A client has a sedentary lifestyle, primarily involving sitting for prolonged periods. Which of the following risk factors for osteoarthritis is described in this scenario?
Female gender
Joint injury
Lack of physical activity
Age over 60 years
The Correct Answer is C
Lack of physical activity and a sedentary lifestyle are risk factors for osteoarthritis. Regular physical activity helps maintain joint health and reduces the risk of joint degeneration.
a. Female gender is a non-modifiable risk factor for osteoarthritis.
b. Joint injury is a risk factor, especially in individuals with a history of joint trauma or repetitive use injuries. However, the scenario does not mention any joint injury.
d. Age over 60 years is a non-modifiable risk factor for osteoarthritis.
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Correct Answer is D
Explanation
X-ray is the most commonly used diagnostic test to confirm the diagnosis of osteoarthritis. It can show joint space narrowing, osteophyte formation (bony overgrowths), and other changes characteristic of osteoarthritis. Rheumatoid factor (RF) and antinuclear antibody (ANA) blood tests are used to diagnose autoimmune conditions like rheumatoid arthritis, not osteoarthritis. Magnetic resonance imaging (MRI) can provide more detailed images of joint structures, but X-ray is typically the initial diagnostic test for osteoarthritis.
a. Rheumatoid factor (RF) blood test is used to diagnose rheumatoid arthritis, not osteoarthritis.
b. Antinuclear antibody (ANA) blood test is used to diagnose autoimmune disorders such as systemic lupus erythematosus (SLE), not osteoarthritis.
c. Magnetic resonance imaging (MRI) can be helpful in assessing joint structures in more detail, but X-ray is the primary diagnostic test for osteoarthritis.
Correct Answer is C
Explanation
Pain that worsens with weight-bearing activities and improves with rest is a classic clinical manifestation of osteoarthritis. Activity-related pain is due to the increased stress on the affected joint during movement, while rest allows for decreased pressure and relief of pain.
a. Nocturnal joint pain is more typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Morning joint stiffness lasting for 1 hour is characteristic of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
d. Joint pain that is constant throughout the day may be seen in various joint disorders, but the pattern of pain relief with activity is more indicative of osteoarthritis.
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