Which of the following best describes the pain associated with osteoarthritis? - Answers Begins upon
arising and after prolonged weight bearing and/or use of the joint
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:
- Answers Dual-energy X-ray (DEXA) scan and updating immunizations
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: - Answers Beer, sausage, fried seafood
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. On physical examination, the patient
has no swelling or decreased range of motion in any of the joints. She indicates specific points on the
neck and shoulders that are particularly affected. She complains of tenderness upon palpation of the
neck, both shoulders, hips, and medial regions of the knees. The clinician should include the following
disorder in the list of potential diagnoses: - Answers Fibromyalgia
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: - Answers Rheumatoid arthritis
Which of the following statements about osteoarthritis is true? - Answers It affects primarily weight-
bearing joints
The most appropriate first-line treatment for an acute gout flare is (assuming no kidney disease or
elevated bleeding risk): - Answers Indomethacin 50 mg TID for 2 days; then 25 mg TID daily for 3 days
A 34-year-old female presents with fever, general malaise, fatigue, arthralgias and rash for the last 2
weeks. On physical examination, you note facial erythema across the nose and cheeks. Serum diagnostic
tests reveal positive antinuclear antibodies, anti-DNA antibodies, elevated C-reactive protein and
erythrocyte sedimentation rate. The clinician should include the following disorder in the list of potential
problems: - Answers Systemic lupus
Your 66-year-old male patient has recently started treatment for metabolic syndrome and is currently
taking the following medications: an ACE inhibitor and beta blocker for treatment of hypertension. He is
also taking a statin medication, simvastatin for hyperlipidemia, and a biguanide, metformin, for type 2
diabetes. The patient complains of myalgias of the legs bilaterally and blood work shows elevated serum
creatine kinase. Which of the medications can cause such a side effect? - Answers Statin medication