Which of the following statements concerning the treatment of fibromyalgia syndrome is true?
a) There is currently no cure for the disorder; however, patients should be made aware that symptom relief is possible.
b) Treatment is directed toward controlling discomfort, improving sleep, and maintaining function.
c) Fibromyalgia syndrome can be difficult to manage, requiring a variety of approaches and multiple medications.
d) All of the above
Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is:
a) Ecchymosis, edema, and erythema over the lateral epicondyle
b) Pain at the elbow with resisted movements at the wrist and forearm
c) Inability to supinate and pronate the arm
d) Inability to flex or extend the elbow against resistance
Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned about the risk of breast cancer associated with hormone replacement therapy and is wondering what other treatments are available to her. The clinician explains that bisphosphonates are another class of drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking bisphosphonates?
a) Taking bisphosphonates can result in hypercalcemia, so calcium intake should be decreased while taking this class of drugs.
b) There is potential for upper GI irritation, so these medications are contraindicated in people with abnormalities of the esophagus or delayed esophageal emptying.
c) This class of drugs can be taken at any time of the day without regard to meals.
d) None of the above
The clinician suspects that a client has patellar instability. In order to test for this, the client is seated with the quadriceps relaxed, and the knee is placed in extension. Next the patella is displaced laterally, and the knee flexed to 30°. If instability is present, this maneuver displaces the patella to an abnormal position on the lateral femoral condyle, and the client will perceive pain. Testing for patellar instability in this way is known as:
a) Apprehension sign
b) Bulge sign
c) Thumb sign
d) None of the above
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