chapter 46

Question 1

osteoarthritis etiology

Answer 1

joint over use

Question 2

non modifiable (primary) osteoarthritis risk factors

Answer 2

age
inherited genes

Question 3

modifiable (secondary) osteoarthritis risk factors

Answer 3

obesity (more weight on bones)
joint injury
repetitive stress to joints (I.e construction worker)
immobility

Question 4

osteoarthritis prevention

Answer 4

exercise
weight loss
proper diet
take work breaks
avoid injuries

Question 5

osteoarthritis S/S

Answer 5

pain
crepitus
joint effusion
heberden & bouchard nodes

Question 6

when is osteoarthritis pain worst

Answer 6

in the morning

Question 7

pt will describe osteoarthritis pain as?

Answer 7

“stiffness“

Question 8

osteoarthritis pain improves with?

Answer 8

time (30 mins)
exercise

Question 9

abnormal fluid in joints is called

Answer 9

joint effusion

Question 10

is osteoarthritis onset gradual or abrupt

Answer 10

gradual

Question 11

is osteoarthritis a systemic inflammatory disease?

Answer 11

no it will have localized inflammation

Question 12

will a pt with right shoulder osteoarthritis pain have associated left shoulder pain?

Answer 12

no osteoarthritis pain is asymmetric

Question 13

small swollen bumps that grow on your finger joints are called?

Answer 13

heberden’s and bouchard nodes

Question 14

what imaging diagnostic studies are used for osteoarthritis

Answer 14

MRI
CT scan

Question 15

osteoarthritis labs

Answer 15

aspirated joint fluid
ESR
CRP

Question 16

non inflammatory, localized, progressive disorder that involves deterioration of articular cartilages

Answer 16

osteoarthritis

Question 17

osteoarthritis pain is exacerbated by?

Answer 17

motion

Question 18

pain will have what effect on osteoarthritis patients motion?

Answer 18

limited motion

Question 19

what is a proximal interphalangeal joint?

Answer 19

middle knuckles of the fingers

Question 20

what is the distal interphalangeal joint?

Answer 20

joint closest to tip of finger

Question 21

bony swelling of a distal interphalangeal joint is called?

Answer 21

heberden node

Question 22

bony swelling of proximal interphalangeal joint is called?

Answer 22

bouchard node hint: someone running their bouche (mouth in french) gets the middle finger 🖕🏾

Question 23

rheumatoid arthritis S/S

Answer 23

-fever (low grade)
-generalized inflammation
-symmetrical joint involvement (i.e both knees)
-generalized weakness/fatigue
- morning stiffness (last longer than O.A)
-lymphadenopathy
-weight loss

Question 24

the systemic nature of rheumatoid arthritis can cause?

Answer 24

• myocardial infarction
• angina
• thrombic complications (blood clots)
• pathological fractures

Question 25

rheumatoid arthritis labs

Answer 25

- rheumatoid factor (RF) - anti-CCPBA - ANA -ESR - CRP

Question 26

rheumatoid arthritis imaging

Answer 26

- x-rays - ct scan - arthrocentesis

Question 27

when fluid is taken out of a joint with a needle

Answer 27

arthrocentesis

Question 28

why is rheumatoid arthritis sometimes misdiagnosed as lupus

Answer 28

both affect smaller joints in the body in the same way

Question 29

how is rheumatoid arthritis differentiated from lupus

Answer 29

bone erosion and deformity in later stage of rheumatoid arthritis

Question 30

rheumatoid arthritis treatment

Answer 30

-glucocorticoids (for inflammation & to suppress immune system) - NSAIDS (pain & fever) - antidepressants (depression from R.A sxs) - methotrexate (immunosuppressant & chemotherapy)

Question 31

what is something to monitor for in patients receiving methotrexate treatment?

Answer 31

infection

Question 32

what does methotrexate do to bone marrow?

Answer 32

suppresses bone marrow

Question 33

can you send flowers to a patient receiving methotrexate treatment?

Answer 33

no because they can cause infection

Question 34

what should patients receiving methotrexate or immunosuppressants avoid to prevent infection?

Answer 34

flowers crowded areas sick people

Question 35

bending at base of finger and outermost joint is called

Answer 35

swan neck deformity

Question 36

bone deformity caused by rheumatoid arthritis

Answer 36

swan neck deformity