While reviewing the following diagnostic findings on a group of ...

[luminitza]

While reviewing the following diagnostic findings on a group of patients with joint complaints, which finding would be a priority for further investigation and possible medical intervention?
 
  A)
  A male client has elevated levels of serum uric acid but lacks symptoms.
  B)
  Synovial fluid aspiration indicates the presence of monosodium urate crystals.
  C)
  A man reveals that he eats organ meat two to three times weekly.
  D)
  A 55-year-old male reveals that it takes a day or two for oral colchicines to relive his attacks of gout.

Question 2

A nurse is teaching a wellness group among a group of older adult women. One of the women has asked for advice about preventing osteoporosis, which affects many of her friends.
 
  What is the nurse's best response to the woman's query?
  A)
  Osteoporosis has been shown to have a strong genetic basis, so there is little you can do to prevent it.
  B)
  Weight-bearing exercise is helpful, as are calcium supplements.
  C)
  If possible, scaling back your hormone replacement therapy will reduce your osteoporosis risk.
  D)
  There are drugs called glucocorticoids that both prevent osteoporosis and treat it if you do develop it.

[Li Jun]

Answer to Question 1

Ans:
B

Feedback:

The presence of crystalline deposits in synovial fluid confirms a diagnosis of gout and would necessitate further investigation and/or treatment. Hyperuricemia is not necessarily indicative of gout, and while diet can contribute to gout, this would not necessarily require modification in the absence of gout. Oral colchicine often takes 48 hours to take effect during an acute attack of gout.

Answer to Question 2

Ans:
B

Feedback:

Exercise and calcium supplementation have been shown to reduce the incidence of osteoporosis. Use of steroids is a risk factor, and estrogen deficiency would contribute to, rather than preventing, osteoporosis. There is a genetic component to the disease, but this does not preclude prevention efforts.

[luminitza]

Thank you

[Li Jun]

Happy to help you