A client has a family history of osteoarthritis and engages in regular physical activity. Which of the following risk factors for osteoarthritis is NOT present in this client?
Age over 60 years
Family history of osteoarthritis
Lack of physical activity
Joint injury
The Correct Answer is C
Lack of physical activity is not present in this client, as they engage in regular physical activity. However, the other risk factors are present. Age over 60 years and family history of osteoarthritis are non-modifiable risk factors, while joint injury is a risk factor associated with joint trauma or repetitive use injuries.
a. Age over 60 years is a non-modifiable risk factor for osteoarthritis.
b. Family history of osteoarthritis is a risk factor for the condition.
d. Joint injury is a risk factor associated with joint trauma or repetitive use injuries. The scenario does not provide information about any joint injury in this client.
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Correct Answer is D
Explanation
Obesity is a primary risk factor for the development of osteoarthritis, particularly in weight-bearing joints such as the knees and hips. Excess weight puts increased stress on the joints, leading to cartilage breakdown and the development of osteoarthritis. While age, family history, and a sedentary lifestyle can also contribute to the development of osteoarthritis, obesity is the most significant risk factor.
a. While age over 65 years is a risk factor for osteoarthritis, it is not the primary risk factor. Osteoarthritis can occur at any age, especially if other risk factors are present.
b. Family history of osteoporosis is not a primary risk factor for osteoarthritis. Osteoarthritis and osteoporosis are separate conditions with different risk factors.
c. While a sedentary lifestyle can contribute to the development of osteoarthritis, it is not the primary risk factor. Obesity is a more significant risk factor in this context.
Correct Answer is B
Explanation
MRI is the most appropriate diagnostic test to confirm the diagnosis of osteoarthritis. It can provide detailed images of the affected joints, allowing the healthcare provider to assess the joint structures, cartilage, and bone for signs of osteoarthritis. Rheumatoid factor (RF) blood test and C-reactive protein (CRP) blood test are used to diagnose inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis. Synovial fluid analysis is usually performed to assess for infection or inflammation in the joint, not to diagnose osteoarthritis.
a. Rheumatoid factor (RF) blood test is used to diagnose inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
c. C-reactive protein (CRP) blood test is used to diagnose inflammatory conditions, but it is not specific to osteoarthritis.
d. Synovial fluid analysis is usually performed to assess for infection or inflammation in the joint, not to diagnose osteoarthritis.
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