A client presents with joint pain and stiffness. The healthcare provider performs a physical examination and finds tenderness over the affected joint, as well as crepitus during joint movement. Which of the following diagnostic tests is most appropriate to evaluate the joint for osteoarthritis?
Complete blood count (CBC)
Rheumatoid factor (RF) blood test
X-ray of the joint
Synovial fluid analysis
The Correct Answer is C
X-ray of the joint is the most appropriate diagnostic test to evaluate for osteoarthritis. X-ray can show joint space narrowing, osteophyte formation, and changes in bone density, which are typical findings in osteoarthritis. A complete blood count (CBC) and rheumatoid factor (RF) blood test are used to assess for inflammation and autoimmune markers, respectively, which are more indicative of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis. Synovial fluid analysis is usually performed to assess for infection or inflammation in the joint and may not be as helpful in diagnosing osteoarthritis.
a. A complete blood count (CBC) is used to assess for general health and detect various conditions, but it is not specific to osteoarthritis.
b. A rheumatoid factor (RF) blood test is used to diagnose inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
d. Synovial fluid analysis is usually performed to assess for infection or inflammation in the joint, but it may not provide definitive evidence of osteoarthritis.
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Related Questions
Correct Answer is D
Explanation
High-impact exercises can exacerbate joint pain and damage in clients with osteoarthritis. Low-impact exercises are recommended to improve joint flexibility and reduce pain. The other options demonstrate appropriate understanding of osteoarthritis self-management.
a. "I will try to avoid activities that put stress on my affected joints." This statement shows appropriate understanding, as avoiding stress on affected joints is beneficial for clients with osteoarthritis.
b. "I should take my prescribed medications even if my symptoms improve." This statement demonstrates adherence to the prescribed treatment plan, which is important for managing osteoarthritis symptoms.
c. "I will use a heating pad to relieve pain and inflammation in my joints." This statement indicates a correct understanding of using heat therapy to alleviate pain and inflammation in osteoarthritis.
Correct Answer is C
Explanation
X-ray imaging is commonly used to diagnose osteoarthritis. It can visualize joint space narrowing, bone spurs, and other changes associated with the disease.
a. MRI is more commonly used to assess soft tissue structures and is not the first-line imaging modality for osteoarthritis.
b. CT scan is not typically used for diagnosing osteoarthritis due to its higher radiation exposure compared to X-ray.
d. Ultrasound is not commonly used for diagnosing osteoarthritis; it is more useful for soft tissue assessment.
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