Osteoarthritis

Question 1

Osteoarthritis often affects (small/large) joints

Answer 1

Large. Weight bearing joints like knees, hips, but also hands

Question 2

True or false: Primary osteoarthritis is a result of inflammation, trauma, or other known causes

Answer 2

False. Primary osteoarthritis is idiopathic

Question 3

Goals of treatment of osteoarthritis

Answer 3

.Relieve pain and stiffness
.Maintain/improve joint mobility
.Limit functional impairment
.Maintain/improve quality of life

Question 4

True or false: Topical NSAIDs are preferred over oral NSAIDs for all joints in osteoarthritis

Answer 4

False. Oral NSAIDs are strongly recommended for all joints while topical NSAIDs are preferred in only certain joints, like the knee

Question 5

Non-pharmacological treatment options for osteoarthritis

Answer 5

.Weight loss
.Exercise
Tai chi
.Cane

Question 6

Which non-pharmacological treatment is strongly recommended against in osteoarthritis?
a. Massage therapy
b. Transcutaneous electrical nerve stimulation
c. Modified shoes
d. Cane

Answer 6

b. Transcutaneous electrical nerve stimulation

Question 7

Which of the following is not strongly recommended for osteoarthritis of the knee?
a. Topical NSAIDs
b. Topical capsaicin
c. Oral NSAIDs
d. IA glucocorticoid injection

Answer 7

b. Topical capsaicin

Question 8

Precaution with aspirin and NSAIDs

Answer 8

Take NSAID 30 mins after aspirin to avoid blocking antiplatelet effect

Question 9

Max amount of IA corticosteroids

Answer 9

4 injections per year. Inject q 3-4 months

Question 10

When is tramadol recommended for osteoarthritis treatment?

Answer 10

.Second or third line option