JOINT DISEASES

Question 1

3 types of joint

Answer 1

movable
slightly movable
non-movable

Question 2

autoimmune, systemic inflammatory disease of synovial joint

Answer 2

rheumatoid arthritis

Question 3

age of onset of RA

Answer 3

25 to 35 years old

Question 4

etiology of RA

Answer 4

idiopathic

Question 5

first joints affected in RA

Answer 5

joints in hands
- metacarpophalangeal
- interphalangeal

Question 6

joint affectation in RA

Answer 6

symmetrical and bilateral
migratory

Question 7

characterized lesion in RA that is composed of dead cells

Answer 7

pannus

Question 8

clinical manifestation of RA caused by inflammation

Answer 8

joint pain

Question 9

clinical manifestation that is specific to RA

Answer 9

morning stiffness and fatigue

Question 10

involves hyperextension of the middle joint (PIP) and flexion of the end joint (DIP)

Answer 10

swan neck deformity

Question 11

involves flexion of the middle joint and hyperextension of the end joint

Answer 11

boutonniere’s

Question 12

drug therapy specific for RA

Answer 12

DMARDS

Question 13

why do we advise client to move joints up to the limit of pain?

Answer 13

to prevent contracture

Question 14

a degenerative joint disease that causes deterioration of cartilages in the joint

Answer 14

osteoarthritis

Question 15

first joints affected in osteoarthritis

Answer 15

weight bearing joints
- hip
- knees

Question 16

joint affectation in osteoarthritis

Answer 16

asymmetrical
unilateral
non-migratory

Question 17

characterized lesion of OA that can be seen in x-ray

Answer 17

osteophyte

Question 18

another term for osteophyte

Answer 18

bone spur

Question 19

cause of pain in acute OA

Answer 19

muscle spasms due to injury to the muscle caused by osteophyte

Question 20

cause of pain in chronic OA

Answer 20

inflammation

Question 21

deformity nodules on fingers in OA that is seen on the distal area

Answer 21

heberden’s nodes

Question 22

deformity nodules on fingers in OA that is seen on the proximal area

Answer 22

bouchard’s nodes

Question 23

non-therapeutic management to relieve pain in OA

Answer 23

warm compress

Question 24

choice of pain reliever in acute OA

Answer 24

paracetamol

Question 25

choice of pain reliever in chronic OA

Answer 25

NSAIDS

Question 26

metabolic joint disease characterized by hyperuricemia

Answer 26

gouty arthritis

Question 27

first joint affected in gouty

Answer 27

big toe

Question 28

affectation in gouty

Answer 28

asymmetrical migratory

Question 29

characterized lesions in GA

Answer 29

tophi

Question 30

reason for joint pain in GA

Answer 30

inflammation

Question 31

where can tophi precipitarte?

Answer 31

non-osseous tissue - ear lobe - urinary tract

Question 32

drug therapy for gouty for acute attacks

Answer 32

colchicine

Question 33

pain reliever of choice in gouty

Answer 33

NSAIDS

Question 34

drug that will increase the secretion of uric acid

Answer 34

probenecid

Question 35

drugs that will decrease production of uric acid

Answer 35

allopurinol febuxostat