Arthritis

Question 1

osteoarthritis

Answer 1

primarily a degenerative disorder of articular cartilage
not inflammatory

Question 2

Primary OA formation

Answer 2

slowly with age

Question 3

Secondary OA formation

Answer 3

typically from predisposing condition, such as traumatic injuries, developmental deformity or comorbidity

Question 4

OA risk factors

Answer 4

African american men
women post menopause
nutrition hydration
PFC’s from cookware

Question 5

OA risk factors
genetics

Answer 5

account for at least 50% of cases of OA in hands and hips, small % of knees

Question 6

OA risk factors
biomechanical

Answer 6

being overweight
overloading knee and hip joints could lead to cartilage breakdown and failure of ligamentous and other structural support

Question 7

Sports Participation as an OA risk factor

Answer 7

moderate regular running has low, if any, risk
activities that increase the risk demand high intensity, acute, direct joint impact

Question 8

Prevalence with age and gender (men)

Answer 8

Before 50 years of age men>women

Question 9

Prevalence with age and gender (women)

Answer 9

After 50 years women are more often affected with hand,foot, and knee, OA

Question 10

Osteophyte impingement on spinal foramina

Answer 10

Can cause nerve root compression w/ radicular pain, muscle spams, muscle atrophy, and neurologic deficits

Question 11

Warning signs of inflammatory arthritis

Answer 11

S
E
R
I
O
U
S

Question 12

Classic signs of inflammation

Question 13

Cardinal symptom of arthritis

Answer 13

Pain
most frequent complaint

Question 14

What type of movement restriction is very common with OA

Answer 14

capsular patterns

Question 15

Rheumatoid Arthritis

Answer 15

chronic, inflammatory autoimmune disease more common in women
2nd-4th decade of life

Question 16

RA affects the:

Answer 16

synovium/small joints and can also affect multiple tissues
typically PIP and MCP
DIPs are spared
can progress to many other joints

Question 17

Pannus formation

Answer 17

granulation tissue from synovium spreads over articular cartilage, releases enzymes and inflammatory mediators, destroying the cartilage

Question 18

Fibrosis

Answer 18

pannus between bone ends become fibrotic, limiting movement

Question 19

ANkylosis

Answer 19

joint fixation and deformity develops

Question 20

RA and smoking

Answer 20

faster progression of RA

Question 21

RA Symptoms

Answer 21

AM stiffness
more C/S involvement
crepitus
joint subluxation
swan neck deformity of the PIP

Question 22

RA radiographic findings

Answer 22

systemic, inflammatory, swelling, weakening ir periarticular surfaces, symmetric loss of joint space

Question 23

OA radiographic findings

Answer 23

localized, nonsystemic, instability, osteophyte formation, bony hypertrophy

Question 24

Anemia may present itself in which form of arthritis?

Answer 24

RA

Question 25

In someone w/ RA, what must their hemoglobin levels be?

Answer 25

8 or above

Question 26

Juvenile RA

Answer 26

chronic idiopathic arthritis that occurs in children RF and nodules in adults are absent

Question 27

Systematic Onset JRA

Answer 27

acutely ill, multisystem disease

Question 28

Pauciarticular JRA

Answer 28

risk of developing eye disease

Question 29

Polyarticular JRA

Answer 29

similar to adult RA

Question 30

Typical JRA Deformities

Answer 30

Fusion of small joints LLD Accelerated bone growth

Question 31

Joints often involved with JRA

Answer 31

wrist TMJ hip

Question 32

Micrognathia

Answer 32

mandible does not grow at normal pace w/ rest of head

Question 33

Gout

Answer 33

accumulation of excessive uric acid marked by tophi and chronic joint deformity

Question 34

Joint often attacked by gout?

Answer 34

1st MTP

Question 35

gaut causes (diet)

Answer 35

purine rich foods

Question 36

SLE

Answer 36

multisystem autimmune disease that is unpredictable that can attack any tissue

Question 37

SLE primarily affects:

Answer 37

skin, kidneys, joints, heart

Question 38

SLE risk factors

Answer 38

women> african american>

Question 39

SLE Symptoms

Answer 39

butterfly rash fever arthritis pleuritic chest pain photosensitivity

Question 40

Most common SLE symptoms

Answer 40

Arthralgias and arthiritis

Question 41

1/4 of all persons with SLE develop progressive

Answer 41

musculoskeletal damage that mostly occur from treatment medications

Question 42

Sjorgen's Syndrome

Answer 42

Keratoconjunctivitis Sicca Dry eye

Question 43

Most common vascular abnormality in pts w/ RA:

Answer 43

leg ulceration

Question 44

Synovial Cyst

Answer 44

soft, fluid-filled mass, caused by herniation of synovial tissue