arthritis rheumatism

Question 1

osteoarthritis risk factors

Answer 1

age>50
injury to joint
obesity
prolonged occupational or sports stress
heredity

Question 2

in fingers, OA presents where?

Answer 2

DIP joints

Question 3

crepitus

Answer 3

common and sensitive criterion for the disease

Question 4

OA of wrist, ankles, shoulders is often result of

Answer 4

trauma or other secondary causes

Question 5

OA has significant limitation of ROM on active and passive testing: true or false

Answer 5

true

Question 6

for OA, radiologic imaging is useful primarily when surgical intervention is considered and shouldn’t be used to make diagnosis: true or false

Answer 6

true

Question 7

management of OA

Answer 7

twice daily exercise programs, low impact aerobic conditioning produce increased strength and pain reduction

braces for asymmetric walking patterns

exercise to muscle group that supports joint to reduce wear and tear

lose weight for obese pts

acupuncture

Question 8

describe changes in RA

Answer 8

synovium forms pannus of granulomatous tissue that erodes cartilage, ligaments, tendons, eventually bone

granulomas can also form subcu nodules and affect other organs such as lungs, heart, bowel

effusions may be present in joints-surrounding muscles atrophy from disuse

severe musculoskeletal deformities can eventually occur, causing ankylosis (fusion) of joint surfaces)

Question 9

most ppl with high serum urate levels are asymptomatic and will never have gout: true or false

Answer 9

true

Question 10

definitive diagnosis of gout made by

Answer 10

needle-like monosodium urate crystals from synovial fluid or a tophus that microscopically are negatively birefriengent

Question 11

management of acute gout

Answer 11

indeomethacin (but high side effect profile)
naproxen (safer)
oral steroids (if can’t tolerate NSAIDs)
colchicine (narrow thera window, can’t use in renal failure)

Question 12

polymyalgia rheumatica

Answer 12

cervical spine, shoulder, hip pain and stiffness
myalgais
signs of systemic inflam such as malaise, weight loss, sweats, low grade fever

Question 13

diagnosis of polymyalgia rrheumatica based on

Answer 13

clinical grounds along w increased ESR, anemia, and ocassionally elevated LFTs

Question 14

infectious disorders affecting joints-list ex

Answer 14

septic arthritis
viral-fifth disease
Lyme dis
reactive arthritis (Reiter syn)