osteoarthritis quiz 3

Question 1

what is osteoarthritis

Answer 1

degenerative joint disease causing breakdown of cartilage in joints, leading to joint pain & stiffness

Question 2

Etiology of OA

Answer 2

unknown

Question 3

Risk factor of OA

Answer 3

age 
genetics higher in female 
obesity 
joint instability
trauma
hormonal factors

Question 4

what happens to the cartilage of OA

Answer 4

Smooth cartilage softens, swells–frays,ulcerates&wears
• Looses elasticity
• Overtime pieces wear away transmitted to bone, bone on bone

Question 5

What are the pain c/o with OA

Answer 5

Aysemetrical 
pain is worse after use 
pain in worse after increase in activity or inactivity 
AM stiffness only <30 mins 
Slow on set

Question 6

What are the systemic findings with OA

Answer 6

No systemic findings

Question 7

Physical findings with OA

Answer 7

antalgic gait
crepitis in joints, with redness or tenderness
decrease ROM

Question 8

What types of nodules acan be found with OA

Answer 8

Heberdens with women PIP

Bouchards DIP

Question 9

OA in the hips main physical finding

Answer 9

Pelvic flexion sign

flex hip and pelvis will tilt upward and contralateral leg will raise off the table

Question 10

OA of the Knee presents

Answer 10

Chronic& slowly progressive pain w/ambulation is hallmark
Unilateral joint tenderness & pain w/movement sensation of grating or catching in the knee.
Pain when walking up or down stairs
Mild effusion w/quad atrophy

Question 11

Physical findings of the knee joints with OA

Answer 11

Lateral instability:

joint space decreased, elongated medial/lateral collateral ligament

Question 12

Physical findings of the feet with OA

Answer 12

pain and tenderness in the great toe an d hurts when wearing tight shoes or high heels

Question 13

How is OA diagnosed

Answer 13

joint pain 
Osteophytes on xray 
no warmth 
50
stiffness for 30 min 
crepitus w/active ROM

Question 14

Xray show with OA

Answer 14

unequal loss of joint space
Osteophytes
Juxta-articula sclerosis -rubbing of the joints
juxta articular osteopina and soft tissue swelling

Question 15

Labs for OA a CBC,ESR, SMA7 , RF should be

Answer 15

normal

Question 16

xray with OA assist with

Answer 16

determine a base line and progression of the disease.

Question 17

Clinical findings of the knee in a patient with OA include all of the following except:
A. coarse crepitus.
B. joint effusion.
C. warm joint.
D. knee often locks or a pop is heard

Answer 17

warm joint

Question 18

Approximately what percent of patients with radiological findings of osteoarthritis of the knee will report having symptoms?
A. 25%
B. 50%
C. 70%
D. 95%

Answer 18

A. 25%
B. 50%
C. 70%
D. 95%

Question 19

Which of the following best describes the presentation of a patient with OA?

Answer 19

A. worst symptoms in weight-bearing joints later in the day
B. symmetrical early morning stiffness
C. sausage-shaped digits with associated skin lesions
D. back pain with rest and anterior uveitis

Question 20

Which of the following joints is most likely to be affected by osteoarthritis (OA)?
A. wrists
B. elbows
C. metacarpophalangeal joint
D. distal interphalangeal joint

Answer 20

A. wrists
B. elbows
C. metacarpophalangeal joint
D. distal interphalangeal joint

Question 21

Xray of OA of the knee often reveal:

Answer 21

a. unequal loss of joint space
b. Osteophytes
C. Juxta-articular scerosis rubbing joints
d. Subchondal bone sclerosis

Question 22

Deformity of the proximal interphalangeal joints

Answer 22

A. Heberden nodes.
B. Bouchard nodes.
C. hallus valgus.
D. Dupuytren contracture.

Question 23

Clinical findings of the knee in a patient with OA include all of the following except:

Answer 23

A. coarse crepitus.
B. joint effusion.
C. warm joint.
D. knee often locks or a pop is heard.

Question 24

Changes to the joint with osteoarthritis include all of the following except:

Answer 24

A. widening of the joint space.
B. articular cartilage wears away.
C. formation of bone spurs.
D. synovial membrane thickens.

Question 25

What best describes the presentation of a patient with OA?
A. worst symptoms in weight-bearing joints later in the day
B. symmetrical early morning stiffness
C. sausage-shaped digits with associated skin lesions
D. back pain with rest and anterior uveitis

Answer 25

A. worst symptoms in weight-bearing joints later in the day