Following genetic testing and a thorough history from the child's ...

[Sportsfan2111]

Following genetic testing and a thorough history from the child's mother and father, a 5-month-old boy has been diagnosed with osteogenesis imperfecta. What teaching point should the care team provide to the mother and father?
 
  A)
  His skeleton is prone to breakage, and we'll begin hormone therapy to treat this.
  B)
  His hips are extremely susceptible to dislocation, so rough play is out of the question.
  C)
  You'll need to commit to calcium supplementation for the duration of his development.
  D)
  You'll need to be very careful to avoid causing fractures to his fragile bones.

Question 2

An elderly patient has arrived at the physician's office complaining of a rash. Upon further investigation, the patient states that the rash feels like a burning pain but also has some tingling.
 
  It is extreme sensitive to touch, and it's like crazy. The nurse notes that the rash is made up of vesicles and located on the right thoracic region. The nurse suspects the patient has
  A)
  chickenpox.
  B)
  German measles.
  C)
  herpes zoster.
  D)
  human papillomavirus.

[catron30]

Answer to Question 1

Ans:
D

Feedback:

There is no definitive treatment for correction of the defective collagen synthesis that is characteristic of osteogenesis imperfecta, and prevention and treatment of fractures are important. Hip dislocation is not a common manifestation, and neither hormone therapy nor calcium supplements are useful in treatment.

Answer to Question 2

Ans:
C

Feedback:

All of the characteristics point to herpes zoster. The vesicles erupt for 3 to 5 days along the nerve pathway (hence the reason for the burning pain). Eruptions usually are unilateral in the thoracic region, trunk, or face. Rubella (German measles) is characterized by a diffuse, punctuate, macular rash that begins on the trunk and spreads to the arms and legs. Varicella (chickenpox) has a macular stage where it develops within hours over the trunk, spreading to the limbs, mucosa, scalp, axillae, upper respiratory tract, and conjunctiva. HPV causes genital warts and is a sexually transmitted disease.