Systemic Issues

Question 1

Sjogren Syndrome and Felty Syndrome are common with what arthritis?

Answer 1

Rheumatoid Arthritis

Question 2

Ottawa Panel recommendation for RA rx: what modalities/interventions?

Answer 2

1. Electrical Stimulation
2. TENS
3. Low level laser
4. Ultrasound
   (treatments for what dz by whom?)

Question 3

Sacroiliac presentation difference between psoriatic and ankylosing spondylitis

Answer 3

Unilateral sacral pain in psoriatic arthritis

Question 4

True or False: SI joint commonly impacted by Reactive Arthritis
If False why? What other arthritis’ can affected the SI?

Answer 4

False - ankylosing and psoriatic arthritis will frequently affect the sacrum. RA will typically demonstrate B hypomobility at the sacrum.

Question 5

What types of metastases may result in referred pain as LBP?

Answer 5

Kidneys, Lungs, Breast, Thyroid, Prostate

Question 6

Classification of knee OA (Altman) (6)

- at least three of six for positive finding

Answer 6

1. over 50 y/o
2. stiffness for over 30 min (does it go away after 30-60 min)
3. crepitus
4. bony tenderness
5. bony enlargement
6. no palpable warmth

Question 7

Articular cartilage makeup

Answer 7

Proteoglycans + hyaluronic acid = creates a negative charged environment which attracts cations, which attracts water

Question 8

What does water do for articular cartilage

Answer 8

increases compressive and shear resistances of articular cartilage due to increased pressure in the articular cartilage due to water presence

Question 9

CPR for knee OA treatment with hip MT (per Currier) (level 4 research)

Answer 9

1. Hip or groin pain or parasthesias
2. Ipsilateral anterior thigh pain
3. Passive knee flexion < 122 deg
4. Passive hip internal rotation < 17 deg
5. Pain with hip distraction