Hancock

Question 1

osteoarthritis risk factors

Answer 1

age, obesity, excessive joint loading, athletics military

Question 2

osteoarthritic joints mc

Answer 2

neck, hip, knees

Question 3

DIP nodes osteoarthritis

Answer 3

Heberdens node

Question 4

PIP nodes osteoarthritis

Answer 4

Bouchard node

Question 5

osteoarthritis

Answer 5

degenerative progressive wear and tear of the joints cartilage at articulating joints

Question 6

osteoarthritis joint pain

Answer 6

asymmetrical joint pain d/t bone on bone contact loss of cartilage

Question 7

pain in osteoarthritis characteristic

Answer 7

dull ache, deep, relieved with rest and worse w/ activity

Question 8

Osteoarthritis presentation

Answer 8

insidious onset w/ progression taking years to present, morning stiffness goes away after 30 minutes

Question 9

Osteoarthritis findings

Answer 9

joints squaring of thumb, joint narrowing, osteophytes

Question 10

hip osa pain

Answer 10

groin pain pain with internal and external rotation w/ knee full extension

Question 11

osa management and workout

Answer 11

weight loss for every 5 lbs lost = 50 lbs in knee strains and swimming good, Tylenol , nsaids, injections, visco injections go to ortho

Question 12

RA general characteristics

Answer 12

more common in women 3-1 and ages of 20-40 years age genetic predisposition necessary

Question 13

RA clinical manefesations

Answer 13

joints involved hands, and wrist McPhersons, pip

Question 14

Rheumatoid arthritis hand and bony characteristics

Answer 14

ulnar deviation of the MCP joint the swan neck contractors will remain ugly af, take care of c spine XR before surgery

Question 15

Rheumatoid arthritis and pulmonary involvement

Answer 15

Caplan syndrome: multiple rheumatoid nodules with hx of exposure to asbestos and silica dust

Question 16

Rheumatoid arthritis triad felty syndrome

Answer 16

seropositive ra, neutropenia and splenomegaly

Question 17

felty santa

Answer 17

splenomegaly, anemia, neutropnenia, thrombocytopenia, arthritis (ra)

Question 18

rheumatoid arthritis diagnosis

Answer 18

RF+ anti ccp ab: anti cyclic citrullinated peptide protein antibodies

Question 19

Rheumatoid managemnt

Answer 19

nsaids, steroids short terms

Question 20

Seronegative spondyloarthropathies

Answer 20

Ankylosing spondylitis, reactive arthritis,

Question 21

ankylosing spondylosis

Answer 21

hla-b27 Bl sacroilitis, characterized by ascending fusion of back “bamboo back” XR

Question 22

ankylosing spondylitis onset and characteristics

Answer 22

young males stiffness worse in butt and low back worse with rest and better with exercise + fmhx, WITH ANTERIOR UVIETES

Question 23

Ankylosis hallmarks

Answer 23

anterior uveitis, sacrolitis, and bamboo spine

Question 24

psoriatic arthritis findings

Answer 24

sausage fingers, and pencil in a cup XR apperance

Question 25

reactive arthritis characteristics

Answer 25

can't see, climb or pee. inflmatorry condition that occurs after certain infections GI or GU, chlamydia, Camplybacter , typically involves 20-40 year old ppl

Question 26

reactive arthritis involves more?

Answer 26

TOES

Question 27

reactive arthritis rash

Answer 27

keratoderma blennorrhagicum- waxy papular rash on palms and soles

Question 28

reactive arthritis diagnostics findings

Answer 28

synovial fluid: cloudy viscous with reiterating cells XR: fluffy periostitis

Question 29

reactive arthritis TRIAD rosh

Answer 29

conjunctivitis urethritis arthritis, Hal b 27

Question 30

septic arthritis definition

Answer 30

joint infected with a pathogen that can cause rapid destruction of cartilage and synovium

Question 31

septic arhtritis pathogen MC

Answer 31

Staph Aures

Question 32

Gout crystals involved

Answer 32

monosodium urate

Question 33

gout definition

Answer 33

hyperurecemia is the hallmark of this dz

Question 34

gout patho

Answer 34

1) too much uric acid 2) decreased excretion of uric acid

Question 35

gout stages 1

Answer 35

asymptomatic hyperuricemia

Question 36

gout stage 2

Answer 36

acute gouty arthritis - impacts big toe at MTP joint-Podagra

Question 37

gout stage 3

Answer 37

intercritical gout symptomatic period after initial attack

Question 38

gout stage 4

Answer 38

chronic tophaceous gout- noted in poorly controlled gout - conglomerations of rate crystals TOPHI

Question 39

gout crystal characteristics

Answer 39

negative needle shaped birefringent crystals

Question 40

XR gout

Answer 40

punched out erosions

Question 41

gout management

Answer 41

reduce: alcohol, seafood, red meats, and medication that increase uric acid levels

Question 42

gout and colchicine

Answer 42

N/V/D change for CKD

Question 43

Pseudogout crystals

Answer 43

calcium pyrophosphate crystal deposition

Question 44

pseudogout definition

Answer 44

common in elderly patients with DJD, classically monoarticular with larger joints

Question 45

Pseudogout crystals

Answer 45

weakly positive rod shaped razor like calcium pyrophosphate crystals

Question 46

XR gout vs pseudo gout

Answer 46

gout: rat bite erosions pseudo XR: white lines of chonedrocalcinosis

Question 47

when do you not do arhtrocentesis

Answer 47

atrificial joint and INR check do that