physical assessment in RA

Question 1

active joint count is a measure of__

Answer 1

inflammatory activity

Question 2

three criteria for an active joint

Answer 2

effusion
joint tenderness
stress pain

Question 3

does it matter which order you assess three criteria

Answer 3

yes - do sequentially

Question 4

children joint assessment criteria

Answer 4

swelling OR

limitation of motion with heat, plus over pressure pain OR joint line tenderness

Question 5

STOP Method for active or inactive joint

Answer 5

swelling
Tenderness
OP over pressure

stop at any point it is positive

Question 6

effusion

Answer 6

fluid confined by joint but freely mobile in that space

Question 7

techniques for effusion

Answer 7

two thumb
four finger
bulge sign

Question 8

difference between fatty tissue and effusion

Answer 8

fatty: soft but fixed in location, outside of joint capsule
effusion: fluctuation in all planes

Question 9

do bony enlargement / joint deformities constitue joint swelling

Answer 9

no

Question 10

two thumb technique

Answer 10

thumb on both sides, press w one

Question 11

four finger technique

Answer 11

fingers above collateral ligaments

Question 12

how to joint tenderness

Answer 12

pressure on joint line

Question 13

how to do stress pain

Answer 13

stretch of inflamed capsule

over press at end of PROM

Question 14

is damaged joint easy to define

Answer 14

no

Question 15

bony erosion of ___ for TMJ

Answer 15

mandibular condyle

Question 16

end stage of TMJ disease may result

Answer 16

fusion in open bite

Question 17

TMJ involved in early or late disease

Answer 17

late

Question 18

how to do TMJ assessment

Answer 18

joint count
ROM
palpation

Question 19

RA in C spine is common or uncommon

Answer 19

common

Question 20

most commonly c spine area effected

Answer 20

c1-2 atlantoaxial

Question 21

progression of instability in C spine associated with

Answer 21

steroid used
seropositive disease
RA nodules

Question 22

atlantoaxial sublaxation

Answer 22

stretch / erosion of transverse ligament
erosion of dens / superior facet of atlas
traverse ligament fails to check c2 movement

Question 23

signs of atlantoaxial sublaxation

Answer 23

pain, suboccipital headache
heavy head sensation
clunking
dizzy, blurred vision, dysphasia

Question 24

can atlantoaxial sublaxation be asymptomatic

Answer 24

yes

Question 25

C spine assessment subjective

Answer 25

screening questions 5 Ds

behaviour of their symptoms (clicking , heavy ahead, pain)

Question 26

c spine assessment objective

Answer 26

MSK upper quadrant screen(cranial nerve, myo, derms, reflexes)

special test for cervical spine

Question 27

whats compromised in atlantoaxial subluxation

Answer 27

SC

vert artery

Question 28

do you test stability of C spine if decreased ROM, or 3n, 5D

Answer 28

no go see Gp

Question 29

if no adverse response from objective assessment, rule out anterior instability with

Answer 29

sharp purser // anterior shear stability test

Question 30

hallux valgus is synovitis of

Answer 30

1st MTP

Question 31

MTP sublimation is displacement of flexors or extensors

Answer 31

flexors

Question 32

claw toe is weakness of

Answer 32

intrinsics

Question 33

claw toe

Answer 33

MTP extension, PIP and DIP flexion

Question 34

hammer toe is synovitis of

Answer 34

MTP and PIP

flexion of PIP
of DIP

Question 35

mallet toe is

Answer 35

flexion of DIP