Final - Arthritis Overview

Question 1

What is HADD?

Answer 1

Hydroxyapatite Deposition Disease

Causes calcific tendinosis

Question 2

What is CPPD?

Answer 2

Crystal Deposition Disease (Calcium Pyrophosphate Dihydrate)

Causes chondrocalcinosis

Question 3

What Which two types of arthritis have uniform joint space loss?

Answer 3

Infectious and inflammatory

Question 4

Which type of arthritis is characterized by capsular joint distension?

Answer 4

Infectious

Question 5

Which type of arthritis has subchondral sclerosis, cysts and osteochondral bodies?

Answer 5

Degenerative

Question 6

Which types of arthritis cause a loss of subchondral bone?

Answer 6

Infectious and inflammatory

Question 7

What four types of arthritis fall under the category of degenerative?

Answer 7

OA, DISH, snoviochondrometaplasia, neuropathic arthritis

Question 8

T or F: DISH can have large impact on disc space height

Answer 8

False

Doesn’t affect discs

Question 9

Which type of arthritis is very destructive and corresponds to the 6 Ds?

Answer 9

Neuropathic arthritis

Question 10

Which arthritis has multiple intraarticular osteochondral bodies?

Answer 10

Synoviochondrometaplasia

Question 11

Which type of arthritis shows gull-wing deformity in the phalanges?

Answer 11

EOA

Question 12

Which two arthritis types show juxtaarticular osteopenia? Which shows sclerosis?

Answer 12

Inflammatory and infectious

Degenerative

Question 13

What are the seronegative spondyloarthropathies and what location on the body do they all affect?

Answer 13

Reiter’s, Psoriatic, AS, Enteropathic

SI joint

Question 14

Which two arthritis can cause DIP/PIP degeneration and coarse syndesmophytes? Symmetric or asymmetric sacroiliitis?

Answer 14

Psoriatic and Reactive arthritis

Asymmetric

Question 15

Are actual joint changes common in scleroderma and SLE?

Answer 15

No, it is unlikely that you will see any radiographic changes

Question 16

3 characteristics of Hypertrophic Osteoarthropathy

Answer 16

1. Digit clubbing
2. Joint pain, swelling
3. Bilateral periosteal response

Question 17

What joint condition causes overhanging margins?

Answer 17

GOUT

Question 18

In which condition does pain and stiffness last longer during episodes, DJD or inflammatory arthritis?

Answer 18

DJD <1.2 hour
RA >1hour

RA should last quite a bit longer

Question 19

What hand/foot joints is psoriatic arthritis likely to affect?

Answer 19

DIPs

Question 20

T or F: DJD is characterized by erosions

Answer 20

False

Question 21

What seronegative spondyloarthropathy has thin syndesmophytes?

Answer 21

AS

PA and RA have coarse syndesmophytes

Question 22

DJD and bony changes vs inflammatory bony changes

Answer 22

DJD= osteophytes, sclerosis

Inflammatory= syndesmophytes, osteopenia

Question 23

M/C locations of CPPD?

Answer 23

Knee
Wrist
Pubic Symphysis

Question 24

M/C locations for HADD?

Answer 24

Shoulder

Hip

Question 25

Definition of syndesmophytes?

Answer 25

Calcification of paraspinal periarticular soft tissue

Question 26

Definition of enthesophyte?

Answer 26

Calcification of tendon or ligament insertion

Question 27

If all 3 joints n a single digit is inflamed ("ray pattern"), what kind of arthritis would you suspect?

Answer 27

Psoriatic arthritis

Question 28

Which two inflammatory arthropathies cause bilateral, symmetrical sacroiliitis?

Answer 28

AS and enteropathic arthritis

Question 29

Which two conditions cause unilateral or bilateral asymmetrical sacroiliitis?

Answer 29

Psoriatic and reactive arthritis

Question 30

T or F: RA, DISH and DJD all commonly affect the SI joint

Answer 30

False

Question 31

Which arthritis condition may have marginal syndesmophytes but it is less common?

Answer 31

Enteropathic arthritis

Question 32

Atlanta-axial instability is seen in these three arthritic conditions

Answer 32

RA AS PA

Question 33

Which condition exhibits reversible hand deformities?

Answer 33

SLE

Question 34

Which arthritic condition exhibits triangular sclerosis of the iliac portion of the SI joints without showing evidence of erosion?

Answer 34

Osteitis Condensans Ilii

Question 35

What are the 6 D's of neuropathic arthritis?

Answer 35

``` Distended joint Decreased density Debris Dislocation Disorganization Destruction ```

Question 36

What tissues are involved in DISH and where?

Answer 36

Usually ALL. Upper Lx, throughout Thx and lower Cx. Can also affect pelvis, patella, calcaneous, elbow and superior SI joint.

Question 37

T or F: facets are usually involved with DISH

Answer 37

False

Question 38

What metabolic disease is commonly associated with DISH?

Answer 38

Diabetes

Question 39

T or F: erosions, bilateral symmetry and uniform joint space lost are common in certain inflammatory arthropathies

Answer 39

True