A client with osteoarthritis presents with joint pain that worsens with weight-bearing activities and improves with rest. Which of the following clinical manifestations is described?
Nocturnal joint pain
Morning joint stiffness lasting for 1 hour
Pain relief with activity
Joint pain that is constant throughout the day
Joint pain that is constant throughout the day
The Correct Answer is C
Pain that worsens with weight-bearing activities and improves with rest is a classic clinical manifestation of osteoarthritis. Activity-related pain is due to the increased stress on the affected joint during movement, while rest allows for decreased pressure and relief of pain.
a. Nocturnal joint pain is more typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Morning joint stiffness lasting for 1 hour is characteristic of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
d. Joint pain that is constant throughout the day may be seen in various joint disorders, but the pattern of pain relief with activity is more indicative of osteoarthritis.
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Related Questions
Correct Answer is C
Explanation
Osteoarthritis commonly affects the distal finger joints, such as the DIP (distal interphalangeal) and PIP (proximal interphalangeal) joints. This form of osteoarthritis is known as Heberden's and Bouchard's nodes, respectively.
a. Osteoarthritis is not an autoimmune disorder; it is a degenerative joint disease.
b. Unlike rheumatoid arthritis, osteoarthritis is not characterized by joint inflammation and swelling.
d. While osteoarthritis primarily involves synovial joints, it is not limited to these joints.
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.
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