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med surg

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Sway back   Lordosis  
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Lateral curvature of the spine   Scoliosis  
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Humpback   Kyphosis  
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used by physical therapist to measure true angles of ROM   Goniometer  
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Inflammation of the joints   Arthritis  
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S/S of Arthritis   pain, edema & stiffness of the joints especially upon waking  
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joints commonly affect by arthritis   lumbar vertebrae, hips, knees & fingers  
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RA   Rheumatoid Arthritis  
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RA is considered   autoinmmune & genetic  
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the most serious form of arthritis & can cause contractures   RA  
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contractures   flexion & fixation of the joints  
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S/S of RA   pain,edema,warmth stiffness of the joints especially upon waking  
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RA is systemic so it can spread to   all of the joints  
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RA can cause enlargement of the joints called   Rheumatoid Nodules  
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TX of RA   ROM,rest,NSAIDS & immunosupressants  
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OA   Osteoarthritis  
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most common arthritis & can accompany aging   OA  
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OA commonly affects   Fingers,neck lower back knees & hips  
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other causes of OA   chronic irritation, injury heredity & obesity  
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primary symptom of OA   Pain & stiffness of the joint  
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DJD   Degenerative Joint Disease  
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OA can cause DJD causing irregular bone deposits called   Spurs  
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there is no cure for OA but TX include   ROM, rest, heat therapy vit-D,C,E beta carotene NSAIDS & SAIDS SX: total hip replacement total knee replacement  
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Gout is a form of arthritis that usually affects the great toes it is caused by hyperuricemia causing deposits of uric acid crystals in the   kindeys & joints  
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blood condition of excessive uric acid   Hyperuricemia  
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usually sudden and affects men over the age of 40   Gout  
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complications of gout   joint deformities & kidney damage  
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Tx for gout   refrain from consuming organ meat, anchovies,sardines & beer, antigout meds  
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CTS   carpal tunnel syndrome  
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compression of the median nerve in the wrist   CTS  
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more common in women and usually strikes around 35-40   CTS  
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S/S of CTS   numbness & tingling in the hand progressing to pain that radiates up the arm to the shoulder especially at night  
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Repetitive strain injury   CTS  
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wrist is kept in a flexed position for an extended period to perform repetitive task   Cause of CTS  
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DX test for CTS   HX of repetitive movements electromyography (EMG)  
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TX for CTS   proper wrist alignment, avoidance of repetitive movements braces & splints NSAIDS and surgery  
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HID   Herniated intervertebral Disk AKA slipped or ruptured disk  
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occurs more frequently in the lower lumbar region many times cause by poor body mechanics   HID  
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Primary complication of HID   pressure exerted on the spinal cord & or spinal nerve causing weakness,tingling & numbness with extreme pain  
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common spinal nerve affected by HID   Sciatic nerve causing sciatica  
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irritation of the sciatic nerve   Sciatica  
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TX for HID   bed rest firm mattress,muscle relaxants, narcotic analgesics,heat application traction(TRX),TENS & Sx->diskectomy & vertebral fusion  
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Degeneration   deterioration  
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MD   muscular Dystrophy  
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hereditary disease of which there are several forms causing muscle degeneration in which the individual is totally disabled   MD  
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most common & serious form of MD   Duchenne  
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MD leads to death by means of   heart & respiratory failure  
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DX for MD   EMG & muscle biopsy  
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TX for MD   PT & OT orthopedic assistive devices  
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inflammation of the bone & bone marrow   osteomyelitis  
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common causes of osteomyelitis   staphylococcus aureus  
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S/S of osteomyelitis   pain, chills, pyrexia leukocytosis  
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Pyrexia   fever  
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leukocytosis   elevated WBC  
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common complication of an open fx is   osteomyelitis  
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necorsis   death  
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bone necrosis   sequestrum  
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complication of osteomyelitis   sequestrum  
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disease that affects infants & young children   Rickets  
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deficiency of CA & vit-D   Rickets  
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bones of a child with rickets are   soft & tend to bend easily causing deformities such as bowed legs & knocked knees  
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the child's legs are flaccid with rickets bc   muscles need CA for proper muscle contractions  
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teething may be delayed & there is a characteristic of pot belly   Rickets  
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rickets is associated with   malabsorption syndrome  
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inability to absorb fat soluble Vit- A,E,D & K   Malabsorption Syndrome  
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Most common prohylaxis & TX for rickets   sunlight 10min/day recommended daily dose of CA & vit-D  
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softening & decalcifification of the bones in adults   osetomalacia  
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disease that affects these bones the most vertebral column, pelvis & legs   osteomalacia  
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bones tend to bend deform & Fx easily   osteomalacia  
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a lateral curvature of the spine   scoliosis  
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the only way to dx osteoporosis   dual energy X-ray absorptiometery (DEXA) scan  
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needles test that looks for response to sensation   electromyography EMG  
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a deficiency in activated vit-D (calcitrol) which promotes calcium absorption from the GI tract   osteomalacia  
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one side of the bone is broken & other side is bent   Greenstick Fx  
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Chronic disorder that can result in enlarged & misshapen bones excessive breakdown & formation of bone followed by disorganized bone remodeling   Paget's Disease  
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distinctive sign of lupus: facial rash that resembles the wings of a butterfly unfolding across both cheeks - covers the cheeks & bridge of the nose   Butterfly rash  
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Systemic lupus erthematosus   SLE  
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autoimmune & gentic   RA  
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most serious form of arthritis & can cause contratures   RA  
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open FX   compound fx  
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bone protrudes through the skin   compound Fx  
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twist around the shaft of the bone   Spiral Fx  
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below the knee amputation   BKA  
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observe bleeding, VS, dressing, Elevate extremity,don't bend the knee may elevate FOB, control pain, lie Pt in prone position, light weight cast&stump shaping dressing change, washing stump   post op care for amputees  
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Hip can easily pop out of socket becoming dislocate ,nurse must be compentent when caring for pt with THA, pt must use raised toilet seat, don't turn toes inward will cause hip to internally rotate,No crossing legs,dont bend at the waist, keep legs apduct   post-op precautions for THA  
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Tx for clubfoot   cast or splints are put on during the neonatal period  
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TX for arthritis : injection of gold salts also called aurotherapy   chrysotherapy  
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a test using X-rays to obtain a series of pictures of a joint after a contrast material (such as a dye, water, air, or a combination of these) has been injected into the joint   Arhrogram  
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a surgical operation to remove the back of one or more vertebrae, usually to give access to the spinal cord or to relieve pressure on nerves.   laminectomy  
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what type of surgery would be used to remove bone spurs   lamimectomy  
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a way to detect irritated nerves. It is performed by lightly tapping (percussing) over the nerve to elicit a sensation of tingling or "pins and needles" in the distribution of the nerve.   Tinel's Sign  
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show conditions affecting the spinal cord and nerves within the spinal canal.   myleogram  
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a system of splints, ropes, slings, pulleys, and weights for suspending the lower extremities of the body, used as an aid to realignment and healing from fractures or from surgical intervention.   balance suspension traction  
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What actually happens in the body with RA   something triggers the immune system to attack the joints & somtime other organs.  
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autoimmune disease,inflammation can affect many different body systems including joints,skin ,kidneys, blood cells, brain,heart & lungs   SLE  
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S/S of SLE   fatigue, fever,joint pain, stiffness, swelling, butterfly rash, skin lesions that worsen with the sun,raynauds in time of stress,SOB,chest pain, dry eyes, celphagia , confusion & memory loss  
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SLE is   idopathic  
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complications of SLE   serious kidey damage,infection ,bone tissue death, cancer  
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kidney failure is one of the leading causes of death among ppl with   SLE  
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Dx SLE   low RBC & WBC, increased SED rate, Antinuclear anitbody (ANA) test, organ function test & CXR  
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