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exam 4 MS > chapter 46 > Flashcards

chapter 46 Flashcards

1
Q

osteoarthritis etiology

A

joint over use

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2
Q

non modifiable (primary) osteoarthritis risk factors

A

age
inherited genes

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3
Q

modifiable (secondary) osteoarthritis risk factors

A

obesity (more weight on bones)
joint injury
repetitive stress to joints (I.e construction worker)
immobility

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4
Q

osteoarthritis prevention

A

exercise
weight loss
proper diet
take work breaks
avoid injuries

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5
Q

osteoarthritis S/S

A

pain
crepitus
joint effusion
heberden & bouchard nodes

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6
Q

when is osteoarthritis pain worst

A

in the morning

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7
Q

pt will describe osteoarthritis pain as?

A

“stiffness“

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8
Q

osteoarthritis pain improves with?

A

time (30 mins)
exercise

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9
Q

abnormal fluid in joints is called

A

joint effusion

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10
Q

is osteoarthritis onset gradual or abrupt

A

gradual

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11
Q

is osteoarthritis a systemic inflammatory disease?

A

no it will have localized inflammation

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12
Q

will a pt with right shoulder osteoarthritis pain have associated left shoulder pain?

A

no osteoarthritis pain is asymmetric

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13
Q

small swollen bumps that grow on your finger joints are called?

A

heberden’s and bouchard nodes

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14
Q

what imaging diagnostic studies are used for osteoarthritis

A

MRI
CT scan

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15
Q

osteoarthritis labs

A

aspirated joint fluid
ESR
CRP

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16
Q

non inflammatory, localized, progressive disorder that involves deterioration of articular cartilages

A

osteoarthritis

17
Q

osteoarthritis pain is exacerbated by?

A

motion

18
Q

pain will have what effect on osteoarthritis patients motion?

A

limited motion

19
Q

what is a proximal interphalangeal joint?

A

middle knuckles of the fingers

20
Q

what is the distal interphalangeal joint?

A

joint closest to tip of finger

21
Q

bony swelling of a distal interphalangeal joint is called?

A

heberden node

22
Q

bony swelling of proximal interphalangeal joint is called?

A

bouchard node hint: someone running their bouche (mouth in french) gets the middle finger 🖕🏾

23
Q

rheumatoid arthritis S/S

A

-fever (low grade)
-generalized inflammation
-symmetrical joint involvement (i.e both knees)
-generalized weakness/fatigue
- morning stiffness (last longer than O.A)
-lymphadenopathy
-weight loss

24
Q

the systemic nature of rheumatoid arthritis can cause?

A
  • myocardial infarction
  • angina
  • thrombic complications (blood clots)
  • pathological fractures
25
Q

rheumatoid arthritis labs

A
  • rheumatoid factor (RF)
  • anti-CCPBA
  • ANA
    -ESR
  • CRP
26
Q

rheumatoid arthritis imaging

A
  • x-rays
  • ct scan
  • arthrocentesis
27
Q

when fluid is taken out of a joint with a needle

A

arthrocentesis

28
Q

why is rheumatoid arthritis sometimes misdiagnosed as lupus

A

both affect smaller joints in the body in the same way

29
Q

how is rheumatoid arthritis differentiated from lupus

A

bone erosion and deformity in later stage of rheumatoid arthritis

30
Q

rheumatoid arthritis treatment

A

-glucocorticoids (for inflammation & to suppress immune system)
- NSAIDS (pain & fever)
- antidepressants (depression from R.A sxs)
- methotrexate (immunosuppressant & chemotherapy)

31
Q

what is something to monitor for in patients receiving methotrexate treatment?

A

infection

32
Q

what does methotrexate do to bone marrow?

A

suppresses bone marrow

33
Q

can you send flowers to a patient receiving methotrexate treatment?

A

no because they can cause infection

34
Q

what should patients receiving methotrexate or immunosuppressants avoid to prevent infection?

A

flowers
crowded areas
sick people

35
Q

bending at base of finger and outermost joint is called

A

swan neck deformity

36
Q

bone deformity caused by rheumatoid arthritis

A

swan neck deformity

exam 4 MS (5 decks)

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