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Acute Care Division

TEST PAPER Pain and Musculoskeletal Disorders


50 Time Marks 30 mins.

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Q.1. Fill in the Blanks (Each blank carry one mark) 1. Human bo y has more than 650 muscles ! 206 bones. ". #n $steoarthritis % Break o&n o' cartilage results in (oint )ain* it becomes )itte an &eak. 3. Musculoskeletal the )rimary care -hysician. isor ers ha+e hi,h im)act on the )atient % society an

.. #n #n ia /.35 0 o' the total )o)ulation is su''erin, 'rom 5. Muscles an Tendons )o&er the (oint.

steoart!ritis.

1.Three 2on -harmacolo,ical treatment metho s in $3 are "eig!t loss* P!#siot!era$# an ccu$ational thera)y. /.R!eu%atoid 3rthritis is t&o to three times more 're4uent amon, &omen ! increases &ith a,e. 5.6heumatoi 3rthritis is a chronic *in'lammatory i%%une system attacks its o&n tissues. 8.&#aluronic aci lubricatin, )ro)erties. isor er &herein bo y7s

% an im)ortant com)onent o' syno+ial 'lui * )ro+i es

10. 2utraceuticals use in $3 are % 'lucosa%ine sul'ate (!ondroitin sul'ate

11. 3rachi onic aci is con+erte into )rosta,lan ins by (#cloo)#genase en9yme an into leukotrienes by *i$oo)#genase en9yme. Q.2 "rite +True, in -ront o- t!e True state%ent and +.alse, -or t!e .alse state%ent. 1. :iral 'e+er is characteri9e by lo& ,ra e 'e+er an mil bo y ache* malaise. ( .alse ) ". ;hronic )ain is e<)erience imme iately a'ter sur,ery ( u) to / ays ) ( .alse ) 3. =oals o' -ost $)erati+e -ain Mana,ement shoul be to 'acilitate ra)i reco+ery ! return to 'ull 'unction.( True ). .. The limitations o' 2>3#?7s are =# si e e''ects* renal im)airment or 'ailure* )latelet inhibition* an increases the inci ence o' car io+ascular si e e''ects ( True ) 5. #ntraarticular in(ection o' steroi s are only ,i+en in se+ere cases unres)onsi+e to 2>3#?s ( True ) 1. ;ar io+ascular morbi ity ! mortality has back li'te co<ibs ( True ) /. ;$@%1 are kno&n as the constituti+e or ,oo housekee)in, )rosta,lan ins.( True ) 5. 3cute )ain &hich lasts more than 3 months a'ter the in(ury ( .alse ) 8. Musculoskeletal system is the commonest tar,et* o' chronic in'lammation causin, )ain'ul ! restricti+e mo+ements. ( True ) 10. #n 63 abnormal syno+ial cells be,in to in+a e ! estroy cartila,e ! bone &ithin the (oint. ( True )

Q./ Matc! t!e -ollo0ing 1 A 1. $steoarthritis ". 3nkylosin, >)on ylitis 3. 6heumatoi 3rthritis .. Bimitations o' ;$@#Bs 5. Bimitations o' ;on+entional 2>3#?s 1. 3ryl%acetic aci /. -ro)ionic aci eri+ati+es eri+ati+es 2 a. ;onsti)ation* s&eatin,* nausea* +omitin,. 3. #bu)ro'en* 2a)ro<en* Aeto)ro'en* Flurbi)ro'en c. ?iclo'enac d. =# istress* ulceration C blee in,. e. ;ar io+ascular morbi ity ! mortality. -. More 're4uent in &omen ! is an auto% immune isor er g. Male )re ominance* &ith mil sti''ness ! 'use +ertebrae ! s)ine !. 3nal,esics* 2>3#?s ! 2utraceuticals

5. >i e e''ects o' $)ioi s

Ans0ers 1 +1 - ! ,4 +2 - g ,4+/ - - ,4+5 - e ,4+5 - d ,4+6 - c ,4+6 - 3 ,4+7 - a , Q.5. (!oose t!e correct ans0er8s + Please tick t!e rig!t ans0er8s, 1. -rosta,lan ins intensi'y e''ect o' %

a. 3cetylcholine ! =astrin b. 2rad#kinin 9 &ista%ine c. Thrombo<ane ! Beukotrienes . 2eurons ! 2ocice)tors. ". ?e,enerati+e arthritis rises stee)ly &ith a,e more than % a. b. c. . "00 a'ter the a,e o' 50 /0: a-ter t!e age o- 60 .0 0 a'ter the a,e o' 50 500 a'ter the a,e o' 55

3. The inner membrane o' syno+ial (oints is calle % a. b. c. d. ;artila,e membrane Bony membrane Tissues membrane S#no;ial %e%3rane

.. #n $3 (oints become % a. Thin ! Deak b. >tron, ! ;om)ose c. S0ollen and cartilage gets da%aged . >tretche ! elon,ate . 5. Mornin, sti''ness in $3 lasts lon,er than % a. " hrs. 3. /0 %ins. c. 1 hr. . 3 hrs. 1. Mornin, sti''ness in 63 lasts lon,er than % a. 2 !rs. b. 30 mins. c. 1 hr. . 3 hrs. /. E<ercise is one o' the most im)ortant acti+ities to maintain restore s)inal mobility* maintain )osture* chest e<)ansion %

a. =outy 3rthritis b. $steoathritis c. Ank#losing S$ond#litis . 6heumatoi 3rthritis

Q.5 .Matc! t!e -ollo0ingE 1. ". 3. .. 5. 1. /. A ;alor -ain >&ellin, 6e ness >yno+itis >train >)rain 2 a) $e ema b) 6ubor c) ?olor ) Heat e) #n(ury to the li,ament by o+erstretchin, ') Mi le to lo&er back )ain ,) #n'lammation o' syno+ial membrane linin, the (oint h) #n(ury to ten on 3 )*5%( g )*1%( ! )*/%( e )*5%( - )

5. Bumba,o

3nsE 1%( d )* "%( c )*3%( a )*.%(

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