An adult patient presents with morning stiffness, swelling, limited range of motion, and symmetrical joint pain in the hips after physical exertion or during cold weather. Heberden's and Bouchard's nodes are noted on the fingers. Which disorder is described?
Rheumatoid arthritis
Osteomalacia
Osteoarthritis
Rickets
The Correct Answer is C
A. Rheumatoid arthritis also involves morning stiffness and symmetrical joint pain, but it typically affects smaller joints first (e.g., hands, wrists), and does not usually cause Heberden's and Bouchard's nodes, which are more characteristic of osteoarthritis.
B. Osteomalacia involves bone softening due to vitamin D deficiency and does not present with joint nodes or the type of stiffness described.
C. Osteoarthritis is a degenerative joint disease characterized by morning stiffness, limited range of motion, and joint pain that worsens with activity. Heberden's and Bouchard's nodes are specific to osteoarthritis, typically appearing on the fingers.
D. Rickets is a pediatric disorder caused by vitamin D deficiency, leading to bone deformities, but it does not cause the joint issues or nodes described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bladder cancer: The presence of malignant epithelial cells in the urinalysis and the scheduled transurethral resection are indicative of bladder cancer. Bladder cancer often presents with symptoms such as urinary retention, nocturia, and chronic cystitis, especially in older adults and those with risk factors like nicotine dependence.
B. Bladder adenoma: This is less common and typically benign, not associated with malignant epithelial cells.
C. Renal cell carcinoma: This affects the kidneys, not the bladder.
D. Renal epithelial cell cancer: This term is less specific and typically refers to cancers of the renal parenchyma, not the bladder.
Correct Answer is ["A","C"]
Explanation
A. Urethritis: Chlamydia trachomatis is a common cause of urethritis in both men and women.
B. Mastitis: This is typically caused by bacterial infections in the breast tissue, not C. trachomatis.
C. Ectopic pregnancy: Chlamydia infection can lead to pelvic inflammatory disease (PID), which increases the risk of ectopic pregnancy.
D. Cervicitis: Although C. trachomatis does cause cervicitis, it's less specific compared to urethritis and ectopic pregnancy.
E. Teratoma of the ovary: This is a type of ovarian tumor, unrelated to C. trachomatis.
F. Endometriosis: This is a condition where endometrial tissue grows outside the uterus and is not caused by C. trachomatis.
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