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1.
Which of the following best describes the pain associated with osteoarthritis?
Constant, burning, and throbbing with an acute onset
Dull and primarily affected by exposure 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
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 examination 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:
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 X-ray (DEXA) scan and updating immunizations
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:
Green leafy vegetables
Beer, sausage, fried seafood
Sugar
Gluten and bread items
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.
Osteoarthritis
Rheumatoid arthritis
Fibromyalgia
Polymyalgia rheumatica
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 examination, you note swelling of the metacarpophalangeal joints
bilaterally. These are common signs of:
Osteoarthritis
Rheumatoid arthritis
Scleroderma
Sarcoidosis
6.
Which of the following statements about osteoarthritis is true?
It affects primarily weight-bearing joints
It is a systemic inflammatory illness
The metacarpal phalangeal joints are commonly involved
Prolonged morning stiffness is common
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