arthritis- radiology lecture

Question 1

osteoarthritis

Answer 1

protective cartilage at ends of bones breaks down

Question 2

which joints are affected in primary osteoarthritis

Answer 2

weight bearing / active joints

Question 3

secondary osteo

Answer 3

affects an unexpected site due to overuse, previous injury or previous arthritis

Question 4

what can lead to secondary osteo

Answer 4

rheumatoid arthritis and gout

Question 5

Most commonly affected joints in osteo

Answer 5

knees, hands and hips

Question 6

join type affected in osteo

Answer 6

synovial

Question 7

symmetry of OA

Answer 7

asymmetrical within or between joints

Question 8

radiographic features in OA

Answer 8

healthy bones have joint space and those with OA is reduced space

Question 9

effect of synovial fluid

Answer 9

dissects into bone forming cycts s

Question 10

symmetry in RA

Answer 10

symmetrical

Question 11

joints affected in RA

Answer 11

synovial only, HANDS

Question 12

what may cause soft tissue swelling

Answer 12

synovial proliferation and reactive joint effuion

Question 13

osteopenia

Answer 13

decraese in bone mineral density

Question 14

hallmark of RA

Answer 14

Marginal erosion ;
inflamed synovium destroys bone intially at joint margin

Question 15

effect of erosion

Answer 15

bone gets smaller

Question 16

seronegative arthritides

Answer 16

ankylosing spondylitis
psoriatic arthritis
reiters syndrome

Question 17

what is seronegative arthritides characterised by

Answer 17

synovitis and enthesitis

Question 18

enthesitis

Answer 18

inflammation at sites where ligaments and tendosn attach to bone

Question 19

synovitis

Answer 19

inflammation of joint and tendon sheath linigns

Question 20

ankylosis

Answer 20

stiffness of a joint

Question 21

where is psoriatic arthritis seen

Answer 21

small joints of hands and feet

Question 21

where is ankylosing spondylitis and reiters syndrome seen

Answer 21

scattered large lower limb joints

Question 22

where is more isotpoe seen

Answer 22

inflamed joint

Question 23

isotope test

Answer 23

uses a small dose of radioactive chemical to look at bones, organs and other parts of the body

Question 24

xray findings in osteo

Answer 24

LOSS
loss of joint space
marginal osteophytes
sclerosis
subchondral cysts

Question 25

management of osteo

Answer 25

excersize
nsaids
steroid injections for flare up ; 3 per year
replacement of joint

Question 26

difference between RA and OA

Answer 26

RA is an Inflammatory autoimmune disorder characterized by joint pain, swelling, and synovial destruction
OA is Chronic disease involving the imbalance between wear and repair of articular (hyaline) cartilage leading to progressive cartilage loss and accompanying periarticular change