No single blood test confirms osteoporosis; tests such as calcium and vitamin D levels are used to rule out other causes of bone loss.
Correct Answer
True
True. Bone density scanning is used to diagnose osteoporosis, while lab tests such as calcium, vitamin D, albumin and phosphate help exclude other conditions.
Category: Osteoporosis
Question 2
Osteoporosis usually causes noticeable symptoms long before the first fracture occurs.
Correct Answer
False
False. Osteoporosis is often silent, and the first sign may be a fracture of the hip, spine or wrist. That is why risk assessment and screening matter.
Category: Osteoporosis
Question 3
Estrogen helps protect bone, so the drop in estrogen after menopause speeds bone loss.
Correct Answer
True
True. Estrogen limits bone breakdown, so its decline at menopause accelerates bone loss, which is one reason osteoporosis is more common in postmenopausal females.
Category: Osteoporosis
Question 4
Osteoarthritis is caused by autoantibodies that attack the synovial lining of the joints.
Correct Answer
False
False. Osteoarthritis is a degenerative disorder in which joint cartilage wears down over time. Autoantibodies attacking the joint lining describe rheumatoid arthritis.
Category: Osteoarthritis
Question 5
The joint damage of osteoarthritis cannot be reversed, but its symptoms can usually be managed.
Correct Answer
True
True. Damaged cartilage does not regrow, but pain and stiffness can usually be controlled with medication, exercise, weight loss and other measures, and severe cases may need joint replacement.
Category: Osteoarthritis
Question 6
In passive range-of-motion exercise, the nurse or another person moves the patient's joint without effort from the patient.
Correct Answer
True
True. Passive range of motion is done for the patient, while active range of motion is done by the patient voluntarily. Both help maintain joint flexibility.
Category: Osteoarthritis
Question 7
Fat embolism most often follows fractures of the small bones of the hand.
Correct Answer
False
False. Fat embolism is most often linked to fractures of long bones such as the femur, whose marrow can release fat into the circulation.
Category: Fracture Complications
Question 8
Traction weights may rest on the bed or floor without reducing the pull on the bone.
Correct Answer
False
False. Traction works only while the weights hang freely. Weights resting on the bed or floor remove the pulling force, so the nurse keeps them hanging freely and the ropes unobstructed.
Category: Fracture Care
Question 9
An external fixator uses pins in the bone connected to a frame outside the body and is usually a temporary treatment.
Correct Answer
True
True. External fixation holds the fragments steady from outside the body and is often a temporary measure until internal fixation can be done, although it is sometimes used until healing is complete.
Category: Fracture Care
Question 10
Plates and screws placed during internal fixation must be surgically removed once the fracture has healed.
Correct Answer
False
False. Internal fixation hardware may be removed after healing or left in place permanently, depending on the patient and the provider's judgment.
Category: Fracture Care
Question 11
A diet rich in protein supports bone and tissue healing after a fracture.
Correct Answer
True
True. Protein supplies the building blocks for new bone matrix and soft tissue repair, so a well-rounded, protein-rich diet supports fracture healing.
Category: Fracture Care
Question 12
Becker muscular dystrophy is more severe than Duchenne muscular dystrophy.
Correct Answer
False
False. Becker muscular dystrophy is milder and usually begins later, because some working dystrophin is made. Duchenne involves a complete absence of dystrophin.
Category: Muscular Dystrophy
Question 13
Alternating periods of rest and activity helps a patient with muscular dystrophy manage fatigue and weakness.
Correct Answer
True
True. Pacing activity with planned rest conserves energy while still preserving function, alongside range-of-motion exercise and therapy.
Category: Muscular Dystrophy
Question 14
Facioscapulohumeral dystrophy mainly weakens the muscles of the hips and thighs.
Correct Answer
False
False. Facioscapulohumeral dystrophy weakens the face, shoulders and upper arms. Weakness centered on the hips and shoulders is typical of limb-girdle dystrophy.
Category: Muscular Dystrophy
Question 15
Pleuritis in systemic lupus erythematosus causes chest pain that worsens with breathing.
Correct Answer
True
True. Inflammation of the pleura, the lining around the lungs, causes sharp chest pain when the patient breathes, and it is one of the organ effects of SLE.
Category: Connective Tissue Disease
Question 16
A positive antinuclear antibody test by itself confirms a diagnosis of systemic lupus erythematosus.
Correct Answer
False
False. A positive ANA test is common in SLE but also occurs in other conditions, so it calls for further workup rather than confirming the diagnosis alone.
Category: Connective Tissue Disease
Question 17
Early in rheumatoid arthritis, x-rays may look normal, so a normal image does not rule out the disease.
Correct Answer
True
True. Imaging shows bone erosion only after significant progression, so diagnosis also relies on symptoms, examination and blood tests.
Category: Connective Tissue Disease
Question 18
Rheumatoid arthritis affects only the joints and does not cause symptoms elsewhere in the body.
Correct Answer
False
False. Rheumatoid arthritis is a systemic autoimmune disease. Besides joint inflammation, it commonly causes fatigue, malaise and low-grade fever, and it can affect the eyes, lungs, heart and blood vessels or form rheumatoid nodules.
Category: Connective Tissue Disease
Question 19
Ice applied to an acute sprain should stay in place continuously, without breaks, until the swelling resolves.
Correct Answer
False
False. Ice is applied for limited periods several times a day, with breaks between applications, to reduce swelling without injuring the skin.
Category: Soft Tissue Injuries
Question 20
Warming up before activity and cooling down afterward help prevent soft tissue injuries.
Correct Answer
True
True. Prevention teaching includes warming up, stretching, cooling down, staying hydrated, resting as needed and using proper equipment.
Category: Soft Tissue Injuries