ATI RN
Pediatric Musculoskeletal Disorders Quizlet Questions
Question 1 of 5
Silent radiolucent lesion with thin sclerotic border discovered incidentally on x-ray is a/an
Correct Answer: A
Rationale: Nonossifying fibroma is a common benign lesion with a radiolucent center and sclerotic border, often found incidentally.
Question 2 of 5
The patient described in Question 1 is admitted to the hospital and now experiences progressive weakness and areflexia of the knee and ankle reflexes. An important test to perform is
Correct Answer: D
Rationale: In Guillain-Barré syndrome, progressive weakness can lead to respiratory muscle involvement, making pulmonary function tests critical to monitor breathing capacity and prevent respiratory failure. ECG is useful for autonomic dysfunction but less urgent; CPK is normal in GBS as it's a neuropathy, not myopathy; urine specific gravity is unrelated.
Question 3 of 5
Matching: Proximal weakness
Correct Answer: B
Rationale: Myopathies (e.g., muscular dystrophy) typically present with proximal weakness. Polyneuropathy causes distal weakness; neuromuscular junction defects and upper motor neuron defects don't specifically target proximal muscles.
Question 4 of 5
Matching: Exercise-induced rhabdomyolysis
Correct Answer: C
Rationale: McArdle syndrome (glycogen storage disease V) leads to exercise-induced rhabdomyolysis due to impaired glycogen breakdown. Others don't typically cause this.
Question 5 of 5
A 4-year-old has difficulty in climbing stairs, slow motor development, and hypertrophied calf muscles. The most likely diagnosis is
Correct Answer: C
Rationale: Duchenne muscular dystrophy presents with proximal weakness (difficulty climbing stairs), delayed motor milestones, and pseudohypertrophy of calves. Other conditions don't match this pattern.