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WorksheetsMusculoskeletal
Total questions: 23
Worksheet time: 18mins
A broad spectrum of _________ injuries result from numerous physical forces, including blunt tissue trauma, disruption of tendons and ligaments, and fractures of bony structures
Musculoskeletal
dislocation
skeletal
muscular
______ injuries include contusions, hematomas, and lacerations
joint
soft tissue
fracture
head
A ________ usually is caused by abnormal or excessive movement of the joint
strain
sprain
fracture
contusion
A _______ is a stretching injury to a muscle or a musculotendinous unit caused by mechanical overloading
strain
sprain
fracture
contusion
________ is the most common bone sarcoma among adults
chondrosarcoma
Ewing Sarcoma
osteosarcoma
Pagets Sarcoma
Which gender is at higher risk for osteosarcomas?
female
male
Which statement best describes osteosarcoma?
Most commonly seen in those younger than 20 and is rarely seen after age 30
Aggressive tumor of the multinucleated cells that often behaves like a malignant tumor
Grows only during periods of skeletal growth
Aggressive and highly malignant bone tumor that is most often seen in children
People treated with corticosteroids and/or bisphosphonates are more vulnerable to developing:
osteomyelitis
osteonecrosis
osteosarcoma
osteopenia
Grouped according to cause, fractures can be divided into three major categories: fractures caused by _______, fatigue or stress fractures, and _______ fractures
(a)
A ______ fracture occurs in bones that already are weakened by disease or tumors
stress
fatigue
sudden injury
pathologic
The signs and symptoms of a ________ include pain, tenderness at the site of bone disruption, swelling, loss of function, deformity of the affected part, and abnormal mobility
contusion
hematoma
fracture
sprain
Osteonecrosis is a condition in which part of a bone dies because of the interruption of its blood supply. What is the most common cause of osteonecrosis other than fracture?
vessel injury
prior steroid therapy
radiation therapy
embolism
Osteosarcoma is an aggressive malignancy of the bone. What is the primary clinical feature of osteosarcoma?
pain, worse during the day
erythema in the overlaying skin
nighttime awaking
soreness in nearest joint
A client has developed osteomyelitis and asks the health care provider how the problem occurred. The best response would be:
excessive vitamin intake
deficiency of calcium
direct contamination of an open wound
rheumatoid disease
A 6-year old child as developed idiopathic osteonecrosis disease from the proximal (capital) femoral epiphysis. The health care provider would recognize this as:
blout disease
sever disease
legg-calve-perthes disease
osgood-schlatter disease
A 20 year old male athlete presents with a soft tissue contusion on the right ankle. The most appropriate information for the nurse to provide would be:
"Surgery will be the expected treatment, and consent will need to be signed immediately."
"Apply heat compresses for 15min to open up the venules of the soft tissue."
"Keep the ankle elevated and apply ice for 15 min at a time for the first 24 hours."
"Pain medications will be the only treatment method needed."
The healthcare provider is caring for a client who has just been diagnosed with an osteosarcoma. Select the response that best describes the diagnosis.
Aggressive; malignant bone tumor
Slow-growing; malignant bone tumor
Benign bone tumor
The least common malignant bone tumor
A patient tells the nurse she is very concerned because the health care provider informed her that her fractured arm is healing with malunion. The nurse recognizes this as:
Failure of a fracture to unite within the normal period
Failure to produce union and cessation of the processes of bone
Healing with deformity, angulation, or rotation that is visible on X-ray films
An expected outcome as the client is obese
A 16 year old male football player suffered a fracture of his radius and ulna. Assessment of the fracture includes the following data: the fracture does not protrude through the skin, and both bones broke completely through into two pieces. Select the best description of the injury.
Thromboemboli
Closed comminuted fracture
Open spiral fracture
Closed greenstick fracture
A young adult has been diagnosed with a tumor of the femur, and the health care provider suspects malignancy. Upon further assessment, the client states that he experiences bone pain, limitation of movement, and tenderness over the involved bone area. Select the most likely diagnosis.
osteosarcoma
osteonecrosis
chondrosarcoma
Ewing Sarcoma
The health care provider is evaluating a client with a suspected benign bone tumor. The provider confirms the diagnosis after evaluation of the client's x-ray results. Select the best description of the results.
A uniform and well-defined area with well-demarcated edges
Abnormal bone merging with surrounding normal bone tissue
An area of partially destroyed bone adjacent to completely normal areas
A moth-eaten pattern of bone destruction
The nurse is assessing a client who sustained a fractured radius. A cast was applied to the extremity approx. 1 hour ago, and the client is now complaining of increased pain and numbness to the finger tips. The client is most likely experiencing:
Complex regional pain syndrome
Compartment syndrome
Thromboemboli
Fractured blisters
The nurse is providing discharge instructions to a client who experienced a ligamentous sprain. The nurse determines that teaching was effective when the client states:
"Constant heat will improve circulation to the area and it will feel better"
"I will return tomorrow for the extremity to be casted"
"I should rest, apply ice, compression, and elevation to the extremity"
"I have no limitations to my activity"
