Year Patient Comes Question & Answer Guide (With Explanation)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to year patient comes and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves year patient comes. A strong answer should include explanation, application, and examples.

Original Question

A 78-year-old patient comes to the office for evaluation of increasing right knee pain. She has been treated for osteoarthritis for several years and she had been doing well until well last weekend when she developed increased pain after taking her usual short walk with her 4-year-old granddaughter. She did not fall or recall an injury to her knee but reports that her right knee has become swollen and it is now painful to walk. She received an “injection” in her right knee eight months ago, and a second injection four months ago, when she had similar symptoms. She is requesting another injection so that she can get back to her usual level of function as soon as possible. Her past medical history includes hypertension, diabetes, and gastrointestinal bleed. She takes hydrochlorothiazide 25 mg/day, benazepril 20 mg/day, metformin 500 mg three times daily, acetaminophen 4.0 grams daily, and hydrocodone 5 mg three times daily. Lab results include uric acid 6 mg/dL [Normal: 2.3-6.6 mg/dL] and rheumatoid factor negative. Physical exam shows her temperature is 37 C (98.6 F) [Normal: 37 C (98.6 F)], pulse is 66 beats/minute [71-121 beats/minute], blood pressure is 128/74 mmHg [Normal: 139/68 mmHg], weight is 84 kg (185 lbs), height is 178 cm (70 in), and body mass index is 26.5 kg/m [Normal: 18.5-24.9 kg/m2]. Her right knee demonstrates fluctuate medially, is cool to the touch, and tender with pressure and extension. The remainder of the examination is within normal limits. Which of the following is the most appropriate response to this patient’s request for a joint injection? O Advise the patient to lose weight first After two injections already, the only option is knee replacement Injections can be given up to three times per year Injections can be given whenever there is inflammation Return to full activity immediately after an injection

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