A 65-year-old patient presents to the clinic with complaints of joint pain in the knees and hands. The patient states, "The pain gets worse when I walk or use my hands for too long, but it feels better when I rest." The nurse recognizes that the patient's symptoms are most consistent with which condition?
Systemic lupus erythematosus (SLE)
Osteoarthritis (OA)
Rheumatoid arthritis (RA)
Gouty arthritis
The Correct Answer is B
A. Systemic lupus erythematosus (SLE): SLE can cause joint pain, but it is usually accompanied by systemic symptoms such as a butterfly rash, fatigue, and organ involvement.
B. Osteoarthritis (OA): Osteoarthritis pain typically worsens with activity and improves with rest. It commonly affects weight-bearing joints like the knees and hands.
C. Rheumatoid arthritis (RA): RA pain is usually worse in the morning and improves with movement. It also presents with joint swelling and systemic inflammation.
D. Gouty arthritis: Gout typically presents with acute, severe pain and redness, commonly affecting the big toe, rather than chronic worsening pain with activity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fat embolism syndrome: Fat embolism syndrome (FES) typically presents with respiratory symptoms, such as dyspnea, petechiae, and confusion. Gastrointestinal symptoms like nausea and bloating are not characteristic of FES.
B. Deep vein thrombosis (DVT): DVT primarily presents with unilateral leg swelling, pain, and warmth, rather than gastrointestinal symptoms. While immobilization increases the risk of DVT, the patient’s symptoms do not align with this condition.
C. Compartment syndrome: Compartment syndrome involves severe pain, pallor, paresthesia, pulselessness, and paralysis in an affected limb. Gastrointestinal symptoms are not associated with compartment syndrome.
D. Cast syndrome (Superior Mesenteric Artery Syndrome - SMAS): SMAS occurs when the full-body cast compresses the superior mesenteric artery, leading to nausea, bloating, abdominal pain, and weight loss due to gastric obstruction. This condition is common in patients immobilized for prolonged periods.
Correct Answer is B
Explanation
A. Tophi deposits and podagra: These findings are associated with gout, not osteoarthritis. Tophi are urate crystal deposits, and podagra refers to gout affecting the big toe.
B. Heberden's nodes and Bouchard's nodes: Heberden’s nodes are bony growths at the distal interphalangeal (DIP) joints, while Bouchard’s nodes affect the proximal interphalangeal (PIP) joints. These are characteristic of osteoarthritis.
C. Ulnar deviation and joint subluxation: Ulnar deviation and joint subluxation are commonly seen in rheumatoid arthritis, not osteoarthritis.
D. Swan-neck deformity and Boutonnière deformity: These deformities are typical of rheumatoid arthritis, not osteoarthritis.
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