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Example Questions
Example Question #1 : Musculoskeletal Conditions
What dermatological condition is often seen with dermatomyositis?
Periorbital heliotrope rash
Dermatitis herpetiformis
Perioral dermatitis
Malar rash
Periorbital heliotrope rash
A periorbital heliotrope rash is often seen in dermatomyositis. It is bilateral, symmetric, purpuric, and macular, and erupts over the eyelids and surrounding periorbital area. Malar rash (often called a "butterfly rash") is seen in patients with systemic lupus erythematosus (SLE). Dermatitis herpetiformis is a rash on the elbows and knees generally seen with gluten allergy (celiac disease). Perioral dermatitis is an iatrogenic condition often associated with prolonged use of topical steroid creams.
Example Question #6 : Musculoskeletal Conditions
What condition typically presents as symmetric proximal muscle weakness in the upper and lower extremities, often without the presence of distal muscle weakness?
Guillain-Barre syndrome
Dermatomyositis
Polymyositis
Myasthenia gravis
Polymyositis
Polymyositis is characterized by symmetric proximal muscle weakness in the upper and lower extremities, often without the presence of distal muscle weakness. The first sign is often weakness in the thighs while walking, the inability to rise from a seated position without assistance, or the inability to raise the arms above the head.
Dermatomyositis generally includes a characteristic periorbital rash. Weakness is expressed in the neck, arms, and legs. Guillain-Barre syndrome is an ascending paralysis: symptoms start in the hands and feet, then spread proximally as it progresses. Muscular weakness in myasthenia gravis is often especially expressed in muscles of the face and head, especially those that control eye and eyelid movement, facial expression, chewing, swallowing, and speaking.
Example Question #1131 : Nclex
What condition is characterized by high bone turnover due to accelerated osteoclast and osteoblast activity?
Multiple myeloma
Paget's disease of bone
Giant cell tumor
Osteogenesis imperfecta
Paget's disease of bone
Paget's disease of bone is a condition characterized by high bone turnover due to accelerated osteoclast and osteoblast activity. This results in increased calcification of bones, especially prominent in the skull, pelvis, femur, and tibia.
Osteogenesis imperfecta is an issue with collagen formation that causes fragile bones and multiple fractures. Multiple myeloma is a malignancy of plasma calls, and giant cell tumors are rare tumors that generally originate from the epiphysis of long bones (with no effect on bone deposition).
Example Question #12 : Musculoskeletal Conditions
At what age will Paget's disease of the bone generally first present?
Over 55
Over 70
Children ages 6-12
Early adolescence
Over 55
Paget's disease of the bone generally presents in after the age of 55, and is very rare in younger individuals. The prevalence in individuals over 55 is as high as 3%.
Example Question #13 : Musculoskeletal Conditions
Which of the following is a benign, bone-forming tumor characterized by a small area of neoplastic growth surrounded by an area of mature, reactive bone?
Osteosarcoma
Osteoid osteoma
Fibrosarcoma
Ewing's sarcoma
Osteoid osteoma
Osteoid osteoma is a benign, bone-forming tumor characterized by a small area of neoplastic growth surrounded by an area of mature, reactive bone.
Fibrosarcoma, osteosarcoma, and Ewing's sarcoma are all malignancies.
Example Question #1133 : Nclex
What is the most common primary malignancy of the bone (excluding hematopoietic malignancies)?
Ewing's sarcoma
Fibrosarcoma
Osteoid osteoma
Osteosarcoma
Osteosarcoma
Osteosarcoma is the most common primary malignancy of bone, excluding hematopoietic malignancies, making up approximately 20% of all primary bone cancers.
Fibrosarcoma and Ewing's sarcoma are relatively rare conditions, and osteoid osteomas are is non-malignant.
Example Question #331 : Conditions And Treatments
About 75% of osteosarcomas occur in what region?
The upper arm
The thoracic spine
The pelvis
The distal femur or around the knee
The distal femur or around the knee
Roughly 75% of osteosarcomas occur in the distal femur or around the knee. The next most common site is the upper arm. Spinal or pelvic involvement are rare.
Example Question #332 : Conditions And Treatments
The majority of osteosarcomas occur in what age group?
Middle age
Pre-teens and adolescents
Individuals over 65 years of age
Children under 10
Pre-teens and adolescents
The majority of cases of osteosarcoma are in children and adolescents between the age of 10 and 25. It's the most common type of bone cancer in children and young adults, and the third most common cancer in teens.
Example Question #1132 : Nclex
Which of the following is a neurological movement disorder typified by sustained muscle contractions causing abnormal posture, twisting, restricted movement, and pain?
Dystonia
Torticollis
Ballismus
Geniospasm
Dystonia
Dystonia is a condition of sustained muscle contractions causing abnormal posture, twisting, restricted movement, and pain. Torticollis is a form of dystonia specific to the muscles of the neck. Ballismus is a condition of rapid, violent involuntary motions. Geniospasm is specific to the mentalis muscle, causing involuntary movements of the jaw.
Example Question #333 : Conditions And Treatments
A 35-year-old male client presents to the emergency department after sustaining a severe tibial fracture to the left leg. The nurse is assessing the injury for possible complications including compartment syndrome.
All of the following interventions would be appropriate to compartment syndrome except __________.
assess for paresthesias, pallor, and pain in the left lower leg
assess the bandage applied, loosen if necessary
notify the physician if no peripheral pulses are detected
elevate the injured limb and apply ice packs
assess urine output for dark smoky urine
elevate the injured limb and apply ice packs
Elevation of the limb above the heart may slow arterial perfusion and raise venous pressure, and worsen circulation. Ice may cause vasoconstriction and further lead to circulation compromise. Both of these interventions would not be appropriate for compartment syndrome.
Know the six P's of compartment syndrome: pallor, pain on passive movement, paresthesia, paralysis, pulses, pressure: all of these may be present in compartment syndrome. Pulselessness is an ominous sign of impending permanent damage, the physician should be notified. Muscle damage can lead to myoglobinemia of the blood thereby damaging the kidneys leading to rhabdomyolysis and dark urine. A tight bandage could further increase the pressure in the compartment and should be loosened if this is so.
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