An adult patient presents with morning stiffness, swelling, limited range of motion, and symmetrical joint pain in the hips after physical exertion or during cold weather. Heberden's and Bouchard's nodes are noted on the fingers. Which disorder is described?
Rheumatoid arthritis
Osteomalacia
Osteoarthritis
Rickets
The Correct Answer is C
A. Rheumatoid arthritis also involves morning stiffness and symmetrical joint pain, but it typically affects smaller joints first (e.g., hands, wrists), and does not usually cause Heberden's and Bouchard's nodes, which are more characteristic of osteoarthritis.
B. Osteomalacia involves bone softening due to vitamin D deficiency and does not present with joint nodes or the type of stiffness described.
C. Osteoarthritis is a degenerative joint disease characterized by morning stiffness, limited range of motion, and joint pain that worsens with activity. Heberden's and Bouchard's nodes are specific to osteoarthritis, typically appearing on the fingers.
D. Rickets is a pediatric disorder caused by vitamin D deficiency, leading to bone deformities, but it does not cause the joint issues or nodes described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","F"]
Explanation
A. Abdominal pain is not typically associated with aplastic anemia, which primarily affects the bone marrow.
B. Hair loss is not a common symptom of aplastic anemia, which affects blood cell production rather than hair follicles.
C. Petechiae are small red or purple spots on the skin caused by bleeding under the skin, a common symptom in aplastic anemia due to thrombocytopenia (low platelet count).
D. Back pain is not commonly associated with aplastic anemia.
E. Hemoptysis, or coughing up blood, is not a typical symptom of aplastic anemia.
F. Bleeding gums can occur in aplastic anemia due to a low platelet count, which impairs the body's ability to clot blood.
Correct Answer is ["A","F"]
Explanation
A. Loss of voluntary movement: Huntington's disease is a neurodegenerative disorder characterized by the progressive loss of voluntary movement, leading to difficulties in performing daily activities.
B. Numbness: Numbness is not typically associated with Huntington's disease, which primarily affects movement and cognitive function.
C. Constipation: While constipation can occur in many conditions, it is not a hallmark symptom of Huntington's disease.
D. Urinary dysfunction: Urinary dysfunction is not a primary symptom of Huntington's disease.
E. Visual dysfunction: Visual dysfunction is not typically associated with Huntington's disease.
F. Dyskinesia: Dyskinesia, or involuntary, erratic movements, is a hallmark symptom of Huntington's disease. It is one of the main motor symptoms observed in affected individuals.
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