Chapter 52: Alterations in Musculoskeletal Function: Rheumatic Disorders

Chapter 52: Alterations in Musculoskeletal Function: Rheumatic Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. Gouty arthritis is a complication of
a. group A streptococcal infection.
b. autoimmune destruction of joint collagen.
c. excessive production of urea.
d. inadequate renal excretion of uric acid.
ANS: D
Gouty arthritis is a complication of inadequate renal excretion of uric acid. Rheumatic fever–related arthritis is related to group A
streptococcal infection. Gout is not an autoimmune disorder. Gout is due to inadequate renal excretion of uric acid, not excessive
production of urea.
REF: Pgs. 1050-1051
2. A clinical finding consistent with a diagnosis of rheumatoid arthritis would be
a. systemic manifestations of inflammation.
b. localized pain in weight-bearing joints.
c. reduced excretion of uric acid by the kidney.
d. firm, crystallized nodules or “tophi” at the affected joints.
ANS: A
Systemic manifestations of inflammation is a clinical finding consistent with rheumatoid arthritis. The pain of rheumatoid arthritis
is not localized to weight-bearing joint. Uric acid is not a causative factor in this disorder. Gout causes firm, crystallized nodules, or
“tophi,” at the affected joints.
REF: Pgs. 1043-1045
3. Rheumatoid arthritis is commonly associated with the presence of rheumatoid factor autoantibodies in the bloodstream. This
indicates that rheumatoid arthritis is likely to be
a. due to bacterial infection.
b. an autoimmune process.
c. an infective process.
d. due to an enzymatic defect.
ANS: B
The presence of rheumatoid factor autoantibodies indicates that RA is an autoimmune process. The presence of rheumatoid factor
autoantibodies does not indicate infection, an infective process, or an enzymatic defect.
REF: Pgs. 1042-1043
4. In contrast to osteoarthritis, rheumatoid arthritis may be associated with
a. debilitating joint pain and stiffness.
b. improvement in symptoms with aspirin therapy.
c. changes in activities of daily living.
d. systemic aching in the musculoskeletal system.
ANS: D
Rheumatoid arthritis is associated with systemic aching in the musculoskeletal system, but osteoarthritis is not. Osteoarthritis also
causes debilitating joint pain and stiffness. Aspirin therapy will improve symptoms in both disorders. Both disorders can lead to
changes in activities of daily living.