Which of the following disorders has a strong genetic component and causes loss of spinal mobility and progressive erosion of the sacroiliac joint?
A. Syringomyelia
B. Spinal stenosis
C. Ankylosing spondylitis
D. None of the above
ANS: C
Ankylosing spondylitis is one of the spondyloarthropathies, which have genetic predispositions and are inflammatory disorders. Early symptoms include LBP and stiffness, which gradually become persistent and increase in severity. There is loss of spine mobility, and posture gradually changes with flexion of the neck, increased kyphosis of the thoracic region, and loss of the lumbar curve. The gene HLA-B27 is present in most patients. Radiographs show abnormality of the sacroiliac joint with progressive erosion. A CT scan is useful to identify sacroiliitis.
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The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months, when the infant begins to ___________
ANS:
A patient has been admitted to the CCU after surgery to remove a brain tumor. What nursing assessment indicates development of a significant complication?
A) Gradually improving level of consciousness B) Serum sodium levels 138 to 142 mEq/L C) Minimal serous drainage on dressing D) Sudden onset of confusion
The nurse reminds the client that functional patterns of communication within the family setting provide a means of:
1. nurturing. 2. information. 3. closeness. 4. openness.
The nurse is incorporating nonverbal communication with verbal communication when explaining the treatment plan for a child with juvenile diabetes. Which of the following should the nurse do to communicate effectively with this family?
A) Relax; maintain an open posture, with the arms crossed. B) Sit opposite the family and lean forward slightly. C) Use eye contact sparingly to avoid embarrassment. D) Speak a verbal yes or no; do not use head nods.