Week 4

Question 1

what is joint pain with inflammation

Answer 1

arthritis

Question 2

what is joint pain

Answer 2

arthralgia

Question 3

what is pain from the joint

Answer 3

articular pain

Question 4

what is pain from soft tissue surrounding the joint

Answer 4

periarticular pain

Question 5

what is pain from proximal or distal structures to the joint or neurogenic

Answer 5

referred pain

Question 6

what is the term involving a single joint

Answer 6

monoarticular

Question 7

what is the term involving 2-4 joints

Answer 7

oligoarticular

Question 8

what is the term involving >5 joints

Answer 8

polyarticular

Question 9

what is the combination of redness, swelling, warmth, and/or tenderness

Answer 9

inflammatory arthritis

Question 10

what is term used for bacterial infection of the joint

Answer 10

septic joint

Question 11

what is the term referring to affecting both sides of the body

Answer 11

symmetrical arthritis

Question 12

what is the term referring to spotty distribution of affected joints

Answer 12

asymmetrical arthritis

Question 13

what is the term referring to the development of new joint symptoms with improvement of previously affected joints

Answer 13

migratory arthritis

Question 14

what are the general joint pain classifications

Answer 14

• inflammatory vs non-inflammatory
• monoarticular vs oligoarticular vs polyarticular
• symmetrical vs asymmetrical
• type of joints involved

Question 15

what does joint examination with evaluation of ROM and function help verify

Answer 15

if the pain is intraarticular or periarticular

Question 16

difference of inflammatory joint pain and non-inflammatory

Answer 16

Inflammatory: red, warm, boggy/rubbery swelling
yellow-white, opaque, watery
> 2000 to 50,000 WBC/mm3
elevated ESR and CRP
Non-inflammatory: normal or bony swelling
colorless, clear, viscous
< 200 to 2000 WBC/mm3
normal ESR and CRP

Question 17

what is septic arthritis?

Answer 17

infection in a joint caused by bacteria, viruse, fungi, or mycobacterium

Question 18

what is the most common causative pathogen of septic arthritis?

Answer 18

staphylococcus aureus

Question 19

does people with septic arthritis usually have morning pain or stiffness

Answer 19

no

Question 20

what is the most common joint for septic arthritis?

Answer 20

knee

Question 21

is septic arthritis usually monoarticular, oligoarticular, or polyarticular?

Answer 21

monoarticular

Question 22

T or F: in septic arthritis patients, ESR and CRP levels can be normal

Answer 22

true

Question 23

how do you do a synovial fluid analysis

Answer 23

arthrocentesis

Question 24

T or F: Septic Arthritis usually have a WBC count of > 50,000 WBC/mm^3

Answer 24

true

Question 25

Lyme disease cannot be cultured from synovial fluid, so what do we do?

Answer 25

PCR testing

Question 26

does septic arthritis count as a medical emergency?

Answer 26

yes

Question 27

what is the biggest indicator for Gout

Answer 27

high serum uric acid (>5.8 mg per dL) indicating hyperuricemia

Question 28

what is the good standard for diagnosis of gout

Answer 28

joint aspiration and microscopy analysis showing presence of monosodium urate crystals

Question 29

what are some clinical features of rheumatoid arthritis?

Answer 29

- morning stiffness > 1 hour - visible boggy swelling caused by synovitis

Question 30

what is a big indicator of RA

Answer 30

high levels of RF or ACPA

Question 31

what is osteoarthritis?

Answer 31

degenerative disorder of articular cartilage associated with hypertrophic bone changes