Intro

Question 1

affecting 4 or fewer joints

Answer 1

pauciarticular

Question 2

pain in joint w/o inflammation

Answer 2

arthalgia

Question 3

osetoarthritis (degenerative joint disease) commonly affects

Answer 3

DIP and PIP
hip/knee
cervical and lumbar spine
SPARES wrist and metacarpal joints
bony, hard, and cool joints

Question 4

( )%of all people have radiographic features of osteoarthritis in weight-bearing joints by age 40

Answer 4

90

Question 5

common clinical finding of DJD?

Answer 5

• morning stiffness lasting >30 min
• Worse with use of the affected joint or weight bearing activity
• Improves with rest

Question 6

heberden node

bouchard node

Answer 6

DIP

PIP

Question 7

lab findings for DJD?

Answer 7

does not cause elevation in ESR or CRP
clinical dx
osteophytes at joint margin are common

Question 8

RA affects these joints

Answer 8

wrist and MCP
SPARES PIP and DIP and SI joints
spongy and warm joints

Question 9

first line tx of DJD?

Answer 9

• tylenol
• NSAIDS
• cortisone injections
• hyalauronic injections
• glucosamine

Question 10

when would you replace the joint?

Answer 10

• can’t walk

- constant pain

Question 11

RA definition

Answer 11

Chronic systemic autoimmune inflammatory disease of unknown etiology, mainly affecting synovial membranes of multiple joints

Question 12

clinical findings for RA?

Answer 12

• symmetric joint swelling
• morning stiffness >30 min
• worse after strenuous activity
• ulnar deviation
• episcleritis

Question 13

Boutonierre deformity

Answer 13

Hyperextension of the DIP joint with flexion of the PIP

Question 14

swan neck deformity

Answer 14

Flexion of the DIP joint with hyperextension of the PIP

Question 15

felty’s syndrome (complication of RA)

Answer 15

Neutropenia
Splenomegaly
Recurrent infections

Question 16

best tests to confirm RA?

Answer 16

• rheumatoid factor

- anti-CCP antibody (very specific)

Question 17

best treatment options for RA?

Answer 17

• NSAIDs
• COX 2 inhibitor
• steroids

Question 18

best med to alter the course of RA if used within 3 months of dx?

Answer 18

DMARDS 9disease modifying antirheumatic drugs)

-methotrexate + folic acid

Question 19

Still’s disease (variant of RA)

Answer 19

High fever, sweats, chills
Sore throat
Evanescent salmon-colored nonpruritic rash on chest and abdomen