Musculoskeletal System Overview
24 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary site for calcium absorption that is bypassed in patients undergoing bariatric surgery?

  • Ileum
  • Jejunum
  • Duodenum (correct)
  • Colon
  • Which demographic is recommended to consume approximately 1200 mg of calcium daily for bone health?

  • Pregnant women
  • Elderly individuals (correct)
  • Middle-aged men
  • Adolescents
  • What condition may remain undetectable on routine x-rays until significant demineralization has occurred?

  • Osteoporosis (correct)
  • Osteoarthritis
  • Osteomyelitis
  • Osteomalacia
  • What exercise regimen is recommended to promote bone formation in individuals at risk for osteoporosis?

    <p>30 minutes of aerobic exercise, 3 days or more a week (A)</p> Signup and view all the answers

    How is calcitonin primarily administered for osteoporosis treatment?

    <p>Nasal spray or injection (A)</p> Signup and view all the answers

    Which pharmacologic treatment for osteoporosis is a daily administered anabolic agent that stimulates bone matrix building?

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

    What is a characteristic of a ganglion cyst?

    <p>It presents as a cystic swelling, usually on the dorsum of the wrist. (D)</p> Signup and view all the answers

    What is a potential complication of osteoporosis that particularly affects the vertebrae?

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

    What nursing intervention is important for clients at risk of falls due to osteoporosis?

    <p>Assessing risk for injury in their environment (A)</p> Signup and view all the answers

    What factors are most commonly associated with primary osteoporosis?

    <p>Caucasian or Asian descent and being female after menopause. (C)</p> Signup and view all the answers

    Which of the following is a symptom of Dupuytren's disease?

    <p>Contracture of the palmar fascia leading to finger flexion. (B)</p> Signup and view all the answers

    What is a common risk factor for developing osteoporosis?

    <p>Post-menopause in women. (B)</p> Signup and view all the answers

    In terms of treatment, what may be used to alleviate contractures in Dupuytren's disease?

    <p>Intranodular injections of corticosteroids. (A)</p> Signup and view all the answers

    How does osteoporosis primarily affect bones?

    <p>It reduces bone mineral density and deteriorates bone architecture. (D)</p> Signup and view all the answers

    Which medication is known to affect calcium absorption and can contribute to osteoporosis?

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

    Which type of osteoporosis is caused by factors other than aging or menopause?

    <p>Secondary osteoporosis. (D)</p> Signup and view all the answers

    What is the primary defect in osteomalacia?

    <p>Deficiency of activated vitamin D (B)</p> Signup and view all the answers

    Which of the following is a common symptom of osteomalacia?

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

    How can osteomalacia be treated effectively?

    <p>Calcium and vitamin D supplements (C)</p> Signup and view all the answers

    What dietary adjustments should a patient with osteomalacia make?

    <p>Eat a diet high in protein, calcium, and vitamins C and D (A)</p> Signup and view all the answers

    Which of the following may lead to a deficiency in activated vitamin D?

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

    What role does parathyroid hormone play in the context of osteomalacia?

    <p>Stimulates release of skeletal calcium in response to acidosis (D)</p> Signup and view all the answers

    Which of the following conditions contributes to the development of osteomalacia?

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

    What exercise suggestion is important for someone at risk of osteomalacia?

    <p>Practice good body mechanics and strengthen core muscles (A)</p> Signup and view all the answers

    Flashcards

    Ganglion

    A cystic swelling near tendons or joints, often on the wrist.

    Treatment for Ganglion

    Involves aspiration, corticosteroid injection, or surgical excision.

    Dupuytren's Disease

    A progressive contracture of the palmar fascia affecting fingers.

    Osteoporosis

    A bone disease leading to reduced density and increased fracture risk.

    Signup and view all the flashcards

    Risk Factors for Osteoporosis

    Includes female gender, post-menopause, advanced age, and sedentary lifestyle.

    Signup and view all the flashcards

    Primary Osteoporosis

    Occurs in women post-menopause due to inadequate peak bone mass.

    Signup and view all the flashcards

    Secondary Osteoporosis

    Results from medications or diseases affecting bone metabolism.

    Signup and view all the flashcards

    Medications affecting Osteoporosis

    Includes corticosteroids and anti-seizure medications impacting calcium metabolism.

    Signup and view all the flashcards

    Osteomalacia

    A metabolic bone disease with inadequate mineralization, leading to softening and weakening of bones.

    Signup and view all the flashcards

    Assistive devices

    Tools such as canes or walkers used to aid mobility and prevent falls.

    Signup and view all the flashcards

    Vitamin D role

    Essential for calcium absorption and bone mineralization; its deficiency causes osteomalacia.

    Signup and view all the flashcards

    Calcium-rich diet

    A dietary plan that includes high protein, calcium, vitamins C and D, and iron for bone health.

    Signup and view all the flashcards

    Malabsorption syndrome

    A condition that reduces the ability to absorb nutrients, leading to deficiencies like osteomalacia.

    Signup and view all the flashcards

    Pathologic fractures

    Fractures that occur with minimal trauma due to weakened bones, characteristic of osteomalacia.

    Signup and view all the flashcards

    Spinal kyphosis

    A skeletal deformity where the spine curves excessively, potentially caused by osteomalacia.

    Signup and view all the flashcards

    Hyperparathyroidism

    A condition that can lead to skeletal decalcification, sometimes resulting in osteomalacia.

    Signup and view all the flashcards

    Osteoporosis Risk Factors

    Post-bariatric surgery patients have increased osteoporosis risk due to calcium absorption issues.

    Signup and view all the flashcards

    Assessment Signs of Osteoporosis

    Signs include loss of height, respiratory dysfunction, increased fracture risk, and kyphosis.

    Signup and view all the flashcards

    Osteoporosis Diagnosis

    Osteoporosis may be missed in routine x-rays until significant demineralization occurs; DXA is required.

    Signup and view all the flashcards

    Calcium and Vitamin D Needs

    Elderly patients need about 1200 mg of calcium and vitamin D daily to support bone health.

    Signup and view all the flashcards

    Vertebroplasty and Kyphoplasty

    Procedures that involve injecting cement into a fractured vertebra to restore its shape.

    Signup and view all the flashcards

    Calcitonin

    A hormone that inhibits osteoclasts and helps reduce bone loss; delivered via nasal spray.

    Signup and view all the flashcards

    Teriparatide

    An anabolic agent that stimulates bone building, administered subcutaneously once daily.

    Signup and view all the flashcards

    Nursing Interventions for Osteoporosis

    Assess client hazards and assist in creating a safer environment to prevent injuries.

    Signup and view all the flashcards

    Study Notes

    Musculoskeletal System

    • The human body contains 206 bones, divided into four categories: long, short, flat, and irregular.
    • Long bones are designed for weight-bearing and movement.
    • Short bones consist of cancellous bone, covered by a compact bone layer.
    • Flat bones are important for hematopoiesis and often protect vital organs.
    • Irregular bones have unique shapes, suited to their functions.
    • Bone cells include osteoblasts (bone formation), osteocytes (bone maintenance), and osteoclasts (bone resorption).
    • Osteons are the microscopic functional units of mature cortical bone.
    • Periosteum is a dense fibrous membrane surrounding the bone.
    • Endosteum is a vascular membrane lining the bone marrow cavity.
    • Bone marrow is a vascular tissue found in the medullary cavity of long bones and in flat bones.
    • Cartilage covers the ends of long bones.
    • Diaphysis is the shaft of a long bone.
    • Bone formation (osteogenesis) and ossification occur before birth. These processes involve the formation of bone matrix and the deposition of calcium and phosphorus.
    • Bone maintenance involves remodeling, the simultaneous process of resorption and osteogenesis, which maintains bone structure. Dietary intake of calcium, physical activity, and specific hormones play crucial roles.
    • Broken bones heal through a series of steps including hematoma formation, callus formation, calcification, and remodeling.

    Articular System

    • Joints are the junctions of two or more bones.
    • Three types of joints are synarthrosis (immovable), amphiarthrosis (slightly movable), and diarthrosis (freely movable).
    • Types of joints include ball-and-socket, hinge, saddle, and pivot.
    • Synovium is the membrane lining the capsule that secretes the lubricating synovial fluid.
    • Ligaments and bursae bind articulating bones together. Ligaments are fibrous connective tissue bands, bursae cushion movement.
    • Muscles, or muscle fibers, contract in response to electrical stimulation, using energy from adenosine triphosphate (ATP) and cellular oxidative metabolism.
    • Types of muscle contraction include isometric contraction (constant length), and isotonic contraction (muscle shortening).
    • Muscle tone is a state of muscle readiness to respond to stimuli.

    Diagnostic Tests

    • X-rays, CT scans, and MRI scans are imaging techniques that provide diagnostic information on bone, soft tissue, ligament, and tendon structures within the body.
    • Arthrography involves injecting a radiopaque contrast agent or air into a joint to view the articular structures.
    • Bone densitometry measures bone mineral density, which indirectly gives diagnostic information about bone health.
    • Bone scans use radioactive isotopes to give images of bone structure.
    • Biopsy procedures are used to examine bone marrow, bone, muscle, or synovium tissue to diagnose diseases including bone, muscle and joint diseases.
    • Electromyography measures the electrical potential of muscles and nerves to diagnose muscle weakness or related disorders.

    Casts

    • Different types of casts are used to immobilize and support the body in treating various musculoskeletal conditions.
    • Types of casts include: Collar, body, Minerva, Rizzers' jacket, Shoulder spica casts, Sugar tong casts, Short arm, long arm, short leg, long leg, and various other specialized casts.
    • Cast materials commonly in use: Fiberglass, Plaster of Paris, and various other materials.

    Splints & Braces

    • Splints are used to immobilize and support body parts in cases that do not require complete immobilization for treatment or healing.
    • External immobilizing devices molded to the contour of the body.
    • Types of splints and braces include: Cock-up splint, Banjo splint, Lively finger, arm sling, and other specialized splints.

    Traction

    • Techniques used to apply a pulling force to a body part.
    • Types of tractions. Skin traction, Skeletal traction, types of casts used for various body parts and joints including neck, pelvic, and femoral.
    • External fixators are devices to provide stable support for severe fractures.

    Relieving Pain/Symptoms & Interventions

    • Treatment strategies and nursing interventions for pain including cold and heat application, positioning, exercises and medications.
    • Managing potential complications, including infection, excessive drainage, pressure ulcers, neurological impairment and other complications, through frequent monitoring assessment.
    • Preventing deep vein thrombosis (DVT) with interventions designed to prevent thrombosis formation, including anti-embolism compression stockings or sequential compression devices are used to prevent.
    • Various other acute and chronic conditions causing pain or other symptoms are treated with focused nursing interventions.

    Joint Problems, including Articular Damage and Treatment

    • Chronic bone or joint problems including arthritis or other chronic conditions, with nursing interventions including proper positioning to prevent additional complications or damage.
    • Total hip and knee replacement interventions to treat chronic bone or joint damage.
    • Nursing interventions in treating complications, and proper post-operative care.

    Amputation

    • Removal of a body part; related complications, including managing pain, minimizing joint contractures, and promoting body image.
    • Nursing care during and post-operative care, to minimize post-operative complications.

    Miscellaneous Musculoskeletal Conditions

    • Various other musculoskeletal conditions including fractures, tumors, and specific problems like Paget's disease, osteoporosis, gout, scoliosis and their related complications, diagnosis, management and nursing care protocols.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Orthopedics PDF

    Description

    Explore the intricacies of the musculoskeletal system, including the classification of bones and their functions. This quiz covers essential terms like osteoblasts and osteoclasts, the structure of bones, and the processes of bone formation and maintenance. Test your knowledge of the human skeletal framework and its roles in movement and protection.

    More Like This

    Bones and the Musculoskeletal System
    20 questions
    Anatomía Humana I: Sistema Músculo-Esquelético
    48 questions
    Musculoskeletal System Overview
    40 questions
    Musculoskeletal System Review
    48 questions

    Musculoskeletal System Review

    BreathtakingFactorial2901 avatar
    BreathtakingFactorial2901
    Use Quizgecko on...
    Browser
    Browser