Osteoarthritis

Question 1

Osteoarthritis Mx

Answer 1

1st: Topical NSAIDs
2nd: Oral NSAIDs w/ PPI
3rd: Paracetamol OR codeine (short-term pain MX)
4th: Intra-articular corticosteroid injections

Question 2

Osteoarthritis Sx

Answer 2

1. Large/bulky joints
2. Morning stiffness < 30mins
3. Pain worse after exercise
4. Pain better with rest
5. Swelling
6. Unable to weight bear

Question 3

OA Surgery Indications

Answer 3

Should never use Scoring system for referral
OA pain that persists despite multiple treatment modalities and which substantially impacts patient’s quality of life

Question 4

What surgery is commonly performed for < 50?

Answer 4

Uni-compartment knee replacemental surgery

Question 5

What surgery is commonly performed for > 50?

Answer 5

Total Knee Replaacement

Question 6

LOSS

OA X-ray features

Answer 6

• Loss of joint space
• Osteophytes (bone spurs)
• Subchondral cyst (fluid-filled holes in the bone)
• Subarticular sclerosis (thinkening of the bone under the cartilage)

Question 7

Hand OA features

Answer 7

1. Herbeden’s Nodes (DIP)
2. Bouchard’s Nodes (PIP)
3. Squaring at the base of the thumb

Question 8

OA conservative Mx

Answer 8

• Weight management
• Appropriate footwear
• Muscle strengthening exercise
• Physiotherapy

Question 9

Intra-articular corticosteroid injection effective period

Answer 9

2-10/52

Question 10

According to NICE CKS, when is joint replacement considered?

Answer 10

Adults with AO are supported with non‑surgical core treatments for at least 3 months before any referral for consideration of joint surgery

Question 11

OA diagnosis in adult

Answer 11

Clinical Dx: Adult > 45 years with activity‑related joint pain and any morning joint stiffness lasts < 30mins