2022
QUESTION 1
1. Describe the difference between bursitis and tendinitis.
Bursitis is the inflammation of a bursa, a sac lined with synovial
membranes that release synovial fluids. Tendinitis, on the other
hand, is the inflammation of a tendon, which is the non-contractile
portion of a muscle.
QUESTION 2
1. Your 68-year-old male complains of a hot, swollen,
reddened MTP joint of the great toe. What is your primary
diagnosis?
The patient with a hot, swollen, reddened metatarsophalangeal
joint of the great toe can have a primary diagnosis of gout. Those
symptoms in the great toe, known as podagra, are the classic
presentation of an acute gout attack.
QUESTION 3
1. Restless legs syndrome (RLS) is a common neurological
disorder characterized by an intense urge to move the legs (or
sometimes the arms). Describe at least three symptoms or
sensations of RLS.
Three symptoms or sensations of restless leg syndrome include
the following:
, 1. Symptoms are reported as a need to move due to sensations
variously described as aching, burning, creeping, crawling,
cramping, gnawing, pulling, painful, tense, throbbing, tingling,
restless, itchy, tense, tearing, and tugging.
2. Movement of affected limbs provides relief, but discomfort
recurs unless the movement continues.
3. Symptoms start or worsen during periods of inactivity like
sitting or lying down.
QUESTION 4
1. Mary is a 79-year-old female who is post-menopausal
and had refused to take hormone replacement therapy.
Her vital signs are normal with slightly elevated BP today
of 140/79, she states she is in pain 6/10. She is active
around her home, and comes to the clinic complaining of
back and hip pain after hanging new curtains and fell off
her step ladder onto her kitchen floor. You suspect she
has a fracture. What are the OLDCARTs questions you
want to explore with her? Describe at least four.
In assessing Mary, who is suspected to have a fracture, the
following OLDCART questions will be asked:
1. Onset - When did the injury occur?
2.Location - What part of the body is hurting? Besides the back
and hip, any other related injury?
3. Characteristics - Describe the pain in the injured sites?
4. Duration - Is the pain constant or intermittent?