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Ortho Certification Exam Questions And Complete Answers.
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What is a major difference between osteo and rheumatoid arthritis - answer Osteoarthritis is local versus systemic Which test is used for diagnosing osteoarthritis - answer X-rays Which describes joint crepitation - answer Grating sound What is a presenting symptom of hip osteoarthritis - answer Groin pain What is a Herberdens node - answer Osteophyte formation Which of the following is often found in degenerative disc disease - answer A normal physical exam Mrs. Rockwood is having more and more problems with her osteoarthritis her right shoulder and back have been really bothering her she enjoys housekeeping and takes pride in her clean house and is having difficulty getting it accomplished what would you suggest - answer Space the cleaning out throughout the week cleaning one room Per day Mrs. Rockford is prescribed physical and occupational therapy is to help with her pain. What information should the nurse include in teaching? - answer Take oral pain medication 45 minutes before your therapy session What is a management goal of osteoarthritis - answer Maintain joint function and mobility What is an advantage of NSAIDS WITH COX2 selectivity - answer Les G.I. toxicity Mrs. Myers a 57-year-old factory worker comes to the clinic complaining of right shoulder pain for two days. Denies trauma. Start of the day after she cleaned the kitchen cabinets. I sees her left hand to come her hair because of her pain. More bothersome at night and has had to sleep in a recliner for comfort. She's on Synthroid and has been on estrogen replacement for five years. She is prescribed NSAIDS what shows understanding - answer I should take it with food An MRI is ordered what should be included in pretest teaching - answer Remove all jewelry
An MRI shows osteoarthritis and right shoulder what might be expected method of treatment - answer Heat or ice If surgery becomes an indication for a shoulder what would be a treatment goal - answer Improvement of function What is a surgical procedure for shoulder arthritis - answer Hemi arthroplasty What is a consideration of a complication of Osteoarthritis - answer Loss of joint function Mr. Baldwin has severe left shoulder arthritis related to repetitive heavy lifting at work. He wants conservative treatment not surgery. What is a likely treatment option for Mr. Baldwin - answer Corticosteroid injections Which of the following will Mr. Baldwin likely need since is left is his dominant arm - answer Therapy Mrs. Ray is a 62-year-old female admitted post shoulder arthroplasty the nurse is assisting her and placement of the sling how should the abduction sling be applied - answer Across the hips and slightly forward How long should someone wear a sling after post shoulder arthroplasty - answer 4 to 6 weeks What is a safety issue for those with upper extremity surgery - answer Ambulation. Because of balance Following a shoulder arthroplasty what can one accomplish with occupational therapy - answer ADLs After shoulder arthroplasty what indicates a need for further teaching regarding signs and symptoms of shoulder dislocation - answer I should not worry about decreased ability to move A patient is scheduled to have a cemented total shoulder arthroplasty. History includes sleep apnea obesity hypertension. Patient arrives with PCA patient states that she is in severe pain and doesn't want to push some buttons and the nurses instructed the patient on PCA use what is the next step - answer Call the doctor and make the suggestion for an NSAID an oral opioid What non-pharmacological modalities can a nurse use to help relieve pain from a total
An important nursing intervention in the postop. For a lumbar percutaneous discectomy - answer Perform frequent neurovascular checks Patient had two pain pills one hour ago and his IV pain medication ordered for breakthrough pain. The patient rates his pain seven out of 10 what else can be done - answer Give the IV pain medication The patient rings the call late for his pain medication exactly when it's due but does this most likely indicate - answer But his pain medicine is inadequate What should be included in discharge teaching for lumbar percutaneous discectomy - answer Proper body mechanics are essential in all activities Patient complains of numbness of the right lateral phi and top of the lower leg. He is unable to walk on his heels upon request which nerve root is likely affected - answer L L5 nerve root irritation is evidenced by - answer Sensory deficit in the lateral aspect of the thigh, anterior aspect of the lower leg, and the space between the great and second toes. Never deficit is noticed by week hip extensors difficulty with your walking we ankle inversion Sensory deficit in the medial forearm and diminished or absent and finger flexion would be what cervical level - answer C What is removed in a total knee replacement - answer The distal femur and proximal tibial bone
A typical therapy of gold prior to discharge after a right total knee would be - answer Muscle strengthening To establish a diagnosis of osteoporosis a DEXA a scan may be completed how will this show osteoporosis - answer The bone density of the person will be compared to that of a healthy young adult and age matched adults Patient education regarding Actonel should include - answer After taking this medication you should remain in an upright position for at least 30 minutes Bio phosphonate should be taken - answer On an empty stomach 30 minutes before breakfast and then remain upright for at least 30 minutes If a patient has lactose intolerant they should be taught about non-dairy food sources of calcium what is a food source that has high calcium - answer One cup of spinach If a mother has osteoporosis a 50-year-old daughter is at risk for this condition what factors place her at an increased risk - answer Smoking cigarettes A 35-year-old patient that has intermittent swelling and pain in the joints of her hands feet and knees has been treating herself with non-steroid all anti-inflammatory drugs a friend who is a nurse suspects she might have rheumatoid arthritis based upon this early symptom - answer Fatigue. Rheumatoid arthritis usually begins gradually accompanied by systemic manifestations such as anorexia weight loss fatigue muscle aching and stiffness joints most commonly affected our fingers and wrist knees and feet Bloodwork or labs that would likely be elevated during a rheumatoid arthritis flare up would include - answer An elevation in ESR
Following application of a short arm cast the nurse will assess sensation and motion in the patient's digits numbness and tingling in between the thumb and index finger may indicate compromise of which nerve - answer Radial A patient receiving Mitroxantrone for treatment of an exacerbation of MS the nurse should be aware - answer The patient's urine may turn a blue green color and Initially A patient is diagnosed with osteoio osteoma The nurses able to confirm this is a benign tumor that - answer Causes night paying that can be relieved by aspirin The most common primary malignant bone tumor and children is the - answer Osteosarcoma greater occurrence in boys than girls A patient is diagnosed with slipped capital femoral epiphysis. The nurse recognizes this patient is at high-risk the normal of developing - answer Degenerative arthritis Patient teaching for Osgood Schlatter disease - answer Symptoms will stop by the end of skeletal growth this disease is self-limiting condition of preadolescence the symptoms stop when the epiphyses is fully ossified A type of implant that would be considered a biological implant - answer An allograft bone Which of the following nerves may sustain injury when the patient is placed in a lateral position and there is an adequate padding under the fibular head - answer Peroneal nerve The best way to evaluate balance is two says strength of the opposing muscle groups
while using and performing what kind of measurement devices - answer Isometric measuring devices Extreme involves - answer Muscle or tendon trauma A sprain involves - answer Ligament trauma Most important therapeutic modality used in treating muscle strains is - answer Rest Antioxidants that protect the body from oxidation stress and provide nutritional support during times of increased activity - answer Vitamins BC and E Carb loading is important one to four hours prior to athletic performance which food is a good source of carbohydrates with low glycemic index - answer Apples Which substance has been been banned from used by participants and athletic events by the national sports regulating agencies - answer Cardiovascular and antihypertensives The best way to evaluate pounds is to sell strength of the opposing muscle groups are using performing which of the following - answer Isometric measuring device What is the difference between a strain and sprain - answer Strain involves muscle or tendon drama. Sprain is a ligament drama On exam patient complains of point tenderness and muscle spasms x-ray reveals no fracture patient unable to move ankle palpation reveals bolts at ankle what is the likely injury - answer 3rd° angle strain
Lesions may be detected on x-ray of the shoulder following dislocation what is the name of the lesion on the glenoid rim - answer Bankhart Where is a hill Sachs lesion - answer Humeral head Where is a Bennett's lesion found - answer In an avulsion fracture of the hand Neurovascular assessment is important phone shoulder dislocation which artery may become impinged as a result of shoulder dislocation - answer Radial Dequervein tenosynovitis is caused by repetitive and forceful exertions of the wrist and hand which of the following test is positive in dequerveins tenosynovitis - answer Finkelstein's test. Owner deviation of hand and thumb flexed against Palm Gate used to comedy pain on weight-bearing - answer Antalgic PRICEMM - answer Rotator cuff repair will exhibit pain and which position - answer Abduction and external rotation Diagnosis of right full fitness rotator cuff pair what symptoms would be associated with this injury - answer Dropping on to waste upon passive abduction After rotator cuff repair for rehabilitation after the surgery is - answer 6 to 12 months
Sensitive to touch stiffness at The elbow function is normal what is likely the problem with elbow - answer Medial epicondylitis Stiffness on the inside of the elbow is likely - answer Medial epicondylitis occurs with repeated stress on the muscle tendon units during pitching golfing results in pain and stiffness Tennis players are at risk for elbow problems a high risk for lateral epicondylitis - answer 40-year-old tennis player who plays daily