Musculoskeletal Function Chapter 41 MCQs
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Questions and Answers

Morton neuroma is exhibited by which clinical manifestation?

  • Diminishment of the longitudinal arch of the foot
  • Inflammation of the foot-supporting fascia
  • Swelling of the third (lateral) branch of the median plantar nerve (correct)
  • High arm and a fixed equinus deformity

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action?

  • Reduce stress
  • Increase fiber in the diet
  • Walk or perform weight-bearing exercises outdoors (correct)
  • Decrease the intake of vitamin A and D

Which client would the nurse identify as having the greatest risk for osteoporosis?

  • A 20-year-old male athlete with repeated injuries
  • A 16-year-old male with a history of asthma
  • A small-framed, thin 45-year-old white woman (correct)
  • A 40-year-old overweight African American woman

The nurse recognizes that the goal of treatment for metastatic bone cancer is to:

<p>Promote pain relief and quality of life (B)</p> Signup and view all the answers

The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given?

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

Which is not a risk factor for osteoporosis?

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

In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation?

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

Which of the following older adults most clearly exemplifies the risk factors for osteoporosis?

<p>A Caucasian woman who has low body mass index (A)</p> Signup and view all the answers

Which group is at the greatest risk for osteoporosis?

<p>European American women (B)</p> Signup and view all the answers

Study Notes

Morton Neuroma

  • Characterized by swelling of the third branch of the median plantar nerve.
  • Also known as plantar digital neuroma or neurofibroma.
  • Related conditions include pes cavus (high arch) and flatfoot (diminished longitudinal arch).

Osteoporosis Risk-Lowering Strategies

  • Weight-bearing exercises outdoors are crucial for osteoporosis prevention.
  • Increasing dietary calcium and vitamin D intake is recommended.
  • Smoking cessation and moderation in alcohol and caffeine consumption are important.

Greatest Risk Factors for Osteoporosis

  • Small-framed, thin white women are at the highest risk for developing osteoporosis.
  • African American women generally possess greater bone density.
  • Hormonal changes in women and lower bone mass in men contribute to risk variations.

Metastatic Bone Cancer Treatment Goals

  • Focus on promoting pain relief and enhancing quality of life rather than curing the disease.

Bisphosphonate Medications

  • Alendronate is a commonly prescribed bisphosphonate for hip fracture care.
  • Other classes of medications include selective estrogen receptor modulators, anabolic agents, and monoclonal antibody agents.

Osteoporosis Risk Factors

  • Being male is not classified as a risk factor for osteoporosis.
  • Significant risk factors include postmenopausal status, small-framed, thin White or Asian women, family history, physical inactivity, low calcium intake, and excessive tobacco or caffeine use.

Chronic Osteomyelitis Treatment

  • Antibiotics serve as adjunctive therapy, particularly in conjunction with surgical debridement.

Older Adults and Osteoporosis Risk

  • Caucasian women with low body mass index exemplify the highest risk for osteoporosis.
  • African American women generally have greater bone mass, reducing their susceptibility.

Comparative Risk Among Ethnic Groups

  • Small-framed, nonobese European American women face the greatest osteoporosis risk.
  • Asian American women may have low peak bone mineral density but are less at risk than Caucasian women.
  • African American women are generally less susceptible due to higher bone mass compared to their European American counterparts.

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Test your knowledge with this set of flashcards focused on Chapter 41, which covers problems related to musculoskeletal function. Each question is designed to assess your understanding of key concepts, including conditions like Morton neuroma and their clinical manifestations.

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