Which of the following pathophysiological phenomena would be most ...

[amal]

Which of the following pathophysiological phenomena would be most indicative of ankylosing spondylitis?
 
  A)
  Loss of motion in the spinal column and eventual kyphosis
  B)
  A progressive loss of range of motion in the knee and hip joints
  C)
  A facial butterfly rash and multiorgan involvement
  D)
  Decreased bone density in long bones

Question 2

A patient has been admitted with a fractured pelvis that occurred in an auto accident just a few hours ago. The nurse notices a slight change in behavior.
 
  Which of the following clinical manifestations would lead the nurse to suspect that the patient has fat emboli that has migrated? Select all that apply.
  A)
  Complaints of substernal chest pain
  B)
  Complaints of pain in the lower abdomen and back
  C)
  Pulse rate 120 with temperature of 99.7 F
  D)
  Profuse diaphoresis with pallor noted
  E)
  Urine output of 30 mL/hour

[abctaiwan]

Answer to Question 1

Ans:
A

Feedback:

The characteristic trait of ankylosing spondylitis is progressive loss of the spinal ROM and eventual kyphosis. Synovial joint involvement is not associated with the disease, and a butterfly rash and multisystem involvement are associated with SLE. Decreased bone density does not normally accompany ankylosing spondylitis.

Answer to Question 2

Ans:
A, C, D

Feedback:

Initial symptoms of FES are a subtle change in behavior and signs of disorientation resulting from emboli in the cerebral circulation combined with respiratory depression. There may be complaints of substernal chest pain and dyspnea accompanied by tachycardia and low-grade fever. Diaphoresis, pallor, and cyanosis become evident as respiratory function deteriorates. It would be expected that the patient have lower abdominal and back pain since they have a pelvic fracture. The normal urine output is a minimum of 30 mL/hour.

[amal]

Gracias!

[Liddy]

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