Week 2.05 Flashcards
As regards deformities in osteoarthritis of the hands
Radial subluxation of the metacarpal at the base of the thumb is common
As regards erosive osteoarthritis of the hands
Can lead to joint fusion
The usual distribution of osteoarthritis in the hands
Is in the distal IP and basal joints
X-rays of the hands in osteoarthritis can demonstrate
Osteophytosis
When joint problems, such as osteoarthritis are being investigated the optimal imaging technique
Requires a technique which provides good spatial detail of the joint bony surfaces
The terms degenerative of “wear and tear” are often used to describe osteoarthritis. Are they accurate descriptive terms for the disease process?
No
Is the following statement true or false: The diagnosis of osteoarthritis is a clinical one: based upon presenting symptoms and signs. Radiology is used for confirmation in the context of uncertainty or to rule out other conditions.
True
What percentage of adults have x-ray evidence of osteoarthritis
30%
All of the following are names which refer to the same condition as osteoarthritis except:
Osteonecrosis
The severity of symptoms in osteoarthritis is influenced greatly by:
The patient’s socioeconomic circumstances, muscle strength, depression, obesity
All of the following can be important direct sources of pain in a person with osteoarthritis except:
Articulate cartilage
Osteoarthritis may cause a person to develop grinding sensations and noises that are termed:
Crepitus
Which of the following statements is true about osteoarthritis?
- The onset of osteoarthritisis usually gradual or slow.
- Osteoarthritis is common in weight-bearing joints (hips, knees, lower back)
- Osteoarthritis also affects the neck, small finger joints, base of the thumb and big toe.
- Osteoarthritis can affect joints other than those mentioned, but it is rare unless the joint has been injured
All of the following statements correctly describe the pain and stiffness associated with osteoarthritis except:
Morning stiffness always lasts longer than 30 minutes
Can osteoarthritis occur with other types of arthritis?
Yes
To help diagnoses osteoarthritis, along with a physical examination, medical history, and x-rays sometimes blood tests are ordered. Why are blood tests ordered?
Blood tests are ordered to rule out other types of arthritis
Which statement is correct about osteoarthritis?
- Osteoarthritis is the most common type of arthritis
- Osteoarthritis is a chronic disease and though it can affect people of all ages, it is most common in older people.
- Osteoarthritis is not an autoimmune disease
- Osteoarthritis affects not only the joints, and not the internal organs.
Which of the following is not recognised as a risk factor for osteoarthritis?
Cold climate
Before age 50, more men than women have osteoarthritis. After age 50, more women than men have osteoarthritis. Is this statement true or false?
True
Most treatment plans for osteoarthritis should include
Exercise, weight control, joint protection and physiotherapy.
Combination of all these?q
Medication most commonly used to treat osteoarthritis include all of the following except:
Oral corticosteroids
In the treatment of osteoarthritis of the knee
A high osteoporosis may be indicated when it affects mainly the medial compartment, providing deformity is not severe.
Which of the following are available joint surgery options to treat osteoarthritis?
Osteotomy, joint replacement, resurface joint using autologous chondrocyte implantation, arthroscopically remove loose pieces of bone or cartilage.
Paracetamol is often used as an analgesic. What is it’s mechanism of action?
Direct inhibition of peroxidase function of cyclo-oxygenase enzyme.
