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HESI LPN · HESI LPN Pharmacology · HESI Musculoskeletal disorder

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

An overweight adolescent boy complains of pain in his hip that radiates to the medial aspect of his knee. He denies trauma and has not had a fever. You note upon exam that he is walking with a limp. The most likely diagnosis is:

A. Slipped capital femoral epiphysis

B. Transient toxic synovitis

C. Legg-Calve-Perthes

D. Septic arthritis

Expert Explanatory Rationale

Correct Answer: Slipped capital femoral epiphysis

Question 2 of 5

Gold salts when used in the treatment of progressive rheumatoid arthritis: (Select one that does not apply)

A. If they cause stomatitis this may be due to neutropenia

B. If effective, benefit should be observed after the first week of treatment

C. Produce objective improvement in about 75 per cent of patients

D. Can cause skin rashes which can necessitate treatment cessation

Expert Explanatory Rationale

Correct Answer: If effective, benefit should be observed after the first week of treatment

Question 3 of 5

The following are likely to be effective in the treatment of an acute episode of gout:(Select one that does not apply)

A. Indometacin

B. Naproxen

C. Alendronate

D. Colchicine

Expert Explanatory Rationale

Correct Answer: Alendronate

Question 4 of 5

The following may cause hyperuricaemia:(Select one that does not apply)

A. Sulfinpyrazone

B. Cytosine arabinoside when treating acute leukaemia

C. Bendromethiazide

D. Low-dose aspirin

Expert Explanatory Rationale

Correct Answer: Sulfinpyrazone

Question 5 of 5

What clinical sign will the PNP elicit when assessing a child with a Grade II ankle sprain?

A. Moderate pain, swelling, tenderness, and ecchymosis

B. Mild swelling and tenderness

C. Severe pain, swelling, tenderness, and ecchymosis

D. Point tenderness and deformity

Expert Explanatory Rationale

Correct Answer: Moderate pain, swelling, tenderness, and ecchymosis

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