Arthritis

Question 1

Causes of back pain x5

Answer 1

Trauma
Neoplasms
Inflammation
Osteodegenerative disorders - OA, spondylosis, herniated disc

Question 2

State 2 levels of disk herniation and their effect on walking

Answer 2

L4-5 - foot drop and disability to walk on toes
L5-S1 - disability to walk on heels

Question 3

Physical exam findings for osteoarthritis x3

Answer 3

Crepitus
Reduced ROM
Pain on ROM
Heberden nodes (distal)
Bouchard nodes (proximal)

Question 4

Radiological findings in osteoarthritis x5

Answer 4

Normal mineralization
Subchondrial cysts
Subchondrial joint space loss
Subchondrial new bone formation
Osteophyte formation
Non uniform joint space loss

Question 5

Treatment of osteoarthritis x6

Answer 5

Medical:
NSAIDS
Intraarticular steroids
Chondroitin sulfate

Supportive:
Weight loss
Physiotherapy
Joint replacement

Question 6

Xray finding of rheumatoid athritis x4

Answer 6

Marginal erosions
Sublaxation/dislocations
Periarticular swelling
Uniform joint space loss

Question 7

Extra articular manifestations of RA x6

Answer 7

Ocular- keratoconjunctivitis
Respiratory - cavitations
Cardiac- p. effusion, pericarditis
Neuro- C spine deformity
Renal- complication of RA meds
GIT - ischemic bowel

Question 8

Risk factors for septic arthritis x5

Answer 8

DM
Prosthetic joints
Liver cirrhosis
Chronic renal failure
Multiple myeloma and lymphoproliferative disorders