patho case 5: joints Flashcards

1
Q

what is another name for solid joint

A

synarthroses

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2
Q

what disease is characterized by degeneration of cartilage that results in structural and functional failure of synovial joints

A

osteoarthritis

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3
Q

what is the most common type of joint disease

A

osteoarthritis

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4
Q

what is collagen type 2 degraded by in osteoarthritis

A

matrix metalloproteinase

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5
Q

what are the major environmental factors associated with osteoarthritis

A

age and biomechanics stress

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6
Q

what happens to the water content and concentration of proteoglycans in early stages of osteoarthritis

A

water content increases and proteoglycans decrease

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7
Q

what disease does heberden nodes occur in

A

osteoarthritis

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8
Q

how might CD4+ T helper cells initiate the autoimmune response in RA

A

by reacting with arthritogenic agent

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9
Q

what does IFN game do in RA

A

activates macrophages and residence synovial cells

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10
Q

what does IL17 from Th17 cells do in relation to RA

A

recruits neutrophils and monocytes

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11
Q

what does TNF and IL-1 do in respect to RA

A

stimulates resident synovial cells to secrete proteases that destroy hyaline cartilage

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12
Q

what does RANKL expressed on activated T cells due respect to RA

A

stimulates bone resorption

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13
Q

what cytokine has been most firmly impacted in the pathogenesis of RA

A

TNF

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14
Q

what does RA principally affect

A

the small joints of the hands and feet

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15
Q

what is the term that is a mass of edematous synovium, inflammatory cells, granulation tissue, and fibroblasts that grows over the articular cartilage and causes its erosion

A

pannus

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16
Q

what factors (biological) increase risk of juvenile idiopathic arthritis

A

HLA and PTPN22 variants

17
Q

what pathologies is associated with HLA_B27

A

seronegative spondyloarthropathies and ankylosing spondylitis and reactive arthritis

18
Q

what is reactive arthritis defined by

A

a triad of arthritis, non-gonococcal urethritis or cervicitis, and conjunctivitis

19
Q

what is susceptibility to psoriatic arthritis genetically determined and related to

A

HLA-B27 and HLA-cw6

20
Q

what is the main causative agent of suppurative arthritis in older children and adults

A

S. aureus

21
Q

what is mycobacterial arthritis caused by

A

M. tuberculosis

22
Q

what is lyme arthritis caused by

A

infection with borrelia burgdorferi

23
Q

what deposits occur with goat

A

monosodium urate

24
Q

what deposits occur with pseudogout

A

calcium pyrophosphate dehydrate

25
Q

what is gout marked by

A

transient attacks of acute arthritis initiated by crystallization of monosodium rate within and around joints

26
Q

what is the solubility of MSU with gout modulated by

A

temperature and the chemical composition of the fluid

27
Q

what is acute arthritis characterized by

A

dense neutrophilic infiltrate that permeates the synovium and synovial fluid

28
Q

what is a small cyst that is almost always located near a joint capsule or tendon sheath

A

ganglion

29
Q

what color are tenosynovial giant cell tumors

A

red-brown to orange-yellow