Osteoarthritis

Question 1

Who is part of the care in OA?

Answer 1

patient 
physician 
GP 
orthopaedic surgeon 
OT 
dietician 
nurse 
physio

Question 2

List some biomechanical factors of OA

Answer 2

Abnormal anatomy 
intra articular fracture 
meniscal injury 
ligament rupture 
occupation eg farmers 
elite running 
obesity 
persistent heavy physical activity

Question 3

3 parts of inflammation

Answer 3

synovial hypertrophy
subchondral changes
joint effusion

Question 4

How is OA diagnosed?

Answer 4

over 45
activity related pain PLUS
- no morning stiffness or morning stiffness for no more than 30 mins

Question 5

4 attention points

Answer 5

hot swollen joint
trauma
prolonged morning related stiffness
deterioration of symptoms

Question 6

4 differential diagnoses

Answer 6

gout
septic arthritis
malignancy
other inflammatory arthritides

Question 7

3 stages of management in primary care

Answer 7

holistic approach and self management
information, exercise and weight loss
(non) pharmacological treatment or surgery

Question 8

List some components of a holistic approach

Answer 8

social, occupational, sleep, pain, co-morbidity

Question 9

4 non-pharmacological treatments

Answer 9

electrotherapy
thermotherapy
aids and devices
manual therapy

Question 10

NICE non-recommended non-pharmacological treatments

Answer 10

acupuncture, nutraceuticals

Question 11

Pharmacological treatments

Answer 11

oral analgesia - paracetamol, NSAIDs

topical treatment - NSAIDs, capsaicin (knee and hand)

Question 12

2 reasons for surgical referral

Answer 12

significant impact on QOL

refractory to non surgical treatment

Question 13

surgery for OA

Answer 13

joint replacement surgery