Question 1

The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions. 
Dr. Johnstone didn't like what he saw. The x-rays of Gladys Gwynn's hip showed a fracture of the femoral neck and severe osteoporosis of the hip. Mrs. Gwynn had been admitted to the orthopedic ward of Hamilton Hospital after a fall that morning at Sunny Meadows, an assisted-living facility. The accident had occurred when Sheri Smith, a new aide, lost her grip while helping Mrs. Gwynn in the shower. 
A frail but alert and cheerful woman of 85, Mrs. Gwynn has osteoarthritis and osteoporosis that have forced her to rely on a walker. Although her finances were limited, she has been living at Sunny Meadows since her husband's death 4 years ago. Dr. Johnstone knew that she didn't have any close relatives, and he did not think that she had signed a Health Care Power of Attorney designating someone to help with medical decisions like this. 
A total hip replacement would be the logical treatment for a younger patient because it could restore some of her lost mobility. However, for a frail patient like Mrs. Gwynn, internal fixation of the fracture might be the treatment of choice. This would repair the break, but not improve her mobility. 
Dr. Johnstone needs to make a decision soon, but he knows that Mrs. Gwynn is groggy from pain medication. With one more look at the x-ray, Dr. Johnstone sighed and walked toward Mrs. Gwynn's room. 
Because of the pain medication, Gladys Gwynn may not be able to speak for herself. Since she has no relatives to help, is it appropriate for Dr. Johnstone to make the decision about surgery for her? Under the circumstances, is it possible that when Gladys moved into Sunny Meadows they had her sign a Health Care Power of Attorney to someone at the facility?

Accepted Answer

As Gladys Gwynn is unable to speak for herself, Dr. Johnstone is caring her and is making decision for her surgery. Since she is very old and has been suffering from osteoporosis and osteoarthritis, it is not advisable for her to move back to the sunny meadows after this fracture. The other reason is she has no relatives to take care of her. Therefore, it would not be possible to continually care after her health if she moves into sunny meadows.

Question 2

Write the correct answer in the middle column.

Accepted Answer

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Question 3

The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions. 
Dr. Johnstone didn't like what he saw. The x-rays of Gladys Gwynn's hip showed a fracture of the femoral neck and severe osteoporosis of the hip. Mrs. Gwynn had been admitted to the orthopedic ward of Hamilton Hospital after a fall that morning at Sunny Meadows, an assisted-living facility. The accident had occurred when Sheri Smith, a new aide, lost her grip while helping Mrs. Gwynn in the shower. 
A frail but alert and cheerful woman of 85, Mrs. Gwynn has osteoarthritis and osteoporosis that have forced her to rely on a walker. Although her finances were limited, she has been living at Sunny Meadows since her husband's death 4 years ago. Dr. Johnstone knew that she didn't have any close relatives, and he did not think that she had signed a Health Care Power of Attorney designating someone to help with medical decisions like this. 
A total hip replacement would be the logical treatment for a younger patient because it could restore some of her lost mobility. However, for a frail patient like Mrs. Gwynn, internal fixation of the fracture might be the treatment of choice. This would repair the break, but not improve her mobility. 
Dr. Johnstone needs to make a decision soon, but he knows that Mrs. Gwynn is groggy from pain medication. With one more look at the x-ray, Dr. Johnstone sighed and walked toward Mrs. Gwynn's room. 
Because the accident happened when Sheri Smith was helping Mrs. Gwynn, do you think Sheri should be held responsible for the accident? Given that Sheri is an employee of Sunny Meadows, should that facility be held responsible?

Accepted Answer

As Sheri Smith is the aide of Gwynn, she is partially responsible for this accident. Since Gwynn is osteoporosis and osteoarthritis patient and even old aged, she must be cared very cautiously, in particular, when she in the shower. It is reasonable to say that accident has occurred due to the negligence or improper caring of Sheri. As Sheri is working as an aide in orthopedic ward, she should be held responsible for this accident.

Question 4

Write the correct answer in the middle column.

Accepted Answer

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Question 5

The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions. 
Dr. Johnstone didn't like what he saw. The x-rays of Gladys Gwynn's hip showed a fracture of the femoral neck and severe osteoporosis of the hip. Mrs. Gwynn had been admitted to the orthopedic ward of Hamilton Hospital after a fall that morning at Sunny Meadows, an assisted-living facility. The accident had occurred when Sheri Smith, a new aide, lost her grip while helping Mrs. Gwynn in the shower. 
A frail but alert and cheerful woman of 85, Mrs. Gwynn has osteoarthritis and osteoporosis that have forced her to rely on a walker. Although her finances were limited, she has been living at Sunny Meadows since her husband's death 4 years ago. Dr. Johnstone knew that she didn't have any close relatives, and he did not think that she had signed a Health Care Power of Attorney designating someone to help with medical decisions like this. 
A total hip replacement would be the logical treatment for a younger patient because it could restore some of her lost mobility. However, for a frail patient like Mrs. Gwynn, internal fixation of the fracture might be the treatment of choice. This would repair the break, but not improve her mobility. 
Dr. Johnstone needs to make a decision soon, but he knows that Mrs. Gwynn is groggy from pain medication. With one more look at the x-ray, Dr. Johnstone sighed and walked toward Mrs. Gwynn's room. 
The recovery time for internal fixation surgery is shorter than that following a total hip replacement. The surgery is also less expensive and has a less strenuous recovery period; however, Mrs. Gwynn probably will not be able to walk again. Given the patient's condition, and the limited dollars available for health care, which procedure should be performed?

Accepted Answer

It is better to go for internal fixation surgery, as Mrs. Gwynn is an oldie and that too a patient of osteoarthritis and osteoporosis. She might not be fully recovered and may remain bed ridden if she undergoes hip replacement surgery, as her calcium levels are very poor. Therefore, it is suggestible for her to undergo internal fixation surgery rather than hip replacement.

Question 6

Write the correct answer in the middle column.

Accepted Answer

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Question 7

The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions. 
Dr. Johnstone didn't like what he saw. The x-rays of Gladys Gwynn's hip showed a fracture of the femoral neck and severe osteoporosis of the hip. Mrs. Gwynn had been admitted to the orthopedic ward of Hamilton Hospital after a fall that morning at Sunny Meadows, an assisted-living facility. The accident had occurred when Sheri Smith, a new aide, lost her grip while helping Mrs. Gwynn in the shower. 
A frail but alert and cheerful woman of 85, Mrs. Gwynn has osteoarthritis and osteoporosis that have forced her to rely on a walker. Although her finances were limited, she has been living at Sunny Meadows since her husband's death 4 years ago. Dr. Johnstone knew that she didn't have any close relatives, and he did not think that she had signed a Health Care Power of Attorney designating someone to help with medical decisions like this. 
A total hip replacement would be the logical treatment for a younger patient because it could restore some of her lost mobility. However, for a frail patient like Mrs. Gwynn, internal fixation of the fracture might be the treatment of choice. This would repair the break, but not improve her mobility. 
Dr. Johnstone needs to make a decision soon, but he knows that Mrs. Gwynn is groggy from pain medication. With one more look at the x-ray, Dr. Johnstone sighed and walked toward Mrs. Gwynn's room. 
Would you have answered Question 3 differently if Mrs. Gwynn were your mother?

Accepted Answer

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Question 8

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Question 9

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Question 10

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Question 11

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Question 12

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Question 13

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Question 14

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Question 15

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Question 16

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Question 17

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Question 18

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Question 19

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Question 20

Select the correct answer, and write it on the line provided. The shaft of a long bone is known as the ___________________________________________________

Accepted Answer

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Quiz 3: The Skeletal System