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FEB 2019 PTRP > RA And OA Conditions > Flashcards

RA And OA Conditions Flashcards

1
Q

Gouty arthritis is common among

A

Asians

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2
Q

SLE is common among

A

Africans/blacks

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3
Q

Most common site for inflammation in RA

A

Synovium

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4
Q

Pannus formation results to

A

Erosion

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5
Q

RA has reversible or irreversible deformities

A

Irreversible

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6
Q

The gene that may increase the risk of having RA

Only a predisposing factor

A

HLA DR4

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7
Q

Series of antibodies that recognizes IgG as an antigen

A

Rheumatoid factor(RF)

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8
Q

How many percent of pxs with RF has RA

A

70%

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9
Q

Positive for RF is called

A

Seropositive

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10
Q

Negative for RH factor is called

A

sero negative

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11
Q

Found in pxs whos sero positive

seen over the joints, extensor surfaces of FA and weight bearing areas

A

Rheumatoid nodules

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12
Q

Sero means

A

Blood

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13
Q

Oligo means

A

Few

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14
Q

Metabolism of dead cells

A

Citrollination

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15
Q

targets protein antibodies and doesnt want the process of eliminating or metabolising dead cells

A

Anticitrullinated protein antibody(ACPA)

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16
Q

Sx are aggraviated all throughout the day specially during WB

A

Osteoarthritis

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17
Q

Morning stiffness for at least 1 hour(should be >30 mins)

A

RA

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18
Q

No of joints affected to consider RA has poor prognosis

A

> 10 jts

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19
Q

No of joint on B hands(MCP,wrist,PIP)

A

20 joints

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20
Q

Erosion in X-Ray(ABCDES)

A 
Abnormal alignment 
Bone involvement
Cartilage involvement 
Deformity 
Erosion
Soft tissue swelling
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21
Q

Found inside rheumatoid nodules

A

Necrotic tissues/deadcells

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22
Q

Out of the 7 criterias how many should be present and for how long?

A

4 criterias(1st 4) for 6 consecutive weeks

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23
Q

Perfect score for the grading of 2010 ACR-EULAR(european league against rheumatism)

Ideal score (most likely RA)

A

10

>6

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24
Q

Formula for ESR

A

Age+10 (divide by) 2

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25
Q

Most commonly affected joint in RA

A

MCP

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26
Q

Least commonly affected jt in RA

A

TMJ

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27
Q

Joint spared in RA

A

DIP

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28
Q

Swan neck joint position

A

DIP flexed

PIP extended

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29
Q

Rupture of lateral slip of extensor hood

A

Swan neck

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30
Q

Rupture of cental slip of extensor hood

A

Boutonnière

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31
Q

Boutonnière joint positions

A

DIP extended

PIP flexed

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32
Q

Mallet finger joint position

A

PIP neutral

DIP flexed

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33
Q

@thumb NALE BUFF

Type I

A

I. Boutonnière of thumb

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34
Q

Boutonnière of thumb position

A

MCP flexed

IP extended

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35
Q

@thumb NALE BUFF

Type II

A

II. Boutonnière of thumb+add/subluxation of CMC jt.

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36
Q

@thumb NALE BUFF

Type III

A

Swan neck of thumb+add/subluxation of CMC jt.

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37
Q

@thumb NALE BUFF

Type IV

A

IV. Game keepers thumb

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38
Q

Gamekeeper’s thum is also called

A

Skiers thumb

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39
Q

Rupture of ulnar collateral ligament of the thumb

A

Gamekeeper’s thumb/skiers thumb

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40
Q

@thumb NALE BUFF

Type V

A

Swan neck alone

41
Q

@thumb NALE BUFF

Type VI

A

VI. Bone loss

42
Q

Fingers appears shorter than normal

A

Arthritis mutilans

43
Q

Opera glass hand

A

Arthritis mutilans

44
Q

Flexion contructure of MCP appears as

A

Intrinsic plus

45
Q

Ulnar drift/Z deformity/zigzag
Wrist is in
MCP is in

A

Wrist is in radial dev
MCP is in ulnar dev
Code: Wradial Mulnar

46
Q

Up and down movement of ulna upon pressing dt the rupture of ulnar collateral lig

A

Piano keys sign

47
Q

Enlargement @ popliteal fossa in oxs with RA

A

Baker cyst

48
Q

Toe deformity comkon in pxs with RA

A

Hammer toes

49
Q

Most common toe deformity in OA

A

Hallux valgus

50
Q

Claw toes joint position

A

MTP extension
PIP flexion
DIP flexion

51
Q

Hammer toe joint position

A

MTP extension
PIP flexion
DIP extension

52
Q

Absent push off gait

A

Appropulsive gait

53
Q

Subluxation of shoulder in RA is dt

A

Disuse attropy

54
Q

LOM of shoulder in RA

A

Ext. rotate

55
Q

Shoulder joint affected in inflammatory arthritis

A

Glenohumeral joint

56
Q

Separation of toes

A

Splay foot

57
Q

Colapsed transverse arch causes

A

Splay foot

58
Q

Shoulder joint affected in osteoarthritis

A

Acromioclavicular joint

59
Q

Cervical level affected in RA
What joint?
LOM?

A

C1-C2
Atlantoaxial joint
LOM in Rotation

60
Q

Subluxation of cervical spine in RA causes

A

Spinal cord injury dt compression

61
Q

Percentage of mortality in cervical subluxation leading to SC compression

A

25%

62
Q

Cervical level affected by OA

A

C5-C6

63
Q

LOM in hip in pxs with RA

A

Internal rotation

64
Q

Hip condition in RA dt pannus formation>erosion>protrusion

A

Protrusio acetabuli

65
Q

Located of pain in pxs with RA

A

Groin/medial aspect of hip

66
Q

Referred pain in hip RA

A

Buttoks

Knee

67
Q

Elbow joint in RA causes loss of what movement and contracture of what

A

Loss of pronation supination

Flexion contracture

68
Q

ROM Limitation of mouth opening in RA of TMJ

A

About 2 inches

69
Q

rA complication in the heart

A

Pericarditis

70
Q

Law that states the ability of the heart to contract c greater stretch the greater the force of contraction

A

Frank starling law

71
Q

2 types of pericarditis that can be present with an RA px

A

Constrictive pericarditis

Cardiac tamponade

72
Q

Most common cause of death in RA

A

Cardiac arrest

73
Q

Prolonged use of this drugs contributes to having heart dse

A

Corticosteroids

74
Q

Lung dse in pxs with RA

A

Caplan’s

75
Q

+Rheumatoid nodules at the lining of the lung that causes fibrosis.

A

Caplan’s

76
Q

Rheumatoid dse c CNA manifestations

A

SLE

77
Q

RA affects

PNS or CNS

A

PNS

78
Q

Peripheral nerves that may be affected by RA

A 
Median nerve(CTS)
Ulnar nerve(cubital tunnel)
Tibial nerve(bakers cyst)
79
Q

Largest lymphoid organ

A

Spleen

80
Q

Chronic dse of RA causes ___ in the blood

A

Anemia

81
Q

Feltys syndrome in RA

A 
Spleenomegaly
Lymphadenopathy 
Leukopenia 
Anemia
Arthritis 
Neutropenia
Thrombocytopenia
82
Q

Dryness of eyes in RA

A

Keratoconjunctivitis sicca/sicca syndrome

83
Q

Sjogrens triad

A

Xenopthalmia(dry eyes)
Xerostomis(dry mouth)
Arthritis

84
Q

Tests used for xerophthalmia

A

Schrimers

Rose bengal

85
Q

Painful sexual intercourse experience by pxs with sjogrens

A

Dyspareunea

86
Q

Other names for sjogrens

A

Gougerots
Mikulicz
Autoimmune exocrinopathy

87
Q

Test that measures the amount of wetness of the eyes in pxs with xenopthalmia seen in sjogrens

A

Schrimers

88
Q

Test that uses a film in the eyes and shows the part of the eyes that has dryness can be used in pxs with xenopthalmia seen in sjogrens

A

Rose bengal

89
Q

Bilateral parotiditis that causes dry mouth

A

Xerostomia

90
Q

What stage of RA is aerobic exercise done?

A

Chronic stage/severe stage

91
Q

Stage of RA progression where in there is juxtaarticular osteoporosis

A

I. Mild

92
Q

Stage of RA progression where in there is osteoporosis c or s slight bone destruction, ADJACENT ms atrophy, nodules

A

II. Moderate

93
Q

Stage of RA progression where in there is deformities, extreme/extensive ms atrophy, nodules

A

III. Severe

94
Q

Stage of RA progression where in there is bony ankylosis or fusion

A

IV. Terminal

95
Q

Functional class of RA pxs which they are independent/completely able to perform self care, vocational, avocational activities

A

Class I

96
Q

Functional class of RA pxs which they are independent/are able to perform selfcare and vocational but limited avocational activities

A

Class II

97
Q

Functional class of RA pxs which they are independent/able to perform selfcare but limited to vocational and avocational activities

A

Class III

98
Q

Functional class of RA pxs which they are dependent in all aspect/unable to perform selfcare, vocational and avicational activities
WC bound
Bedridden

A

Class IV

FEB 2019 PTRP (29 decks)

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