Osteoporosis and Joint Health Quiz
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Questions and Answers

Which factor does NOT contribute to the risk of developing osteoporosis?

  • High levels of physical activity (correct)
  • Postmenopausal state
  • Family history
  • Ethnocultural background

What is one of the Osteoporosis Canada recommendations for individuals over 50?

  • Bone mineral density testing (correct)
  • Obtain regular dental check-ups
  • Daily calcium infusions
  • Regular vision exams

Which treatment option is associated with an increased risk for breast cancer and myocardial infarction?

  • Hormone replacement therapy (correct)
  • Calcium supplementation
  • Exercise
  • Dietary changes

Among the following, which is considered a subjective data point for assessing joint health?

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

For adolescents, which factor is NOT directly linked to health history assessments?

<p>Family history of osteoporosis (B)</p> Signup and view all the answers

Which of the following conditions is specifically known as 'tennis elbow'?

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

What condition is characterized by a cystic swelling on the wrist?

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

Which term describes the condition with a bony protrusion at the base of the big toe?

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

Acute gout is primarily associated with which of the following symptoms?

<p>Joint swelling and pain (B)</p> Signup and view all the answers

Which of these conditions is related to inflammation of the Achilles tendon sheath?

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

What does ankylosis refer to in a medical context?

<p>Stiffness or fixation of a joint (D)</p> Signup and view all the answers

Why is it important for a high school athlete to discuss their actions when they get hurt?

<p>To address fears of playing time being affected (D)</p> Signup and view all the answers

Which of the following is NOT considered a common congenital or pediatric abnormality?

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

What is the primary goal when discussing injury management with young athletes?

<p>To emphasize prompt and thorough treatment of injuries (D)</p> Signup and view all the answers

Which condition results in the dysfunction of a joint due to the abnormal position of bones?

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

Which of the following correctly describes spina bifida?

<p>A congenital defect where the spinal column does not close completely (C)</p> Signup and view all the answers

What is the primary concern for a high school athlete when injured?

<p>Long-term health versus immediate sports participation (C)</p> Signup and view all the answers

Which pediatric abnormality is characterized by the inward or outward bending of the foot?

<p>Talipes equinovarus (clubfoot) (D)</p> Signup and view all the answers

What term describes joints that have a space filled with synovial fluid?

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

Which of the following structures is NOT associated with the knee joint?

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

What is the purpose of the bursa in the musculoskeletal system?

<p>Reduce friction between structures (B)</p> Signup and view all the answers

Which skeletal muscle condition is typically aggravated during pregnancy?

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

Which structure is commonly referred to in conjunction with the elbow joint?

<p>Olecranon process of ulna (A)</p> Signup and view all the answers

Which of the following are components of the hip joint?

<p>Acetabulum and head of femur (B)</p> Signup and view all the answers

What is a common musculoskeletal issue experienced by older adults?

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

What developmental change affects infants and children in relation to the musculoskeletal system?

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

What is a common developmental consideration in adolescents during a physical exam?

<p>Forward bend test for scoliosis (D)</p> Signup and view all the answers

Which condition is indicated by C-shaped curve in infants?

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

What test is used to assess hip dysplasia in infants?

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

Which of the following is a sign of osteoporosis?

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

What is assessed in older adults to evaluate activities of daily living (ADLs)?

<p>Climbing up stairs (C)</p> Signup and view all the answers

Which joint condition is characterized by stiffening and chronic pain?

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

What is the expected motion test for the ankle during a physical examination?

<p>Point toes down and up (D)</p> Signup and view all the answers

Which of the following best describes the waddling gait seen in pregnant women?

<p>Uneven weight distribution while walking (C)</p> Signup and view all the answers

Which of the following describes a condition where pain and stiffness in the joints worsen in the morning and improve with activity?

<p>Pain that worsens in the morning and improves with activity (A)</p> Signup and view all the answers

Which patient scenario represents the highest risk for developing osteoporosis?

<p>A 55-year-old postmenopausal woman with limited activity post-surgery (B)</p> Signup and view all the answers

What term describes a situation when stiffness or fixation occurs in a joint?

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

Which of the following statements about rheumatoid arthritis (RA) is incorrect?

<p>Stiffness increases with activity (D)</p> Signup and view all the answers

Among the following, which patient is least likely to be at risk for osteoporosis?

<p>A 21-year-old man involved in college sports (A)</p> Signup and view all the answers

Which of these options describes a symptom of osteoarthritis (OA) as opposed to rheumatoid arthritis (RA)?

<p>Unilateral joint involvement (C)</p> Signup and view all the answers

What is characterized by the misalignment of one or more bones within a joint?

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

In which scenario would a patient's risk for osteoporosis likely be underestimated?

<p>A young woman taking beta-blockers for hypertension (B)</p> Signup and view all the answers

Flashcards

Synovial joint

A type of joint that allows for movement, characterized by a fluid-filled cavity and a lining called the synovial membrane.

Nonsynovial joint

A type of joint that does not have a fluid-filled cavity and allows for limited movement, such as the joints between bones in the skull.

Ligament

A tough, fibrous tissue that connects bone to bone, providing stability and limiting excessive movement.

Bursa

A fluid-filled sac that helps reduce friction between bones, tendons, and ligaments.

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Osteoarthritis

A condition in which the cartilage in a joint wears down, leading to pain, stiffness, and decreased range of motion.

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Rheumatoid arthritis

A type of arthritis that occurs when the body's immune system attacks the joints, leading to inflammation and pain.

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Osteoporosis

A condition where bone density decreases, increasing the risk of fractures.

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Developmental dysplasia of the hip

A condition that affects infants and children, where the hip joint develops abnormally.

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Osteoporosis risk in older adults

Osteoporosis risk is increased in older individuals, particularly women. This is because the body's natural production of estrogen, a hormone crucial for bone health, declines with age, leading to bone loss. As women enter menopause, estrogen levels decrease dramatically, contributing to increased risk for osteoporosis.

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Family history and osteoporosis risk

Individuals with a family history of osteoporosis are at increased risk. This genetic predisposition suggests an inherited tendency for weaker bones, making them more susceptible to fracture.

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Bone health recommendations

The recommendations for preventing osteoporosis involve a multifaceted approach, including dietary changes, regular exercise, and appropriate supplementation. This comprehensive strategy aims to strengthen bones by maximizing calcium intake, promoting bone density through physical activity, and supporting overall bone health.

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Hormone replacement therapy (HRT) for osteoporosis

Hormone replacement therapy (HRT) aims to replace declining estrogen levels, which can help maintain bone density and reduce fracture risk. However, it carries potential risks like an increased chance of breast cancer and heart attacks.

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Functional assessment in osteoporosis

A functional assessment helps determine an individual's ability to perform everyday tasks. This information is crucial for understanding their level of independence and identifying any limitations that might be related to osteoporosis.

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Pes Planus

A common foot condition where the arch collapses, causing the foot to flatten.

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Ortolani Maneuver

A test to check for hip dislocation in newborns. It involves abducting and rotating the hip.

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Kyphosis

This condition causes a forward curvature of the spine, typically seen in older adults.

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Lordosis

An exaggerated inward curvature of the lumbar spine, often seen during pregnancy.

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Scoliosis

A lateral curvature of the spine, often diagnosed in adolescents.

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Frozen Shoulder

A condition where the shoulder joint becomes stiff and painful, limiting movement.

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Olecranon Bursitis

An inflammation of the fluid-filled sac (bursa) in the elbow, causing pain and swelling.

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Epicondylitis (Tennis Elbow)

Inflammation of the tendons that attach to the outer part of the elbow, caused by overuse or repetitive movements, resulting in pain and tenderness.

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Ganglion Cyst

A condition characterized by the formation of a fluid-filled, non-cancerous lump (cyst) on the wrist or hand, often associated with repetitive movements.

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Carpal Tunnel Syndrome

A condition where the median nerve, which runs through the carpal tunnel in the wrist, is compressed, causing numbness, tingling, and pain in the hand and fingers.

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Dupuytren's Contracture

A condition where the fingers curl inward, creating a bent shape, due to a thickening of the tissue in the palm of the hand.

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What is a characteristic symptom of rheumatoid arthritis?

A condition that causes stiffness and pain in joints that is worse in the morning and improves with activity.

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Who is at a higher risk for developing osteoporosis?

Postmenopausal women who have undergone joint replacement surgery.

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What is ankylosis?

Stiffness or fixation of a joint.

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What is dislocation?

A condition in which a joint is dislocated, meaning one or more bones in the joint are out of position.

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What is subluxation?

A partial dislocation of a joint, where the bones are slightly out of alignment.

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What is a contracture?

A condition that causes limited movement of a joint due to muscle shortening or tightening.

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What is arthritis?

Inflammation of a joint, characterized by pain, swelling, stiffness, redness, and warmth.

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What is osteoporosis?

A condition in which bone density decreases, making bones more prone to fractures.

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Ankylosis

Stiffness or fixation of a joint, often due to arthritis or injury.

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Congenital Dislocated Hip

A condition where the head of the femur (thigh bone) is not properly seated in the hip socket, often present at birth.

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Spina Bifida

A birth defect where the spine doesn't close completely, leading to various degrees of disability.

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Talipes Equinovarus (Clubfoot)

A foot deformity present at birth, where the foot is turned inward and downward.

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Why athletes might hide injuries

Athletes may be hesitant to report injuries due to fear of losing playing time. This can be problematic as prompt treatment is crucial for long-term health.

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Athlete injury management

Knowing what to do when injured is essential for athletes to recover quickly and prevent further damage.

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Importance of prompt treatment for athletes

Prompt and thorough treatment of sports injuries is vital to prevent long-term health problems and maintain athletic performance.

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Study Notes

Musculoskeletal System

  • This system comprises bones, joints, cartilages, ligaments, and bursae
  • Joints connect bones and allow movement
  • The types of joints include synovial and nonsynovial
  • Synovial joints feature cartilage, synovial membrane, synovial cavity, and ligaments
  • Cartilage provides cushioning and support at joints
  • Ligaments connect bone to bone
  • Bursae reduce friction between moving parts
  • Muscles work in pairs across joints to produce movement
  • Fasciculi are muscle bundles
  • Tendons connect muscle to bone
  • Skeletal muscle movements include flexion, extension, abduction, adduction, pronation, supination, circumduction, rotation, inversion, eversion, protraction, retraction, elevation, and depression.

Landmarks of the Spine

  • Vertebrae are marked with specific designations (C7, T1, T7, T8, T12, L1, L4, S2, Coccyx)
  • Iliac crest and Posterior superior iliac spine are bony landmarks.
  • Scapulae (shoulder blades) are also illustrated

Shoulder Joint

  • Includes the greater tubercle, subacromial bursa, acromion of scapula, clavicle, deltoid muscle, supraspinatus muscle, glenoid fossa, and glenohumeral joint.
  • Two views are shown, one of the shoulder joint and the other with the arm elevated.

Elbow Structure and Function

  • The elbow comprises the medial and lateral epicondyles, olecranon process of the ulna, radiocarpal joint, midcarpal joint, metacarpophalangeal joints, and interphalangeal joints.

Bones of the Hand

  • Bones of the hand include the radius, ulna, carpal bones, as well as the metacarpals and phalanges.

Hip, Knee, and Ankle/Foot

  • The hip includes the acetabulum, head of the femur, anterosuperior iliac spine, ischial tuberosity, and greater trochanter of femur
  • The knee includes the femur, tibia, patella, suprapatellar pouch, medial and lateral menisci, cruciate ligaments, and prepatellar bursa; quadriceps muscle
  • The ankle and foot include the tibiotalar joint, medial and lateral malleoli, and metatarsals. Details of the talocalcaneal interosseous ligament, calcaneus, and talus are also present

Developmental Considerations

  • Infants: positional deformities (like varus, valgus, metatarsal adductus, and tibial torsion), Ortolani maneuver, Allis test are considerations
  • Preschool to school-age: posture, genu varum, genu valgum, pes planus (flat feet), and gait, Trendelenburg sign are assessed.
  • Adolescents: scoliosis (forward bend test).
  • Pregnant women: progressive lordosis, and waddling gait
  • Older adults: lengthening of arm-trunk axis, kyphosis. Activities of daily living (ADLs) are also considered.

Abnormal Findings

  • Multiple Joints: Inflammatory conditions (rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, and osteoporosis).
  • Shoulders: Atrophy, dislocated shoulder, joint effusion, tear of the rotator cuff, frozen shoulder, and subacromial bursitis are problematic
  • Elbow: olecranon bursitis, gouty arthritis, and epicondylitis.
  • Wrist and Hand: ganglion cyst, carpal tunnel syndrome, Dupuytren’s contracture, and swan-neck/boutonniere deformities
  • Knee: mild synovitis, prepatellar bursitis, swelling of menisci, and Osgood-Schlatter disease.
  • Ankle and Foot: Achilles tenosynovitis, tophi with chronic gout, acute gout, hallux valgus, bunion, hammer toes, callus, ingrown toenail, and plantar wart
  • Spine: scoliosis, functional, and structural abnormalities; congenital abnormalities such as dislocated hip, clubfoot, and spina bifida

Promoting Health in Relation to Osteoporosis

  • Factors for risk include: gender, age, postmenopausal state, ethnocultural background, lifestyle choices, and family history
  • Recommendations focus on risk assessments, bone mineral density (BMD) testing for those over 50, and testing for women over 65; those with a family history of hip fractures or prolonged use of glucocorticoids are also at elevated risk
  • Treatment options include hormone replacement therapy (HRT) but carry potential risks for breast cancer and myocardial infarction. Alternative therapies include exercise and diet. Other medical options and supplements are also mentioned.

Subjective Data: Health History

  • Joints: Pain, stiffness, swelling, heat, and redness, limitation of movement
  • Muscles: Pain (cramps), weakness
  • Bones: Pain, deformity, and trauma (fractures, sprains, and dislocations)
  • Other Factors: Functional assessment (activities of daily living) and self-care behaviors

Additional Health History Questions

  • Infants and children: birth trauma, anoxia, milestones, bone injuries, and deformities
  • Adolescents: athletics, sports equipment, warming up, injury management, and time management
  • Older adults: weakness, injury, and mobility

Objective Data: Physical Exam

  • Preparation: Screening, complete musculoskeletal examination, and equipment needed (tape measure, skin marking pen)
  • Order of Examination: Inspection (size and contour of joint, skin and tissues over joint, skin temperature), palpation (muscles, bony articulations), range of motion, and muscle testing with opposing force, grading.
  • Specific Joint Exams: Temporomandibular joint, cervical spine, shoulders, wrist and hand, elbow, hip, and ankle/foot detailed examinations are included

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