Physical Diagnosis Exam 2

Question 1

Types of Arthrides

Answer 1

1. Inflammatory
2. Degenerative
3. Metabolic
4. Infection

Question 2

Characteristics of Inflammatory Arthritides

Answer 2

soft tissue swelling, edema
­ uniform loss of joint space
­ erosions
symmetric pattern
­ cystic changes: juxta­articular osteoporosis/osteopenia
­ monoarticular or polyarticular
­ greater predisposition to fusion (ankylosis) than degenerative or metabolic

Question 3

Radiology: the ​6 Ds

Answer 3

distended joints
­ density increase
­ debris
­ dislocation
­ disorganization
­ destruction

Question 4

Hypertrophic Neurotrophic Arthropathy commonly affects

Answer 4

weight­bearing joints – feet, knees, spine

Question 5

Neurotrophic Arthropathy

Answer 5

​Charcot joints - Neuropathic Joints = “Bag of Bones”

previously caused mainly by syphilis; now much more​ commonly related to diabetes

Question 6

Acetabular Protrusion is identified by what line?

Answer 6

Kohler’s Line

Question 7

Acetabular Protrusion is also referred to as

Answer 7

Otto’s pelvis OR Protrusio acetabuli

Question 8

DJD of the HIP occurs where in relation of the joint

Answer 8

loss of joint space – 80% toward the superior compartment

Question 9

Buttressing

Answer 9

Thickened cortex at the medial femoral neck ​as result of biomechanical changes across the joint with DJD of Hip

Question 10

Pigmented Villonodular Synovitis

Answer 10

slow­growing, benign and locally invasive tumor/metaplasia of the synovium

Question 11

Pigmented Villonodular Synovitis typically occurs where?

Answer 11

most often involves the ​knee​, also in hip, ankle, elbow

young to middle age adults