MN566 (New 2024/ 2025
Update) Questions and Verified
Answers|100% Correct| A Grade
QUESTION
The clinician is caring for Diane, a 22yo woman who presents with an injured ankle. Diane
asksthe clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not
always necessary for an injured ankle and that the decision to obtain radiographs is dependent
on the examination and Diane's description of her injury. Which of the following clues in
Diane's examor history would alert the clinician to the need for obtaining radiographs?
• Inability to bear weight immediately after the injury
• Development of marked ankle swelling and discoloration after the injury
• Crepitation with palpation or movement of the ankle
• All of the above
Answer:
d. All of the above
QUESTION
Mr. Jackson is a 65yo man recently diagnosed with osteoarthritis. The clinician has explained
to Mr. Jackson that the goals for managing osteoarthritis include controlling pain, maximizing
functional independence and mobility, minimizing disability, and preserving quality of life.
Mr. Jackson explains to the clinician that his first choice would be to use complementary
therapies tocontrol his condition and asks what therapies are most effective in treating
osteoarthritis. What would be the appropriate response from the clinician?
• "Complementary therapies should be considered only if surgical interventions are
not successful."
• "I am unfamiliar with the available complementary therapies for osteoarthritis and prefer
to discuss more mainstream treatments, such as NSAIDs and physical therapy, to manage
your condition."
• "I would be happy to discuss all the treatment options with you. Complementary therapies
,Answer:
c. "I would be happy to discuss all the treatment options with you. Complementary
therapies, such as acupuncture, acupressure, and tai-chi, are being studied for use in the
treatment of osteoarthritis and have shown promise when used with standard medical
therapy."
QUESTION
Normal estrogen function is important for preventing osteoporosis in both men and
women. Estrogen works to prevent osteoporosis in which of the following ways?
• By decreasing the erosive activity of osteoclasts
• By promoting osteoclastogenesis
• By inhibiting osteoclast apoptosis
• All of the above
Answer:
a. By decreasing the erosive activity of osteoclasts
QUESTION
Which of the following tests is considered the gold standard for definitively
diagnosingosteoporosis?
• Bone alkaline phosphatase levels
• Urinary N-telopeptide assay
• Bone mass density measurement by densitometry
• Magnetic resonance imaging
Answer:
c. Bone mass density measurement by densitometry
QUESTION
What is the recommended daily calcium intake for adults over the age of 50 with low
bone mass?
,Answer:
1500mg/day
QUESTION
Mrs. Allen is a 60yo woman who has been diagnosed with osteoporosis. She is very
concernedabout the risk of breast cancer associated with hormone replacement therapy and is
wondering what other treatments are available to her. The clinician explains that
bisphosphonates are another class of drugs used in the prevention and treatment of
osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking
bisphosphonates?
• Taking bisphosphonates can result in hypercalcemia, so calcium intake should be
decreasedwhile taking this class of drugs.
• There is potential for upper GI irritation, so these medications are contraindicated in
peoplewith abnormalities of the esophagus or delayed esophageal emptying.
• This class of drugs can be taken at any time of the day without regard to meals.
• None of the above
Answer:
b. There is potential for upper GI irritation, so these medications are contraindicated in
peoplewith abnormalities of the esophagus or delayed esophageal emptying.
QUESTION
Which stage of Paget's disease is characterized by elevated numbers of osteoblasts, resulting
in abnormal increases in bone remodeling and leading to an irregular deposition of collagen
fibers?
Answer:
Mixed
QUESTION
Which of the following statements concerning the treatment of fibromyalgia syndrome is true?
• There is currently no cure for the disorder; however, patients should be made aware
that symptom relief is possible.
• Treatment is directed toward controlling discomfort, improving sleep, and
maintaining function.
, • Fibromyalgia syndrome can be difficult to manage, requiring a variety of approaches
and multiple meds.
• All of the above
Answer:
d. All of the above
QUESTION
One of the most frequent presenting signs/symptoms of osteoporosis is:
Answer:
Bony fracture
QUESTION
Mrs. Thomas was seen in the office c/o pain and point tenderness in the area of her elbow.
Thepain has increased following a day of gardening one week ago. A physical finding that
differentiates the dx and is most consistent with lateral epicodylitis (tennis elbow) is:
• Ecchymosis, edema, and erythema over the lateral epicondyle
• Pain at the elbow with resisted movements at the wrist and forearm
• Inability to supinate and pronate the arm
• Inability to flex or extend the elbow against resistance
Answer:
b. Pain at the elbow with resisted movements at the wrist and forearm
QUESTION
A 70yo female has fallen 2wks ago and developed immediate pain in her left wrist. She
thoughtshe just bruised it but is worried because it has not improved. She has used Tylenol
and ice at home, and that has helped slightly. You examine her and find she has moderate
swelling and ecchymosis but no overtly obvious deformity. ROM is uncomfortable and
severely diminished due to pain. No crepitus is heard or felt. Her fingers are warm, pulse is
strong, and cap refill is less than 2sec. What should you do?
Update) Questions and Verified
Answers|100% Correct| A Grade
QUESTION
The clinician is caring for Diane, a 22yo woman who presents with an injured ankle. Diane
asksthe clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not
always necessary for an injured ankle and that the decision to obtain radiographs is dependent
on the examination and Diane's description of her injury. Which of the following clues in
Diane's examor history would alert the clinician to the need for obtaining radiographs?
• Inability to bear weight immediately after the injury
• Development of marked ankle swelling and discoloration after the injury
• Crepitation with palpation or movement of the ankle
• All of the above
Answer:
d. All of the above
QUESTION
Mr. Jackson is a 65yo man recently diagnosed with osteoarthritis. The clinician has explained
to Mr. Jackson that the goals for managing osteoarthritis include controlling pain, maximizing
functional independence and mobility, minimizing disability, and preserving quality of life.
Mr. Jackson explains to the clinician that his first choice would be to use complementary
therapies tocontrol his condition and asks what therapies are most effective in treating
osteoarthritis. What would be the appropriate response from the clinician?
• "Complementary therapies should be considered only if surgical interventions are
not successful."
• "I am unfamiliar with the available complementary therapies for osteoarthritis and prefer
to discuss more mainstream treatments, such as NSAIDs and physical therapy, to manage
your condition."
• "I would be happy to discuss all the treatment options with you. Complementary therapies
,Answer:
c. "I would be happy to discuss all the treatment options with you. Complementary
therapies, such as acupuncture, acupressure, and tai-chi, are being studied for use in the
treatment of osteoarthritis and have shown promise when used with standard medical
therapy."
QUESTION
Normal estrogen function is important for preventing osteoporosis in both men and
women. Estrogen works to prevent osteoporosis in which of the following ways?
• By decreasing the erosive activity of osteoclasts
• By promoting osteoclastogenesis
• By inhibiting osteoclast apoptosis
• All of the above
Answer:
a. By decreasing the erosive activity of osteoclasts
QUESTION
Which of the following tests is considered the gold standard for definitively
diagnosingosteoporosis?
• Bone alkaline phosphatase levels
• Urinary N-telopeptide assay
• Bone mass density measurement by densitometry
• Magnetic resonance imaging
Answer:
c. Bone mass density measurement by densitometry
QUESTION
What is the recommended daily calcium intake for adults over the age of 50 with low
bone mass?
,Answer:
1500mg/day
QUESTION
Mrs. Allen is a 60yo woman who has been diagnosed with osteoporosis. She is very
concernedabout the risk of breast cancer associated with hormone replacement therapy and is
wondering what other treatments are available to her. The clinician explains that
bisphosphonates are another class of drugs used in the prevention and treatment of
osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking
bisphosphonates?
• Taking bisphosphonates can result in hypercalcemia, so calcium intake should be
decreasedwhile taking this class of drugs.
• There is potential for upper GI irritation, so these medications are contraindicated in
peoplewith abnormalities of the esophagus or delayed esophageal emptying.
• This class of drugs can be taken at any time of the day without regard to meals.
• None of the above
Answer:
b. There is potential for upper GI irritation, so these medications are contraindicated in
peoplewith abnormalities of the esophagus or delayed esophageal emptying.
QUESTION
Which stage of Paget's disease is characterized by elevated numbers of osteoblasts, resulting
in abnormal increases in bone remodeling and leading to an irregular deposition of collagen
fibers?
Answer:
Mixed
QUESTION
Which of the following statements concerning the treatment of fibromyalgia syndrome is true?
• There is currently no cure for the disorder; however, patients should be made aware
that symptom relief is possible.
• Treatment is directed toward controlling discomfort, improving sleep, and
maintaining function.
, • Fibromyalgia syndrome can be difficult to manage, requiring a variety of approaches
and multiple meds.
• All of the above
Answer:
d. All of the above
QUESTION
One of the most frequent presenting signs/symptoms of osteoporosis is:
Answer:
Bony fracture
QUESTION
Mrs. Thomas was seen in the office c/o pain and point tenderness in the area of her elbow.
Thepain has increased following a day of gardening one week ago. A physical finding that
differentiates the dx and is most consistent with lateral epicodylitis (tennis elbow) is:
• Ecchymosis, edema, and erythema over the lateral epicondyle
• Pain at the elbow with resisted movements at the wrist and forearm
• Inability to supinate and pronate the arm
• Inability to flex or extend the elbow against resistance
Answer:
b. Pain at the elbow with resisted movements at the wrist and forearm
QUESTION
A 70yo female has fallen 2wks ago and developed immediate pain in her left wrist. She
thoughtshe just bruised it but is worried because it has not improved. She has used Tylenol
and ice at home, and that has helped slightly. You examine her and find she has moderate
swelling and ecchymosis but no overtly obvious deformity. ROM is uncomfortable and
severely diminished due to pain. No crepitus is heard or felt. Her fingers are warm, pulse is
strong, and cap refill is less than 2sec. What should you do?
