A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and fingers bilaterally, with some subjective fever. The patient denies a rash; she also denies recent travel or camping activities. She has a family history significant for rheumatoid arthritis. Based on this information, which of the following pathologic processes would be the most correct?

Correct Answer: B

Rationale: The correct answer is B: Inflammatory. The patient's symptoms of joint pain in the wrists and fingers, along with subjective fever and family history of rheumatoid arthritis, suggest an inflammatory process like rheumatoid arthritis. There is no mention of any infectious symptoms or recent activities that would suggest an infectious cause (choice A). The presentation does not point towards a hematologic issue (choice C) such as a blood disorder. Additionally, there is no history of trauma (choice D) that would explain the joint pain and fever. Therefore, based on the symptoms and family history provided, the most likely pathologic process is an inflammatory condition like rheumatoid arthritis.

Correct Answer: C

Rationale: The correct answer is C: Third-level. Unfamiliarity with heart-healthy dietary guidelines is a third-level priority problem because it is not immediately life-threatening or critical to address in the emergent setting. First-level priority problems are those directly impacting the patient's ABCs (airway, breathing, circulation) or immediate safety. Second-level priority problems are important but do not require immediate intervention to prevent harm. In this case, addressing the chest pain, palpitations, and the patient's appearance of being pale and diaphoretic are first- and second-level priorities as they may indicate a more urgent medical condition that needs immediate attention to ensure the patient's safety and stabilization.

Correct Answer: C

Rationale: The normal range of motion for plantar flexion of the ankle is approximately 50 degrees. This range allows for actions like pointing the toes downward. A: 20 degrees is too limited for normal function. B: 30 degrees is also insufficient for full plantar flexion. D: 90 degrees would be excessive and beyond the normal range of motion for plantar flexion. Therefore, C is the correct answer.

Correct Answer: B

Rationale: The correct answer is B: 60°. Scapulothoracic motion contributes to shoulder abduction by allowing the scapula to upwardly rotate and tilt posteriorly. Since shoulder abduction involves 180°, scapulothoracic motion accounts for half of this motion, which is 90°. Therefore, the correct answer is 60°, as it represents the scapulothoracic motion involved in shoulder abduction. Choices A, C, and D are incorrect because they do not accurately reflect the scapulothoracic motion required for shoulder abduction based on the given information.

Correct Answer: C

Rationale: The correct answer is C: The median nerve. The carpal tunnel is a narrow passageway in the wrist where the median nerve and nine flexor tendons pass through. The median nerve is responsible for providing sensory and motor functions to the thumb, index, and middle fingers. The ulnar nerve passes outside the carpal tunnel and innervates the ring and little fingers. The radial nerve also does not pass through the carpal tunnel, as it supplies motor function to the muscles of the forearm. The five finger flexor tendons pass through the carpal tunnel along with the median nerve, but the question specifically asks for structures passing through, making C the correct answer.