What is the etiology of Paget's disease?
Viral infection
Bacterial infection
Genetic factors and environmental triggers
Dietary deficiencies
The Correct Answer is C
The etiology of Paget's disease involves a combination of genetic factors and environmental triggers. There is evidence of a genetic predisposition, but environmental factors also play a role in the development of the condition. Viral and bacterial infections, as well as dietary deficiencies, are not considered primary causes of Paget's disease.
a. Viral infection: Paget's disease is not caused by a viral infection.
b. Bacterial infection: Paget's disease is not caused by a bacterial infection.
d. Dietary deficiencies: While nutrition is important for bone health, dietary deficiencies are not the primary cause of Paget's disease. Genetic and environmental factors are more influential in its development.
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Correct Answer is B
Explanation
A. Encouraging high-impact exercises to strengthen bones:
High-impact exercises are contraindicated in patients with Paget's disease due to the risk of fractures and bone injury. Low-impact and weight-bearing exercises are safer to maintain bone health and improve mobility.
B. Monitoring serum calcium levels regularly: Paget's disease often requires treatment with bisphosphonates or calcitonin to regulate bone remodeling. These treatments can affect calcium levels, potentially leading to hypocalcemia. Regular monitoring is crucial to detect and manage these imbalances.
C. Assisting with range-of-motion exercises to maintain joint mobility: While maintaining joint mobility is important, this is not the priority intervention. ROM exercises can be part of the overall care plan but do not address the critical metabolic imbalances associated with Paget's disease.
D. Administering corticosteroids to reduce inflammation: Corticosteroids are not a standard treatment for Paget's disease. Instead, the focus is on medications like bisphosphonates or calcitonin to regulate bone turnover.
Correct Answer is D
Explanation
Paget's disease most commonly affects older adults, typically those over the age of 60. While it can occur at any age, the prevalence increases with age.
a. Children and adolescents: Paget's disease is rare in children and adolescents. It is more commonly seen in older individuals.
b. Young adults (ages 20-40): While Paget's disease can occur in young adults, it is less common in this age group compared to older adults.
c. Middle-aged adults (ages 40-60): While Paget's disease can occur in middle-aged adults, it is more commonly seen in older individuals.
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