The healthcare provider suspects Paget's disease in a patient. Which imaging modality is most useful for assessing the extent and severity of bone involvement?
X-ray
Computed tomography (CT) scan
Magnetic resonance imaging (MRI)
Bone densitometry (DXA scan)
The Correct Answer is A
X-rays are the most useful imaging modality for assessing the extent and severity of bone involvement in Paget's disease. X-rays can reveal the characteristic bony overgrowth and thickening, as well as any bone deformities and fractures.
b. Computed tomography (CT) scan: CT scans can provide detailed images of bones and soft tissues, but they may not be the initial choice for evaluating Paget's disease. X-rays are more specific for the condition.
c. Magnetic resonance imaging (MRI): While an MRI can provide detailed images of bones and soft tissues, it may not be the first-line imaging choice for evaluating Paget's disease. X-rays are more specific for bone involvement.
d. Bone densitometry (DXA scan): Bone densitometry is used to assess bone mineral density and is commonly used for conditions like osteoporosis. It may not provide the necessary information for evaluating Paget's disease.
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Related Questions
Correct Answer is D
Explanation
The typical pattern of bone involvement in Paget's disease is characterized by patchy areas of increased bone density (osteosclerosis) and disorganized bone formation. These areas of abnormal bone remodeling result in structurally weak and misshapen bones.
a. Uniform increase in bone density throughout the skeleton: This pattern of bone density is not characteristic of Paget's disease. The condition involves localized areas of increased density rather than uniform changes.
b. Focal areas of bone demineralization scattered throughout the skeleton: This pattern of bone demineralization is more characteristic of osteoporosis, not Paget's disease.
c. Diffuse increase in bone density with areas of focal bone loss: This pattern is not typical of Paget's disease. The condition primarily involves areas of increased bone density and disordered bone remodeling.
Correct Answer is C
Explanation
Engaging in low-impact exercises is an appropriate self-care measure for individuals with Paget's disease. Low-impact exercises, such as walking and swimming, can help support bone health, joint mobility, and overall physical well-being.
a. Massaging affected areas to reduce swelling: Massaging affected areas may exacerbate bone deformities and lead to increased pain. It is not recommended for individuals with Paget's disease.
b. Taking over-the-counter anti-inflammatory medications: Over-the-counter anti-inflammatory medications may not be sufficient to manage the inflammation and pain associated with Paget's disease. Prescribed medications are more effective in managing the condition.
d. Applying heat to affected joints to relieve pain: Applying heat may provide temporary relief for some individuals, but it is not the primary method for managing bone pain in Paget's disease. Prescribed medications and exercises are more effective approaches.
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