arthritis/Parkinson quiz 11/24

Question 1

Immune system attacks itself
inflammation of joints over a long period of time
may have exacerbations and remissions

Answer 1

Rheumatoid arthritis

Question 2

Joint swelling: weakens the joint capsule, tendons, and ligaments
Secrets enzymes that damage the cartilage, bones, and tendons

Answer 2

Synovitis

Question 3

Fatigue
loss of appetite
fever
weight loss
overall achiness & stiffness
may affect blood vessels, lungs, heart,  & eyes

Answer 3

Systemic symptoms of RA

Question 4

Usually bilateral & symmetrical

small joints of wrist, thumb, and hand are most affected

Answer 4

Joint involvement in RA

Question 5

Not inflammatory, it’s a wear and tear disease.

mainly in the weight bearing joints

Answer 5

Osteoarthritis

Question 6

Occurs with excess of uric acid in the body
onset is rapid with extreme pain
(Often affects the great toe)

Answer 6

Gout

Question 7

Grating, crunching, or popping with joint motion

occurs with RA & OA

Answer 7

Crepitation

Question 8

Hypertension of PIP joint and flexion of DIP joint

Unable to make a fist or hold small objects

Answer 8

Swan neck deformity

Question 9

Hypertension of DIP joint and flexion of PIP joint.

Answer 9

Boutonniere deformity

Question 10

When a joint becomes subluxed or dislocated

wrist and MCP joints are the most common sites of subluxation

Answer 10

Joint laxity

Question 11

No cure (treatment to reduce symptoms & maintain function)

Answer 11

Medical treatment for arthritis

Question 12

Remove the diseased synovium

Answer 12

Synovectomy

Question 13

Remove the tendon sheath

Answer 13

Tenosynovectomy

Question 14

Joint reconstruction

Answer 14

Arthoplasty

Question 15

Joint fusion

Answer 15

Arthodesis

Question 16

Functional abilities are the first consideration
observe for signs of inflammation
assess patients knowledge of disease & use of joint protection
address ADLs
consider psychological and socal factors

Answer 16

OT interventions

Question 17

Rest
positioning
PAMs

Answer 17

Treatment methods

Question 18

Pain, tenderness, and stiffness; hot, red, swollen joint

gentle passive and active ROM to the point of pain (without stretching)

Answer 18

Acute stage

Question 19

Morning stiffness; decreased pain and tenderness

active/passive ROM, gentle passive stretch, isotonic and graded isometric exercises with minimal stress to joints

Answer 19

Subacute stage

Question 20

Reduced pain and tenderness, increased tolerance but low endurance
stretch at end range, resistive isotonic and isometric exercises that do not stress the joints

Answer 20

Chronic active and chronic non active

Question 21

A progressive neurological disease of the central nervous system

Answer 21

Parkinsons

Question 22

With parkinsons which approach is recommended

Answer 22

Client centered approach

Question 23

Tremor, rigidity, bradykinesia, postural instability

Answer 23

4 primary symptoms of PD

Question 24

Slow voluntary movements

Answer 24

Bradykinesia

Question 25

Small handwriting

Answer 25

Micrographia

Question 26

Focused on relieving symptoms
medications
surgical option

Answer 26

Medial management of PD

Question 27

Difficulty in performing voluntary movements

Can look like smooth this or uncoordinated dance

Answer 27

Dyskinesia

Question 28

Improving participation in areas of occupation
motor skills and prevention of deformities
communication
psychosocial issues
conscious attention is required
limit multitasking
cognitive and sensory self cues and triggers

Answer 28

OT interventions

Question 29

Cue cards
line on the floor
metronome
music
recording of patient giving himself cues

Answer 29

Environmental cues