A 68-year-old woman has come in for an assessment of her ...

[viki]

A 68-year-old woman has come in for an assessment of her rheumatoid arthritis, and the nurse notices raised, firm, nontender nodules at the olecranon bursa and along the ulna. These nodules are most commonly diagnosed as:
 
  a. Epicondylitis.
  b. Gouty arthritis.
  c. Olecranon bursitis.
  d. Subcutaneous nodules.

Question 2

A young swimmer comes to the sports clinic complaining of a very sore shoulder. He was running at the pool, slipped on some wet concrete, and tried to catch himself with his outstretched hand. He landed on his outstretched hand and has not been able to
 
  move his shoulder since. The nurse suspects:
 
  a.
  Joint effusion.
  b.
  Tear of rotator cuff.
  c.
  Adhesive capsulitis.
  d.
  Dislocated shoulder.

[Sophiapenny]

Answer to Question 1

ANS: D
Subcutaneous nodules are raised, firm, and nontender and occur with rheumatoid arthritis in the olecranon bursa and along the extensor surface of the ulna.

Answer to Question 2

ANS: D
A dislocated shoulder occurs with trauma involving abduction, extension, and external rotation (e.g., falling on an outstretched arm or diving into a pool).