Patient Data
Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.
Small joints of the hand
Joint swelling
Morning stiffness quickly resolve
Fatigue and fever
Symmetrical involvement
Pain increases with motion
Heberden nodes
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"}}
Small joints of the hand: Rheumatoid arthritis (RA) typically affects the small joints of the hands, such as the metacarpophalangeal and proximal interphalangeal joints.
Joint swelling: Inflammatory joint swelling is a hallmark of RA.
Morning stiffness quickly resolves: This is not associated with RA. In RA, morning stiffness often lasts for more than 30 minutes, distinguishing it from conditions like osteoarthritis where stiffness resolves quickly.
Fatigue and fever: Systemic symptoms such as fatigue and low-grade fever can accompany RA due to the inflammatory nature of the disease.
Symmetrical involvement: RA is characterized by symmetrical joint involvement, unlike osteoarthritis or other conditions that may involve joints asymmetrically.
Pain increases with motion: Joint pain that worsens with movement is common in RA due to inflammation.
Heberden nodes: These bony enlargements of the distal interphalangeal joints are a feature of osteoarthritis, not RA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Breast tenderness, tremors, and high blood pressure may indicate a different issue, like hormonal or metabolic changes, but are less directly linked to the missed periods.
B. Urinary frequency, unsteady gait, and dental erosion are more related to conditions like diabetes or bulimia, not missed periods.
C. Vaginal discharge, genital warts, and abdominal tenderness are more indicative of possible infections or other conditions, not the missed periods.
D. Irregular menstrual periods, in the absence of pregnancy, can be indicative of hormonal imbalances, such as those seen in thyroid disorders or polycystic ovary syndrome (PCOS). Assessing for signs of thyroid or hormonal issues, like body weight changes, hirsutism, and thyroid enlargement, is crucial.
Correct Answer is {"dropdown-group-1":"B"}
Explanation
The S1 sound, caused by the closure of the mitral and tricuspid valves, is best heard at the apex of the heart, located in the left fifth intercostal space at the midclavicular line.
The S2 sound, caused by the closure of the aortic and pulmonic valves, is also prominent at the apex but can also be heard at the base of the heart, particularly over the aortic and pulmonic areas.
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