clinical eval. of arth

Question 1

3 classifications of arth

Answer 1

1. inflammatory
2. degerative
3. non-articular

Question 2

4 types of inflammatory

Answer 2

1. seropos
2. seroneg
3. crystal
4. infectious

Question 3

2 types of degen.

Answer 3

1. primary

2. secondary

Question 4

2 typesof non-articular

Answer 4

1. localized

2. generalized

Question 5

5 types of seropos

Answer 5

1. RA
2. SLE
3. scleroderma
4. polymyostits
5. sjorgen’s

Question 6

features of seropos in terms of symmetry, stiffness, AABs

Answer 6

symmetry - symetrical polyarth
stiffness - > 1hour
AA - ANA and RF

Question 7

2 types of seroneg and their 2 types

Answer 7

1. symmetrical
   - ankylosing spondylitis
   - IBD
2. assymetrical
   - psoriatic
   - reactive

Question 8

char. of seroneg

Answer 8

stiffness > 1 hour
HLA +ve
no A-ABs

Question 9

3 types of crystal arht

Answer 9

gout - urate
pseudo gout - ca pyrophosphate
calcific tendonitis - hydroxyapatate

Question 10

features of crystal (4)

Answer 10

usually mono
abrupt onset
goes away completely
looks for urate or Ca crystals

Question 11

2 types of infectious

Answer 11

1. gonococcal
2. non - gon
   - bact.
   - TB
   - fungal

Question 12

features of infectious

Answer 12

• mono
• abrupt or insiduous onset
• predisposed hpst
• pain at rest, sever with movement
• purulent syovial fluid

Question 13

3 types of primary degen

Answer 13

1. OA
2. heberdenes nodes
3. regional hip or knee

Question 14

3 types of secondary degen

Answer 14

1. traumatic
2. metabolic
3. hemophlia

Question 15

char. of degen in terms of distribution, inflamm, streutural changes

Answer 15

distribution - DIP, PIP, thumb, 1st MTP, knee, spine
inflamm - short stiffness, bland fluid, mechanical pain
structural changes- crepitus, enlargement, malalignment

Question 16

7 parts of Hx and Px that give you clues

Answer 16

1. onset
2. chars.
3. pattern
4. course
5. therapy
6. clinical exam
7. ADL

Question 17

5 parts of ADL to assess

Answer 17

1. personal care
2. aprehension ( grip)
3. mobility
4. avocation - hobbies etc
5. vocation

Question 18

4 functional classes

Answer 18

1 - totally fine

2. fine, but limited in avocational
3. limited in vocational and avocational
4. limited self care

Question 19

3 things seen on inflammatory xray

Answer 19

1. diffuse cart. loss
2. erosion
3. periart. osetopenia

Question 20

3 things seen on non-inflamm

Answer 20

1. uneven cart. loss
2. bone overgrowth
3. eburnation