Final - Arthritis Overview Flashcards

1
Q

What is HADD?

A

Hydroxyapatite Deposition Disease

Causes calcific tendinosis

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2
Q

What is CPPD?

A

Crystal Deposition Disease (Calcium Pyrophosphate Dihydrate)

Causes chondrocalcinosis

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3
Q

What Which two types of arthritis have uniform joint space loss?

A

Infectious and inflammatory

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4
Q

Which type of arthritis is characterized by capsular joint distension?

A

Infectious

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5
Q

Which type of arthritis has subchondral sclerosis, cysts and osteochondral bodies?

A

Degenerative

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6
Q

Which types of arthritis cause a loss of subchondral bone?

A

Infectious and inflammatory

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7
Q

What four types of arthritis fall under the category of degenerative?

A

OA, DISH, snoviochondrometaplasia, neuropathic arthritis

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8
Q

T or F: DISH can have large impact on disc space height

A

False

Doesn’t affect discs

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9
Q

Which type of arthritis is very destructive and corresponds to the 6 Ds?

A

Neuropathic arthritis

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10
Q

Which arthritis has multiple intraarticular osteochondral bodies?

A

Synoviochondrometaplasia

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11
Q

Which type of arthritis shows gull-wing deformity in the phalanges?

A

EOA

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12
Q

Which two arthritis types show juxtaarticular osteopenia? Which shows sclerosis?

A

Inflammatory and infectious

Degenerative

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13
Q

What are the seronegative spondyloarthropathies and what location on the body do they all affect?

A

Reiter’s, Psoriatic, AS, Enteropathic

SI joint

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14
Q

Which two arthritis can cause DIP/PIP degeneration and coarse syndesmophytes? Symmetric or asymmetric sacroiliitis?

A

Psoriatic and Reactive arthritis

Asymmetric

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15
Q

Are actual joint changes common in scleroderma and SLE?

A

No, it is unlikely that you will see any radiographic changes

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16
Q

3 characteristics of Hypertrophic Osteoarthropathy

A
  1. Digit clubbing
  2. Joint pain, swelling
  3. Bilateral periosteal response
17
Q

What joint condition causes overhanging margins?

A

GOUT

18
Q

In which condition does pain and stiffness last longer during episodes, DJD or inflammatory arthritis?

A

DJD <1.2 hour
RA >1hour

RA should last quite a bit longer

19
Q

What hand/foot joints is psoriatic arthritis likely to affect?

A

DIPs

20
Q

T or F: DJD is characterized by erosions

A

False

21
Q

What seronegative spondyloarthropathy has thin syndesmophytes?

A

AS

PA and RA have coarse syndesmophytes

22
Q

DJD and bony changes vs inflammatory bony changes

A

DJD= osteophytes, sclerosis

Inflammatory= syndesmophytes, osteopenia

23
Q

M/C locations of CPPD?

A

Knee
Wrist
Pubic Symphysis

24
Q

M/C locations for HADD?

A

Shoulder

Hip

25
Q

Definition of syndesmophytes?

A

Calcification of paraspinal periarticular soft tissue

26
Q

Definition of enthesophyte?

A

Calcification of tendon or ligament insertion

27
Q

If all 3 joints n a single digit is inflamed (“ray pattern”), what kind of arthritis would you suspect?

A

Psoriatic arthritis

28
Q

Which two inflammatory arthropathies cause bilateral, symmetrical sacroiliitis?

A

AS and enteropathic arthritis

29
Q

Which two conditions cause unilateral or bilateral asymmetrical sacroiliitis?

A

Psoriatic and reactive arthritis

30
Q

T or F: RA, DISH and DJD all commonly affect the SI joint

A

False

31
Q

Which arthritis condition may have marginal syndesmophytes but it is less common?

A

Enteropathic arthritis

32
Q

Atlanta-axial instability is seen in these three arthritic conditions

A

RA
AS
PA

33
Q

Which condition exhibits reversible hand deformities?

A

SLE

34
Q

Which arthritic condition exhibits triangular sclerosis of the iliac portion of the SI joints without showing evidence of erosion?

A

Osteitis Condensans Ilii

35
Q

What are the 6 D’s of neuropathic arthritis?

A
Distended joint
Decreased density
Debris
Dislocation
Disorganization 
Destruction
36
Q

What tissues are involved in DISH and where?

A

Usually ALL. Upper Lx, throughout Thx and lower Cx.

Can also affect pelvis, patella, calcaneous, elbow and superior SI joint.

37
Q

T or F: facets are usually involved with DISH

A

False

38
Q

What metabolic disease is commonly associated with DISH?

A

Diabetes

39
Q

T or F: erosions, bilateral symmetry and uniform joint space lost are common in certain inflammatory arthropathies

A

True