom indicates:
rheumatoid arthritis.
bursitis.
tendonitis.
osteoarthritis. - Correct Answer-osteoarthritis.
Which one of the following diseases is associated with neuromuscular scoliosis?
Fibromyalgia
Spinal stenosis
Cerebral palsy
Multiple sclerosis - Correct Answer-Cerebral palsy
Osteomalacia is caused by a deficiency in:
iron.
vitamin D.
phosphate.
vitamin C. - Correct Answer-vitamin D
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, A pathologic alteration in the musculotendinous origins of the extensor carpi
radialis brevis muscle and longus tendons as a result of overuse is:
lateral epicondylitis.
synovitis of the elbow.
cubital tunnel syndrome.
bursitis. - Correct Answer-lateral epicondylitis.
The major clinical manifestation of rheumatoid arthritis is:
joint swelling.
deep tendon hyporeflexia.
decreased range of motion.
ecchymosis in the affected site. - Correct Answer-joint swelling
Which of the following is a physical assessment test to assist in the diagnosis of
Legg-Calve-Perthes disease?
Ortolani's sign
Ely's test
Lachman Test
Trendelenburg sign - Correct Answer-Trendelenburg sign
Which one of the following is associated with slipped capital femoral epiphysis in
a pediatric patient?
Osteoporosis
Osteoarthritis
Osteonecrosis
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