Test 2 Part 1 Flashcards
Which of these is not a seropositive joint disease:
RA, Systemic Lupus, Scleroderma, Jaccouds, or Ankylosing Spondylitis?
Ankylosing Spondylitis is a seronegative
What are the 4 types of seronegative joint diseases discussed in class?
AS, Enteropathic arthritis, Psoriatic Arthtiritis, and Reactive Arthritis
What are the 2 types of Metabolic joint disease discussed in class?
Gout and CPPD (pseudogout)
T/F: A person with Gout will never have pseudogout (CPPD).
False; any combo of arthritis is possible
What does CATBITES stand for?
Congenital Arthritis, Trauma, Blood (hematological), IInfection, Tumor, Endocrine, nutritional, metabolic, and Soft tissue
T/F: Degenerative joint disease most typically presents with uniform loss of joint space, soft tissue swelling, and erosions.
False; this is true of inflammatory. degenerative has nonuniform joint space loss, osteophytes, sclerosis, cysts, etc
T/F: Degenerative joint disease is asymmetric.
True, inflammatory is symmetric
What is the “lumpy bumpy arthritis?”
Metabolic arthritis
What type of joint disease is the known cause of grossly destroyed and disintegrated, with the greatest incidence before age 30, and the radiographic findings typically lag behind the clinical?
infectious/septic
What is the most common organism which causes infectious/septic joint disease?
Staphylococcus aureus
T/F: Generally, in order for joint disease to be evident on plain films, there must be bone involvement.
True
What are the 6 parameters for radiological assessment of joints?
clinical eval, age and sex, distribution of the joint disease (mono vs poly articular), radiographic appearance, lab tests, and specialized imaging exams
What is the generalized age of onset for JRA? seronegative/seropositive (inflammatory)?
Degenerative, DISH, Gout, and CPPD?
0-20;
20-40;
0ver 40
T/F: Males most often get seronegative joint disease and females usually get seropositive.
True; men are negative
What are the ABCDS of Joint disease?
alignment, bone, cartilage, distribution, soft tissue
In the first two years of chiro college, we are taught to take historical points and physical findings and to put them into one diagnosis which explains everything. What is this law called?
The Law of Parsimony
What are the most common articulations for Degenerative Arthritis?
weight bearing joints: spine, hips, knees, ac joint, 1st MTP, 1st MC-trapezium, and DIP joints
Why might arthritis symptoms get worse when it rains?
cold temperatures and lowered barometric pressure may aggravate symptoms
T/F: Primary osteoarthritis is commonly caused by obesity, trauma, and joint deformity.
False; this is secondary OA, primary has no evidence of underlying etiology
T/F: Aging, being female, obesity, trauma, excessive physical activity, and inactivity are all risk factors for DJD.
True
What is Kellgren’s arthritis?
erosive OA of the hands
T/F: Loss of chondrotin sulfate interferes with normal chondrocyte function
True
What is eburnation?
Subchondral sclerosis; increased mechanical stresses causing thickening of trabecullations and formulation of new ones; localized compensatory increase in bone mass
What are subchondral cysts?
focal regions of bone loss within the subchondral bone; oval or rounded cysts often with a sclerotic border
What is the term for a pathological change of an enthesis?
enthesopathy
“Gull Wing” commonly occurs is middle-aged postmenopausal women with degeneration in the hands. What is Gull Wing?
erosive DJD which presents as bilateral DJD with central joint erosions
Periarticular erosions are most associated with what?
RA
osteophytes formed outside the contour of bone is characteristic of what condition?
OA
T/F: With primary OA of the hands, you will commonly see decreased joint space, cystic changes, and small osteophyte like changes.
True
Where are Heberden’s nodes?
DIP joints
Where are Bouchard’s nodes?
PIP joints
What are Heberden’s and Bouchard’s nodes?
enlarged soft tissue associated with arthritis
T/F: The 1st MCP joint is very commonly associated with DJD.
True, one of the most common joints for DJD
