Arthritis

Question 1

what is the most common form of arthritis

Answer 1

ankylosing spondyltits

Question 2

what is the most common bacteria in septic arthritis

Answer 2

Staph. arureus

Question 3

were are the osteophytes located in the hand in rheumatoid arthritis

Answer 3

PIP

MCP

Question 4

in osteoarthritis what will be found in the DIP and PIP joints

Answer 4

Heberden’s nodes: DIP

Bouchards node: PIP

Question 5

on the body how does Rheumatoid arthritis distrubte

Answer 5

symmetric

Question 6

what will the X-ray show for osteoarthritis

Answer 6

loss of joint space
sclerosis
sunchondral cysts
osteophytes

Question 7

what are other side effects of rheumatoid arthritis

Answer 7

malaise,

carpal tunnel disease

Question 8

in order to diagnose a patient with rheumatoid arthritis they must have what

Answer 8

4/6 
morning stiffness for 1 hours
arthritis of 3+joints for 6 weeks
Systemic arthritis for 6 weeks
Rheumatoid nodules 
\+RH factor 
radiographic changes

Question 9

what tests can be use to detect rheumatoid arthritis

Answer 9

Rheumatoid factor ( IgM Ab against Fe portion of IgG)
HLA-DR4
ESR-CRP elevated

Question 10

what will X-ray of Rheumatoid arthritis show

Answer 10

bony erosion
joint space loss
C1-2 instability

Question 11

treatment options for Rheumatoid Arthritis

Answer 11

NSAIDs
Steroids
DMARDs (disease modifying drugs)
surgery

Question 12

Septic arthritis occurs in who

Answer 12

children

-immunocompromised adults

Question 13

in septic arthritis what protein causes destruction

Answer 13

Metalloproteases

Question 14

what are symptoms of septic arthritis

Answer 14

PAIN with ROM of joint

fever, tachycardia

Question 15

what will labs show for septic arthritis
WBC
ESR, CRP
blood culture
x-rays 
joint aspirate

Answer 15

WBC: elevated or normal
ESR, CRP: elevated
blood culture: point towards bacteria 
x-rays: normal in acute setting  
joint aspirate: greater 50,000 WBC/mm3

Question 16

septic arthritis common bug for:
neonate:
5 yrs less:
5-teen:
adolescents:
adults:
sickle cell:

Answer 16

neonate: staph aureus
5 yrs less: staph aures 
5-teen: staph arues 
adolescents: gonorrhea
adults: staph arues 
sickle cell: Salmonella

Question 17

Chronic septic arthritis is most likely from

Answer 17

Tb or lyme

Question 18

treatment for septic arthritis

Answer 18

surgical washout

antibiotics

Question 19

what joints get impacted by Seronegative spondyloarthropathies

Answer 19

SI joints

spine

Question 20

protein present in Seronegative Spondyloarthropathies

Answer 20

HLA-B27

Question 21

what are 3 clinical symptoms for seronegative spondyloarthropathies

Answer 21

uveitis
carditis
enthesitis

Question 22

When does Reiter Disease appear

Answer 22

after: urethritis, cervicitis, or dysentery

2-8 weeks after infection

Question 23

clinical symptoms for psoriatic arthritis

Answer 23

nail disorders

iritis

Question 24

Inflammatory Bowel Disease more in

Answer 24

Crohns

Question 25

what are symptoms of Seronegative Spondylorthropathies

Answer 25

back pain

morning stiffness

Question 26

what exam is used for sernegative spondyloarthropathies

Answer 26

FABER
SI joint
enthesitis

Question 27

what labs can be done and be positive for Seronegative Spondyloarthropathies

Answer 27

HLA-B27

X-rays of spine

Question 28

treatment for Seronegative spondyloarthropathies

Answer 28

NSAIDS, MTX

surgery

Question 29

For osteoarthritis, is the pain worse at the beginning or end of the day

Answer 29

end

Question 30

what is the incidence of Akylosing Spondylitis

Answer 30

1 in 2000

Question 31

Rheumatoid arthritis patients that undergo surgery must have what part of their spine evaluated to prevent cord injury

Answer 31

C1 and C2

Question 32

what arthritis falls under seronegative spondyloarthropathies

Answer 32

ankylosing spondylitis
Reiter disease
Psoriatic arthritis
Inflammatory Bowl Disease