Dunphy Musculoskeletal Problems Exam - Questions and Answers

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Dunphy Musculoskeletal Problems Exam - Questions and Answers Which of the following tests is considered the gold standard for definitively diagnosing osteoporosis? A. Bone alkaline phosphatase level... s B. Urinary N-telopeptide assay C. Bone mass density measurement by densitometry D. Magnetic resonance imaging What is the recommended daily calcium intake for men 70 years and younger? A. 500 mg/day B. 750 mg/day C. 1,000 mg/day D. 1,500 mg/day Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned about the risk of breast cancer associated with hormone replacement therapy and is wondering what other treatments are available to her. The clinician explains that bisphosphonates are another class of drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking bisphosphonates? A. Taking bisphosphonates can result in hypercalcemia, so calcium intake should be decreased while taking this class of drugs. B. There is potential for upper GI irritation, so these medications are contraindicated in people with abnormalities of the esophagus or delayed esophageal emptying. C. This class of drugs can be taken at any time of the day without regard to meals. D. This class of drugs should be taken with orange juice to increase absorption. Which of the following medications is appropriate to treat Paget's disease? A. Boniva B. Fosamax C. Reclast D. Forteo Which of the following statements concerning fibromyalgia is true? A. Muscle pain that is caused by the development of trigger points within the muscle cannot occur concurrently with fibromyalgia. B. A cause of myalgia can be fibromyalgia. C. Bursitis cannot coexist with pain from fibromyalgia. D. Fibromyalgia is an inflammatory musculoskeletal disorder. One of the most frequent presenting signs/symptoms of osteoporosis is: A. Goiter B. Abnormal serum calcium C. Elevated urine biochemical markers D. Bony fracture Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening 1 week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: A. Ecchymosis, edema, and erythema over the lateral epicondyle B. Pain at the elbow that radiates into the forearm and pain and weakness with gripping objects C. Inability to supinate and pronate the arm D. Inability to flex or extend the elbow against resistance A clinician is examining a vertebral fracture, and the examination and diagnostic findings have shown a compression of the anterior column that includes both endplates. What type and subtype are these? A. Compression fracture, type A B. Burst fracture, type B C. Seat-belt type injury, level two D. Fracture-dislocation, shear Which of the following would lead the clinician to suspect a tumor when paired with low back pain? A. Minor trauma with sneezing in elderly with osteoporosis B. History of spinal procedure C. Sudden loss of bowel or bladder function D. Unintended weight loss >10% of body weight in 6 months A 70-year-old female fell 2 weeks ago and developed immediate pain in her left elbow on the lateral epicondyle. She thought she just bruised it, but is now worried because it has not improved. She has used Tylenol® and ice at home, and that has helped slightly. During your examination, you find she has moderate swelling and ecchymosis, but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you do? [Show More]

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