ESSAY. Write your answer in the space provided or on a separate sheet of paper.
Steven, a football player, complained of severe pain and the inability to use his right arm and shoulder after
having been tackled during a game. What would you guess might be his problem?
Farhad begins typing his term paper on his new computer early one morning. After 8 hours of typing, he
notices that his wrists are stiff and very sore. The next morning, Farhad begins to finish his paper, but soon finds
his wrists hurt worse than last night. What is wrong?
Susan was bitten by a deer tick and now complains of joint pain, flu–like symptoms, and difficulty thinking.
What might be her diagnosis and the treatment required to alleviate her symptoms?
A nurse is instructing the patient care assistants (PCAs) on transfer techniques. For patients needing to be slid
toward the head of the bed, the nurse tells the PCAs use a draw sheet under the patient’s torso. She tells them to
avoid pulling on their hands or arms. Based on your knowledge of the shoulder joint, explain why pulling on
the extremities should be avoided.
Mary has been suffering from a “bad knee” for several months. She is a tennis player who often slides in to
attack a ball; she is an aerobic devotee and a jogger. She visited an orthopedic surgeon last week who told her
that he would “like to have a look at her knee joint.” He also told her that her symptoms indicated damage to the
meniscus, and it might have to be removed. What will the doctor do to see the joint, and if the meniscus is
removed will Mary be able to play tennis again?
Maggie is a 28–year–old Caucasian woman who has newly diagnosed rheumatoid arthritis. She complains of
painful, stiff hands and feet, feeling tired all the time, and reports an intermittent low–grade fever. She asks the
nurse if she is going to be “crippled.” How might the nurse explain the pathophysiology of rheumatoid arthritis?
Probenecid inhibits the active resorption of uric acid in the kidney, which leads to increased urinary excretion of
uric acid. Explain why this drug would be useful in treating gout.