7: Osteoarthritis Flashcards

1
Q

T/F Unlike rheumatoid arthritis, osteoarthritis is not generally considered an inflammatory disease. Usually, it affects individual joints without systematic effects.

A

True

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2
Q

T/F OA is not inflammatory. Therefore, there is joint pain but no swelling. Swelling is common with RA though, as it is inflammatory in nature.

A

False. Although swelling often occurs in the soft tissue surrounding affected joints, osteoarthritis is not inflammatory by nature.

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3
Q

T/F RA is more common than OA.

A

False. OA is the most common arthritis.

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4
Q

OA occurs with _____ loss.

A

Cartilage

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5
Q

On x-ray, you can see bone _____ and bone _____ in OA.

A

Bone spurs and bone cysts

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6
Q

Risk factors for OA (7)?

A
  1. Age: 75% of persons over age 70 have OA
  2. Female
  3. Obesity
  4. Heredity
  5. Trauma
  6. Neuromuscular dysfunction
  7. Metabolic disorders
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7
Q

Does OA have morning stiffness or pain later in the day?

A

Pain later in the day (after use).

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8
Q

Is there decreased ROM with OA?

A

Yes

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9
Q

T/F There are no bony enlargemennts with OA.

A

False

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10
Q

T/F Crepitus can be present with OA.

A

True

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11
Q

What joints are commonly affected by OA (5)?

A
  1. Hands
  2. Feet
  3. Hips
  4. Knees
  5. Spine
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12
Q

The joints most commonly affected in the hands are the _____ at the base of the thumb and the _____ and _____ of the fingers.

A

Carpometacarpal joint at base of thumb

PIPs and DIPs

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13
Q

The goal of OA treatment is _____ by pain reduction and continued mobility.

A

Disability prevention

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14
Q

What are nonpharm treatments for OA (5)?

A
  1. Routine exercise
  2. Patient education
  3. Physical therapy
  4. Weight loss
  5. Surgery (last resort)
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15
Q

What are pharm treatments for OA (4)?

A
  1. Acetaminophen: first-line treatment, up to 3 g/day.
  2. NSAIDs: can be used instead of Tylenol if there are liver issues or if some inflammation is present.
  3. Intra-articular steroid injection: if inflammation is present.
  4. Hyaluronate injection: a viscous solution that helps relieve knee pain in some cases.
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