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Chapter 16: The Musculoskeletal System ;Bates’ Guide to Physical Examination and History Taking, 12th Edition

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Bates’ Guide to Physical Examination and History Taking, 11th Edition Chapter 16: The Musculoskeletal System Multiple Choice 1. You are assessing a patient with joint pain and are trying to decid ... e whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process? A) Tenderness B) Cool temperature C) Ecchymosis D) Nodules Ans: A Chapter: 16 Page and Header: 575, The Health History Feedback: Tenderness implies an inflammatory process along with increased temperature and tenderness. 2. You are assessing a patient with diffuse joint pains and want to make sure that only the joints are the problem, and that the pain is not related to other diseases. Which of the following is a systemic cause of joint pain? A) Gout B) Osteoarthritis C) Lupus D) Spondylosis Ans: C Chapter: 16 Page and Header: 578, Joint Pain and Systemic Disorders Feedback: Lupus is a systemic disease, one symptom of which may be joint pain. It is important to consider the presence of a systemic illness when a patient presents with arthritis. 3. A 19-year-old college sophomore comes to the clinic for evaluation of joint pains. The student has been back from spring break for 2 weeks; during her holiday, she went camping. She notes that she had a red spot, shaped like a target, but then it started spreading, and then the joint pains started. She used insect repellant but was in an area known to have ticks. She has never been sick and takes no medications routinely; she has never been sexually active. What is the most likely cause of her joint pain? A) Trauma B) Gonococcal arthritis C) Psoriatic arthritis D) Lyme disease Ans: D Chapter: 16 Page and Header: 578, Joint Pain and Systemic Disorders Feedback: Lyme disease is characterized by a target-shaped red spot at the site of the bite, which disappears, then reappears and starts spreading (erythema migrans). Lyme disease can also result in joint pain as well as cardiac and neurologic manifestations. 4. An 85-year-old retired housewife comes with her daughter to establish care. Her daughter is concerned because her mother has started to fall more. As part of her physical examination, you ask her to walk across the examination room. Which of the following is not part of the stance phase of gait? A) Foot arched B) Heel strike C) Mid-stance D) Push-off Ans: A Chapter: 16 Page and Header: 587, Techniques of Exami [Show More]

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