OA

Question 1

T/f OA is part of normal aging

Answer 1

false

Question 2

what is affected during OA

Answer 2

whole joint

cartilage
synovial membrance
ligaments
bone

Question 3

OA is ignited by ___

Answer 3

micro or macro injury

Question 4

OA manifests as ___ and then__

Answer 4

molecular derangement

anatomic derangement

Question 5

osteophytites in OA or RA

Answer 5

OA

Question 6

risk factors for OA

Answer 6

age, sex, genetic
obesity, inactive
injury
occupation

Question 7

is age a risk factor

Answer 7

yes - because the way we use the joint at a higher age is a risk

Question 8

is OA a wear and tear arthritis

Answer 8

false

Question 9

medial compartment in men, more in white or asian

Answer 9

medial is white

Question 10

lateral compartment in men, more in white or asian

Answer 10

lateral is asian

Question 11

OA higher in men or women

Answer 11

women

Question 12

MSK changes OA vs normal aging

Answer 12

normal aging you get:

lower bone metabolism
(dec bone turnover)

lower water content

no inflammation

Question 13

does OA or normal aging have decrease in lean mm mass

Answer 13

both

but OA Type 1 decreases

Normal Type 2 decreases

Question 14

Bouchards effects ___

Heberdens effects ____

Answer 14

PIP

DIP

Question 15

how is OA identified

Answer 15

radiographic
symptomatic
MRI

Question 16

main features of radiographic features

Answer 16

L - loss of joint space
O - osteophytes
S - subchondrol sclerosis
S0 subchondrol cyst formaition

Question 17

T/f radiographic OA difficult to diagnose in early stage

Answer 17

true

Question 18

kellgren Lawrence grading system diagnoses what

Answer 18

OA

Question 19

kellgren grading system

Answer 19

grade 0- no features
1 - doubt (minute osteophytes)
2-  minimal (definate osteophytes, space is fine)
3- moderate (some decrease in space)
4 - severe (joint space impaired)

Question 20

clinical features of OA

Answer 20

pain after using joint
morning stiffness/ after inactivity
releived by rest

Question 21

__ % of patients w joint damage experience pain

Answer 21

40%

Question 22

4 questions for sympomatic OA

Answer 22

constant or intermittent pain ..

any time most days of the month
in the past year
worse w activity
received w rest

Question 23

do you need to answer yes to all 4 questions

Answer 23

yes

Question 24

3 signs for symptomatic OA

Answer 24

effusion. flexion contracture. gait abnormality

Question 25

do you need all 3 signs for symptomatic OA

Answer 25

1

Question 26

T/f climate effects arthritis

Answer 26

it doesn’t cause it but warmth helps and changes in barometric pressure / temperate may effect pain

Question 27

is quadriceps weakness may be a modifiable risk factors for OA

Answer 27

yes - more quad strength lower risk

Question 28

how to calculate BMI

Answer 28

weight over height 2

Question 29

what BMI is high

Answer 29

25

Question 30

one pound loss of weight reduced four pounds of knee load

Answer 30

t

Question 31

does glucosamine sulphate help knee pain

Answer 31

it has a small effect