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Chapter 60. Musculoskeletal Disorders

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Which one of the following is the major inflammatory mediator associated with soft-tissue injury?

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A. Prostaglandin (PG)

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B. Lipoxygenase

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C. Cyclooxygenase (COX)

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D. Arachidonic acid

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E. Thromboxanes

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A patient presents with a knee injury from a football game. There is no apparent swelling, and the patient prefers an oral analgesic over a topical product. Which of the following is the best choice for systemic analgesia for this patient?

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A. Aspirin

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B. Acetaminophen

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C. Codeine

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D. Naproxen

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E. Tramadol

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The counterirritant that produces an effect through a cooling sensation is:

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A. Camphor

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B. Capsaicin

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C. Methyl salicylate

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D. Allyl isothiocyanate

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E. Methyl nicotinate

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Which of the following topical products should be avoided in patients with an aspirin allergy?

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A. Ammonia water

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B. Camphor

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C. Menthol

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D. Methyl salicylate

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E. Methyl nicotinate

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Which one of the following instructions should be included in an education plan for a patient using a counterirritant that contains menthol?

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A. Burning sensation upon application will subside with regular use.

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B. The product has little to no medicinal odor.

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C. Must use regularly for 1 to 2 weeks before onset of effect.

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D. After application, wrap the affected area tightly with a bandage.

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E. Do not use with a heating pad.

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Which one of the following instructions should be included in a patient education plan for diclofenac patches?

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A. Apply immediately prior to bathing or showering.

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B. Product may be used in combination with topical capsaicin.

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C. If rash or irritation develops, apply moisturizer before patch application.

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