MMB (024) Practical of Degenerative Joint Disease

Question 1

Answer 1

Question 2

Answer 2

Question 3

Answer 3

Question 4

Answer 4

Question 5

Answer 5

Question 6

1. What is the diagnosis?

Answer 6

1. Osteoarthritis

Question 7

2. Which of the following best describes the pathogenesis of joint pain in this patient?

A. Acute inflammation of the ligaments

B. Degeneration of articular cartilage

C. Degenerative changes of cortical bone

D. Inflammatory synovium with pannus formation

E. Reduction of the volume of synovial fluid

Answer 7

B. Degeneration of articular cartilage

Question 8

What are the two types of osteoarthritis?

Answer 8

• Primary (95%)

• Secondary

Question 9

Can you think of any diseases which can cause secondary osteoarthritis?

Answer 9

Question 10

Answer 10

Question 11

Answer 11

Question 12

Answer 12

Question 13

Answer 13

Question 14

Answer 14

Question 15

Answer 15

Question 16

Answer 16

Question 17

Answer 17

Question 18

Answer 18

Question 19

Answer 19

Question 20

• Which joint disease is associated with morning stiffness that improves with activity?

A. Osteoarthritis

B. Gout

C. Rheumatoid Arthritis

Answer 20

C. Rheumatoid Arthritis

Question 21

Answer 21

Gout

Question 22

Answer 22

Question 23

Answer 23

Question 24

Answer 24

Question 25

Mrs. Eman is a 50 year old obese woman, she has progressive pain in her knee joints for the last 2 weeks. She noticed that this pain increases by movement and decreases by rest, also she noticed some crepitus during movement. There is no signs of joint inflammation. Radiography is performed.

Answer 25

Question 26

Mrs. Eman is a 50 year old obese woman, she has progressive pain in her knee joints for the last 2 weeks. She noticed that this pain increases by movement and decreases by rest, also she noticed some crepitus during movement. There is no signs of joint inflammation. Radiography is performed.

Answer 26

Question 27

Mrs. Eman is a 50 year old obese woman, she has progressive pain in her knee joints for the last 2 weeks. She noticed that this pain increases by movement and decreases by rest, also she noticed some crepitus during movement. There is no signs of joint inflammation.

Answer 27

Question 28

Compare between Rheumatoid Arthritis and Osteoarthritis in :

-primary joints affected
-Heberden’s nodes
-joint characteristics
-stiffness
-lab findings

Answer 28

Question 29