Test 2 Part 1

Question 1

Which of these is not a seropositive joint disease:

RA, Systemic Lupus, Scleroderma, Jaccouds, or Ankylosing Spondylitis?

Answer 1

Ankylosing Spondylitis is a seronegative

Question 2

What are the 4 types of seronegative joint diseases discussed in class?

Answer 2

AS, Enteropathic arthritis, Psoriatic Arthtiritis, and Reactive Arthritis

Question 3

What are the 2 types of Metabolic joint disease discussed in class?

Answer 3

Gout and CPPD (pseudogout)

Question 4

T/F: A person with Gout will never have pseudogout (CPPD).

Answer 4

False; any combo of arthritis is possible

Question 5

What does CATBITES stand for?

Answer 5

Congenital
Arthritis,
Trauma,
Blood (hematological),
IInfection,
Tumor,
Endocrine, nutritional, metabolic, and 
Soft tissue

Question 6

T/F: Degenerative joint disease most typically presents with uniform loss of joint space, soft tissue swelling, and erosions.

Answer 6

False; this is true of inflammatory. degenerative has nonuniform joint space loss, osteophytes, sclerosis, cysts, etc

Question 7

T/F: Degenerative joint disease is asymmetric.

Answer 7

True, inflammatory is symmetric

Question 8

What is the “lumpy bumpy arthritis?”

Answer 8

Metabolic arthritis

Question 9

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?

Answer 9

infectious/septic

Question 10

What is the most common organism which causes infectious/septic joint disease?

Answer 10

Staphylococcus aureus

Question 11

T/F: Generally, in order for joint disease to be evident on plain films, there must be bone involvement.

Answer 11

True

Question 12

What are the 6 parameters for radiological assessment of joints?

Answer 12

clinical eval,
age and sex,
distribution of the joint disease (mono vs poly articular),
radiographic appearance,
lab tests,
and specialized imaging exams

Question 13

What is the generalized age of onset for JRA? seronegative/seropositive (inflammatory)?
Degenerative, DISH, Gout, and CPPD?

Answer 13

0-20;
20-40;
0ver 40

Question 14

T/F: Males most often get seronegative joint disease and females usually get seropositive.

Answer 14

True; men are negative

Question 15

What are the ABCDS of Joint disease?

Answer 15

alignment,
bone,
cartilage,
distribution,
 soft tissue

Question 16

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?

Answer 16

The Law of Parsimony

Question 17

What are the most common articulations for Degenerative Arthritis?

Answer 17

weight bearing joints: spine, hips, knees, ac joint, 1st MTP, 1st MC-trapezium, and DIP joints

Question 18

Why might arthritis symptoms get worse when it rains?

Answer 18

cold temperatures and lowered barometric pressure may aggravate symptoms

Question 19

T/F: Primary osteoarthritis is commonly caused by obesity, trauma, and joint deformity.

Answer 19

False; this is secondary OA, primary has no evidence of underlying etiology

Question 20

T/F: Aging, being female, obesity, trauma, excessive physical activity, and inactivity are all risk factors for DJD.

Answer 20

True

Question 21

What is Kellgren’s arthritis?

Answer 21

erosive OA of the hands

Question 22

T/F: Loss of chondrotin sulfate interferes with normal chondrocyte function

Answer 22

True

Question 23

What is eburnation?

Answer 23

Subchondral sclerosis; increased mechanical stresses causing thickening of trabecullations and formulation of new ones; localized compensatory increase in bone mass

Question 24

What are subchondral cysts?

Answer 24

focal regions of bone loss within the subchondral bone; oval or rounded cysts often with a sclerotic border

Question 25

What is the term for a pathological change of an enthesis?

Answer 25

enthesopathy

Question 26

“Gull Wing” commonly occurs is middle-aged postmenopausal women with degeneration in the hands. What is Gull Wing?

Answer 26

erosive DJD which presents as bilateral DJD with central joint erosions

Question 27

Periarticular erosions are most associated with what?

Answer 27

RA

Question 28

osteophytes formed outside the contour of bone is characteristic of what condition?

Answer 28

OA

Question 29

T/F: With primary OA of the hands, you will commonly see decreased joint space, cystic changes, and small osteophyte like changes.

Answer 29

True

Question 30

Where are Heberden’s nodes?

Answer 30

DIP joints

Question 31

Where are Bouchard’s nodes?

Answer 31

PIP joints

Question 32

What are Heberden’s and Bouchard’s nodes?

Answer 32

enlarged soft tissue associated with arthritis

Question 33

T/F: The 1st MCP joint is very commonly associated with DJD.

Answer 33

True, one of the most common joints for DJD