Podcast
Questions and Answers
What is the primary distinction between a sprain and a fracture?
What is the primary distinction between a sprain and a fracture?
- A sprain is always more severe than a fracture.
- A fracture involves a complete break in the bone, whereas a sprain involves tearing of ligaments. (correct)
- Both injuries occur as a result of the same mechanism of injury.
- A fracture is an injury to the soft tissues, while a sprain is an injury to the bone.
Which of the following is NOT a common site for sprains?
Which of the following is NOT a common site for sprains?
- Shoulder (correct)
- Ankle
- Wrist
- Knee
What is the vital aspect of postoperative care following a total knee replacement?
What is the vital aspect of postoperative care following a total knee replacement?
- Initiating physical therapy to enhance mobility. (correct)
- Encouraging complete bed rest for recovery.
- Avoiding any weight-bearing activities for six weeks.
- Administering pain relief only when requested by the patient.
What are the six Ps associated with connective tissue injuries?
What are the six Ps associated with connective tissue injuries?
A patient presenting with compartment syndrome would likely exhibit which of the following?
A patient presenting with compartment syndrome would likely exhibit which of the following?
Which of the following is an essential nursing intervention for patients with arthritis?
Which of the following is an essential nursing intervention for patients with arthritis?
What is the process by which osteoporosis occurs primarily driven by?
What is the process by which osteoporosis occurs primarily driven by?
Which of the following statements regarding cast care is correct?
Which of the following statements regarding cast care is correct?
What is a common fracture type resulting from punching a wall?
What is a common fracture type resulting from punching a wall?
What is the primary goal in the treatment of fractures?
What is the primary goal in the treatment of fractures?
Which of the following statements is true regarding the risk factors for fractures in older adults?
Which of the following statements is true regarding the risk factors for fractures in older adults?
What initial treatment step is crucial after a fracture occurs?
What initial treatment step is crucial after a fracture occurs?
Which type of fracture involves the break in the skin?
Which type of fracture involves the break in the skin?
During which stage of fracture healing does granulation tissue form?
During which stage of fracture healing does granulation tissue form?
What effect do proton pump inhibitors (PPIs) have on fracture risk?
What effect do proton pump inhibitors (PPIs) have on fracture risk?
What is the first step of bone healing after a fracture?
What is the first step of bone healing after a fracture?
What type of fracture involves a partial bend and partial break in the bone, often seen in children?
What type of fracture involves a partial bend and partial break in the bone, often seen in children?
Why might calcium supplements be recommended for those taking proton pump inhibitors?
Why might calcium supplements be recommended for those taking proton pump inhibitors?
What mechanism explains the increased fracture risk due to aging?
What mechanism explains the increased fracture risk due to aging?
What is a characteristic of a comminuted fracture?
What is a characteristic of a comminuted fracture?
When should tetanus immunization be administered in case of a fracture?
When should tetanus immunization be administered in case of a fracture?
Which type of fracture should be treated with prophylactic antibiotics?
Which type of fracture should be treated with prophylactic antibiotics?
What is the primary goal of reducing a fracture?
What is the primary goal of reducing a fracture?
Which method of fracture reduction involves no surgical incision?
Which method of fracture reduction involves no surgical incision?
What type of fixation is particularly necessary for treating fractures in older adults?
What type of fixation is particularly necessary for treating fractures in older adults?
Which of the following is NOT a method of stabilizing a fracture after reduction?
Which of the following is NOT a method of stabilizing a fracture after reduction?
What is commonly used in external fixation of fractures?
What is commonly used in external fixation of fractures?
What is a significant disadvantage of using synthetic casts?
What is a significant disadvantage of using synthetic casts?
Which type of cast allows for weight bearing within 30 minutes of application?
Which type of cast allows for weight bearing within 30 minutes of application?
What is a key consideration in caring for an external fixator?
What is a key consideration in caring for an external fixator?
In what situation might open reduction be necessary?
In what situation might open reduction be necessary?
Which cast is typically used to support the arm and provide elevation?
Which cast is typically used to support the arm and provide elevation?
What is the purpose of using traction in fracture management?
What is the purpose of using traction in fracture management?
What is indicated by a grayish and dull appearance on a plaster cast?
What is indicated by a grayish and dull appearance on a plaster cast?
What is the main risk when a cast is applied over a surgical site?
What is the main risk when a cast is applied over a surgical site?
What might a patient using an external fixator experience related to self-image?
What might a patient using an external fixator experience related to self-image?
What is a common symptom of an ACL injury?
What is a common symptom of an ACL injury?
Which method is primarily used for diagnosing a meniscal injury?
Which method is primarily used for diagnosing a meniscal injury?
What is the typical mechanism of injury for an Achilles tendon rupture?
What is the typical mechanism of injury for an Achilles tendon rupture?
What is the most common joint for bursitis to occur?
What is the most common joint for bursitis to occur?
How is carpal tunnel syndrome primarily treated?
How is carpal tunnel syndrome primarily treated?
Which symptom is characteristic of a meniscus tear?
Which symptom is characteristic of a meniscus tear?
What is a common non-surgical treatment for a bunion?
What is a common non-surgical treatment for a bunion?
Which of the following is not a symptom of an Achilles tendon injury?
Which of the following is not a symptom of an Achilles tendon injury?
Which exercise is commonly prescribed during recovery from an ACL injury?
Which exercise is commonly prescribed during recovery from an ACL injury?
What condition is characterized by the median nerve being compressed in the wrist?
What condition is characterized by the median nerve being compressed in the wrist?
What is the initial treatment recommended for bursitis?
What is the initial treatment recommended for bursitis?
What is a possible cause of an Achilles tendon rupture?
What is a possible cause of an Achilles tendon rupture?
What procedure may be necessary if carpal tunnel syndrome symptoms are long-lasting?
What procedure may be necessary if carpal tunnel syndrome symptoms are long-lasting?
What is the primary goal of the RICE method in treating sprains?
What is the primary goal of the RICE method in treating sprains?
Which of the following describes a Grade II sprain?
Which of the following describes a Grade II sprain?
What is the most common cause of muscle strains?
What is the most common cause of muscle strains?
How should ice be applied after a strain injury?
How should ice be applied after a strain injury?
What is the first step in managing a dislocated joint?
What is the first step in managing a dislocated joint?
Which of the following is NOT a symptom of a Grade I sprain?
Which of the following is NOT a symptom of a Grade I sprain?
What should be done if muscle spasms are present in a strain?
What should be done if muscle spasms are present in a strain?
Which condition often requires surgical repair due to the severity of injury?
Which condition often requires surgical repair due to the severity of injury?
What may occur if a joint is immobilized for too long?
What may occur if a joint is immobilized for too long?
What factors typically contribute to an anterior cruciate ligament (ACL) injury?
What factors typically contribute to an anterior cruciate ligament (ACL) injury?
In the context of joint strains, what does subluxation refer to?
In the context of joint strains, what does subluxation refer to?
Which medication should be administered immediately for pain relief in strains or sprains?
Which medication should be administered immediately for pain relief in strains or sprains?
What type of therapy is believed to help relax muscles after extended work?
What type of therapy is believed to help relax muscles after extended work?
Which symptoms indicate that a muscle strain has likely occurred?
Which symptoms indicate that a muscle strain has likely occurred?
What is the primary characteristic of pannus in rheumatoid arthritis?
What is the primary characteristic of pannus in rheumatoid arthritis?
Which of the following symptoms is characteristic of rheumatoid arthritis?
Which of the following symptoms is characteristic of rheumatoid arthritis?
What is the role of disease-modifying anti-rheumatic drugs (DMARDs) in the treatment of rheumatoid arthritis?
What is the role of disease-modifying anti-rheumatic drugs (DMARDs) in the treatment of rheumatoid arthritis?
Which of the following tests is NOT typically used in the diagnosis of rheumatoid arthritis?
Which of the following tests is NOT typically used in the diagnosis of rheumatoid arthritis?
Which treatment is reserved for controlling flare-ups in rheumatoid arthritis due to its serious side effects?
Which treatment is reserved for controlling flare-ups in rheumatoid arthritis due to its serious side effects?
Which of the following describes a common effect of rheumatoid arthritis on the joints?
Which of the following describes a common effect of rheumatoid arthritis on the joints?
What kind of nodules may form in patients with rheumatoid arthritis?
What kind of nodules may form in patients with rheumatoid arthritis?
What is a significant risk when initiating treatment with tumor necrosis factor (TNF) inhibitors in rheumatoid arthritis patients?
What is a significant risk when initiating treatment with tumor necrosis factor (TNF) inhibitors in rheumatoid arthritis patients?
What is a likely consequence if rheumatoid arthritis is left untreated?
What is a likely consequence if rheumatoid arthritis is left untreated?
What is the primary goal in the management of rheumatoid arthritis in older adults?
What is the primary goal in the management of rheumatoid arthritis in older adults?
What is the primary advantage of using a brace for fractures?
What is the primary advantage of using a brace for fractures?
What is the purpose of skeletal traction?
What is the purpose of skeletal traction?
What is a critical step before applying a plaster cast?
What is a critical step before applying a plaster cast?
Which condition is accurately associated with osteomyelitis?
Which condition is accurately associated with osteomyelitis?
What factor can delay the healing of a fracture?
What factor can delay the healing of a fracture?
How does skin traction differ from skeletal traction?
How does skin traction differ from skeletal traction?
What role do antibiotics play in the management of open fractures?
What role do antibiotics play in the management of open fractures?
What should be monitored in a patient with skin traction to prevent complications?
What should be monitored in a patient with skin traction to prevent complications?
What is the purpose of an electrical bone growth–stimulating device in treating nonunion of fractures?
What is the purpose of an electrical bone growth–stimulating device in treating nonunion of fractures?
What is one of the main complications of osteomyelitis?
What is one of the main complications of osteomyelitis?
Which symptom is NOT associated with fat embolism?
Which symptom is NOT associated with fat embolism?
Why are older adults particularly at risk for fat embolism after a fracture?
Why are older adults particularly at risk for fat embolism after a fracture?
How often should a patient’s temperature and WBC count be checked after surgery?
How often should a patient’s temperature and WBC count be checked after surgery?
What is a key sign of compartment syndrome?
What is a key sign of compartment syndrome?
What action is recommended if a plaster cast is still warm?
What action is recommended if a plaster cast is still warm?
Which preventive measures are recommended to avoid thrombus formation after a hip fracture?
Which preventive measures are recommended to avoid thrombus formation after a hip fracture?
What is a characteristic of a volar splint?
What is a characteristic of a volar splint?
What is the most immediate action required when an open fracture has occurred with severe bleeding?
What is the most immediate action required when an open fracture has occurred with severe bleeding?
What factor increases the risk of infection leading to osteomyelitis?
What factor increases the risk of infection leading to osteomyelitis?
What is typically the first step in treating osteomyelitis?
What is typically the first step in treating osteomyelitis?
What complication arises from tight dressings or casts in a fractured limb?
What complication arises from tight dressings or casts in a fractured limb?
During assessment for nerve damage in a fractured leg, which method would NOT be appropriate?
During assessment for nerve damage in a fractured leg, which method would NOT be appropriate?
Which sign indicates that a patient may be experiencing compartment syndrome?
Which sign indicates that a patient may be experiencing compartment syndrome?
What is a potential treatment for compartment syndrome if conservative measures fail?
What is a potential treatment for compartment syndrome if conservative measures fail?
What does the 'six Ps' assessment for extremities include?
What does the 'six Ps' assessment for extremities include?
Why is bilateral assessment important in suspected fractures?
Why is bilateral assessment important in suspected fractures?
What is a common misconception about fractures?
What is a common misconception about fractures?
What is the primary reason for elevating a limb after a fracture?
What is the primary reason for elevating a limb after a fracture?
When assessing a patient with a fractured forearm, which assessment finding would most likely indicate a potential complication?
When assessing a patient with a fractured forearm, which assessment finding would most likely indicate a potential complication?
What dietary recommendation is essential for a patient recovering from a fracture?
What dietary recommendation is essential for a patient recovering from a fracture?
What is a defining characteristic of rheumatoid arthritis compared to osteoarthritis?
What is a defining characteristic of rheumatoid arthritis compared to osteoarthritis?
What is the most critical action to take if a patient in a cast reports sharp localized pain?
What is the most critical action to take if a patient in a cast reports sharp localized pain?
What is an appropriate intervention for a patient experiencing discomfort from a traction device?
What is an appropriate intervention for a patient experiencing discomfort from a traction device?
At what average age is osteoarthritis most commonly diagnosed?
At what average age is osteoarthritis most commonly diagnosed?
Which symptom would likely prompt immediate assessment of a neuromuscular complication in a patient with a cast?
Which symptom would likely prompt immediate assessment of a neuromuscular complication in a patient with a cast?
What type of joint involvement is characteristic of rheumatoid arthritis?
What type of joint involvement is characteristic of rheumatoid arthritis?
What is a standard practice when cleaning pin sites after surgery for external fixation?
What is a standard practice when cleaning pin sites after surgery for external fixation?
What is the primary goal of performing a synovectomy?
What is the primary goal of performing a synovectomy?
Which medication class is primarily used to reduce inflammation and pain in rheumatoid arthritis?
Which medication class is primarily used to reduce inflammation and pain in rheumatoid arthritis?
Why is it important to monitor for problems of immobility in fracture patients?
Why is it important to monitor for problems of immobility in fracture patients?
How often should a neurovascular assessment be performed after a fracture occurs?
How often should a neurovascular assessment be performed after a fracture occurs?
What is one common symptom experienced in rheumatoid arthritis that differs from osteoarthritis?
What is one common symptom experienced in rheumatoid arthritis that differs from osteoarthritis?
What would a capillary refill time of longer than 2 seconds indicate in a patient with a fracture?
What would a capillary refill time of longer than 2 seconds indicate in a patient with a fracture?
What factor typically does NOT contribute to the development of osteoarthritis?
What factor typically does NOT contribute to the development of osteoarthritis?
Upon discovering foul odors from a cast, what should be your immediate action?
Upon discovering foul odors from a cast, what should be your immediate action?
What is the recommended dosage limit for intra-articular steroid injections within a year?
What is the recommended dosage limit for intra-articular steroid injections within a year?
What percentage of nutrients should be focused on to aid in healing after a fracture?
What percentage of nutrients should be focused on to aid in healing after a fracture?
What is a key nursing implication when administering NSAIDs to older adults?
What is a key nursing implication when administering NSAIDs to older adults?
What should patients be advised to do if they experience dizziness from arthritis pain medications?
What should patients be advised to do if they experience dizziness from arthritis pain medications?
What is the main purpose of assessing a patient’s body position and alignment in relation to immobilization?
What is the main purpose of assessing a patient’s body position and alignment in relation to immobilization?
Which of the following is NOT a typical nursing diagnosis related to patients with fractures?
Which of the following is NOT a typical nursing diagnosis related to patients with fractures?
Which type of replacement surgery is most commonly performed for patients with severe arthritis?
Which type of replacement surgery is most commonly performed for patients with severe arthritis?
What is typically used in cemented press-fit prostheses for joint replacement?
What is typically used in cemented press-fit prostheses for joint replacement?
What complication is the greatest danger to successful joint replacement?
What complication is the greatest danger to successful joint replacement?
In which condition are rheumatoid factors often found?
In which condition are rheumatoid factors often found?
What should be used to avoid creating impressions on a damp cast?
What should be used to avoid creating impressions on a damp cast?
What is the maximum duration for which the extremity should be elevated after cast application?
What is the maximum duration for which the extremity should be elevated after cast application?
Which object should patients avoid using to scratch under the cast?
Which object should patients avoid using to scratch under the cast?
What should be done to relieve itching inside the cast?
What should be done to relieve itching inside the cast?
What precaution should be taken if ice bags are used on a wet plaster cast?
What precaution should be taken if ice bags are used on a wet plaster cast?
What is a common symptom of early Lyme disease?
What is a common symptom of early Lyme disease?
What is the recommended treatment for early Lyme disease to prevent progression?
What is the recommended treatment for early Lyme disease to prevent progression?
Which joint condition is characterized by flavored breakdown of cartilage?
Which joint condition is characterized by flavored breakdown of cartilage?
Which of the following factors is NOT associated with increasing the risk of osteoarthritis?
Which of the following factors is NOT associated with increasing the risk of osteoarthritis?
What should be used to inspect a cast daily?
What should be used to inspect a cast daily?
What is a potential consequence of untreated Lyme disease?
What is a potential consequence of untreated Lyme disease?
After removing a cast, how should the underlying skin be treated?
After removing a cast, how should the underlying skin be treated?
Which of the following is a sign that a patient might have Lyme disease?
Which of the following is a sign that a patient might have Lyme disease?
What should patients be instructed to do when showering with a synthetic cast?
What should patients be instructed to do when showering with a synthetic cast?
What is the primary characteristic of primary osteoarthritis?
What is the primary characteristic of primary osteoarthritis?
Which of the following signs is associated with rheumatoid arthritis?
Which of the following signs is associated with rheumatoid arthritis?
What is a common treatment strategy for managing osteoarthritis?
What is a common treatment strategy for managing osteoarthritis?
What is the standard maximum dose of acetaminophen recommended for most patients?
What is the standard maximum dose of acetaminophen recommended for most patients?
How can glucosamine and chondroitin affect osteoarthritis?
How can glucosamine and chondroitin affect osteoarthritis?
Why might NSAIDs be cautioned against in older adults?
Why might NSAIDs be cautioned against in older adults?
What is the role of hyaluronic acid injections in osteoarthritis treatment?
What is the role of hyaluronic acid injections in osteoarthritis treatment?
What lifestyle change can significantly reduce joint stress for osteoarthritis patients?
What lifestyle change can significantly reduce joint stress for osteoarthritis patients?
What is a potential side effect of taking too much acetaminophen?
What is a potential side effect of taking too much acetaminophen?
What benefit does gentle exercise provide for osteoarthritis patients?
What benefit does gentle exercise provide for osteoarthritis patients?
Which of the following pain relief methods is suggested for osteoarthritis sufferers?
Which of the following pain relief methods is suggested for osteoarthritis sufferers?
What is a common injectable treatment for cartilage injury?
What is a common injectable treatment for cartilage injury?
What should patients taking warfarin consult their healthcare provider about?
What should patients taking warfarin consult their healthcare provider about?
Which form of arthritis is considered an autoimmune disease?
Which form of arthritis is considered an autoimmune disease?
What is one reason older adults with decreased creatinine clearance should avoid taking allopurinol?
What is one reason older adults with decreased creatinine clearance should avoid taking allopurinol?
Which medication is suggested as a feasible treatment option for patients with both hypertension and gout?
Which medication is suggested as a feasible treatment option for patients with both hypertension and gout?
What is a common result of untreated osteoporosis in older adults?
What is a common result of untreated osteoporosis in older adults?
Which of the following statements about the diagnosis of osteoporosis is true?
Which of the following statements about the diagnosis of osteoporosis is true?
What demographic is particularly at risk for developing osteoporosis shortly after menopause?
What demographic is particularly at risk for developing osteoporosis shortly after menopause?
What is a significant risk factor that contributes to osteoporosis in both genders?
What is a significant risk factor that contributes to osteoporosis in both genders?
What aspect of osteoporosis is often misunderstood regarding its visibility?
What aspect of osteoporosis is often misunderstood regarding its visibility?
What percentage of patients who experience a hip fracture may die within one year of the injury?
What percentage of patients who experience a hip fracture may die within one year of the injury?
What is the recommended pain level for patients before discharge on oral analgesia?
What is the recommended pain level for patients before discharge on oral analgesia?
Which positioning restriction is NOT advised to prevent dislocation after total hip replacement?
Which positioning restriction is NOT advised to prevent dislocation after total hip replacement?
Administering a medication bolus for which pain level is indicated?
Administering a medication bolus for which pain level is indicated?
What might excessive sedation following pain medication indicate?
What might excessive sedation following pain medication indicate?
What is a critical instruction for a patient recovering from a total hip replacement during the postoperative period?
What is a critical instruction for a patient recovering from a total hip replacement during the postoperative period?
Which of the following is an example of a proper comfort measure for a patient in pain?
Which of the following is an example of a proper comfort measure for a patient in pain?
What is the primary reason for using a CPM machine after knee arthroplasty?
What is the primary reason for using a CPM machine after knee arthroplasty?
What should the patient be advised to report in order to prevent potential complications after hip surgery?
What should the patient be advised to report in order to prevent potential complications after hip surgery?
Why is ongoing pain assessment important immediately following hip surgery?
Why is ongoing pain assessment important immediately following hip surgery?
Which exercise should be encouraged every two hours to help prevent DVT?
Which exercise should be encouraged every two hours to help prevent DVT?
What is an essential nursing intervention for a patient post-total hip replacement to promote mobility?
What is an essential nursing intervention for a patient post-total hip replacement to promote mobility?
What is an important nursing intervention to assist a patient with rheumatoid arthritis?
What is an important nursing intervention to assist a patient with rheumatoid arthritis?
What nursing diagnosis would likely be appropriate for a patient recovering from total hip replacement due to pain and activity restrictions?
What nursing diagnosis would likely be appropriate for a patient recovering from total hip replacement due to pain and activity restrictions?
Which of the following practices should be avoided for patients recovering from hip replacement surgery?
Which of the following practices should be avoided for patients recovering from hip replacement surgery?
What should be ensured for a patient recovering from total hip replacement before discharge?
What should be ensured for a patient recovering from total hip replacement before discharge?
Which symptom could indicate the presence of a thrombus in a post-hip replacement patient?
Which symptom could indicate the presence of a thrombus in a post-hip replacement patient?
What type of patient education should be emphasized for someone recovering from knee arthroplasty?
What type of patient education should be emphasized for someone recovering from knee arthroplasty?
What could contribute to a patient with rheumatoid arthritis experiencing frustration during treatment?
What could contribute to a patient with rheumatoid arthritis experiencing frustration during treatment?
In a patient experiencing acute pain post-surgery, what should be the immediate nursing action?
In a patient experiencing acute pain post-surgery, what should be the immediate nursing action?
What is the primary action of corticosteroids like prednisone?
What is the primary action of corticosteroids like prednisone?
What assessment data would indicate the need for immediate attention in a patient post hip replacement?
What assessment data would indicate the need for immediate attention in a patient post hip replacement?
What is a potential complication that could occur in a patient post-total hip replacement aside from DVT?
What is a potential complication that could occur in a patient post-total hip replacement aside from DVT?
What strategy should be employed to facilitate the patient's transition from hospital to home care after hip surgery?
What strategy should be employed to facilitate the patient's transition from hospital to home care after hip surgery?
Which type of medication is primarily used to decrease clotting ability in post-operative care?
Which type of medication is primarily used to decrease clotting ability in post-operative care?
Which medication requires monitoring for retinal problems as a potential side effect?
Which medication requires monitoring for retinal problems as a potential side effect?
Which statement reflects a patient's understanding of hip replacement recovery after receiving discharge instructions?
Which statement reflects a patient's understanding of hip replacement recovery after receiving discharge instructions?
What is a critical nursing consideration when administering biological therapies?
What is a critical nursing consideration when administering biological therapies?
What can help a patient with arthritis maintain independence and mobility?
What can help a patient with arthritis maintain independence and mobility?
Which of the following can result from abrupt discontinuation of corticosteroid medication?
Which of the following can result from abrupt discontinuation of corticosteroid medication?
What is a common nursing intervention for managing chronic pain in patients with arthritis?
What is a common nursing intervention for managing chronic pain in patients with arthritis?
What is one of the benefits of hip resurfacing over a traditional hip replacement?
What is one of the benefits of hip resurfacing over a traditional hip replacement?
Which goal should be prioritized for a patient scheduled for total hip replacement rehabilitation?
Which goal should be prioritized for a patient scheduled for total hip replacement rehabilitation?
During postoperative care for hip replacement, what should be routinely monitored to prevent dislocation?
During postoperative care for hip replacement, what should be routinely monitored to prevent dislocation?
What potential risk is associated with disease-modifying antirheumatic drugs (DMARDs)?
What potential risk is associated with disease-modifying antirheumatic drugs (DMARDs)?
Which preoperative care instruction is important for a patient undergoing hip surgery?
Which preoperative care instruction is important for a patient undergoing hip surgery?
What assessment should be performed after applying an abductor wedge to prevent complications?
What assessment should be performed after applying an abductor wedge to prevent complications?
What is a common side effect of DMARDs that requires frequent monitoring?
What is a common side effect of DMARDs that requires frequent monitoring?
What should be avoided when administering corticosteroids to prevent bruising?
What should be avoided when administering corticosteroids to prevent bruising?
What is a potential complication of joint replacement surgery that low-molecular-weight heparin aims to prevent?
What is a potential complication of joint replacement surgery that low-molecular-weight heparin aims to prevent?
What element of postoperative care involves positioning to prevent displacement of the hip prosthesis?
What element of postoperative care involves positioning to prevent displacement of the hip prosthesis?
What is the recommended time frame to take corticosteroids like prednisone for optimal efficacy?
What is the recommended time frame to take corticosteroids like prednisone for optimal efficacy?
What is the most common dietary factor associated with an increased risk of gout?
What is the most common dietary factor associated with an increased risk of gout?
Which joint is most commonly affected by gout?
Which joint is most commonly affected by gout?
What is the recommended duration for applying heat treatment to alleviate joint pain?
What is the recommended duration for applying heat treatment to alleviate joint pain?
Which of the following is a preventative treatment option for gout?
Which of the following is a preventative treatment option for gout?
What is a key characteristic of the pain associated with gout?
What is a key characteristic of the pain associated with gout?
What is the initial treatment for an acute gout attack?
What is the initial treatment for an acute gout attack?
Which of the following is NOT recommended for cold treatment of inflammation?
Which of the following is NOT recommended for cold treatment of inflammation?
Which of the following factors can lead to a secondary gout condition?
Which of the following factors can lead to a secondary gout condition?
Which substance is commonly used as a topical treatment for muscle or joint soreness?
Which substance is commonly used as a topical treatment for muscle or joint soreness?
What is a potential side effect of allopurinol that requires careful monitoring?
What is a potential side effect of allopurinol that requires careful monitoring?
What immediate step is advised if numbness occurs during cold treatment?
What immediate step is advised if numbness occurs during cold treatment?
What condition is characterized by the presence of calcium pyrophosphate crystals?
What condition is characterized by the presence of calcium pyrophosphate crystals?
How much fluid intake is recommended per day for patients to help prevent kidney stones?
How much fluid intake is recommended per day for patients to help prevent kidney stones?
Which method is often used to confirm a diagnosis of gout?
Which method is often used to confirm a diagnosis of gout?
What is recommended for patients in terms of body position while lying down?
What is recommended for patients in terms of body position while lying down?
When should exercises not be performed by arthritis patients?
When should exercises not be performed by arthritis patients?
Which method of exercise is least likely to strain joints?
Which method of exercise is least likely to strain joints?
What should be done if pain persists for hours after completing an exercise?
What should be done if pain persists for hours after completing an exercise?
Which type of therapy is better suited for treating acutely inflamed joints?
Which type of therapy is better suited for treating acutely inflamed joints?
What is a key precaution when applying heat to a body part with decreased sensation?
What is a key precaution when applying heat to a body part with decreased sensation?
Which dietary advice is appropriate for patients suffering from arthritis?
Which dietary advice is appropriate for patients suffering from arthritis?
What is the best approach to help patients cope with chronic illness like arthritis?
What is the best approach to help patients cope with chronic illness like arthritis?
How should energy be conserved for arthritis patients during daily tasks?
How should energy be conserved for arthritis patients during daily tasks?
What is a common misconception about the relationship between diet and arthritis?
What is a common misconception about the relationship between diet and arthritis?
What is important when teaching patients about joint protection?
What is important when teaching patients about joint protection?
What role does psychological support play for arthritis patients?
What role does psychological support play for arthritis patients?
What is the primary purpose of applying heat or cold treatments?
What is the primary purpose of applying heat or cold treatments?
Flashcards
What is a sprain?
What is a sprain?
A sprain is a partial or complete tear of ligaments that hold bones together in a joint. It happens when the joint is twisted or forced beyond its normal range of motion (ROM).
Which joints are most commonly sprained?
Which joints are most commonly sprained?
Commonly affected joints include the ankle, knee, and wrist.
How severe can a sprain be?
How severe can a sprain be?
The extent of tearing can vary from mild (partial tear) to severe (complete tear).
What are the common symptoms of a sprain?
What are the common symptoms of a sprain?
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What is the general goal of sprain treatment?
What is the general goal of sprain treatment?
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What is the initial management for a sprain?
What is the initial management for a sprain?
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How long does immobilization last for a sprain?
How long does immobilization last for a sprain?
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Why is physical therapy important for sprain recovery?
Why is physical therapy important for sprain recovery?
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Grade I Sprain
Grade I Sprain
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Grade II Sprain
Grade II Sprain
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Grade III Sprain
Grade III Sprain
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RICE Protocol
RICE Protocol
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Muscle Strain
Muscle Strain
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Common Strain Sites
Common Strain Sites
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Ice Application for Sprains
Ice Application for Sprains
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Compression for Sprains
Compression for Sprains
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Elevation for Sprains
Elevation for Sprains
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Dislocation
Dislocation
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Subluxation
Subluxation
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Common Dislocation Sites
Common Dislocation Sites
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Rotator Cuff Tear
Rotator Cuff Tear
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ACL Injury
ACL Injury
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Fracture Reduction
Fracture Reduction
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Closed Reduction
Closed Reduction
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Open Reduction
Open Reduction
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Internal Fixation
Internal Fixation
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External Fixation
External Fixation
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Casts
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Synthetic Casts
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Spica Cast
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Walking Cast Shoe
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Sling
Sling
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Traction
Traction
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ORIF (Open Reduction and Internal Fixation)
ORIF (Open Reduction and Internal Fixation)
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Arthroplasty
Arthroplasty
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Open (Compound) Fracture
Open (Compound) Fracture
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Comminuted Fracture
Comminuted Fracture
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ACL Tear
ACL Tear
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Ligament Repair
Ligament Repair
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Meniscal Injury
Meniscal Injury
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Arthroscopy
Arthroscopy
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Achilles Tendon Rupture
Achilles Tendon Rupture
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Bursitis
Bursitis
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Bunion (Hallux Valgus)
Bunion (Hallux Valgus)
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Carpal Tunnel Syndrome
Carpal Tunnel Syndrome
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Isometric Exercises
Isometric Exercises
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Continuous Passive Motion (CPM)
Continuous Passive Motion (CPM)
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Long-leg Brace with Fixed Knee Flexion
Long-leg Brace with Fixed Knee Flexion
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Quadriceps Setting
Quadriceps Setting
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Surgical Decompression of the Median Nerve
Surgical Decompression of the Median Nerve
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Diagnosis
Diagnosis
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Postoperative Pain Management
Postoperative Pain Management
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What is a fracture?
What is a fracture?
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What are the main causes of fractures?
What are the main causes of fractures?
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Why is the mechanism of injury important for fractures?
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What are the different types of fractures?
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What is the link between PPIs and fracture risk?
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What are common signs and symptoms of a fracture?
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How are fractures diagnosed?
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What are the immediate goals of fracture treatment?
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How are broken bones stabilized?
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What are the five stages of bone healing?
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What is the key to ensuring proper fracture healing?
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What factors increase fracture risk in older adults?
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What are some preventive measures for fractures in older adults?
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What is a complete fracture?
What is a complete fracture?
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What is an incomplete fracture?
What is an incomplete fracture?
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Nonunion
Nonunion
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Fat embolism
Fat embolism
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Venous thrombosis
Venous thrombosis
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Compartment syndrome
Compartment syndrome
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Electrical bone growth stimulator
Electrical bone growth stimulator
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Petechiae
Petechiae
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The six Ps
The six Ps
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Bivalving a cast
Bivalving a cast
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Fasciotomy
Fasciotomy
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Signs and symptoms of compartment syndrome
Signs and symptoms of compartment syndrome
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ROM exercises
ROM exercises
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Non-rebreather mask
Non-rebreather mask
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High Fowler's position
High Fowler's position
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Deep vein thrombosis (DVT)
Deep vein thrombosis (DVT)
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Anticoagulants
Anticoagulants
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What is the purpose of a brace?
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Neurovascular Assessment Frequency
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Neurovascular Assessment Fresh Fracture
Neurovascular Assessment Fresh Fracture
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What type of brace allows early joint movement?
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What is a 'backslab'?
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Pale Skin
Pale Skin
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What is traction?
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Blue Skin
Blue Skin
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What is skeletal traction?
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Red Skin
Red Skin
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What is skin traction?
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Warm Skin
Warm Skin
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What is the most serious complication of a fracture?
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Cool Skin
Cool Skin
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Pulses Assessment
Pulses Assessment
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What is osteomyelitis?
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Movement Assessment
Movement Assessment
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Who is at increased risk of osteomyelitis?
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How is osteomyelitis diagnosed?
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Sensation Assessment
Sensation Assessment
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Pain Assessment
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How is osteomyelitis treated?
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Capillary Refill Assessment
Capillary Refill Assessment
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Why is prompt fracture fixation important?
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What other factors can delay fracture healing?
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Cast Assessment: Patient Complaints
Cast Assessment: Patient Complaints
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What should you avoid doing with a fresh plaster cast?
What should you avoid doing with a fresh plaster cast?
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Cast Assessment: Bone Grinding
Cast Assessment: Bone Grinding
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What is traction and how is it being used now?
What is traction and how is it being used now?
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Cast Assessment: Support & Pressure
Cast Assessment: Support & Pressure
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What is a synthetic cast?
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What's a spica cast?
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What is a walking cast shoe?
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What is a sling?
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What is ORIF?
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What is arthroplasty?
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What is an open (compound) fracture?
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What is a comminuted fracture?
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What is osteoarthritis?
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What is Lyme disease?
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What is a 'bull's-eye' rash?
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What are some common antibiotics used to treat Lyme disease?
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Why is laboratory testing in the early stages of Lyme disease unreliable?
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What is rheumatoid arthritis?
What is rheumatoid arthritis?
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What is rheumatoid factor?
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What is pannus?
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What is Ankylosis?
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What are DMARDs?
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What is Methotrexate?
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What are TNF inhibitors?
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What are some complementary and alternative therapies for rheumatoid arthritis?
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What are the common symptoms of rheumatoid arthritis?
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How is rheumatoid arthritis diagnosed?
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Osteoarthritis (OA)
Osteoarthritis (OA)
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Rheumatoid Arthritis (RA)
Rheumatoid Arthritis (RA)
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Secondary Osteoarthritis
Secondary Osteoarthritis
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Primary Osteoarthritis
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Joint Stiffness
Joint Stiffness
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Joint Pain
Joint Pain
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Pain Management
Pain Management
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Exercise
Exercise
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Weight Management
Weight Management
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Yoga
Yoga
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Hyaluronic Acid Injections
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Stem Cell Treatments
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Autologous Chondrocyte Implantation
Autologous Chondrocyte Implantation
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Joint Replacement
Joint Replacement
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Rheumatoid Arthritis
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Key difference between RA and OA
Key difference between RA and OA
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Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
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Synovectomy
Synovectomy
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Joint Replacement (Arthroplasty)
Joint Replacement (Arthroplasty)
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Total Hip Replacement (THR)
Total Hip Replacement (THR)
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Cemented Total Hip Replacement
Cemented Total Hip Replacement
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Uncemented Total Hip Replacement
Uncemented Total Hip Replacement
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Osteotomy
Osteotomy
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Immobilization Devices
Immobilization Devices
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Opioid Use in RA
Opioid Use in RA
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Older Adult Considerations in RA
Older Adult Considerations in RA
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Considerations for Joint Health
Considerations for Joint Health
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Key Takeaways
Key Takeaways
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Total hip replacement
Total hip replacement
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Continuous passive motion (CPM) machine
Continuous passive motion (CPM) machine
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Quadriceps setting exercises
Quadriceps setting exercises
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Incomplete fracture
Incomplete fracture
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Resting Position for Arthritis
Resting Position for Arthritis
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Balancing Rest and Exercise for Arthritis
Balancing Rest and Exercise for Arthritis
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Exercise Prescription for Arthritis
Exercise Prescription for Arthritis
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Joint Protection Strategies for Arthritis
Joint Protection Strategies for Arthritis
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Heat and Cold Therapy for Arthritis
Heat and Cold Therapy for Arthritis
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Infrared Lamp Therapy
Infrared Lamp Therapy
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Paraffin Bath Therapy
Paraffin Bath Therapy
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Key Points of Arthritis Management
Key Points of Arthritis Management
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Safety Alert for Heat Therapy
Safety Alert for Heat Therapy
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Diet and Arthritis
Diet and Arthritis
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Obesity and Arthritis
Obesity and Arthritis
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Psychosocial Care for Arthritis
Psychosocial Care for Arthritis
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Assistive Devices for Arthritis
Assistive Devices for Arthritis
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Long-Handled Hair Brush for Arthritis
Long-Handled Hair Brush for Arthritis
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Corticosteroids
Corticosteroids
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Disease-modifying Anti-rheumatic Drugs (DMARDs)
Disease-modifying Anti-rheumatic Drugs (DMARDs)
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Biological Therapies
Biological Therapies
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Hip Replacement Surgery
Hip Replacement Surgery
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Hip Resurfacing
Hip Resurfacing
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Minimally Invasive Surgery
Minimally Invasive Surgery
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Robot-assisted Surgery
Robot-assisted Surgery
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Orthopedic Bed
Orthopedic Bed
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Abduction Wedge
Abduction Wedge
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Drain
Drain
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Foley Catheter
Foley Catheter
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Low-molecular-weight Heparin
Low-molecular-weight Heparin
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Tapering Dosage
Tapering Dosage
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What is gout?
What is gout?
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Who is most likely to develop gout?
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How does alcohol affect gout?
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Where does gout typically occur?
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What medical factors can contribute to gout?
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What are the signs and symptoms of gout?
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How is gout diagnosed?
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What is the usual treatment for acute gout attacks?
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What medication can provide quick pain relief in gout?
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What medications help prevent future gout attacks?
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What lifestyle changes can help manage gout?
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How is heat therapy used for gout?
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How is cold therapy used for gout?
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What is the recommended fluid intake for gout patients?
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Osteoporosis
Osteoporosis
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Fragility Fractures
Fragility Fractures
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Osteoporosis: Symptoms
Osteoporosis: Symptoms
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DEXA Scan
DEXA Scan
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Normal Bone Density
Normal Bone Density
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Osteoporosis in Men
Osteoporosis in Men
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PPIs and Fracture Risk
PPIs and Fracture Risk
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Study Notes
Connective Tissue Disorders
- Sprains: Partial or complete tearing of ligaments.
- Grade I (mild): Tenderness, minimal swelling, no loss of function, no abnormal motion. Microscopic ligament tearing.
- Grade II (moderate): Severe pain (especially with weight bearing), swelling, bleeding into joint, some loss of function. Partial ligament tear.
- Grade III (severe): Pain (may be less severe), marked swelling, loss of function, bleeding. Complete ligament tear, joint instability.
- Treatment (RICE): Rest, ice (10-20 min every 1-2 hours for 24-72 hours), compression (elastic bandage), elevation.
- Long-term immobilization: Can lead to muscle atrophy, potentially permanent disability.
- NSAIDs: Can decrease pain and swelling, but prolonged use may delay healing.
- Surgical repair: In some cases, particularly Grade III sprains.
Strains
- Strains: Pulling or tearing of a muscle or tendon (or both) from trauma, overuse, or overextension.
- Common sites: Back muscles, hamstrings, quadriceps, calf muscles.
- Similar to sprains: Clinically; however, affecting muscles and tendons instead of ligaments.
- Treatment: Ice, compression, elevation, rest.
- Heat: Can be applied after 48 hours.
- Anti-inflammatory medications: Used for discomfort.
- Muscle relaxants: May be prescribed if spasm is present.
- Time: Crucial for healing.
- Surgical repair: May be necessary.
Dislocations and Subluxations
- Dislocation: Complete displacement of a bone in a joint, stretching and tearing surrounding ligaments.
- Subluxation: Partial dislocation.
- Common sites: Shoulder, knee, hip, ankle, temporomandibular joint.
- Diagnosis: History (force, pain, muscle spasm, abnormal appearance), radiography (bone displacement).
- Treatment: Reduction (under anesthesia or manually for shoulder); stabilization.
- Nursing management: Pain control, rest of the affected area.
Rotator Cuff Tear
- Cause: Repetitive activity (throwing, overhead motions), falls, trauma; degenerative.
- Symptoms: Pain, inability to perform abduction and external rotation of the shoulder.
- Treatment: Rest, sling support, NSAIDs.
- Possible further treatment: Steroid or anti-inflammatory injections.
- Exercises: Gentle, progressive exercises post-acute phase; heat before exercise.
- Surgical repair: Sometimes needed.
ACL (Anterior Cruciate Ligament) Injury
- Cause: Athletic activities, falls, motor vehicle accidents; hyperextension, internal rotation, external rotation, deceleration.
- Symptoms: Loud “pop,” swelling, instability, difficulty with full leg extension.
- Diagnosis: Physical examination, radiography, MRI.
- Treatment: Immobilization, swelling reduction, pain management.
- Possible treatment: Arthroscopy with ligament repair (tissue graft).
- Recovery: CPM (continuous passive motion), long-leg brace.
- Exercises: Isometric exercises (quadriceps setting, bent-knee leg exercises, foot exercises).
Meniscal Injury
- Meniscus: Shock absorber in the knee, between tibia and femur.
- Cause: Fixed-foot rotation in weight bearing with knee flexed during sports.
- Symptoms: Mild swelling, joint pain, popping, slipping, catching, buckling.
- Diagnosis: Physical examination (click, localized pain with joint movement), MRI.
- Treatment: Arthroscopic repair.
- Recovery: Pain management, exercise program.
Achilles Tendon Rupture
- Achilles tendon: Attaches soleus, plantaris, gastrocnemius muscles to calcaneus (heel bone).
- Cause: Overstretch, sports injury, falls.
- Symptoms: Sudden pain at back of ankle or calf; loud “pop” or “snap”; visible/palpable depression above calcaneus; inability to point toes or stand on tiptoes.
- Diagnosis: Examination, squeezing calf muscles while prone.
- Treatment: Splinting, casting, or a combination with surgery.
- Recovery: 6-8 weeks, followed by physical therapy.
Bursitis
- Bursitis: Inflammation of bursae (sac-like structures around joints).
- Cause: Injury, overuse.
- Symptoms: Localized tenderness, mild-moderate aching pain (aggravated by joint activity), possible swelling.
- Diagnosis: History, physical examination.
- Treatment: Rest, anti-inflammatory agents, ice, massage, compression wrap.
- Steroid injection: If other measures fail.
Bunion (Hallux Valgus)
- Bunion: Painful swelling of bursa, great toe deviates laterally at metatarsophalangeal joint.
- Cause: Hereditary, ill-fitting shoes.
- Treatment: Wider shoes (soft leather, athletic), metatarsal pads.
- Steroid injections: For active bursitis.
- Surgery: Bone realignment to correct severe cases.
Carpal Tunnel Syndrome
- Carpal tunnel syndrome: Median nerve compression in wrist’s carpal tunnel.
- Cause: Repetitive hand/wrist movements (flexion), sometimes unknown.
- Symptoms: Pain, numbness, tingling in hand (especially at night).
- Diagnosis: Physical examination, compression test, electromyography (EMG).
- Treatment: Rest, splinting, changing wrist angle during repetitive tasks, steroid injection.
- Surgery: Surgical decompression of median nerve (carpal ligament transection). Post-operative care includes hourly assessments for blood flow, sensation, and edema management.
Fractures
- Fractures: Breaks in bone continuity.
- Cause: Trauma, pathological processes (e.g., osteoporosis).
- Classification: Complete/incomplete, comminuted, closed/open (simple/compound), greenstick (common in children).
- Mechanism of injury: Important for predicting tissue damage.
- Treatment: Immobilization (splint it as it lies); preventing shock, hemorrhage.
- Reduction: Bringing broken bone fragments into alignment (closed or open).
- Stabilization: Internal fixation (pins, plates, screws), external fixation (device), casts, splints, braces.
- Healing stages: Hematoma formation, granulation tissue formation, callus formation, ossification, consolidation/remodeling.
- Complications: Infection (osteomyelitis), non-union, fat embolism, venous thrombosis, compartment syndrome.
- Safety alert: Proton pump inhibitors (PPIs) can increase fracture risk in older adults. Weight and balance concerns are significant in older adults.
Compartment Syndrome
- Compartment syndrome: Restricted blood flow in extremity muscle compartments.
- Cause: External/internal pressure (e.g., tight cast, swelling).
- Symptoms: Severe pain (out of proportion to injury), numbness/tingling, pallor, decreased pulses, weakness, cold to the touch.
- Assessment: Note six Ps; pain, pallor, paresthesia, pulselessness, paralysis, poikilothermia.
- Treatment: Bivalving cast, cutting dressings , fasciotomy (surgical incision in fascia), immediate intervention.
Musculoskeletal Patient Care: General
- Assessment: Mechanism of injury, pain, swelling, discoloration, deformity, pulses, nerve function (flexion/extension, sharp/dull testing).
- Post treatment: Pain control, prevent immobility complications (skin breakdown, UTIs, constipation, atelectasis, DVT), adequate nutrition/fluids.
- Nutrition: Protein (1 g/kg body weight), vitamins D, B, C, calcium, fluids (2000-3000 mL/day), high fiber.
Older Adult Care Considerations (M.S.)
- Increased fracture risk due to decreased reaction time, vision, agility, balance, muscle tone.
- Fall precautions: Assess fall risk, provide balance exercises, assistive devices.
Inflammatory Disorders of the Musculoskeletal System
- Lyme disease: Infection transmitted by ticks, causes arthritic symptoms.
- Osteoarthritis: Degenerative joint disease, cartilage breakdown.
- Rheumatoid arthritis (RA): Inflammatory joint disease, autoimmune response.
- Gout: Arthritis caused by high uric acid levels.
- Osteoporosis: Decreased bone mass, increased fracture risk.
Patient Teaching/Care (M.S.)
- Cast care: Keep dry, avoid sharp objects, check for areas of pressure, monitor for signs of infection.
- Traction: Monitor placement, alignment, and patient's tolerance.
Total Hip Replacement (THR)
- Indications: Chronic hip pain from osteoarthritis.
- Surgical approaches: Minimally invasive.
- Minimally invasive procedures: Shorter hospital stays are possible.
- Postoperative care: Abduction wedge/pillow, prevent dislocation, pain control, mobility, DVT prophylaxis.
- Patient teaching: Positioning, exercise restrictions, weight bearing, transfers, daily activities
Total Knee Replacement
- Indications: Uncontrollable knee pain from arthritis.
- Care: Similar to THR, but emphasis on exercise, CPM machine, pain management.
Rheumatoid Arthritis (RA)
- Management: Rest, exercise, medication for pain and inflammation (NSAIDs, DMARDs).
- Medication considerations: Monitoring for side effects, especially in older adults.
- Complementary/alternative therapies: Discuss safety considerations.
Gout
- Treatment: NSAIDs, colchicine, corticosteroids; medication to control uric acid levels in the long term (allopurinol, probenecid)
- Patient teaching: Diet management (low purine foods, limited alcohol), fluid intake.
Osteoporosis
- Diagnosis: Radiography, DEXA, QCT.
- Treatment: Calcium/vitamin D supplements; medications to prevent/treat bone loss.
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Description
This quiz assesses knowledge on key topics in orthopedic nursing, including distinctions between injuries, postoperative care, and management of conditions like arthritis and osteoporosis. Test your understanding of connective tissue injuries and effective nursing interventions.
