Tuesday, October 04, 2005

N4 test arthritis

http://www.nursingcenter.com/prodev/ce_article.asp?tid=531445
Anyone want to post answers?


1.
Which statement is correct about osteoarthritis?
a. The articular cartilage over bone ends deteriorates.
b. Type I collagen fibers are affected.
c. The blood supply to the cartilage is diminished.
d. The affected cartilage becomes rubbery.

2.
As osteoarthritis progresses, it
a. causes a painful bone-on-ligament contact.
b. creates bone spurs and cysts in the joint.
c. softens the cartilage along the bone ends.
d. causes limited joint deformity.

3.
Signs and symptoms of osteoarthritis include
a. increasing pain and stiffness as the day progresses.
b. Heberden's nodes in the distal interphalangeal hand joints.
c. a squared-off deformity of the proximal interphalangeal hand joints.
d. Bouchard's nodes at the base of the thumb joint.

4.
Which exercise promotes aerobic fitness without stressing arthritic joints?
a. walking
b. weight lifting
c. bicycling
d. swimming

5.
Unless contraindicated, the initial drug of choice for treating osteoarthritic pain is
a. an NSAID.
b. tramadol.
c. acetaminophen.
d. an opioid.

6.
Which statement is correct about rheumatoid arthritis?
a. It affects more men than women.
b. Fewer than 2 million people are affected.
c. It has no genetic link.
d. It's an autoimmune disease.

7.
Which of the following best describes rheumatoid arthritis?
a. It involves inflammation of the articular cartilage.
b. It attacks the synovium.
c. It causes chronic high fever.
d. It usually affects select joints in the body.

8.
Patients with rheumatoid arthritis may also develop which associated condition?
a. polycythemia
b. scoliosis
c. increased appetite
d. pericarditis

9.
Irreversible damage from untreated rheumatoid arthritis occurs
a. within 2 years of disease onset.
b. 3 years after disease onset.
c. 4 years after disease onset.
d. 5 years after disease onset.

10.
Which statement is correct about drug therapy for rheumatoid arthritis?
a. The onset of action for disease-modifying antirheumatic drugs is 3 to 12 weeks.
b. Biologic response modifiers promote the release of cytokines.
c. Adalimumab is administered intramuscularly once a month.
d. Infliximab is administered subcutaneously every other week.

11.
Which drug combination has recently been found to produce remission in some patients with rheumatoid arthritis?
a. leflunomide and azathioprine
b. adalimumab and sulfasalazine
c. hydroxychloroquine and infliximab
d. etanercept and methotrexate

12.
Which treatment for osteoarthritis may alter cartilage metabolism?
a. oral glucosamine and chondroitin supplements
b. intra-articular steroid injections
c. intra-articular hyaluronic acid injections
d. topical capsaicin cream applied to a painful joint

13.
Which symptom is associated with rheumatoid arthritis?
a. asymmetrical joint involvement
b. a cracking sound of the joint with motion
c. bony enlargements of the joints
d. morning stiffness that persists beyond 1 hour

14.
The possible causes of rheumatoid arthritis include
a. scoliosis.
b. obesity.
c. viruses or bacteria.
d. injury.

15.
Which sign is unique to osteoarthritis?
a. weight loss
b. Bouchard's nodes
c. low-grade fever
d. nodules on pressure points

16.
Which instruction is inappropriate for a patient with arthritis?
a. "Perform joint range-of-motion exercises daily."
b. "Take rest periods during the day for about 20 minutes."
c. "Clench your fingers around a heavy object while lifting it."
d. "Use wrist and knee braces to support your sore joints."

1 comment:

Bonnie Boss said...

1A, 2B, 3B, 4D, 5C, 6D, 7B, 8D, 9A, 10A, 12A, 13D, 14C, 15B, 16C