Arthritis

Question 1

Clinical indications of Osteoarthritis

Answer 1

• Pain on exertion, relieves with rest
• Joint stiffness & restricted ROM
• Morning stiffness < 30min
• Asymmetrical involvement

Question 2

Joint specific findings in OA

Answer 2

• Heberden nodes
(Pain & dorsal thickening at DIP)

• Buchard nodes
(Pain & dorsal thickening at PIP)

• Rizarthrosis
(Inflammation etc. at 1st carpometacarpal joint) ..trapezoid + 1st metacarpal

Question 3

Classic radiological finding in OA

Answer 3

• Irregular Joint space narrowing
• Bone spurs (osteophytes)
• Subchondral cysts

Question 4

Result of Inflammatory markers in osteoarthritis

Answer 4

• Normal ESR, CRP

* Synovial fluid WBC count <2000 mm3

Question 5

Classic RA polyarthralgia

Answer 5

• Morning stiffness > 30 min
• Symmetrical* Pain & swelling of..
• MCP & PIP
• (wrist & knee)

Question 6

RA Joint deformities

Answer 6

• Swan neck
• Boutonniere
• Hitch hiker thumb
• Ulna deviation

Atlantoaxial subluxation

Question 7

Key Extraarticular features in RA

Answer 7

• Constitutional Sx
• RA skin & lung nodules
• Pleural effusion
• Scleritis
• Carpal Tunnel Syndrome
• Raynaud phenomenon

Question 8

Key Laboratory tests in RA

Answer 8

• Raised inflammatory markers
• Anti-CCP
• RF
• Synovial WBC 5000- 50 000/uL

Question 9

RA pt with Hx of active peptic ulcer diz..

Answer 9

• NSAIDS not recommended

Question 10

Skin findings in Dermatmyositis

Answer 10

• Helitrope rash

* Gottron papules

Question 11

Baker cyst seen in which arthritis

Answer 11

Rheumatoid Arthritis