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MSN 620 musculoskeletal module 4 with correct answers

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  • MSN 620
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  • MSN 620

MSN 620 musculoskeletal module 4 with correct answers A 67-year-old female presents with an 18-month history of slowly worsening bilateral knee pain. She complains of moderate pain, particularly after walking or gardening. She has a past medical history of breast cancer, which was treated with ...

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  • September 25, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MSN 620
  • MSN 620
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

MSN 620 musculoskeletal module 4 with
correct answers


A 67-year-old female presents with an 18-month history of slowly worsening bilateral

knee pain. She complains of moderate pain, particularly after walking or gardening. She

has a past medical history of breast cancer, which was treated with primary surgery and

radiotherapy 10 years ago. Her medications include letrozole and acetaminophen. The

patient's body mass index (BMI) is 30 kg/m2. Examination demonstrates bilateral knee

swelling and crepitus with active flexion. Lab results show white blood cell count, C-

reactive protein, and erythrocyte sedimentation rate within their normal range, and

rheumatoid factor is negative. The x-ray findings of each knee demonstrate joint space

narrowing with several osteophytes. Which of the following is essential to prevent the

progression of this patient's condition? - Correct Answer✔️✔️-Weight reduction


A 65-year-old woman is worried about her inability to perform various activities because

of severe lower back pain and pain in both wrist joints. She has a body mass index of

35 kg/m². She has a history of hypertension and takes amlodipine regularly. She has

been taking prescribed doses of ibuprofen for the last month but with no relief. Her

clinical examination reveals tender wrist joints, palpable swelling at the base of the right

thumb, mild tenderness in the lower back, and hip joint pain with movements. Her


1/14

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
lumbar spine hip joint x-ray reveals increased subchondral bone density. What is the

best treatment plan for her? - Correct Answer✔️✔️-Weight loss

A 74-year-old woman presents with increasing right hip pain over the last 2 months. A

review of systems reveals no history of trauma or falls and it has decreased her mobility

and made her more dependent on family. Vital signs are blood pressure 130/90 mmHg,

heart rate 80 bpm, and body mass index 32 kg/m2. Her physical examination reveals

palpable swellings on the proximal interphalangeal joints of her hands and painful

restricted movements at the hip joint. Laboratory testing reveals negative rheumatoid

factor (RA) and anti-nuclear antibodies (ANA). Her plain x-ray suggests a narrowing of

joint space and cartilage erosions. What is the most common hand joint involved in

postmenopausal women? - Correct Answer✔️✔️-First carpometacarpal joint

A 61-year-old man with a body mass index of 31 kg/m^2 presents for a 6-month history

of gradual onset right medial knee pain. Examination reveals a small effusion, stable

ligaments, a normally tracking patella, and mild medial joint line tenderness. Standing

radiographs show mild medial joint space narrowing. Which of the following is the most

appropriate treatment at this stage of the disease?

Well done! - Correct Answer✔️✔️-Weight loss and low-impact exercises

A 65-year-old woman presents to the clinic for evaluation. She has a history of chronic

bilateral knee pain, which has been gradually worsening. She is currently on

acetaminophen 1000 mg 3 times daily, naproxen 500 mg twice daily, and tramadol 50


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