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 ["B","E"]
Explanation
A. Menorrhagia: This refers to heavy menstrual bleeding, which is not typical in Turner's syndrome due to the absence of menstruation (primary amenorrhea).
B. Barrel chest: Individuals with Turner's syndrome often have a broad chest, which can be described as a "barrel chest" due to the increased distance between the nipples and the relative short stature.
C. Anomalous auricles: While some individuals with Turner's syndrome might have minor ear abnormalities, this is not a characteristic feature.
D. Cervical polyps: These are not specifically associated with Turner's syndrome.
E. Broad chest: A broad chest is a common physical characteristic in individuals with Turner's syndrome, along with a short stature and other physical anomalies.
Correct Answer is B
Explanation
A. Enterobius vermicularis, commonly known as pinworm, causes enterobiasis, not malaria.
B. Plasmodium is the genus of parasites that causes malaria. It is transmitted by the bite of an infected Anopheles mosquito.
C. Entamoeba histolytica causes amebiasis, a type of intestinal infection, not malaria.
D. Trichuris trichiura, or whipworm, causes trichuriasis, an intestinal infection, not malaria.
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