A man who has had gout for several years comes to the clinic with ...

[berenicecastro]

A man who has had gout for several years comes to the clinic with a problem with his toe. On examination, the nurse notices the presence of hard, painless nodules over the great toe; one has burst open with a chalky discharge. This finding is known as:
 
  a. Callus.
  b. Plantar wart.
  c. Bunion.
  d. Tophi.

Question 2

The nurse is assessing a 1-week-old infant and is testing his muscle strength. The nurse lifts the infant with hands under the axillae and notices that the infant starts to slip between the hands.
 
  The nurse should:
  a.
  Suspect a fractured clavicle.
  b.
  Suspect that the infant may have a deformity of the spine.
  c.
  Suspect that the infant may have weakness of the shoulder muscles.
  d.
  Conclude that this is a normal finding because the musculature of an infant at this age is undeveloped.

[millet]

Answer to Question 1

ANS: D
Tophi are collections of monosodium urate crystals resulting from chronic gout in and around the joint that cause extreme swelling and joint deformity. They appear as hard, painless nodules (tophi) over the metatarsophalangeal joint of the first toe and they sometimes burst with a chalky discharge

Answer to Question 2

ANS: C
An infant who starts to slip between the nurse's hands shows weakness of the shoulder muscles. An infant with normal muscle strength wedges securely between the nurse's hands. The other responses are not correct.

[berenicecastro]

Excellent

[pangili4]

Thanks for the timely response, appreciate it