N4 test Paget's( bone )Disease

http://www.nursingcenter.com/prodev/ce_article.asp?tid=539590
second most common bone disease in older adults

1.
In the United States, the only bone disease more common than Paget's disease is
a. osteomyelitis.
b. osteoarthritis.
c. osteomalacia.
d. osteoporosis.

2.
Studies have implicated infection with which of the following as a possible etiology of Paget's disease?
a. coxsackievirus
b. paramyxovirus
c. cytomegalovirus
d. parvovirus

3.
The highest incidence of Paget's disease worldwide is found in
a. the United States.
b. Australia.
c. Great Britain.
d. New Zealand.

4.
With Paget's disease, the resorptive phase of bone remodeling is characterized by
a. replacement of bone marrow by highly vascular fibrous tissue.
b. new collagen deposited to replace what has been resorbed.
c. formation of abnormal bones from disorganized collagen fibers.
d. a significant increase in trabeculae in newly created bone tissue.

5.
Of the following, the bone most commonly affected by Paget's disease is the
a. humerus.
b. cranium.
c. tibia.
d. femur.

6.
The most common initial symptom of Paget's disease is
a. pain.
b. edema.
c. erythema.
d. stiffness.

7.
Paget's disease often leads to degenerative changes in the joints because of
a. interference with callus formation in fracture sites.
b. increased mechanical stress in the joints due to enlargement.
c. neurologic complications such as radicular neuropathy.
d. reduction in bone mass in affected joints.

8.
The most common site for bone malignancies related to Paget's disease is the
a. humerus.
b. cranium.
c. tibia.
d. vertebrae.

9.
A common cardiovascular complication of Paget's disease is
a. decreased cardiac output.
b. vascular dysrhythmias.
c. valvular calcification.
d. coronary artery stenosis.

10.
Early in the course of Paget's disease, the only radiographic finding likely to be observed is
a. increased radiodensity.
b. lytic lesions.
c. pathologic fractures.
d. bone enlargement.

11.
The most sensitive imaging study for evaluating Paget's disease alterations is
a. a bone scan.
b. standard radiographs.
c. a computed tomography scan.
d. magnetic resonance imaging.

12.
Which bisphosphonate can only be administered intravenously?
a. tiludronate (Skelid)
b. risedronate (Actonel)
c. pamidronate (Aredia)
d. etidronate (Didronel)

13.
The drug usually reserved for patients with Paget's disease who are refractory to other treatments or need aggressive treatment for neurologic complications is
a. calcitonin (Miacalcin).
b. plicamycin (Mithracin).
c. tiludronate (Skelid).
d. etidronate (Didronel).

14.
A common ocular side effect of bisphosphonates is
a. uveitis.
b. diplopia.
c. nystagmus.
d. glaucoma.

15.
Ongoing assessment for patients taking bisphosphonates includes monitoring of
a. platelet counts.
b. renal function.
c. clotting times.
d. hepatic function.