Lecture 4: joint disorders 2

Question 1

________________ comprises a group of arthritides of unknown cause beginning in children up to 18 years of age and occurring for at least 6 weeks

Answer 1

juvenile idiopathic arthritis

Question 2

T/F: JIA pain presents more commonly at night than in the day

Answer 2

false; presents in the morning / early in the day (growing pains occur at night)

Question 3

What is the most common type of JIA?

Answer 3

pauciarticular JIA

Question 4

in pauciarticular JIA, what joints are most commonly impacted?

Answer 4

the knees, elbows, wrists, and ankles

Question 5

in pauciarticular JIA, does it occur more commonly in females or males?

Answer 5

females (ages 1-5)

Question 6

_____________affects five or more joints, most commonly including large and small joints. There are two subtypes RF+ and RF-.

Answer 6

polyarticular JIA

Question 7

T/F: spondyloarthopathies can have extraarticular involvement of eyes, skin, genitourinary tract, cardiac system

Answer 7

true

Question 8

____________ typically affects young people beginning between the ages of 15 and 30 years. Rarely after 40 years. It also impacts men more than women

Answer 8

Ankylosing spondylitis

Question 9

T/F: Ankylosing spondylitis most commonly impacts the appendicular skeleton

Answer 9

False; impacts the axial skeleton, but CAN have asymmetric involvement of the peripheral joints

Question 10

__________ is in inflammatory arthropathy of the axial skeleton including the SI joints, apophyseal joints, costovertebral joints etc. There is erosive osteopenia and bony overgrowth with these involved joints.

Answer 10

Ankylosing spondylitis

Question 11

T/F: Ankylosing spondylitis may typically have radiating pain that mimics sciatica and goes down past the knee.

Answer 11

false; may radiate down to the thigh, but NOT past the knees

Question 12

“bamboo spine” is associated with what pathology?

Answer 12

ankylosing spondylitis

Question 13

______________ is an idiopathic variant of OA and is an ossification of ligaments, especially the longitudinal ligaments of the spine.

Answer 13

Diffuse Idiopathic Skeletal Hyperostosis

Question 14

Which part of the spine does DISH most commonly impact?

Answer 14

thoracic spine

Question 15

T/F: DISH most commonly impacts men more than women

Answer 15

true

Question 16

____________ is a chronic autoimmune disease that causes arthritis related effects in several organs. Most commonly the moisture-producing glands but also joints, lungs, kidneys, or liver

Answer 16

sjogren syndrome

Question 17

What is the hallmark of Sjogren syndrome?

Answer 17

dry eyes (keratoconjunctivitis sicca) and dry mouth (xerostomia)

Question 18

__________ is a seronegative inflammatory joint disease affecting about 20% of people who have psoriasis (more often in people with severe psoriasis)

Answer 18

psoriatic arthritis

Question 19

T/F: Psoariatic arthritis has a sudden onset

Answer 19

false; progresses slowly; more a nuisance than a disabling condition for most impacted individuals

Question 20

_________ to ______% chance of contracting psoriatic arthritis if one has a first-degree relative with the disorder

Answer 20

80 to 90%

Question 21

Which joint is psoriatic arthritis more common in?

Answer 21

DIP joints; can also have hand deformities (ex: claw deformity)

Question 22

pitting of the nail beds is associated with ____________ while oncholysis ( a spearation of the nail plate from the nail bed) is associated with _____________

Answer 22

psoriasis; reactive arthritis

Question 23

arthritis, urethritis, and conjuctivitis is a triad of symptoms that indicates _________________ (what pathology?)

Answer 23

Reiter Syndrome

Question 24

What is one of the most common examples of reactive arthritis?

Answer 24

reiter syndrome

Question 25

_________ is an acute monoarticular, inflammatory arthritis manifested by exquisite joint pain occurring suddenly at night. The body produces more uric acid than the kidneys can process.

Answer 25

gout

Question 26

Which age group and gender is gout common in?

Answer 26

Common in middle-aged men

Question 27

A diet rich in _____________ (shellfish, trout, sardines, anchovies, organ meats, etc) can increase the risk of gout

Answer 27

purines