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Questions and Answers

What is one of the main functions of the musculoskeletal system?

  • Producing hormones.
  • Regulating body temperature.
  • Maintaining hemostasis of calcium, phosphate, and magnesium. (correct)
  • Facilitating digestion.

What is a common cause of ligament injuries?

  • Excessive hydration.
  • Injury from twisting motions. (correct)
  • Warm-up exercises.
  • Slow movements.

What is a typical clinical manifestation of a muscle injury?

  • Euphoria during movement.
  • Increased flexibility.
  • Pain and tenderness. (correct)
  • Numbness in the extremities.

Which type of trauma is most likely to lead to swelling and bruising in an injury?

<p>Sudden forceful movements. (D)</p> Signup and view all the answers

Where do bone cells primarily form blood cells?

<p>In the red and yellow bone marrow. (C)</p> Signup and view all the answers

What does the musculoskeletal system provide to the body aside from mobility?

<p>Support for maintaining body shape. (B)</p> Signup and view all the answers

Which of the following could indicate a ligament injury?

<p>Difficulty in moving the affected area. (A)</p> Signup and view all the answers

What type of tissue connects bones to muscles?

<p>Tendons. (C)</p> Signup and view all the answers

Which of the following factors could lead to tinnitus and vertigo in patients?

<p>Excess endolymphatic fluid (B)</p> Signup and view all the answers

What is a commonly used medication type for managing the symptoms of vertigo?

<p>Antivertiginous agents (C)</p> Signup and view all the answers

What type of examination is typically performed to assess hearing loss?

<p>Audiometry (C)</p> Signup and view all the answers

Which intervention might be necessary for patients suffering from impacted cerumen?

<p>Ear irrigation (B)</p> Signup and view all the answers

What is one goal of health promotion education for individuals with hearing loss?

<p>Complete risk assessment (D)</p> Signup and view all the answers

What is a potential outcome of middle ear conductive issues?

<p>Tinnitus (A)</p> Signup and view all the answers

Which type of therapy is recommended pre-and post-surgery for hearing-related conditions?

<p>Nutritional therapy (A)</p> Signup and view all the answers

What role do hearing aids play for individuals with hearing loss?

<p>They provide amplification of sounds. (D)</p> Signup and view all the answers

What can impaired movement of the teeth indicate in relation to TMJ involvement?

<p>Condyle damage (A)</p> Signup and view all the answers

Which condition is characterized by resistance to iron therapy?

<p>Iron deficiency anemia III (A)</p> Signup and view all the answers

What approach can be utilized for managing pain?

<p>Alternating heat and cold applications (C)</p> Signup and view all the answers

In systemic lupus erythematosus (SLE), which type of drug is commonly used for treatment?

<p>Glucocorticoids (D)</p> Signup and view all the answers

What happens to circulating autoantibodies in inflammatory diseases?

<p>They are produced in higher quantities (B)</p> Signup and view all the answers

Which symptom is commonly associated with the skin in systemic lupus erythematosus?

<p>Butterfly rash (A)</p> Signup and view all the answers

What type of anemia may be observed in chronic inflammatory diseases?

<p>Anemia of chronic disease (D)</p> Signup and view all the answers

What neurological symptoms can manifest due to central nervous system involvement?

<p>Seizures (D)</p> Signup and view all the answers

Which condition results from antibodies binding to mast and basophil cells during an allergic reaction?

<p>Immediate hypersensitivity (A)</p> Signup and view all the answers

What are some common triggers for allergic reactions mentioned?

<p>Insect bites and certain foods (D)</p> Signup and view all the answers

Which group is identified as having a higher risk for HIV infection?

<p>Males having sexual contact with males (D)</p> Signup and view all the answers

Which symptom is characteristic of acute HIV infection?

<p>Flush and rash (C)</p> Signup and view all the answers

What is a major consequence of liver inflammation due to infection?

<p>Cirrhosis (B)</p> Signup and view all the answers

What is one of the higher viral load symptoms of chronic HIV infection?

<p>Fatigue (B)</p> Signup and view all the answers

Which behavior increases the risk of HIV transmission?

<p>Sharing drug needles (C)</p> Signup and view all the answers

What causes ascites in the context of liver disease?

<p>Buildup of pressure in the abdomen (A)</p> Signup and view all the answers

Which intervention should be performed if a patient with hypoglycemia is unconscious and unable to swallow?

<p>Give intravenous dextrose. (A)</p> Signup and view all the answers

What is a common symptom of hypothyroidism?

<p>Fatigue (A)</p> Signup and view all the answers

What is a common risk factor for developing hypothyroidism?

<p>Use of certain medications like lithium (C)</p> Signup and view all the answers

Which hormones are primarily involved in regulating thyroid function?

<p>Triiodothyronine and thyroxine (C)</p> Signup and view all the answers

Which intervention is appropriate for a patient experiencing symptoms of hypoglycemia with a blood sugar of 60 mg/dL?

<p>Provide a snack with protein. (B)</p> Signup and view all the answers

What condition should be monitored in patients taking amiodarone?

<p>Hypothyroidism (B)</p> Signup and view all the answers

What might be a consequence of untreated hypothyroidism?

<p>Decreased muscle mass (B)</p> Signup and view all the answers

What is the recommended course of action for a patient with recurrent episodes of hypoglycemia?

<p>Notify healthcare provider for further evaluation. (C)</p> Signup and view all the answers

What hormone is released by the hypothalamus to regulate thyroid function?

<p>Thyrotropin-releasing hormone (D)</p> Signup and view all the answers

Which of the following is a common symptom of hyperthyroidism?

<p>Tremors (D)</p> Signup and view all the answers

What condition may result from untreated hyperthyroidism?

<p>Cardiac arrhythmias (C)</p> Signup and view all the answers

Which risk factor is NOT associated with hyperthyroidism?

<p>Primary adrenal insufficiency (A)</p> Signup and view all the answers

What is a likely outcome of significant hyperthyroidism on metabolic processes?

<p>Increased bowel movements (B)</p> Signup and view all the answers

Which of the following symptoms is characteristic of both hypothyroidism and hyperthyroidism?

<p>Hair loss (C)</p> Signup and view all the answers

Which physiological change is commonly observed in hyperthyroidism?

<p>Enlarged thyroid gland (C)</p> Signup and view all the answers

What is the primary effect of the excessive secretion in hyperthyroidism?

<p>Increased body temperature (B)</p> Signup and view all the answers

Flashcards

Musculoskeletal System Function

Supports the body, shapes it, maintains calcium/phosphate balance, enables mobility, protects organs, and stores energy.

Bone Function (Blood Cell Formation)

Red and yellow bone marrow create blood cells.

Ligament Injury Trigger

Commonly happens in ankles, knees, or wrists due to twisting injuries during sports or physical activity.

Ligament Injury Signs

Symptoms include swelling, bruising, limited movement, and a possible popping sound.

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Muscle Strain Trigger

Sudden, forceful movements, often in back or hamstrings, lead to strains.

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Muscle Strain Symptoms

Pain, tenderness, muscle spasms, and swelling or bruising, and difficulty moving the affected area are common.

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Osteoporosis

A condition that weakens bones, increasing risk of fractures.

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Imbalanced Nutrition

Poor nutrition can impact skeletal health through multiple pathways.

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Sensorineural Hearing Loss

A type of hearing loss caused by damage to the inner ear or the nerve pathways from the inner ear to the brain.

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Tinnitus

A perception of sound in the absence of an external source.

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Endolymphatic Hydrops

A condition characterized by fluid buildup in the inner ear.

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Hearing Aids

Devices that amplify sound, providing support to people with hearing loss.

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Middle Ear Conductive Hearing Loss

Hearing loss due to problems with the middle ear's ability to transmit sound vibrations.

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Risk Assessment

A systematic evaluation of potential dangers or risks faced by an individual.

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Fluid Buildup (Inner Ear)

Excessive fluid in the inner ear, potentially contributing to hearing loss or tinnitus.

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Surgical Decompression

A surgical procedure to relieve pressure or fluid build up in a body part.

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Allergic Reaction

An immune response triggered by exposure to an allergen, leading to symptoms like fluid leakage, vasodilation, and inflammation. Common triggers include foods, medication, insect bites/stings.

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HIV

A retrovirus that attacks the immune system, specifically targeting CD4 cells, leading to a weakened immune response and vulnerability to opportunistic infections.

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AIDS

The final stage of HIV infection characterized by severe immune suppression, making the body susceptible to life-threatening infections.

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High Risk Groups for HIV

Individuals with higher risk of HIV infection include males who have sexual contact with males, female sex workers, and people who inject drugs.

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HIV Transmission

HIV can be transmitted through bodily fluids like blood, semen, vaginal fluids, and breast milk.

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Acute HIV Infection

The initial stage of HIV infection marked by flu-like symptoms such as fever, chills, muscle aches, swollen lymph nodes, and a rash.

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Chronic HIV

The prolonged stage of HIV infection where symptoms may be mild or absent, but the virus continues to replicate and weaken the immune system.

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Opportunistic Infections

Infections that take advantage of a weakened immune system, often occurring in individuals with advanced HIV or AIDS.

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Hypoglycemia

A condition where blood sugar levels drop too low, often caused by too much insulin or not enough food intake.

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Hypoglycemia Interventions

Steps taken to quickly raise blood sugar levels during a hypoglycemic episode.

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Conscious & Cooperative Hypoglycemia?

If the person experiencing hypoglycemia is aware of their surroundings and can follow instructions, administer fast-acting carbohydrates like juice or candy.

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Unconscious or Unable to Swallow?

If the person is unresponsive or can't swallow, administer glucagon, a hormone that raises blood sugar.

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Hypothyroid Physiology

The anterior pituitary gland releases TSH (thyroid-stimulating hormone) which stimulates the thyroid gland to produce T3 and T4, essential hormones for metabolism.

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Hypothyroid Risk Factors

Factors that increase the likelihood of developing hypothyroidism, including age, gender, autoimmune disorders, and certain medications.

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Hypothyroidism Manifestations

Symptoms of hypothyroidism which can be subtle and include fatigue, constipation, weight gain, and menstrual changes.

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Hypothyroidism Labs & Diagnosis

Testing of thyroid hormones, specifically TSH and T4, is essential for diagnosing hypothyroidism.

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Hypothyroidism

A condition where the thyroid gland doesn't produce enough thyroid hormone.

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Hyperthyroidism

A condition where the thyroid gland produces too much thyroid hormone.

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What are common signs of hypothyroidism?

Symptoms include fatigue, weight gain, cold intolerance, depression, and slowed heart rate.

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What are common signs of hyperthyroidism?

Symptoms include weight loss, increased appetite, nervousness, tremors, rapid heartbeat, and heat intolerance.

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What are some risk factors for hyperthyroidism?

Risk factors include Graves' disease, toxic multinodular goiter, and prior radiation treatment to the neck.

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What is the role of the thyroid gland in the body?

The thyroid gland produces hormones that regulate metabolism, growth, and development.

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What hormone does the hypothalamus release to stimulate the thyroid gland?

The hypothalamus releases thyrotropin-releasing hormone (TRH).

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What happens to the thyroid when there is a signal of low thyroid hormone?

The hypothalamus releases TRH, which stimulates the pituitary gland to release TSH, causing the thyroid to secrete more thyroid hormone.

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What is Systemic Lupus Erythematosus (SLE)?

SLE is a chronic inflammatory disease affecting various organs. It involves the body's immune system attacking its own tissues. Symptoms include fatigue, joint pain, and rashes.

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What are key features of SLE?

SLE features include the production of autoantibodies against DNA, platelets, and red blood cells. These autoantibodies form immune complexes that deposit in tissues, leading to inflammation and damage.

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What are the clinical manifestations of SLE?

SLE manifests as inflammation and necrosis, leading to vasculitis (inflammation of blood vessels). This can affect many organs, impairing blood supply to tissues.

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How does SLE differ from other inflammatory diseases?

SLE is unique because it is often diagnosed through serum antibody tests. Unlike other inflammatory conditions, it's not just about organ involvement but also the presence of specific antibodies.

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What are diagnostic tests for SLE?

Diagnosing SLE involves blood tests to detect specific autoantibodies, along with a thorough medical history and physical examination by a rheumatologist.

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What are common treatments for SLE?

SLE is often managed with medications like prednisone (a glucocorticoid) to control inflammation and prevent organ damage. Other drugs like antimalarials and immunosuppressants may be used as well.

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What are possible organ complications from SLE?

SLE can impact several organs, including the skin causing ‘butterfly rash’ and sores in the mouth. The nervous system can experience cognitive dysfunction, mood changes, seizures, and psychosis. Blood disorders like anemia, low white blood cells, and low platelets can also occur.

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What is the significance of sensitization in SLE?

Sensitization describes the process where the immune system becomes abnormally reactive to self-antigens. This is crucial because it leads to the formation of autoantibodies, a hallmark of SLE.

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Study Notes

Musculoskeletal Disorders

  • Sprains: Injuries to ligaments (tissue connecting bones), commonly in ankles, knees, or wrists. Often caused by twisting, falling, or sports activities. Symptoms include pain, swelling, bruising, and limited movement. More common than strains.
  • Strains: Injuries to muscles or tendons (tissue connecting muscle to bone). Common in the back or hamstrings, caused by overstretching, heavy lifting, overuse, or sudden movements. Symptoms include muscle pain, tenderness, swelling, bruising, and difficulty moving the affected muscle. Slightly more severe than sprains.
  • RICE Method: Treatment for sprains and strains. R=rest, I=ice, C=compress, E=elevate. Used to reduce inflammation and pain.

Osteoarthritis (OA)

  • Common Disease: Most frequent joint disorder. Chronic joint degeneration, typically in weight-bearing joints like hands, hips, knees, and spine.
  • Degenerative: Characterized by gradual erosion of joint cartilage.
  • Risk Factors: Age, obesity, trauma, and occupation.
  • Clinical Presentation: Joint tenderness, swelling, decreased range of motion, creaking or grating sounds (crepitus), and possibly bony enlargements (Heberden's or Bouchard's nodes).
  • Diagnosis: Physical exam (joint tenderness, swelling, movement), imaging (x-rays to rule out fractures, MRI to assess soft tissue damage (in severe cases)), and labs (to rule out Inflammatory causes).
  • Nursing Care: Pain management (meds, heat/cold), assess functional ability, provide assistive devices (canes, walkers), and weight management.

Osteoporosis

  • Low Bone Mass: Characterized by low bone mass (osteopenia) and deterioration of bone tissue.
  • Increased Bone Reabsorption: Higher rate of bone reabsorption than bone formation.
  • Risk Factors: Older age, females more than males, family history, long-term steroid use, lower BMI.
  • Clinical Presentation: Severe back pain, loss of height, and increased risk of fractures (especially hip fractures).
  • Diagnosis: Bone mineral density test (DXA or DEXA scan).
  • Treatment: Identify and manage risk factors (e.g., smoking cessation). Medications (calcium/vitamin D, bisphosphonates). Lifestyle changes: Weight-bearing exercises. Fall prevention strategies.

Fractures

  • Broken Bones: A break in a bone.
  • Causes: Trauma, stress, or underlying diseases like osteoporosis or cancer.
  • Types: Closed (simple), open (compound), comminuted, displaced versus nondisplaced.
  • Clinical Presentation: Pain/tenderness, swelling/edema, deformity, bruising, limited movement.
  • Diagnosis: X-rays, CT scans, (most common), labs: CBC, ESR.
  • Treatment: Immobilization (cast or splint), pain management, physical therapy. Surgery may be required for severe fractures or complications.

Amputations

  • Surgical Removal: Removal of all or part of limb for various reasons, including trauma or disease (PVD, infection/gangrene).
  • Post-Op: Monitoring for complications (bleeding, infection, tissue perfusion, pain management (phantom pain)).
  • Rehab: Prosthetic fitting and therapy.

Sensory-Perceptual/Cognition

  • Vision: Common age-related vision changes (e.g., presbyopia, cataracts, macular degeneration, glaucoma). Nursing Assessments include vision acuity and visual field testing.
  • Hearing: Common age-related hearing loss (e.g., presbycusis), Meniere's disease. Nursing interventions include hearing aid use/training, audiology referral.

Other

  • Autoimmune Diseases (RA, SLE, others): Chronic inflammatory diseases where the immune system attacks the body's own tissues/organs.
  • Anaphylaxis: Severe allergic reaction, potentially life-threatening, often caused by exposure to allergens (foods, meds, insect bites).
  • Trauma/Relocation Syndrome: Stress response to a significant change in environment or life.
  • HIV/AIDS: Infectious disease affecting the immune system, transmission via bodily fluids.

Endocrine and Metabolic

  • Hypothyroidism: Thyroid gland underactive. Results in slowed metabolism. Symptoms include fatigue, weight gain, and cold intolerance. Common cause is Hashimoto's disease. May be tested for with TSH lab and T-4. Treat with levothyroxine as needed. Other common causes of hypothyroidism include radioactive iodine, thyroid surgery, exposure to radiation, other underlying disorders.
  • Hyperthyroidism: Overactive thyroid gland. Increased metabolic rate. Symptoms include weight loss, rapid heart rate, and anxiety. Common cause is Graves' disease. May be tested for via TSH, T-4. Treat with Antithyroid meds methimazole or PTU.
  • Diabetes Mellitus (Types 1 & 2): Metabolic disorder affecting blood sugar (glucose) regulation. Type 1 typically autoimmune destruction of the beta cells, Type 2 characterized by cellular resistance to insulin. Interventions include health promotion (diet, exercise, weight management), monitoring (BS, A1C), medication (oral hypoglycemics, insulin).
  • Diabetes Complications: Cardiovascular problems (CVD, stroke), kidney damage (nephropathy), nerve damage (neuropathy).
  • Diabetes Emergency: Diabetic ketoacidosis (DKA), hypoglycemia (low BS).

Infections

  • Antimicrobial Resistance (AMR): Bacteria develop resistance to antibiotics/antimicrobials.
  • Peritonitis: Inflammation of the peritoneum, abdominal lining, caused by infection or trauma.
  • Meningitis: Inflammation of the meninges (protective layers of brain/spinal cord), often caused by bacterial or viral infections.

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