Osteoarthritis Vs Rheumatoid Arthritis

Question 1

OA Pathology

Answer 1

Degenerative joint disease with slow destruction of the articular cartilage

Question 2

OA Inflammation

Answer 2

Asymmetrical

Question 3

OA Age

Answer 3

53-64

Question 4

OA Gender

Answer 4

Men and women are affected equally

Question 5

OA Joints

Answer 5

Weight bearing (knees, hips, + fingers, hands, and wrists
Swelling and edema, but no redness or “heat” complaints to joints
Heberden’s nodes
Bouchard’s nodes

Question 6

Heberden’s Nodes

Answer 6

Distal interphalangeal joints

Question 7

Bouchard’s Nodes

Answer 7

Proximal interphalangeal joints

Question 8

OA Stiffness/Pain

Answer 8

Better in the morning; worse as the day progresses; aggravated by activity, relieved by rest

Question 9

OA other findings

Answer 9

Genetic predisposition
Increased incidence with age
Obesity is an exacerbating factor
Angular deformities affected joints
Limited ROM
Crepitus possible

Question 10

OA Diagnostic

Answer 10

Labs - N/A

X-ray -Narrowing of the joint space, osteophytes, Juxta-articular sclerosis, subchondral bone

Question 11

OA Management

Answer 11

ASA
Tylenol
NSAIDs
Cox-2 inhibitors (Celebrex)

Question 12

OA supportive care

Answer 12

Weight loss
Use canes on opposite side
Ice
Moist heat
PT
Refer for joint replacement

Question 13

RA Pathology

Answer 13

Systemic autoimmune disease causing inflammation of connective tissue

Question 14

RA Inflammation

Answer 14

Symmetrical

Question 15

RA Age

Answer 15

35-50

Question 16

RA Gender

Answer 16

Women 3:1

Question 17

RA Joints

Answer 17

Proximal interphalangeal joints
Metacarpal phalangeal joints
Wrists
Swelling and edema with redness and heat complaints to joint
Ulnar deviation

Question 18

RA stiffness/pain

Answer 18

Worse in the morning; better as the day progresses

Question 19

RA other findings

Answer 19

Auto immune – multi factorial etiology
Fatigue
Weakness
Malaise
Anorexia
Weight loss

Question 20

RA Diagnostics

Answer 20

Labs: ESR usually elevated anti-nuclear antibodies positive in one out of five patients
Synovial aspirate with inflammatory changes and white blood cells
X-rays: Joint swelling, progressive, osteopenia, joint space narrowing

Question 21

RA management

Answer 21

High-dose salicylates
NSAID
Disease modifying anti rheumatic drugs (DMARDs): Corticosteroids, methotrexate, antimalarial’s, gold salt injections

Question 22

RA supportive care

Answer 22

Early rheumatologist referral
Rest
PT
Surgery