WGU D115 OA Study Guide Unit 7 Questions and Answers 100% Pass

WGU D115 OA Study Guide Unit 7 Questions and Answers 100% Pass Define ankylosing spondylitis ✔✔chronic inflammatory joint disease Stiffening and fusion of the spine and sacroiliac joints What is the most common cause of a corner metaphyseal fx in a chil d younger than 12 months of age? ✔✔Transverse tibia fracture resulting from physical abuse Bouchard's nodes will be associated with what condition ? ✔✔Osteoarthritis They are bony enlargements of the middle joints of the finger and proximal interphalangea l joints on the hands Older adult female complains of stiffness and pain in both hands and left knee shortly after waking and worsens in the afternoon. She feels some relief with rest. On exam, the FNP notices the presence of Heberden's nodes. Which of th e following is most likely ? ✔✔Osteoarthritis *Stiffness and pain typically worse in the afternoon and evening* Heberden's nodes are found on the distal interphalangeal joints Define T -score in regards to osteoporosis ✔✔Compares bone density with that of a healthy 30 year old of th e same sex. 30 years of age is peak bone mass Osteoporosis is defined as having a T -score of -2.5 or less The greater the negative number the more severe osteoporosis Which observation by the FNP would lead to inclusion of a differential diagnosis of o steoporosis in a 78 year old female pt who has been c/o bone and joint pain? ✔✔Low vitamin D levels FNP understands that chronic synovitis with pannus formation is the basic pathophysiologic finding in patients with? ✔✔RA synovial hypertrophy: progressive destruction of the cartilage, ligament, tendons, and bones Pannus=any abno rmal tissue that invades the space in between a joint FNP is examining a pt who is c/o pain in her hips and knees. She has a hx of osteoarthritis. On exam, the joints are painful to movement and are warm to the touch. What is hte best immediate therapy fo r this patient? ✔✔Moist heat and or cold therapy on painful joints When counseling a postmenopausal 60 year old female patient on prevention of osteoporosis, what are therapeutic recommendations? ✔✔Stop smoking Continue hormone replacement therapy Monitor bone loss by Dexa scans every 1 -2 years Daily intake of calcium and vitamin D Calcium: 1200 mg daily Vitamin D: 800 -1000 daily