A client with Paget's disease complains of bone pain that worsens with activity. What is the underlying cause of this pain?
Decreased blood flow to bones
Bone infarction
Microfractures and inflammation
Compression of nerve roots
The Correct Answer is C
The bone pain experienced by clients with Paget's disease is often due to microfractures and inflammation in the affected bones. The increased bone turnover and remodeling lead to weaker bones, making them more susceptible to microfractures. The inflammation at the site of these microfractures contributes to the pain, which worsens with activity.
a. Decreased blood flow to bones: Paget's disease does not typically cause decreased blood flow to bones. Instead, the condition leads to increased vascularity in affected bones.
b. Bone infarction: Bone infarction (death of bone tissue due to inadequate blood supply) is not a characteristic feature of Paget's disease. Microfractures and inflammation are more common causes of bone pain in this condition.
d. Compression of nerve roots: While nerve compression can cause bone pain, it is not a primary mechanism of pain in Paget's disease. The pain is primarily related to bone remodeling and inflammation.
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Related Questions
Correct Answer is C
Explanation
The characteristic X-ray finding in Paget's disease is bony overgrowth and thickening of the affected bones. This is due to the increased bone turnover and abnormal remodeling associated with the condition.
a. Decreased bone density: Decreased bone density is associated with osteoporosis, not Paget's disease. In Paget's disease, bone density is often normal or increased due to the disorganized bone remodeling.
b. Erosions and bone cysts: Erosions and bone cysts are not specific to Paget's disease and may be seen in other bone conditions. Bony overgrowth is more characteristic of Paget's disease.
d. Presence of osteoporotic fractures: Osteoporotic fractures are not typically associated with Paget's disease. The increased bone density and thickening in Paget's disease can actually make bones more resistant to fractures.
Correct Answer is B
Explanation
Calcium and vitamin D help reduce the risk of bone fractures in Paget's disease.
Explanation: Adequate calcium and vitamin D intake are essential for maintaining bone health and reducing the risk of bone fractures, especially in individuals with Paget's disease. While these nutrients do not cure Paget's disease, they play a crucial role in supporting bone strength and density.
a. Calcium and vitamin D can prevent the development of Paget's disease: This statement is incorrect. Paget's disease is primarily a result of genetic factors, and calcium and vitamin D intake do not prevent its development.
c. Calcium and vitamin D can cure Paget's disease: This statement is incorrect. While calcium and vitamin D are important for bone health, they do not cure Paget's disease. Treatment usually involves medications to manage the condition.
d. Calcium and vitamin D decrease bone turnover in Paget's disease: This statement is not entirely accurate. Calcium and vitamin D do not directly decrease bone turnover in Paget's disease. Medications like bisphosphonates are prescribed to address bone remodeling.
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