arthroses

Question 0

OA xray findings?

Answer 0

subchondral cysts, osteophytes, joint space narrowing, bone eburnation

Question 1

most common (non-inflammatory) arthritis?

Answer 1

OA

Question 2

most common joint affected by OA?

Answer 2

knee (asymmetric)

Question 3

tx options for OA?

Answer 3

supportive (NSAIDS, cane, etc.), surgery (debridement, arthroplasty)

Question 4

extreme OA due to disturbed sensory innervation?

Answer 4

neuropathic arthropathy (Charcot joint)

Question 5

Charcot joint most common cause?

Answer 5

DM

Question 6

most common joint involvement of Charcot joint?

Answer 6

foot, ankle

Question 7

most common cause of Charcot joint in UE?

Answer 7

syringomyelia

Question 8

most similar presentation to Charcot joint?

Answer 8

osteomyelitis

Question 9

rheumatic fever

Answer 9

migratory arthritis (multiple large joints), Jones criteria

Question 10

ochronosis

Answer 10

degenerative arthritis due to alkaptonuria (high homogentisic acid)

Question 11

most common (inflammatory) arthritis?

Answer 11

RA

Question 12

RA diagnostic criteria?

Answer 12

morning stiffness, swelling, nodules (+ labs, xray)

Question 13

RA characteristics?

Answer 13

morning stiffness, polyarthritis, ulnar deviation/ subluxation of MCPs/MCTs, claw toes

Question 14

RA labs?

Answer 14

elevated ESR, CRP, (+) Rheumatoid factor

Question 15

‘pyramid approach’ to RA tx?

Answer 15

NSAIDS, antimalarials/ steroids/cytotoxic drugs, doxycycline

Question 16

alternative to pyramid approach in RA?

Answer 16

DMARDs: infliximab, etanercept; surgery

Question 17

SLE arthritis

Answer 17

75% of SLE pxs; PIPs, MCPs, knees

Question 18

JRA

Answer 18

poly- (5 or more) or pauci- (4 or less) articular, F > M, knee

Question 19

JRA tx?

Answer 19

high-dose aspirin, ophtha referral

Question 20

ankylosing spondilitis diagnostic criteria?

Answer 20

B sacroiliitis, (+) HLA-B27 MALE, (-) RF

Question 21

ankylosing spondilitis xray changes?

Answer 21

SQUARING of vertebrae

Question 22

ankylosing spondilitis tx?

Answer 22

PT, NSAIDs, surgery

Question 23

Reiter’s syndrome?

Answer 23

can’t see/pee/bend the knee

Question 24

psoriatic arthritis xray finding?

Answer 24

pencil-in-cup deformity

Question 25

gout etiology?

Answer 25

monosodium urate crystals deposition (negatively birefringent)

Question 26

gout prophylactic tx after recurrence?

Answer 26

colchicine

Question 27

gout tx?

Answer 27

acute attacks - indomethacin (50mg 3x/day), allopurinol

Question 28

pseudogout

Answer 28

chondrocalcinosis (Ca pyrophosphate)

Question 29

infectious arthritides causes?

Answer 29

HEMATOGENOUS, osteomyelitis extension (contiguous), posttraumatic (inoculation), postoperative

Question 30

IV drug user usual joint involvement?

Answer 30

sternoclavicular, sacroiliac

Question 31

infectious arthritides tx?

Answer 31

incision and drainage, antibiotics

Question 32

hemophilic arthropathy

Answer 32

X-linked, Factor VIII deficiency: repeated hemarthrosis after minor trauma

Question 33

hemophilic arthropathy tx?

Answer 33

correction of factor deficiency, splints, compression dressing, surgery

Question 34

possible sickle cell disease sequela?

Answer 34

local (joint) infarction due to capillary stasis: infarct/necrosis of femoral head