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Worksheetsbone disorders
Total questions: 61
Worksheet time: 31mins
What is osteomyelitis?
Severe infection of bone, bone marrow, and surrounding soft tissue
Inflammation of the skin
Infection of the lungs
Infection of the liver
Which microorganism is most commonly associated with osteomyelitis?
Escherichia coli
Staphylococcus aureus
Streptococcus pneumoniae
Pseudomonas aeruginosa
Which of the following is NOT a risk factor for osteomyelitis in adults?
A) Age
B) Debilitation
C) Hemodialysis
D) High blood pressure
Direct entry of microorganisms in osteomyelitis can occur through which of the following?
Open wound or foreign body
Inhalation
Ingestion
Skin rash
What is the result of increased pressure inside the bone during osteomyelitis?
Bone growth
Ischemia and vascular compromise
Muscle hypertrophy
Joint flexibility
What is a sequestrum in the context of osteomyelitis?
A) New bone formation
B) Actual dead bone
C) Area of bone growth
D) Blood clot in bone
What is an involucrum?
Area of dead bone
New bone in area of periosteum with blood supply
Infection in the bone marrow
Loss of bone density
Which of the following is a local clinical manifestation of acute osteomyelitis?
Fever
Bone pain
Night sweats
Nausea
Which of the following is a systemic clinical manifestation of acute osteomyelitis?
Swelling
Tenderness
Night sweats
Warmth
Sequestrum can develop drainage anywhere without injury.
True
False
What is the definition of chronic osteomyelitis?
Infection lasting less than 1 month
Infection with immediate response to antibiotics
Infection lasting more than 1 month or no response to initial antibiotics (ABX)
Infection only in children
Which of the following is the most common local clinical manifestation of chronic osteomyelitis?
Fever
Constant bone pain
Nausea
Septicemia
Which of the following is NOT a complication of chronic osteomyelitis?
Septicemia
Septic arthritis
Diabetes
Pathologic fractures
What is the definitive diagnostic study for osteomyelitis?
X-ray
Blood culture
Bone or soft tissue biopsy
MRI
Which inflammatory markers are elevated in acute osteomyelitis?
C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR)
White blood cell count and hemoglobin
Platelet count and sodium
Potassium and calcium
CT, MRI, or bone scans are used in osteomyelitis to:
Show extent of infection and edema earlier than x-ray
Diagnose diabetes
Measure blood pressure
Detect heart disease
Which of the following is a common antibiotic classification used in the treatment of acute osteomyelitis?
Oxacillin & nafcillin (penicillin family)
Amoxicillin (penicillin family)
Tetracycline
Erythromycin
Vancomycin is used in the treatment of acute osteomyelitis. What should be monitored when administering this antibiotic?
Signs of ototoxicity (monitor hearing) and nephrotoxicity (monitor BUN/creatinine); assess IV site
Liver function tests
Blood glucose levels
Platelet count
Which fluoroquinolone is commonly used in the treatment of osteomyelitis?
Ciprofloxacin
Amoxicillin
Doxycycline
Azithromycin
What is the primary surgical intervention for chronic osteomyelitis?
Surgery to remove dead bone (debridement) or infected devices
Amputation of the limb
Bone marrow transplant
Joint replacement
Extended antibiotic therapy for chronic osteomyelitis usually involves which class of antibiotics?
Fluoroquinolones
Penicillins
Macrolides
Tetracyclines
Amputation may be considered with extensive bone damage in chronic osteomyelitis.
True
False
What is the purpose of a drainage/irrigation system in the treatment of chronic osteomyelitis?
Local antibiotic administration after surgical debridement
Pain management
Bone strengthening
Blood pressure control
Which therapy seals the wound bed and removes drainage in chronic osteomyelitis?
Negative pressure wound therapy (VAC)
Hyperbaric oxygen
Bone grafts
Casts or braces
Which of the following is a goal in the planning of nursing management for osteomyelitis?
Satisfactory pain relief
Increased blood pressure
Weight loss
Decreased appetite
Which of the following is NOT a goal in the planning of nursing management for osteomyelitis?
Fever management
Free of complications
Adhere to treatment plan
Increase in cholesterol
Adhering to the treatment plan is a goal in the nursing management of osteomyelitis.
True
False
Which of the following is NOT a pain management option for osteomyelitis?
NSAIDs
Opioids
Muscle relaxants
Antihistamines
Vitamin D deficiency leads to bones losing calcium and becoming soft.
True
False
Which of the following is a consequence of Vitamin D deficiency?
A) Bones become stronger
B) Bones lose calcium and become soft
C) Increased absorption of calcium
D) None of the above
Which of the following is a clinical manifestation of osteomalacia?
A) Bone pain
B) High blood pressure
C) Skin rash
D) Cough
Osteomalacia especially affects which weight-bearing bones?
Pelvis, femur, tibia
Skull, ribs, humerus
Spine, scapula, ulna
Radius, fibula, mandible
Which of the following is a common diagnostic finding in osteomalacia?
Increased serum calcium
Decreased serum vitamin D
Increased serum potassium
Decreased serum sodium
X-ray findings in osteomalacia show bone demineralization and deformity.
True
False
Which enzyme is increased in the serum of patients with osteomalacia?
Amylase
Alkaline phosphatase
Lipase
Lactate dehydrogenase
Which vitamin deficiency is corrected in the interprofessional care of osteomalacia?
Vitamin A
Vitamin B12
Vitamin D
Vitamin K
Which of the following foods is a higher source of vitamin D recommended for osteomalacia?
Eggs
Oily fish (salmon, tuna)
Milk & cereal fortified with vitamin D
All of the above
Osteoporosis is a bone disease characterized by which of the following?
High bone mass and improvement
Low bone mass and deterioration
High bone mass and deterioration
Low bone mass and improvement
Women are at greater risk for osteoporosis compared to men.
True
False
How many women over age 50 sustain an osteoporosis-related fracture?
1 in 2 women
1 in 4 women
1 in 10 women
1 in 20 women
How many men over age 50 sustain an osteoporosis-related fracture?
1 in 2 men
1 in 4 men
1 in 10 men
1 in 20 men
Bone resorption starts earlier in women due to calcium loss with pregnancy and breastfeeding.
True
False
Which of the following is a risk factor for osteoporosis?
Female gender
Male gender
High body weight
African genetics
Over age 65 is a risk factor for osteoporosis.
True
False
Which lifestyle habit increases the risk of osteoporosis?
Regular exercise
Sedentary lifestyle
High calcium intake
Low vitamin D intake
Smoking is associated with an increased risk of osteoporosis.
True
False
Which of the following is NOT a risk factor for osteoporosis?
Alcohol use (>2 drinks/day)
Family history
High body weight
Low body weight
Which genetic backgrounds are associated with a higher risk of osteoporosis?
Caucasian or Asian genetics
African or Hispanic genetics
Native American genetics
Pacific Islander genetics
Long-term use of which of the following is a risk factor for osteoporosis?
Thyroid hormone
Antibiotics
Antihistamines
Insulin
Diabetes is listed as a risk factor for osteoporosis.
True
False
Bone loss occurs due to:
Suppression of bone formation by osteoblasts
Increased bone resorption by osteoclasts
Increased intestinal absorption of calcium
Decreased release of PTH
Osteopenia may be a precursor to osteoporosis.
True
False
Which areas are most often affected by osteoporosis?
Spine, hips, & wrists
Skull, ribs, & pelvis
Arms, legs, & feet
Hands, feet, & neck
Early clinical manifestations of osteoporosis include:
Back pain due to vertebral fractures
Loss of height
Kyphosis
All of the above
Later clinical manifestations of osteoporosis include loss of height and kyphosis.
True
False
According to current guidelines, at what age should all women have an initial bone density test?
50
55
65
75
According to current guidelines, at what age should all men have an initial bone density test?
60
65
70
75
What is the gold standard for bone mineral density (BMD) measurement in osteoporosis diagnosis?
Quantitative ultrasound (QUS)
Dual energy x-ray absorptiometry (DEXA scan)
MRI
CT scan
Bone mineral density (BMD) is determined by peak bone mass and amount of bone loss.
True
False
Which of the following is NOT a site commonly affected by osteoporosis?
Spine
Hips
Wrists
Knees
What physical changes are depicted in the older woman?
Wedged upper vertebrae
Crushed lower vertebrae
Kyphosis
All of the above
