You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process?

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Question 1 of 5

You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms is consistent with an inflammatory process?

Correct Answer: D

Rationale: Nodules are a characteristic finding in an inflammatory joint condition such as rheumatoid arthritis. Nodules are small, firm lumps that can develop near the affected joint and are often indicative of an underlying inflammatory process. Tenderness, cool temperature, and ecchymosis can be seen in various musculoskeletal conditions, but nodules specifically point towards an inflammatory process in the joint.

Question 2 of 5

Two weeks ago, Mary started a job which requires carrying 40-pound buckets. She presents with elbow pain worse on the right. On examination, it hurts her elbows to dorsiflex her hands against resistance when her palms face the floor. What condition does she have?

Correct Answer: C

Rationale: Lateral epicondylitis, commonly known as tennis elbow, is a condition characterized by pain and tenderness on the lateral (outside) aspect of the elbow. It is typically caused by overuse or repetitive strain of the extensor muscles in the forearm, leading to inflammation of the tendons attached to the lateral epicondyle of the humerus.

Question 3 of 5

Is the following information subjective or objective? Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest.

Correct Answer: B

Rationale: The information provided about Mr. M's shortness of breath being present for the past 10 days, worsening with activity, and relieved by rest are all objective findings. These are measurable and observable facts that can be documented by healthcare professionals through physical examination, assessment, and potentially diagnostic tests. Subjective information would involve Mr. M's personal feelings or descriptions of his symptoms, which are not included in the given information.

Question 4 of 5

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 most likely pathologic process based on the patient's symptoms and history would be an inflammatory process. The patient's joint pain, fever, and family history of rheumatoid arthritis suggest the possibility of an autoimmune inflammatory condition like rheumatoid arthritis. Rheumatoid arthritis is a chronic inflammatory disorder that primarily affects the joints, causing pain, swelling, and stiffness. The bilateral involvement of the wrists and fingers along with a family history of rheumatoid arthritis make this diagnosis more likely than an infectious, hematologic, or traumatic process in this case.

Question 5 of 5

Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to go into the examination room to interview her. Which of the following is the most logical sequence for the patient-provider interview?

Correct Answer: C

Rationale: The most logical sequence for the patient-provider interview is to greet the patient, establish rapport, invite the patient's story, establish the agenda, expand and clarify the patient's story, and negotiate a plan. This sequence ensures a patient-centered approach by first building a connection with the patient, allowing the patient to share their concerns and story, and then working collaboratively with the patient to address these concerns. It is important to start by building rapport to establish trust and a comfortable environment for the patient to open up about their health concerns. Inviting the patient's story allows the provider to understand the patient's perspective and how their symptoms are impacting their life. Establishing the agenda sets the priorities for the visit and ensures that both the provider and patient are on the same page. Expanding and clarifying the patient's story helps gather more detailed information, leading to a comprehensive assessment. Finally, negotiating a plan together with the patient ensures shared decision-making and a patient-centered approach

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