N4 test Management of Mild-to-Moderate Osteoarthritic Pain

Medscape Nursing MedPulse®
CME/CE Test
http://www.medscape.com/viewprogram/4582?src=mp


1. Which one of the following does not qualify as an American College of Rheumatology clinical criterion for knee osteoarthritis?
a. No palpable warmth
b. Knee stiffness for more than 30 minutes
c. Bony tenderness
d. Knee pain

2. Risk factors for development of knee osteoarthritis include all of the following except:
a. Aging
b. Occupations associated with squatting, kneeling, and carrying heavy weights
c. Prior meniscectomy
d. Laxity of the joint
e. Male gender

3. Which of the following statements about OA of the knee is false?
a. Bone sclerosis and joint-space narrowing are among the typical radiographic changes of OA
b. The correlation is excellent between the degree of radiographic changes and the pain that the patient experiences
c. The amount of residual joint space in the osteoarthritic knee may give some indication of the degree of response to conservative measures, such as hyaluronan injections
d. Diagnostic radiographs of the knee joint should be in the weight-bearing position

4. Which of the following does not have value in the treatment of knee OA?
a. Narcotic analgesics
b. Intra-articular corticosteroids
c. Intra-articular hyaluronans
d. Glucosamine
e. Continuing exercise past the onset of pain

5. Which of the following have been studied in humans with regard to their possible effect on progression of knee OA?
a. Doxycycline
b. Glucosamine
c. Nonsteroidal anti-inflammatory drugs (NSAIDs)
d. A and B only

6. The American College of Rheumatology (ACR) Guidelines 2000 for the treatment of osteoarthritis of the knee and hip suggest an initial trial of acetaminophen. Which of the following possible reasons does the ACR use to support its recommendation?
a. Acetaminophen has similar gastrointestinal toxicity when compared with nonselective NSAIDs
b. High-dose daily acetaminophen was equally effective in a randomized, active comparator trial comparing acetaminophen with low- and high-dose ibuprofen in knee OA
c. Daily acetaminophen was more effective when compared with both low- and high-dose ibuprofen
d. Acetaminophen has less gastrointestinal toxicity when compared with nonselective NSAIDs and similar toxicity when compared with COX-2 inhibitors