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Exam 4: The Musculoskeletal System Orthopedics

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Question 51

Multiple Choice

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Build a medical term that means "joint breaking."

A) Arthrectomy
B) Arthroclasia
C) Arthrodesis
D) Artholysis
E) Arthroplasty

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Question 52

Multiple Choice

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Read this excerpt from the patient's discharge summary: HPI Decker Macmillan is an 8-year-old boy admitted directly to the pediatric floor for workup of chronic progressive hypotonia. His parents report they have noticed progressive weakness. Decker has had increasing difficulty running, jumping, and climbing stairs. His parents initially thought his problems were due to his asthma, but they noticed that he also had a waddling gait. They took him to their primary care provider, who referred him for evaluation. On admission, Decker denied any history of myalgia, arthrodynia, or dystaxia. His problem appeared to be limited to muscle tone. According to this information, which of the following is part of the history of the present illness?

A) Decrease in muscle tone or tightness
B) Joint pain
C) Muscle pain
D) Poor coordination

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Question 53

Multiple Choice

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Read the following portion of an orthopedic clinic note: DDx: Includes osteoarthritis, rheumatoid arthritis, and bursitis. Given her history of osteoarthritis on exam and the results of the x-ray and joint aspiration, I believe Mrs. Goldman has OA that has failed to respond to previous treatments. According to the excerpt, which is NOT included in the differential diagnosis?

Which medical term means involuntary contraction of the muscle?

Which is the correct breakdown and translation of the medical term tenorrhaphy?

A disease in which the bones do not develop correctly, also known as brittle bone disease, is called:

A drug that opposes fever is called a(n) :

Read this excerpt from a patient's health record: Hospital Course Neuro: On admission exam, Decker was found to have mild lumbar lordosis, pseudohypertrophy of his calf muscles, and a waddling gait. He did not have any genu varum or genu valgus. No hyporeflexia was noted. The initial concern was a muscular dystrophy. Given a family history of polymyositis, that was considered as well. Decker's labs were consistent with muscular dystrophy. An electromyography showed myopathic changes. A muscle biopsy was then performed to help distinguish which of the muscular dystrophies the patient has. The results are pending. CV: Cardiology was consulted, given the strong risk for developing cardiomyopathy. Resp: No problems were seen throughout the hospital stay. Decker was educated in performing breathing exercises and also about the respiratory problems often seen later on in the condition. Ortho: Orthopedic surgery was consulted for Decker's scoliosis. Social: Much of the hospital stay focused on patient education. Which of the following tests showed "myopathic changes"?

NSAID stands for?

Build a medical term that means "muscle tone."

Translate the medical term myomalacia as literally as possible.

Translate the medical term chondro-osteodystrophy as literally as possible.

Build a medical term that means "puncture of a joint."

Which is the correct breakdown and translation of the medical term polydactyly?

Read this patient's physical exam: Physical Exam: RR: 16; HR: 70; Temp: 98.6; BP: 110/60 Gen: Alert, oriented. CV: RRR, no murmurs. Resp: CTA. Musculoskeletal: Crepitation in right knee, decreased ROM. Mild effusion. Mild muscular atrophy of right quadriceps muscle compared to left. Labs: ESR normal, joint aspiration normal. X-ray: Subchondral cysts, subchondral sclerosis, joint space narrowing. According to the physical exam, this patient is NOT experiencing:

Identify and define the roots in the term ankylosing spondylitis.

Identify the correct pronunciation for the term fasciorrhaphy.

What is the correct abbreviation for a fracture?

Provide the correct translation for the abbreviation FROM.

Which is the correct breakdown of the medical term osteochondroma into its component parts?